MCN 273 EXAM 2 QUESTIONS WITH
CORRECT SOLUTIONS
embryonic - ANSWER-At what stage of pregnancy are the organs primarily formed and
exposure during this period is most damaging?
teratogen - ANSWER-any substance, organism, physical agent, or deficiency state
present during gestation that is capable of inducing abnormal postnatal structure or
function by interfering with normal embryonic and fetal development
first - ANSWER-At what trimester do medications cause the greatest risk?
physical agents (radiation, hyperthermia inducing agents), metabolic conditions
(malnutrition, DM, thyroid conditions), infection (rubella, HSV, syphilis, cytomegalovirus,
zika), drugs/chemical agents (alcohol, tobacco, caffeine, marijuana, opioids) -
ANSWER-What do teratogens include?
malnutrition, bone marrow suppression, increased infections, liver disease,
withdrawal/DTs - ANSWER-What are the maternal effects of alcohol use in pregnancy?
No - ANSWER-Is there a safe amount of alcohol in pregnancy?
withdrawal, FASD (leading cause of preventable intellectual disability), physical,
behavioral, cognitive effects - ANSWER-What are the neonatal effects of alcohol in
pregnancy?
delay in oral feeding development, CNS dysfunctions, learning disabilities, impulsivity,
cognitive, and speech impairment - ANSWER-What are the long-term complications of
alcohol use in pregnancy?
infertility, spontaneous abortion, IGUR/low birthweight, preterm birth - ANSWER-What
are the maternal effects of tobacco use in pregnancy?
3x SIDS risk, respiratory illness - ANSWER-What are the neonatal effects of tobacco
use in pregnancy?
CNS depressant that alters the perception and produces euphoria, thus very addictive -
ANSWER-What do opioids do in pregnancy?
poor nutrition, iron-deficient anemia, abruptio placentae, PTL/PROM, IUGR/low birth
weight, meconium staining, higher incidence of STIs/HIV - ANSWER-What are the
maternal effects of opioid use in pregnancy?
,withdrawal/neonatal abstinence syndrome - ANSWER-What are the fetal effects of
opioid use in pregnancy?
restlessness, lack of habituation, shrill, high-pitched cry, irritability, seizures, diarrhea,
vomiting - ANSWER-What does withdrawal or Neonatal Abstinence Syndrome look
like?
Methadone (blocks withdrawal symptoms and cravings) - ANSWER-What is the
treatment for opioid use in pregnancy?
clean, separate, cook, chill - ANSWER-What are the 4 steps to food safety in
pregnancy?
swordfish, tilefish, mackerel, shark, ahi tuna - ANSWER-What foods should pregnant
patients avoid due to the risk of methymercury?
cooked shellfish, canned fish, small ocean fish (tilapia), farm-raised fish (salmon,
pollock), cooked fish, pasteurized products, hard cheese, cooked eggs, heated/grilled
hot dog and deli meats - ANSWER-What foods can a pregnant patient have?
raw or undercooked fish (sushi or ceviche), raw sprouts, unpasteurized products, soft
cheeses, raw/undercooked meat, poultry, soft boiled/overeasy eggs, cold hot dogs/deli
meats, refrigerated smoked seafood, deli salads - ANSWER-What foods should
pregnant patients avoid due to the risk of bacteria and viruses?
Wakefulness, irritability, temperature, hyperactivity, diarrhea, respiratory distress,
apneic attacks, weight loss, alkalosis (respiratory), lacrimation - ANSWER-
WITHDRAWAL Acronym
hospitalization for withdrawal/detox, urine screening if suspected, plan for labor and
birth, help mother recover from illicit abuse to optimize long-term health of self and
baby, be nonjudgmental - ANSWER-Management of substance use in pregnancy
infertility - ANSWER-inability to conceive after 1 year of unprotected intercourse
decrease sperm count/viability, sperm blocked from release - ANSWER-Infertility
Factors for Males
high heat for prolonged periods, heavy alcohol, marijuana, cocaine use, cancer
treatments, scarring from STIs - ANSWER-What are the possible causes of infertility in
men?
ovarian dysfunction, tubal/pelvic pathology - ANSWER-Infertility Factors in Females
, overweight/underweight, autoimmune disorders, chronic illnesses (DM, etc..) PID/STIs,
Hormonal Imbalances, smoking/alcohol consumption - ANSWER-What are the possible
causes of infertility in women?
20% - ANSWER-What Percentage of infertility cases are unknown or a combination
cause?
semen analysis, evaluation of ovarian function, cervical mucus adequacy sperm
receptivity, tubal patency, uterine structure evaluation - ANSWER-What does the
general fertility investigation include?
lifestyle changes, ovulatory factors (basal body temp recording, medications), hormonal
agents, therapeutic insemination/IUI, IVF, embryo donation/transfer, surrogacy/adoption
- ANSWER-What are the treatment options for infertility?
emotional aspect, explaining procedures, listen to concerns, answer questions, support
client/family, provide accurate info about infertility, dispel beliefs - ANSWER-What are
some nursing considerations for infertility treatments?
