MaternityvnNursing:vnPregnancyvnandvnchildbirth
Whatvnisvnthevngoalvnofvnearlyvnprenatalvncare?vn-vncorrectvnanswer✔ ✔
Tovnoptimizevnthevnhealthvnofvnthevnwomanvnandvnfetusvnandvntovnincreasevnthevnoddsvnt
hatvnthevnfetusvnwillvnbevnbornvnhealthyvnandvntovnavnhealthyvnmother.
Whatvnarevnthevnresponsibilitiesvnofvnthevnnursevnduringvnprenatalvncare?vn-
vncorrectvnanswer✔ ✔
Teachingvnthroughoutvnpregnancy,vnscreeningvnatvneachvnvisit,vnmonitorvnvitalvnsigns,
vnpreformvnassessmentsvndelegatedvnbyvnOBGYN,vnanswervnquestions,vnandvnreportvnan
yvnabnormalvncommissionsvntovnthevndoctor.
Whatvnhappensvnatvnthevnfirstvnprenatalvnvisit?vn-vncorrectvnanswer✔ ✔
Longestvnvisit:vnbaselinevndatavncollectedvntovncomparevnsubsequentvnvisitsvnto.vnConf
irmvnorvnrulevnoutvnpregnancy,vnascertainvnriskvnfactors,vndeterminevnduevndate,vnandvnpr
ovidevneducationvnonvnmaintainingvnavnhealthyvnpregnancy
Whatvnisvnincludedvninvnthevnpatientsvnreproductivevnhistory?vn-vncorrectvnanswer✔ ✔
Timevnofvnmenarche,vncharacteristicsvnofvnnormalvnmenstrualvncycles,vnfirstvndayvnofvn
lastvnmenstrualvnperiod,vnpregnancyvnhistoryvninvnoutcomesvnusingvnGTPAL,vnandvnany
vncomplicationsvnoccurredvnduringvnpreviousvnpregnancies.
Communicatesvnthevnoutcomevnofvnpreviousvnpregnanciesvn-vncorrectvnanswer✔ ✔
Parity,vnorvn"para".vnIncludesvnanyvndeliveryvnaftervntwentyvnweeks,vnlivingvnorvnstillb
orn.vnCountsvnmultiplesvnasvnonevnsinglevnpregnancy.
,Allvnpreviousvnpregnanciesvnavnwomanvnhasvnhad,vnregardlessvnofvnoutcome.vn-
vncorrectvnanswer✔ ✔ Gravida
GTPALvn-vncorrectvnanswer✔ ✔ Gravida
Termvndeliveriesvn(atvnorvnbeyondvn38vnweeks)
Pretermvndeliveriesvn(20-37vnweeks)
Abortionsvn(numbervnofvnpregnanciesvnthatvnendedvnbeforevn20vnweeks)
LivingvnChildren
Nevervnbeenvnpregnantvn-vncorrectvnanswer✔ ✔ Nulligravida
Firstvnpregnancyvn-vncorrectvnanswer✔ ✔ Primigravida
Whatvnisvnincludedvninvnthevnmedical-surgicalvnhistory?vn-vncorrectvnanswer✔ ✔
Anyvnmajorvnmedicalvnproblemvn(suchvnasvnheartvndiseasevnorvndiabetes),vnavnlistvnofvna
llvnmedicationsvnshevnisvntakingvnincludingvnovervnthevncountervnmedicationsvnandvnherb
alvnremedies,vnriskvnfactorsvnforvninfectiousvndiseases,vnimmunizationvnstatus,vnandvnris
kvnfactorsvnforvnsexuallyvntransmittedvninfections
Whatvnisvnincludedvninvnthevnfamilyvnhistory?vn-vncorrectvnanswer✔ ✔
healthvnstatusvnofvnthevnfathervnofvnthevnbabyvnandvnanyvnclosevnrelativesvnofvnthevnwom
anvnandvnhervnpartner,vnspecificallyvnifvntherevnisvnavnhistoryvnforvngeneticvndiseasesvnthat
vnwouldvnrequirevntestingvnorvncounseling.vnIfvnyou vnonlyvnhistoryvnforvncysticvnfibrosisvn
orvnhearingvnlossvnmayvnrequirevngeneticvntesting.thevnethnicvnbackgroundvnofvnthevnwo
manvnandvnrelativesvnofvnthevnfetusvnarevnimportantvnfactorsvntovnconsidervnasvnwell.vnsic
klevncellvnanemiavnandvnthalassemiavnarevnhighervninvnAfricanvnAmerican,vnIndianvnandv
, MiddlevnEasternvndescent.vnTayvnSachsvndiseasevnisvnhighervninvnEuropeanvnJewsvnandvn
n
FrenchvnCanadians.vnCysticvnfibrosisvnisvnhighervninvnCaucasians.
