PRN1831 Exam 1 Review
1. Active phase of labor: - ANS-4-7 cm
2. moderate to strong contractions
3. regular
4. q 3-5 min
5. lasts 40-70 sec
6. Amniotic fluid functions - ANS-The amniotic fluid helps The developing baby to move in
the womb, which allows for proper bone growth. The lungs develop properly. Prevents
pressure on the umbilical cord.
7. average blood loss after birth - ANS-*vaginal*500 L *C-section*1,000 mL
8. Be able to describe symptoms associated with hyperventilation - ANS-Feeling anxious,
nervous, or tense.
9. Frequent sighing or yawning.
10. Feeling that you can't get enough air (air hunger) or need to sit up to breathe.
11. A pounding and racing heartbeat.
12. Problems with balance, lightheadedness, or vertigo. Numbness or tingling in the hands,
feet, or around the mout
13. Contraception in breastfeeding- what is safe? Know the appropriate use of
progestin-only pill - ANS-Progestin-only oral contraceptives, or "The Mini-Pill," contain
only progestin (a female hormone). The method, when used daily, is highly effective for
breastfeeding women.They may be prescribed if you have side effects from other types
of birth control pills.
14. Contraindications for contraceptive methods: IUD - ANS-Pregnancy,Significantly
distorted uterine anatomy,Unexplained vaginal bleeding concerning for pregnancy or
pelvic malignancy,Gestational trophoblastic disease with persistently elevated
betahuman chorionic gonadotropin levels,Ongoing pelvic infection
15. Differentiate between normal physiologic changes in pregnancy and abnormal changes
that should be reported/evaluated - ANS-Physiologic changes during pregnancy to
report immediately! *s/s of vaginal yeast infection *any s/s of infection *abnormal lab
values
16. Eclampsia - ANS-*pre-eclampsia but with onset of a seizure,eclampsia can occur up to...
48 hrs after delivery
17. Ectopic Pregnancy: what is it? What symptoms would be associated? - ANS-*Fertilized
ovum implantation outside the uterus.Most often within the fallopian tubes but it can
occur anywhere outside the uterus Pain areas: in the pelvis, abdomen, or side part of the
body Gastrointestinal: bloating, nausea, or vomiting Also common: abnormal vaginal
bleeding or cramping
18. expected findings of stage 4 of labor - ANS-*uterus is firm and fundus is located midline,
halfway between symphysis pubis and umbilicus *lochia is heavy with bright red blood
, mixed with clots *mild uterine cramping may be noted as uterus contracts to
pre-pregnancy size
19. False labor signs - ANS-irregular contractions that vary in length and intensity;
noticeable fundus; contractions stop with relaxation; no cervical changes
20. Frequency of prenatal visits - ANS-monthly unitl 28wks (3rd trimester)
21. -28: q2wks until 36
22. -36: every week until delivery or week 42
23. Fundal height - ANS-the distance from the pubic bone to the top of the uterus measured
in centimeters. After 24 weeks of pregnancy, fundal height often matches the number of
weeks you've been pregnant.
24. hormonal contraceptives - ANS-deliver hormones to prevent ovulation and discourage
implantation of fertilized ova
25. How do we assess fetal wellbeing? - ANS-include fetal movement counts, the nonstress
test, biophysical profile, modified biophysical profile, contraction stress test, and Doppler
ultrasound exam of the umbilical artery.
26. How do we assess vaginal bleeding in pregnancy? - ANS-Visual estimate of blood loss.
27. Ultrasound to determine location of placenta and identify bleeding source.
28. Continuous fetal monitoring.
29. Laboratory tests including haematocrit, platelet count, fibrinogen level, coagulation,
blood type and antibody screening.
30. Hyperemesis Gravidarum: what is it? What symptoms would be associated? - ANS-A
severe type of nausea and vomiting during pregnancy. s/s-vomiting multiple times a day
-poor appetite -weight loss -dehydration
31. Know risk factors for depression in pregnancy - ANS-lack of partner or of social support;
history of abuse or of domestic violence; personal history of mental illness; unplanned or
unwanted pregnancy; adverse events in life and high perceived stress; present/past
pregnancy complications; .
32. Know the difference between monozygotic and dizygotic twins - ANS-*monozygotic:
when one egg splits to form multiple fertilized eggs -always same sex *dizygotic: when
more than one egg becomes fertilized by different sperms
33. Labs in pregnancy - ANS-include rubella, cystic fibrosis, sickle cell anemia, hepatitis B,
many sexually transmitted diseases
34. Latent phase of labor: - ANS-0-3 cm
35. mild to moderate contractions
36. irregular
37. q 5-30 min
38. lasts 30-40 sec
39. Measuring contraction frequency, duration - ANS-Write down how long the contraction
lasts ("duration") Then mark the length of time from the start of the contraction to the
start of the next one ("frequency") Keep noting these times for at least an hour to see if
there is a pattern, and to see if the contractions are getting closer together.
