NUR 335 MATERNAL HEALTH EXAM 1
EXAM NEWEST WITH COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS| BRAND NEW VERSION!
Question 1
During an early prenatal examination, the nurse notes a distinct blue-violet or
purplish discoloration of the cervix, vagina, and vulva. What is the name of this
classic presumptive sign of pregnancy?
✔✔ Chadwick’s Sign.
Clinical Context: This color change typically manifests around the 6th to 8th
week of gestation. It is caused by a normal, estrogen-driven surge in pelvic
vascularity and venous congestion.
Question 2
What is the medical term used to denote a young female's very first menstrual
cycle, serving as a landmark milestone in pubertal development?
✔✔ Menarche.
Question 3
From a reproductive risk standpoint, what maternal age ranges define a standard
(non-high-risk) pregnancy versus an advanced maternal age (high-risk) pregnancy?
✔✔ Age Classifications:
Standard (Non-High-Risk) Age Range: 20 to 34 years old. Statistically,
this window is associated with the lowest baseline risk for chromosomal
anomalies and obstetric complications.
Advanced Maternal Age (High-Risk): 35 years old and older. This
designation triggers closer clinical surveillance due to a higher statistical risk
of genetic abnormalities, gestational diabetes, preeclampsia, and fetal growth
restrictions.
,Question 4
When evaluating pelvic anatomy for childbirth, which pelvic structural shape is
considered the most optimal for a spontaneous vaginal delivery, and which shape is
considered the most restrictive and unfavorable?
✔✔ Pelvic Shapes:
Most Favorable: The Gynecoid pelvis. It features a classic round inlet,
wide pubic arch, and roomy dimensions, allowing the fetal head to negotiate
the birth canal with the least resistance.
Least Favorable: The Platypelloid pelvis. It is flattened anteroposteriorly
with a wide transverse diameter, which frequently prevents the fetal head
from properly engaging or descending, making an operative birth or
Cesarean delivery highly likely.
Question 5
During prenatal visits, the nurse thoroughly educates the pregnant client on
warning indicators that require immediate medical evaluation. What are the key
"danger signs" of pregnancy that a client must report right away?
✔✔ Critical Pregnancy Danger Signs Include:
Vaginal Bleeding: Any spotting or frank bleeding, which can indicate
miscarriage, placenta previa, or abruptio placentae.
Dysuria (Burning on urination): A classic sign of a Urinary Tract
Infection (UTI), which left untreated can trigger preterm labor.
Visual Disturbances (Blurry vision or flashes of light): A key
neurological sign of worsening preeclampsia (gestational hypertension).
Severe Persistent Abdominal Pain: Can indicate an ectopic pregnancy,
placental abruption, or severe preeclampsia.
Hyperglycemia Manifestations: Uncontrolled high blood sugar spikes
indicating gestational diabetes complications.
Substance Exposure: Unsafe exposure to or use of drugs, illicit substances,
or alcohol, which puts the fetus at immediate risk for teratogenic effects.
,Leukocytes function - ANSWER.....defense and immunity
what does protein in urine have the ability to detect - ANSWER.....birth defects
when is estrogen highest - ANSWER.....proliferative phase
when does fertility peak - ANSWER.....age 24-25; 96 % chance of pregnancy
Where does fertilization occur? - ANSWER.....fallopian tubes; moves down tubes
via cillia
when do you hear the heartbeat - ANSWER.....5-6 weeks
Mechonium should be passed in the first - ANSWER.....24-48 hrs; first infant poop
first stage of labor duration - ANSWER.....2-3 minutes
2nd stage of labor duration - ANSWER.....20-30 min
3rd stage of labor duration - ANSWER.....5-30 min
what to do for late/prolonged labor - ANSWER.....change position; stop pitocin
Nubain (Nalbuphine) - ANSWER.....-Narcotic. Kicks in within 2-3 minutes. Lasts
10 or so hours.
, -Pain relief and relaxation during labor; labor pain; postoperative pain after C-
section; can precipitate withdrawal symptoms if pt has opioid dependency
when does postpartum period occur - ANSWER.....after birth to 6-8 weeks
oxcytocin - ANSWER.....stops/prevents hemorrhage; promotes uterine contractions
what opens at the first breath - ANSWER.....foramen ovale
methods of heat loss - ANSWER.....radiation, conduction, convection, evaporation
what does nonmidline ears indicate - ANSWER.....congenital defects
what does webbing indicate - ANSWER.....turners syndrome
what does cold stress lead to - ANSWER.....hypoglycemia
what do you if you cant use a fetal heart monitor - ANSWER.....palpate to check
intensity of contractions and the different body parts
actions for amniocenteses - ANSWER.....remove fluid and use ultrasound as a
guide
what does it mean if the hCG levels do not double or if they go backwards -
ANSWER.....miscarriage
EXAM NEWEST WITH COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS| BRAND NEW VERSION!
