BSNC 5000 Module 1 OB Questions and
Correct Answers
What is the relevance of reproduction and sexual health in nursing practice? ✅- stds
can be transmitted to babies
- health and wellbeing education
- knowledge and access to contraceptives (can be limited)
What are the psychological and cultural factors to consider for sexual and reproductive
health ✅- cultural beliefs
- mental health
- relationship dynamics
- cultural norms
- traditions/rituals
- stress/addiction
What are the sociodemographic factors to consider for sexual and reproductive health
✅- age and gender
- ethnicity
- marital status
- religion
- education
- income/socioeconomic status
- geography
- workplace policy
What are the environmental factors to consider for sexual and reproductive health ✅-
rural environment/location
- accessibility to healthcare
- infections
- smoking (exposure)
- social support networks
- urban planning
- stressful environment
What are the biophysical factors to consider for sexual and reproductive health ✅-
miscarriages
- vaginal trauma
- stis
- low weight
- inherited disorders
- blood group incompatible
- nutritional issues
- pre-existing medical condition
,Who is the client in the obstetric setting? ✅the family
What hormone is tested for in both blood and urine to confirm pregnancy ✅HCG
What starts releasing HCG into pregnant clients bloodstream? ✅placenta
When can HCG be detected in maternal serum after conception ✅8-10 days
What hormones does HCG continue to supply the body ✅estrogen and progesterone
What does progesterone do ✅- decrease contractility of uterus
- stimulate maternal metabolism
- increase breast tissue development
What does estrogen do ✅- stimulate uterine growth
- placental blood flow
- breast granular tissue
- contraction of uterine wall
What doe HCP do ✅supplies nutrients to the fetus to allow growth
Risk factors for intimate patient violence ✅- oppression
- racism
- homophobia
- women
- transphobia
- indigenous
-youth
- disability
- rural area
Types of intimate patient violence ✅- physical violence
- controlling
- threatening
- sexual
- psychological
How might the antenatal record 2 information be utilized to plan and prioritize
postpartum care ✅- allows us to know they attended all their appointments
- what they need and whats tests they are missing
- hemoglobin baseline
- immunizations for mom and baby postpartum
, What would they do for Group B strep (GBS) screening and investigation ✅- would be
in antenatal record 2
- ensure they come in with time for antibiotics (will get penicillin)
- test baby in postpartum if didn't get antibiotics
- can lead to meningitis
- treat as positive until the test is confirmed negative
What would they do for screening and investigations for ABO group and Rh factor and
hemoglobin ✅- jaundice in baby is incompatibility
-RH is to be checked on all patients = if Rh- receive rhogram at 28weeks - depends on
babies blood
- only receive rhogram if baby is Rh+ 72hrs needed
- aware of baseline = guides interventions especially postpartum hemorrhage
How many does of rhogram is needed and when ✅2 doses
- one at 28wks (first appointment) and second at postpartum
What screening and interventions would be done for herpes simplex virus (HSV) ✅-
found in antinatal form 1
- start on acyclovir (antiviral medication)
- recommendation to have C-section
- baby screened, if they have, they get immediate interventions sent to NICU
What screening and interventions would be done for rubella and varicella ✅- found in
antinatal record 2
- when testing we want rubella to be at least 10 in blood (for protection antibodies)
- exposed within 5 days before birth or 2 days after birth, baby is treated
- give rhogram + mom gets MMR vaccines at same time
- after 3mo comeback for check
What screening and investigations would be done for syphillis ✅- found in antinatal
record 2
- patients are screened in pregnancy and postpartum
- decrease risk of baby being exposed
- if increase risk we test in 3rd trimester
What screening and investigations would be done for Hep B ✅- found in antinatal
record 2
- going to treat baby vaccine and immunoglobulin if mom is positive or increase irks
12hr after birth
What is the normal amount of amniotic fluid during pregnancy ✅700-1000ml
What does amniotic fluid do ✅- helps with temperature regulation for baby
- source of oral fluid (pee in and out)