whatvnisvnincludedvninvnthevnsocialvnhistory?vn-vncorrectvnanswer✔ ✔
focusesvnonvnenvironmentalvnfactorsvnthatvnmayvninfluencevnthevnpregnancy.vnthesevni
ncludevnthingsvnsuchvnasvnsocialvnsupport,vnhousingvninvnnutrition,vneducation,vntypevnof
vnemployment,vnpresencevnofvndomesticvnviolencevnorvnabuse,vnsmoking,vnalcohol,vnand
vnillicitvnandvnovervnthevncountervndrugvnuse,vnandvnhobbiesvnsuchvnasvngardeningvnorvnpet
vncarevn(canvnexposevnmothervntovntoxoplasmosis,vnwhichvncanvnharmvnthevnfetus).
Listvnthevnlaboratoryvnassessmentsvndonevnduringvnpregnancyvnandvntheirvnpurposevn-
vncorrectvnanswer✔ ✔
CBC:vnindicatesvnoverallvnhealthvnstatusvnofvnthevnmother,vnincludingvnanemiavnwhich
vncanvnsuggestvnpoorvnnutritionalvnstatusvnandvnavnpotentiallyvnpoorvnpregnancyvnoutcom
e.
HEMOGLOBINvnELECTROPHORESISvnTest:vndonevnifvnthevnwomanvnisvnatvnriskvnfo
rvnsicklevncellvnanemiavnorvnthalassemia.
Bloodvntypevnandvnantibodyvnscreen:vnhelpsvnidentifyvnwomenvnwhovnarevnatvnriskvnofvnd
evelopingvnantigenvnincompatibilityvnwithvnfetalvnbloodvncells.
Screensvnforvninfection:vnhepvnB,vnHIV,vnsyphilis,vngonorrhea,vnchlamydia
RubellavnTiter:vndeterminesvnmother'svnimmunityvntovnrubella.vnThevnrubellavnimmuniz
ationvncannotvnbevngivenvnduringvnpregnancy.vn
PapvnSmear:vnchecksvnforvncervicalvnCA
UrinevnCulture:vnscreensvnforvnbacteriavninvnthevnurinevnwhichvncanvnleadvntovnUTIvnandvn
prematurevnlabor
whatvnisvnthevnmostvncommonvnwayvntovncalculatevnthevnestimatedvnduevndatevn,vnandvnho
wvnisvnitvndone?vn-vncorrectvnanswer✔ ✔
Whatvnisvnthevngoalvnofvnearlyvnprenatalvncare?vn-vncorrectvnanswer✔ ✔
Tovnoptimizevnthevnhealthvnofvnthevnwomanvnandvnfetusvnandvntovnincreasevnthevnoddsvnt
hatvnthevnfetusvnwillvnbevnbornvnhealthyvnandvntovnavnhealthyvnmother.
Whatvnarevnthevnresponsibilitiesvnofvnthevnnursevnduringvnprenatalvncare?vn-
vncorrectvnanswer✔ ✔
Teachingvnthroughoutvnpregnancy,vnscreeningvnatvneachvnvisit,vnmonitorvnvitalvnsigns,
vnpreformvnassessmentsvndelegatedvnbyvnOBGYN,vnanswervnquestions,vnandvnreportvnan
yvnabnormalvncommissionsvntovnthevndoctor.
Whatvnhappensvnatvnthevnfirstvnprenatalvnvisit?vn-vncorrectvnanswer✔ ✔
Longestvnvisit:vnbaselinevndatavncollectedvntovncomparevnsubsequentvnvisitsvnto.vnConf
irmvnorvnrulevnoutvnpregnancy,vnascertainvnriskvnfactors,vndeterminevnduevndate,vnandvnpr
ovidevneducationvnonvnmaintainingvnavnhealthyvnpregnancy
Whatvnisvnincludedvninvnthevnpatientsvnreproductivevnhistory?vn-vncorrectvnanswer✔ ✔
Timevnofvnmenarche,vncharacteristicsvnofvnnormalvnmenstrualvncycles,vnfirstvndayvnofvn
lastvnmenstrualvnperiod,vnpregnancyvnhistoryvninvnoutcomesvnusingvnGTPAL,vnandvnany
vncomplicationsvnoccurredvnduringvnpreviousvnpregnancies.
Communicatesvnthevnoutcomevnofvnpreviousvnpregnanciesvn-vncorrectvnanswer✔ ✔
Parity,vnorvn"para".vnIncludesvnanyvndeliveryvnaftervntwentyvnweeks,vnlivingvnorvnstillb
orn.vnCountsvnmultiplesvnasvnonevnsinglevnpregnancy.