Question 1
During an early prenatal examination, the nurse notes a distinct blue-violet or
purplish discoloration of the cervix, vagina, and vulva. What is the name of this
classic presumptive sign of pregnancy?
✔✔ Chadwick’s Sign.
Clinical Context: This color change typically manifests around the 6th to 8th
week of gestation. It is caused by a normal, estrogen-driven surge in pelvic
vascularity and venous congestion.
Question 2
What is the medical term used to denote a young female's very first menstrual
cycle, serving as a landmark milestone in pubertal development?
✔✔ Menarche.
Question 3
From a reproductive risk standpoint, what maternal age ranges define a standard
(non-high-risk) pregnancy versus an advanced maternal age (high-risk) pregnancy?
✔✔ Age Classifications:
Standard (Non-High-Risk) Age Range: 20 to 34 years old. Statistically,
this window is associated with the lowest baseline risk for chromosomal
anomalies and obstetric complications.
Advanced Maternal Age (High-Risk): 35 years old and older. This
designation triggers closer clinical surveillance due to a higher statistical risk
of genetic abnormalities, gestational diabetes, preeclampsia, and fetal growth
restrictions.
,Question 4
When evaluating pelvic anatomy for childbirth, which pelvic structural shape is
considered the most optimal for a spontaneous vaginal delivery, and which shape is
considered the most restrictive and unfavorable?
✔✔ Pelvic Shapes:
Most Favorable: The Gynecoid pelvis. It features a classic round inlet,
wide pubic arch, and roomy dimensions, allowing the fetal head to negotiate
the birth canal with the least resistance.
Least Favorable: The Platypelloid pelvis. It is flattened anteroposteriorly
with a wide transverse diameter, which frequently prevents the fetal head
from properly engaging or descending, making an operative birth or
Cesarean delivery highly likely.
Question 5
During prenatal visits, the nurse thoroughly educates the pregnant client on
warning indicators that require immediate medical evaluation. What are the key
"danger signs" of pregnancy that a client must report right away?
✔✔ Critical Pregnancy Danger Signs Include:
Vaginal Bleeding: Any spotting or frank bleeding, which can indicate
miscarriage, placenta previa, or abruptio placentae.
Dysuria (Burning on urination): A classic sign of a Urinary Tract
Infection (UTI), which left untreated can trigger preterm labor.
Visual Disturbances (Blurry vision or flashes of light): A key
neurological sign of worsening preeclampsia (gestational hypertension).
Severe Persistent Abdominal Pain: Can indicate an ectopic pregnancy,
placental abruption, or severe preeclampsia.
Hyperglycemia Manifestations: Uncontrolled high blood sugar spikes
indicating gestational diabetes complications.
Substance Exposure: Unsafe exposure to or use of drugs, illicit substances,
or alcohol, which puts the fetus at immediate risk for teratogenic effects.
,Leukocytes function - ANSWER.....defense and immunity
what does protein in urine have the ability to detect - ANSWER.....birth defects
when is estrogen highest - ANSWER.....proliferative phase
when does fertility peak - ANSWER.....age 24-25; 96 % chance of pregnancy
Where does fertilization occur? - ANSWER.....fallopian tubes; moves down tubes
via cillia
when do you hear the heartbeat - ANSWER.....5-6 weeks
Mechonium should be passed in the first - ANSWER.....24-48 hrs; first infant poop
first stage of labor duration - ANSWER.....2-3 minutes
2nd stage of labor duration - ANSWER.....20-30 min
3rd stage of labor duration - ANSWER.....5-30 min
what to do for late/prolonged labor - ANSWER.....change position; stop pitocin
Nubain (Nalbuphine) - ANSWER.....-Narcotic. Kicks in within 2-3 minutes. Lasts
10 or so hours.
, -Pain relief and relaxation during labor; labor pain; postoperative pain after C-
section; can precipitate withdrawal symptoms if pt has opioid dependency
when does postpartum period occur - ANSWER.....after birth to 6-8 weeks
oxcytocin - ANSWER.....stops/prevents hemorrhage; promotes uterine contractions
what opens at the first breath - ANSWER.....foramen ovale
methods of heat loss - ANSWER.....radiation, conduction, convection, evaporation
what does nonmidline ears indicate - ANSWER.....congenital defects
what does webbing indicate - ANSWER.....turners syndrome
what does cold stress lead to - ANSWER.....hypoglycemia
what do you if you cant use a fetal heart monitor - ANSWER.....palpate to check
intensity of contractions and the different body parts
actions for amniocenteses - ANSWER.....remove fluid and use ultrasound as a
guide
what does it mean if the hCG levels do not double or if they go backwards -
ANSWER.....miscarriage
