PN 3003 MATERNITY EXAM STUDY GUIDE |LATEST VERIFIED EXAM QUESTIONS AND CORRECT ANSWERS|ALL GRADED A+ FOR SUCCESS|LATEST UPDATE

PN 3003 MATERNITY EXAM STUDY GUIDE |LATEST VERIFIED EXAM QUESTIONS AND CORRECT ANSWERS|ALL GRADED A+ FOR SUCCESS|LATEST UPDATE Gravida - ANSWER-Pregnacy Primigravida - ANSWER-pregnant for the first time Nulligravida - ANSWER-a woman who has never been pregnant Multigravida - ANSWER-a woman who has had two or more pregnancies Primipara - ANSWER-first delivery Para - ANSWER-Delivery GTPAL: G - ANSWER-number of pregnancies GTPAL: T - ANSWER-number of term births (36-40 weeks) GTPAL: P - ANSWER-Number of preterm deliveries (under 36 weeks) GTPAL: A - ANSWER-Number of abortions GTPAL: L - ANSWER-Number of living children APGAR use - ANSWER-Nurses evaluate each sign of the apgar system and totals the schore of 1 and 5 minutes after birth to assess the condition of the infant APGAR score of 8-10 - ANSWER-requries no action other than continued observation and support of infants adaptaions APGAR score of 4-7 - ANSWER-means the infant needs gentle stimulation such as rubbing the back, the posibility of opioid-induced respiratory distress should be considered APGAR score less than 3 - ANSWER-severe distress, infant needs active resucitation Newborn is born at 5 mins. what is the APGAR score? - ANSWER-scored 4-7 possible signs of pregnancy - ANSWER-- amenorrhea - nausea, vomiting - fatigue, breast change - frequent urination PROBABLE signs of pregnancy - ANSWER-- presence of HCG in blood: 4-12 weeks - chadwick: bluish discolouration of the cervis, vagina, and vulva - godwell: softening of the cervix - 8+ uterine growth - Braxton hicks: pre labour contractions, false labor occurs during the second trimester (16weeks) POSITIVE signs of pregnancy - ANSWER-- visualy see fetus on ultrasound (6+ weeks) - fetal heart sounds by fetal stethescope (20-24 weeks) - fetal movements felt by the examiner (22+ weeks) - late pregnancy: fetus movement visible normal length of pregnancy is? - ANSWER-38-40 weeks Normal weight gain in pregnancy - ANSWER-25-35 lbs; not normally monitored Routine lab tests for pregnant women - ANSWER-BBP - HGR - blood grouping - blood glucose - pap smear - HIV/ Herpes - group B strep - rubella Tests of fetal well-being - ANSWER-ABC - UN - Amniocentesis - Breast self stimulation - contraction stress test - ultra sound - non stress test What happens in the first stage of labour? - ANSWER-- cervix effacement - contractions - dilation What happens in the second stage of labour? - ANSWER-- Complete cervical dilation (10cm) - women should push as fetal descent is noticable - baby delivered What happens in the third stage of labour? - ANSWER-- Baby is born - delivery of placenta - lengthen of umbilical cord - fundus becomes globular & and gush of blood What happens in the fourth stage of labour? - ANSWER-(1-2 hours after birth) - postpartum risk: hemmorrhage, increased vitals - teach mom breast feed First stage of labour: Latent - ANSWER-5-10 mins between contractions, 0-3cm dilated First Stage of labour: Active - ANSWER-3-5mins between contractions, 4-7 cm dilated First stage of labour: transition - ANSWER-2-3 mis between contractions, 8-10cm dilated What stage of labor is the women in if she is restless, flushed or irritable? - ANSWER-Transitional phase There are 4 nursing interventions during the fourth stage. Which one is the priority? - ANSWER-- postpartum stage (risk of hemorrhaging/lacerations) - help mom with breastfeeding What is supine hypertension? - ANSWER-when women lays on her spine, weight of gravid uterus compresses inferior vena cava and aorta causing decreased blood flow to heart and brain How to reduce/ prevent supine hypertension from happening - ANSWER-Place towel under one hip, turn PT laterally S/S of supine hypertension - ANSWER-- faint - dizziness - lightheadache - agitation If pregnant women is still nauseous or has a headache from supine hypotension the nurse should? - ANSWER-- call the doctor - BP 140/90 call for medical attention What are skeletal system changes during pregnancy? - ANSWER-Back pain womens posture changes as her child grows within the uterus lower back pain Why is colostrum important for babies? - ANSWER-- High in protein, fat soluble vitamins and minerals - contains mothers antibodies to diseases and is secreted 2-3 days after birth breast feeding What is gestational diabetes - ANSWER-diabetes during pregnancy caused by HPL hormone (causeing insulin deficiency) How can a mom manage gestational diabetes? - ANSWER-3 meals/ 3 snacks (food intake control) to stablize the blood glucose levels What are some complications of gestational diabetes? - ANSWER-Macrosomia (abnormally large baby)