40. multipara - ANS-woman who has given birth to two or more children
1. Active phase of labor: - ANS-4-7 cm
2. moderate to strong contractions
3. regular
4. q 3-5 min
5. lasts 40-70 sec
6. Amniotic fluid functions - ANS-The amniotic fluid helps The developing baby to move in
the womb, which allows for proper bone growth. The lungs develop properly. Prevents
pressure on the umbilical cord.
7. average blood loss after birth - ANS-*vaginal*500 L *C-section*1,000 mL
8. Be able to describe symptoms associated with hyperventilation - ANS-Feeling anxious,
nervous, or tense.
9. Frequent sighing or yawning.
10. Feeling that you can't get enough air (air hunger) or need to sit up to breathe.
11. A pounding and racing heartbeat.
12. Problems with balance, lightheadedness, or vertigo. Numbness or tingling in the hands,
feet, or around the mout
13. Contraception in breastfeeding- what is safe? Know the appropriate use of
progestin-only pill - ANS-Progestin-only oral contraceptives, or "The Mini-Pill," contain
only progestin (a female hormone). The method, when used daily, is highly effective for
breastfeeding women.They may be prescribed if you have side effects from other types
of birth control pills.
14. Contraindications for contraceptive methods: IUD - ANS-Pregnancy,Significantly
distorted uterine anatomy,Unexplained vaginal bleeding concerning for pregnancy or
pelvic malignancy,Gestational trophoblastic disease with persistently elevated
betahuman chorionic gonadotropin levels,Ongoing pelvic infection
15. Differentiate between normal physiologic changes in pregnancy and abnormal changes
that should be reported/evaluated - ANS-Physiologic changes during pregnancy to
report immediately! *s/s of vaginal yeast infection *any s/s of infection *abnormal lab
values
16. Eclampsia - ANS-*pre-eclampsia but with onset of a seizure,eclampsia can occur up to...
48 hrs after delivery
17. Ectopic Pregnancy: what is it? What symptoms would be associated? - ANS-*Fertilized
ovum implantation outside the uterus.Most often within the fallopian tubes but it can
occur anywhere outside the uterus Pain areas: in the pelvis, abdomen, or side part of the
body Gastrointestinal: bloating, nausea, or vomiting Also common: abnormal vaginal
bleeding or cramping
18. expected findings of stage 4 of labor - ANS-*uterus is firm and fundus is located midline,
halfway between symphysis pubis and umbilicus *lochia is heavy with bright red blood
, mixed with clots *mild uterine cramping may be noted as uterus contracts to
pre-pregnancy size
19. False labor signs - ANS-irregular contractions that vary in length and intensity;
noticeable fundus; contractions stop with relaxation; no cervical changes
20. Frequency of prenatal visits - ANS-monthly unitl 28wks (3rd trimester)
21. -28: q2wks until 36
22. -36: every week until delivery or week 42
23. Fundal height - ANS-the distance from the pubic bone to the top of the uterus measured
in centimeters. After 24 weeks of pregnancy, fundal height often matches the number of
weeks you've been pregnant.
24. hormonal contraceptives - ANS-deliver hormones to prevent ovulation and discourage
implantation of fertilized ova
25. How do we assess fetal wellbeing? - ANS-include fetal movement counts, the nonstress
test, biophysical profile, modified biophysical profile, contraction stress test, and Doppler
ultrasound exam of the umbilical artery.
26. How do we assess vaginal bleeding in pregnancy? - ANS-Visual estimate of blood loss.
27. Ultrasound to determine location of placenta and identify bleeding source.
28. Continuous fetal monitoring.
29. Laboratory tests including haematocrit, platelet count, fibrinogen level, coagulation,
blood type and antibody screening.
30. Hyperemesis Gravidarum: what is it? What symptoms would be associated? - ANS-A
severe type of nausea and vomiting during pregnancy. s/s-vomiting multiple times a day
-poor appetite -weight loss -dehydration
31. Know risk factors for depression in pregnancy - ANS-lack of partner or of social support;
history of abuse or of domestic violence; personal history of mental illness; unplanned or
unwanted pregnancy; adverse events in life and high perceived stress; present/past
pregnancy complications; .
32. Know the difference between monozygotic and dizygotic twins - ANS-*monozygotic:
when one egg splits to form multiple fertilized eggs -always same sex *dizygotic: when
more than one egg becomes fertilized by different sperms
33. Labs in pregnancy - ANS-include rubella, cystic fibrosis, sickle cell anemia, hepatitis B,
many sexually transmitted diseases
34. Latent phase of labor: - ANS-0-3 cm
35. mild to moderate contractions
36. irregular
37. q 5-30 min
38. lasts 30-40 sec
39. Measuring contraction frequency, duration - ANS-Write down how long the contraction
lasts ("duration") Then mark the length of time from the start of the contraction to the
start of the next one ("frequency") Keep noting these times for at least an hour to see if
there is a pattern, and to see if the contractions are getting closer together.
40. multipara - ANS-woman who has given birth to two or more children