Correct Answers
What is the relevance of reproduction and sexual health in nursing practice? ✅- stds
can be transmitted to babies
- health and wellbeing education
- knowledge and access to contraceptives (can be limited)
What are the psychological and cultural factors to consider for sexual and reproductive
health ✅- cultural beliefs
- mental health
- relationship dynamics
- cultural norms
- traditions/rituals
- stress/addiction
What are the sociodemographic factors to consider for sexual and reproductive health
✅- age and gender
- ethnicity
- marital status
- religion
- education
- income/socioeconomic status
- geography
- workplace policy
What are the environmental factors to consider for sexual and reproductive health ✅-
rural environment/location
- accessibility to healthcare
- infections
- smoking (exposure)
- social support networks
- urban planning
- stressful environment
What are the biophysical factors to consider for sexual and reproductive health ✅-
miscarriages
- vaginal trauma
- stis
- low weight
- inherited disorders
- blood group incompatible
- nutritional issues
- pre-existing medical condition
,Who is the client in the obstetric setting? ✅the family
What hormone is tested for in both blood and urine to confirm pregnancy ✅HCG
What starts releasing HCG into pregnant clients bloodstream? ✅placenta
When can HCG be detected in maternal serum after conception ✅8-10 days
What hormones does HCG continue to supply the body ✅estrogen and progesterone
What does progesterone do ✅- decrease contractility of uterus
- stimulate maternal metabolism
- increase breast tissue development
What does estrogen do ✅- stimulate uterine growth
- placental blood flow
- breast granular tissue
- contraction of uterine wall
What doe HCP do ✅supplies nutrients to the fetus to allow growth
Risk factors for intimate patient violence ✅- oppression
- racism
- homophobia
- women
- transphobia
- indigenous
-youth
- disability
- rural area
Types of intimate patient violence ✅- physical violence
- controlling
- threatening
- sexual
- psychological
How might the antenatal record 2 information be utilized to plan and prioritize
postpartum care ✅- allows us to know they attended all their appointments
- what they need and whats tests they are missing
- hemoglobin baseline
- immunizations for mom and baby postpartum
, What would they do for Group B strep (GBS) screening and investigation ✅- would be
in antenatal record 2
- ensure they come in with time for antibiotics (will get penicillin)
- test baby in postpartum if didn't get antibiotics
- can lead to meningitis
- treat as positive until the test is confirmed negative
What would they do for screening and investigations for ABO group and Rh factor and
hemoglobin ✅- jaundice in baby is incompatibility
-RH is to be checked on all patients = if Rh- receive rhogram at 28weeks - depends on
babies blood
- only receive rhogram if baby is Rh+ 72hrs needed
- aware of baseline = guides interventions especially postpartum hemorrhage
How many does of rhogram is needed and when ✅2 doses
- one at 28wks (first appointment) and second at postpartum
What screening and interventions would be done for herpes simplex virus (HSV) ✅-
found in antinatal form 1
- start on acyclovir (antiviral medication)
- recommendation to have C-section
- baby screened, if they have, they get immediate interventions sent to NICU
What screening and interventions would be done for rubella and varicella ✅- found in
antinatal record 2
- when testing we want rubella to be at least 10 in blood (for protection antibodies)
- exposed within 5 days before birth or 2 days after birth, baby is treated
- give rhogram + mom gets MMR vaccines at same time
- after 3mo comeback for check
What screening and investigations would be done for syphillis ✅- found in antinatal
record 2
- patients are screened in pregnancy and postpartum
- decrease risk of baby being exposed
- if increase risk we test in 3rd trimester
What screening and investigations would be done for Hep B ✅- found in antinatal
record 2
- going to treat baby vaccine and immunoglobulin if mom is positive or increase irks
12hr after birth
What is the normal amount of amniotic fluid during pregnancy ✅700-1000ml
What does amniotic fluid do ✅- helps with temperature regulation for baby
- source of oral fluid (pee in and out)
