ANTEPARTUM NURSING - OB HESI
EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
Maternal psychosocial concerns during the first trimester - Answer-1. Ambivalence:
Whether pregnancy is planned or unplanned, ambivalence is normal
2. Financial worries about increased responsibility are normal
3. Career concerns may arise
Maternal psychosocial concerns during the second trimester - Answer-1. Quickening
occurs and pregnancy becomes real
2. Pregnant woman accepts pregnancy
3. Ambivalence wanes
Maternal psychosocial concerns during the third trimester - Answer-1. Pregnant woman
becomes introverted and self-absorbed
2. Pregnant woman begins to ignore partner (may strain relationship)
Maternal psychosocial concerns throughout pregnancy - Answer-1. Wide mood swings
occur
2. Pregnant woman is ultra sensitive
3. Strained relationship with partner may occur
What are signs of healthy maternal-fetal bonding during pregnancy? - Answer-Talking to
fetus in utero, massaging abdomen, nicknaming fetus
What are the 3 phases of Paternal response to pregnancy? - Answer-1. Announcement
Phase
2. Moratorium Phase
3. Focusing Phase
What occurs during the announcement phase of the paternal response to pregnancy? -
Answer-Acceptance of the biological fact of pregnancy; Ambivalence in the early stages
of pregnancy is normal; some men experience pregnancy like symptoms such as
nausea, wt. gain, and other physical symptoms (couvade syndrome); this stage may
last a few hours or a few weeks
What occurs during the moratorium phase of the paternal response to pregnancy? -
Answer-the periods of adjustment to the reality of pregnancy; the father accepts the
pregnancy; he may put conscious though of the pregnancy aside for a time and become
more introspective (especially reflecting on his relationship with his father); The phase
may be relatively short or persist until the last trimester, depending on the father's
readiness for the pregnancy
, What occurs during the focusing phase of the paternal response to pregnancy? -
Answer-Active involvement in both the pregnancy and his relationship with his child;
negotiates with the mother the role he is to play in labor and to prepare for parenthood;
Concentrates on his experience of the pregnancy and begins to think of himself as a
father; begins during the last trimester
What is couvade syndrome? - Answer-When the father starts to experience pregnancy
like symptoms
Activities for the nurse to perform during the first prenatal visit - Answer-1. obtain history
(medical and obstetric)
2. assist with physical exam
3. calculate gestational age: estimated date of birth using the nagele rule
4. Vital Signs
5. Talk about Future office visits
6. Obtain laboratory data
What are the two ways you can determine obstetrical history? - Answer-Two digits: G/P
Five digits: GTPAL
What is the G/P? - Answer-Only record the gravida and para of a client
What is gravida? - Answer-The number of times one has been pregnant (regardless of
the outcome)
What is the para? - Answer-the number of pregnancies that have reached 20 weeks or
greater of gestation before birth, multiple births count only as 1 para
What is an abortion? - Answer-Any pregnancy loss occuring before 20 weeks; can be
spontaneous or elective; adds to client's gravida not para
What is the GTPAL? - Answer-Gravidity (number of pregnancies), Term Births (term
births or pregnancies delivered), Preterm births (Pregnancy that has reached 20 weeks
gestation but ends before completion of 37 weeks gestation), abortions and
miscarriages (pregnancy that does not reach 20 weeks of gestation), living children
(infants that have survived birth)
Does battering occur during pregnancy? - Answer-Yes, for many woman emotional or
physical abuse begins during pregnancy. Women should be assessed for abuse in
private, away from the male partner, by a nurse who is familiar with local resources and
knows how to determine the safety of the client
Determine G/P and GTPAL:
- A woman is 6 weeks pregnant
- she has a healthy 2 year old
EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
Maternal psychosocial concerns during the first trimester - Answer-1. Ambivalence:
Whether pregnancy is planned or unplanned, ambivalence is normal
2. Financial worries about increased responsibility are normal
3. Career concerns may arise
Maternal psychosocial concerns during the second trimester - Answer-1. Quickening
occurs and pregnancy becomes real
2. Pregnant woman accepts pregnancy
3. Ambivalence wanes
Maternal psychosocial concerns during the third trimester - Answer-1. Pregnant woman
becomes introverted and self-absorbed
2. Pregnant woman begins to ignore partner (may strain relationship)
Maternal psychosocial concerns throughout pregnancy - Answer-1. Wide mood swings
occur
2. Pregnant woman is ultra sensitive
3. Strained relationship with partner may occur
What are signs of healthy maternal-fetal bonding during pregnancy? - Answer-Talking to
fetus in utero, massaging abdomen, nicknaming fetus
What are the 3 phases of Paternal response to pregnancy? - Answer-1. Announcement
Phase
2. Moratorium Phase
3. Focusing Phase
What occurs during the announcement phase of the paternal response to pregnancy? -
Answer-Acceptance of the biological fact of pregnancy; Ambivalence in the early stages
of pregnancy is normal; some men experience pregnancy like symptoms such as
nausea, wt. gain, and other physical symptoms (couvade syndrome); this stage may
last a few hours or a few weeks
What occurs during the moratorium phase of the paternal response to pregnancy? -
Answer-the periods of adjustment to the reality of pregnancy; the father accepts the
pregnancy; he may put conscious though of the pregnancy aside for a time and become
more introspective (especially reflecting on his relationship with his father); The phase
may be relatively short or persist until the last trimester, depending on the father's
readiness for the pregnancy
, What occurs during the focusing phase of the paternal response to pregnancy? -
Answer-Active involvement in both the pregnancy and his relationship with his child;
negotiates with the mother the role he is to play in labor and to prepare for parenthood;
Concentrates on his experience of the pregnancy and begins to think of himself as a
father; begins during the last trimester
What is couvade syndrome? - Answer-When the father starts to experience pregnancy
like symptoms
Activities for the nurse to perform during the first prenatal visit - Answer-1. obtain history
(medical and obstetric)
2. assist with physical exam
3. calculate gestational age: estimated date of birth using the nagele rule
4. Vital Signs
5. Talk about Future office visits
6. Obtain laboratory data
What are the two ways you can determine obstetrical history? - Answer-Two digits: G/P
Five digits: GTPAL
What is the G/P? - Answer-Only record the gravida and para of a client
What is gravida? - Answer-The number of times one has been pregnant (regardless of
the outcome)
What is the para? - Answer-the number of pregnancies that have reached 20 weeks or
greater of gestation before birth, multiple births count only as 1 para
What is an abortion? - Answer-Any pregnancy loss occuring before 20 weeks; can be
spontaneous or elective; adds to client's gravida not para
What is the GTPAL? - Answer-Gravidity (number of pregnancies), Term Births (term
births or pregnancies delivered), Preterm births (Pregnancy that has reached 20 weeks
gestation but ends before completion of 37 weeks gestation), abortions and
miscarriages (pregnancy that does not reach 20 weeks of gestation), living children
(infants that have survived birth)
Does battering occur during pregnancy? - Answer-Yes, for many woman emotional or
physical abuse begins during pregnancy. Women should be assessed for abuse in
private, away from the male partner, by a nurse who is familiar with local resources and
knows how to determine the safety of the client
Determine G/P and GTPAL:
- A woman is 6 weeks pregnant
- she has a healthy 2 year old
