©BRIGHTSTARS EXAM SOLUTIONS
10/22/2024 19:29 PM
Maternal and Child Nursing EXAM #1
Questions And Answers 100% Pass
Primary goal of maternal and child health - answer✔promotion and maintenance of optimal
family health, is a continuum of care, family-centered, community-centered, and evidence based.
standards of practice - answer✔2020 national health goals - goals renewed every 10 years, to
increase quality and years of healthy life, to eliminate health disparities. Global Health - the UN
and World Health Organization established millenium health goals in 2000 in an effort to
improve healthcare worldwide.
family centered care - answer✔is a philosophy of care that recognizes the family as the constant
in the child's life and holds that systems and personnel must support, respect, encourage, and
enhance the strengths and competence of the family
fetal death - answer✔death before birth, greater than 20 weeks gestation because of maternal
factors and also because of fetal factors.
infant mortality rate - answer✔The total number of deaths in a year among infants under one
year old for every 1,000 live births in a society.
under a year - answer✔congenital malformation and chromosomal abnormalities, disorders
related to short gestation age, low birth weight, maternal complications of pregnancy, SIDS,
unintentional injuries
1-4 - answer✔unintentional injuries, congenital malformations and chromosomal abnormalities,
homicide, malignant neoplasm(cancer), diseases of the heart
5-9 - answer✔unintentional injuries, malignant neoplasms, homicide
10-14 - answer✔unintentional injuries, suicide, malignant neoplasms, congenital anomalies,
homicide
15 and above - answer✔unintentional injuries, suicide, homicide
, ©BRIGHTSTARS EXAM SOLUTIONS
10/22/2024 19:29 PM
family assessments and roles - answer✔the different roles and responsibilities that each family
member has. Someone is needed to be the provider.
2020 National Health Goals - answer✔health promotion and disease prevention
fetal circulation - answer✔Placenta - umbilical vein - ductus venosus - liver - heart via inferior
vena cava - O2 rich blood in rt atrium - foramen ovale - left atrium - ductus arteriosus - aorta -
umbilical artery - placenta
Naegele's rule - answer✔1st day of the last menstrual period - subtract 3 months and add 7 days,
(Feb 18th - Nov 25)
positive signs of pregnancy - - answer✔i. Fetal heart rate - ultrasound, see the HR
ii. Fetal movements felt by examiner - feel the movements of the baby
iii. Visualization of fetus by ultrasound - seeing the baby move around
GTPAL - answer✔GTPAL (gravida(number of pregnancies), term, preterm, abortion, living
children - twins count as one) > G - gravida T - term (full term = 37 weeks) P - preterm A
(anything under 20 weeks) - spontaneous miscarriage or therapeutic abortions L - born living (all
children, not just pregnancies - twins count as 2)
Invasive fetal testing - answer✔1. Percutaneous umbilical blood sampling - going into utero but
taking part of the umbilical cord
2. Chorionic villi sampling
3. Amniocentesis - withdraw fluid from the amniotic sac, lots of risks associated.
2. Fetoscopy - scope where you can do surgery in utero. Blood types can mix - if mom (-) mixes
with baby (+). Body will grow antibodies and will fight against the next baby.
Assessing fetal well being - non-invasive - answer✔i. Fetal heart rate
ii. Daily fetal movement count (kick counts) - lie on Lt side. 10 movements in 1 hr, if none, walk
around and move a little bit. If 2 hours passes and no movement - call provider.
Placental insufficiency may cause decreased movements - can be a major problem.
1. Rhythm strip testing - (Non-stress test) Record the HR for 20 mins, baseline - the average HR
rate. Variability - small changes in the heart beat from second to second. Absent - no peak to
trough range is detectable. Minimal - 5 beats or fewer. Moderate/normal - 6-25 beats per minute.
Marked - greater than 25 beats per minute. (Minimal-marked > changes from baseline)
10/22/2024 19:29 PM
Maternal and Child Nursing EXAM #1
Questions And Answers 100% Pass
Primary goal of maternal and child health - answer✔promotion and maintenance of optimal
family health, is a continuum of care, family-centered, community-centered, and evidence based.
standards of practice - answer✔2020 national health goals - goals renewed every 10 years, to
increase quality and years of healthy life, to eliminate health disparities. Global Health - the UN
and World Health Organization established millenium health goals in 2000 in an effort to
improve healthcare worldwide.
family centered care - answer✔is a philosophy of care that recognizes the family as the constant
in the child's life and holds that systems and personnel must support, respect, encourage, and
enhance the strengths and competence of the family
fetal death - answer✔death before birth, greater than 20 weeks gestation because of maternal
factors and also because of fetal factors.
infant mortality rate - answer✔The total number of deaths in a year among infants under one
year old for every 1,000 live births in a society.
under a year - answer✔congenital malformation and chromosomal abnormalities, disorders
related to short gestation age, low birth weight, maternal complications of pregnancy, SIDS,
unintentional injuries
1-4 - answer✔unintentional injuries, congenital malformations and chromosomal abnormalities,
homicide, malignant neoplasm(cancer), diseases of the heart
5-9 - answer✔unintentional injuries, malignant neoplasms, homicide
10-14 - answer✔unintentional injuries, suicide, malignant neoplasms, congenital anomalies,
homicide
15 and above - answer✔unintentional injuries, suicide, homicide
, ©BRIGHTSTARS EXAM SOLUTIONS
10/22/2024 19:29 PM
family assessments and roles - answer✔the different roles and responsibilities that each family
member has. Someone is needed to be the provider.
2020 National Health Goals - answer✔health promotion and disease prevention
fetal circulation - answer✔Placenta - umbilical vein - ductus venosus - liver - heart via inferior
vena cava - O2 rich blood in rt atrium - foramen ovale - left atrium - ductus arteriosus - aorta -
umbilical artery - placenta
Naegele's rule - answer✔1st day of the last menstrual period - subtract 3 months and add 7 days,
(Feb 18th - Nov 25)
positive signs of pregnancy - - answer✔i. Fetal heart rate - ultrasound, see the HR
ii. Fetal movements felt by examiner - feel the movements of the baby
iii. Visualization of fetus by ultrasound - seeing the baby move around
GTPAL - answer✔GTPAL (gravida(number of pregnancies), term, preterm, abortion, living
children - twins count as one) > G - gravida T - term (full term = 37 weeks) P - preterm A
(anything under 20 weeks) - spontaneous miscarriage or therapeutic abortions L - born living (all
children, not just pregnancies - twins count as 2)
Invasive fetal testing - answer✔1. Percutaneous umbilical blood sampling - going into utero but
taking part of the umbilical cord
2. Chorionic villi sampling
3. Amniocentesis - withdraw fluid from the amniotic sac, lots of risks associated.
2. Fetoscopy - scope where you can do surgery in utero. Blood types can mix - if mom (-) mixes
with baby (+). Body will grow antibodies and will fight against the next baby.
Assessing fetal well being - non-invasive - answer✔i. Fetal heart rate
ii. Daily fetal movement count (kick counts) - lie on Lt side. 10 movements in 1 hr, if none, walk
around and move a little bit. If 2 hours passes and no movement - call provider.
Placental insufficiency may cause decreased movements - can be a major problem.
1. Rhythm strip testing - (Non-stress test) Record the HR for 20 mins, baseline - the average HR
rate. Variability - small changes in the heart beat from second to second. Absent - no peak to
trough range is detectable. Minimal - 5 beats or fewer. Moderate/normal - 6-25 beats per minute.
Marked - greater than 25 beats per minute. (Minimal-marked > changes from baseline)
