NURS 306: Final Exam with All Correct
Answers.
hCG - Answer Maintains corpus luteum (pregnancy test hormone)
Progesterone - Answer Maintains endometrium, prevents contractions
Estrogen - Answer Uterine growth, breast development
Oxytocin - Answer Labor contractions, milk ejection
Prolactin - Answer Milk production
Presumptive signs of pregnancy - Answer N/V, fatigue, amenorrhea
Probable signs of pregnancy - Answer Chadwick, Goodell, Hegar signs
Positive signs of pregnancy - Answer Fetal heartbeat, movement, U/S visualization
GTPAL - Answer Gravida, Term, Preterm, Abortions, Living
Naegele's Rule - Answer LMP + 7 days - 3 months
Danger signs in 1st trimester - Answer Bleeding, severe vomiting
Danger signs in 2nd trimester - Answer Cramping, fluid leakage
Danger signs in 3rd trimester - Answer Headache, blurred vision, swelling → preeclampsia!
NST - Answer Fetal well-being; Reactive = 2 accels (15x15) in 20 min
BPP - Answer Fetal well-being; 8-10 = good; 6 = equivocal; ≤4 = deliver
AFI - Answer Amniotic fluid; <5 = oligohydramnios; >24 = polyhydramnios
, AFP/Quad - Answer Detects NTD, Down Syndrome; ↑ = NTD; ↓ = Trisomy 21
CVS/Amnio - Answer Genetic dx; Risk: bleeding, infection, ROM
5 P's of Labor - Answer Passenger, Passageway, Powers, Position, Psyche
True Labor - Answer Regular, increasing ctxns + cervical change
False Labor - Answer Irregular ctxns, no cervical change
ROM Tests - Answer Nitrazine (blue = positive), Ferning pattern, Amnisure
Stages of Labor - Answer 1: Latent (0-5cm), Active (6-10cm); 2: Delivery of baby; 3: Placenta
delivery (≤30min); 4: Recovery (2h PP)
The Golden Hour - Answer Skin-to-skin, delayed cord clamp, early BF
Pain Meds - Answer Fentanyl, Morphine, Butorphanol — watch for fetal resp. depression
Epidural - Answer Monitor BP Q5min initially, preload fluids, avoid supine position
Baseline FHR - Answer 110-160 bpm
Variability - Answer Absent = bad; Minimal = sleepy/drug; Moderate = good; Marked =
hypoxia
Decelerations Mnemonic - Answer VEAL CHOP: Variable → Cord compression; Early → Head
compression; Accel → Okay!; Late → Placental insufficiency
Category I FHR - Answer 110-160, moderate variability, no lates/variables
Category III FHR - Answer Absent variability + recurrent decels/brady → delivery!
BUBBLE-HE - Answer Breasts, Uterus, Bladder, Bowels, Lochia, Episiotomy, Homan's,
Emotions
Answers.
hCG - Answer Maintains corpus luteum (pregnancy test hormone)
Progesterone - Answer Maintains endometrium, prevents contractions
Estrogen - Answer Uterine growth, breast development
Oxytocin - Answer Labor contractions, milk ejection
Prolactin - Answer Milk production
Presumptive signs of pregnancy - Answer N/V, fatigue, amenorrhea
Probable signs of pregnancy - Answer Chadwick, Goodell, Hegar signs
Positive signs of pregnancy - Answer Fetal heartbeat, movement, U/S visualization
GTPAL - Answer Gravida, Term, Preterm, Abortions, Living
Naegele's Rule - Answer LMP + 7 days - 3 months
Danger signs in 1st trimester - Answer Bleeding, severe vomiting
Danger signs in 2nd trimester - Answer Cramping, fluid leakage
Danger signs in 3rd trimester - Answer Headache, blurred vision, swelling → preeclampsia!
NST - Answer Fetal well-being; Reactive = 2 accels (15x15) in 20 min
BPP - Answer Fetal well-being; 8-10 = good; 6 = equivocal; ≤4 = deliver
AFI - Answer Amniotic fluid; <5 = oligohydramnios; >24 = polyhydramnios
, AFP/Quad - Answer Detects NTD, Down Syndrome; ↑ = NTD; ↓ = Trisomy 21
CVS/Amnio - Answer Genetic dx; Risk: bleeding, infection, ROM
5 P's of Labor - Answer Passenger, Passageway, Powers, Position, Psyche
True Labor - Answer Regular, increasing ctxns + cervical change
False Labor - Answer Irregular ctxns, no cervical change
ROM Tests - Answer Nitrazine (blue = positive), Ferning pattern, Amnisure
Stages of Labor - Answer 1: Latent (0-5cm), Active (6-10cm); 2: Delivery of baby; 3: Placenta
delivery (≤30min); 4: Recovery (2h PP)
The Golden Hour - Answer Skin-to-skin, delayed cord clamp, early BF
Pain Meds - Answer Fentanyl, Morphine, Butorphanol — watch for fetal resp. depression
Epidural - Answer Monitor BP Q5min initially, preload fluids, avoid supine position
Baseline FHR - Answer 110-160 bpm
Variability - Answer Absent = bad; Minimal = sleepy/drug; Moderate = good; Marked =
hypoxia
Decelerations Mnemonic - Answer VEAL CHOP: Variable → Cord compression; Early → Head
compression; Accel → Okay!; Late → Placental insufficiency
Category I FHR - Answer 110-160, moderate variability, no lates/variables
Category III FHR - Answer Absent variability + recurrent decels/brady → delivery!
BUBBLE-HE - Answer Breasts, Uterus, Bladder, Bowels, Lochia, Episiotomy, Homan's,
Emotions