,Allvnpreviousvnpregnanciesvnavnwomanvnhasvnhad,vnregardlessvnofvnoutcome.vn-
vncorrectvnanswer✔ ✔ Gravida
GTPALvn-vncorrectvnanswer✔ ✔ Gravida
Termvndeliveriesvn(atvnorvnbeyondvn38vnweeks)
Pretermvndeliveriesvn(20-37vnweeks)
Abortionsvn(numbervnofvnpregnanciesvnthatvnendedvnbeforevn20vnweeks)
LivingvnChildren
Nevervnbeenvnpregnantvn-vncorrectvnanswer✔ ✔ Nulligravida
Firstvnpregnancyvn-vncorrectvnanswer✔ ✔ Primigravida
Whatvnisvnincludedvninvnthevnmedical-surgicalvnhistory?vn-vncorrectvnanswer✔ ✔
Anyvnmajorvnmedicalvnproblemvn(suchvnasvnheartvndiseasevnorvndiabetes),vnavnlistvnofvna
llvnmedicationsvnshevnisvntakingvnincludingvnovervnthevncountervnmedicationsvnandvnherb
alvnremedies,vnriskvnfactorsvnforvninfectiousvndiseases,vnimmunizationvnstatus,vnandvnris
kvnfactorsvnforvnsexuallyvntransmittedvninfections
Whatvnisvnincludedvninvnthevnfamilyvnhistory?vn-vncorrectvnanswer✔ ✔
healthvnstatusvnofvnthevnfathervnofvnthevnbabyvnandvnanyvnclosevnrelativesvnofvnthevnwom
anvnandvnhervnpartner,vnspecificallyvnifvntherevnisvnavnhistoryvnforvngeneticvndiseasesvnthat
vnwouldvnrequirevntestingvnorvncounseling.vnIfvnyou vnonlyvnhistoryvnforvncysticvnfibrosisvn
orvnhearingvnlossvnmayvnrequirevngeneticvntesting.thevnethnicvnbackgroundvnofvnthevnwo
manvnandvnrelativesvnofvnthevnfetusvnarevnimportantvnfactorsvntovnconsidervnasvnwell.vnsic
klevncellvnanemiavnandvnthalassemiavnarevnhighervninvnAfricanvnAmerican,vnIndianvnandv
, MiddlevnEasternvndescent.vnTayvnSachsvndiseasevnisvnhighervninvnEuropeanvnJewsvnandvn
n
FrenchvnCanadians.vnCysticvnfibrosisvnisvnhighervninvnCaucasians.
whatvnisvnincludedvninvnthevnsocialvnhistory?vn-vncorrectvnanswer✔ ✔
focusesvnonvnenvironmentalvnfactorsvnthatvnmayvninfluencevnthevnpregnancy.vnthesevni
ncludevnthingsvnsuchvnasvnsocialvnsupport,vnhousingvninvnnutrition,vneducation,vntypevnof
vnemployment,vnpresencevnofvndomesticvnviolencevnorvnabuse,vnsmoking,vnalcohol,vnand
vnillicitvnandvnovervnthevncountervndrugvnuse,vnandvnhobbiesvnsuchvnasvngardeningvnorvnpet
vncarevn(canvnexposevnmothervntovntoxoplasmosis,vnwhichvncanvnharmvnthevnfetus).
Listvnthevnlaboratoryvnassessmentsvndonevnduringvnpregnancyvnandvntheirvnpurposevn-
vncorrectvnanswer✔ ✔
CBC:vnindicatesvnoverallvnhealthvnstatusvnofvnthevnmother,vnincludingvnanemiavnwhich
vncanvnsuggestvnpoorvnnutritionalvnstatusvnandvnavnpotentiallyvnpoorvnpregnancyvnoutcom
e.
HEMOGLOBINvnELECTROPHORESISvnTest:vndonevnifvnthevnwomanvnisvnatvnriskvnfo
rvnsicklevncellvnanemiavnorvnthalassemia.
Bloodvntypevnandvnantibodyvnscreen:vnhelpsvnidentifyvnwomenvnwhovnarevnatvnriskvnofvnd
evelopingvnantigenvnincompatibilityvnwithvnfetalvnbloodvncells.
Screensvnforvninfection:vnhepvnB,vnHIV,vnsyphilis,vngonorrhea,vnchlamydia
RubellavnTiter:vndeterminesvnmother'svnimmunityvntovnrubella.vnThevnrubellavnimmuniz
ationvncannotvnbevngivenvnduringvnpregnancy.vn
PapvnSmear:vnchecksvnforvncervicalvnCA
UrinevnCulture:vnscreensvnforvnbacteriavninvnthevnurinevnwhichvncanvnleadvntovnUTIvnandvn
prematurevnlabor
whatvnisvnthevnmostvncommonvnwayvntovncalculatevnthevnestimatedvnduevndatevn,vnandvnho
wvnisvnitvndone?vn-vncorrectvnanswer✔ ✔