1st trimester: 5 lbs, 2nd & 3rd trimester 1.3 lb/wk (total 28-40 lb) - ANSWER-How much
should a pregnant patient with a BMI <18.5 gain throughout their pregnancy?
1st trimester: 3.5-5 lbs, 2nd & 3rd trimester 1 lb/wk (total 25-35 lb) - ANSWER-How
much should a pregnant patient with a BMI between 18.5-24.9 gain throughout their
pregnancy?
1st trimester: 2 lbs, 2nd & 3rd trimester 0.7 lb/wk (total 15-25 lb) - ANSWER-How much
should a pregnant client with a BMI between 25-29.9 gain throughout their pregnancy?
11-20 lbs - ANSWER-How much should a pregnant client with a BMI over 30 gain
throughout their pregnancy?
+300 cal/day, protein 80 g/day, 8-10 glasses of fluid, folic acid 400-800 mcg, iron
supplements - ANSWER-What are the nutritional requirements of a pregnant patient?
Chlamydia, gonorrhea - ANSWER-Bacterial STIs that is transmitted vertically
HSV - ANSWER-STIs that are transmitted through contact
Syphilis - ANSWER-STIs that are transmitted through tran-placental
chlamydia - ANSWER-the most common bacterial STIs where 50-70% of patients are
asymptomatic.
<25 yrs even asymptomatic, >25 yrs at risk, all pregnant patients - ANSWER-CDC
screening standards for Chlamydia
CORRECT SOLUTIONS
embryonic - ANSWER-At what stage of pregnancy are the organs primarily formed and
exposure during this period is most damaging?
teratogen - ANSWER-any substance, organism, physical agent, or deficiency state
present during gestation that is capable of inducing abnormal postnatal structure or
function by interfering with normal embryonic and fetal development
first - ANSWER-At what trimester do medications cause the greatest risk?
physical agents (radiation, hyperthermia inducing agents), metabolic conditions
(malnutrition, DM, thyroid conditions), infection (rubella, HSV, syphilis, cytomegalovirus,
zika), drugs/chemical agents (alcohol, tobacco, caffeine, marijuana, opioids) -
ANSWER-What do teratogens include?
malnutrition, bone marrow suppression, increased infections, liver disease,
withdrawal/DTs - ANSWER-What are the maternal effects of alcohol use in pregnancy?
No - ANSWER-Is there a safe amount of alcohol in pregnancy?
withdrawal, FASD (leading cause of preventable intellectual disability), physical,
behavioral, cognitive effects - ANSWER-What are the neonatal effects of alcohol in
pregnancy?
delay in oral feeding development, CNS dysfunctions, learning disabilities, impulsivity,
cognitive, and speech impairment - ANSWER-What are the long-term complications of
alcohol use in pregnancy?
infertility, spontaneous abortion, IGUR/low birthweight, preterm birth - ANSWER-What
are the maternal effects of tobacco use in pregnancy?
3x SIDS risk, respiratory illness - ANSWER-What are the neonatal effects of tobacco
use in pregnancy?
CNS depressant that alters the perception and produces euphoria, thus very addictive -
ANSWER-What do opioids do in pregnancy?
poor nutrition, iron-deficient anemia, abruptio placentae, PTL/PROM, IUGR/low birth
weight, meconium staining, higher incidence of STIs/HIV - ANSWER-What are the
maternal effects of opioid use in pregnancy?
,withdrawal/neonatal abstinence syndrome - ANSWER-What are the fetal effects of
opioid use in pregnancy?
restlessness, lack of habituation, shrill, high-pitched cry, irritability, seizures, diarrhea,
vomiting - ANSWER-What does withdrawal or Neonatal Abstinence Syndrome look
like?
Methadone (blocks withdrawal symptoms and cravings) - ANSWER-What is the
treatment for opioid use in pregnancy?
clean, separate, cook, chill - ANSWER-What are the 4 steps to food safety in
pregnancy?
swordfish, tilefish, mackerel, shark, ahi tuna - ANSWER-What foods should pregnant
patients avoid due to the risk of methymercury?
cooked shellfish, canned fish, small ocean fish (tilapia), farm-raised fish (salmon,
pollock), cooked fish, pasteurized products, hard cheese, cooked eggs, heated/grilled
hot dog and deli meats - ANSWER-What foods can a pregnant patient have?
raw or undercooked fish (sushi or ceviche), raw sprouts, unpasteurized products, soft
cheeses, raw/undercooked meat, poultry, soft boiled/overeasy eggs, cold hot dogs/deli
meats, refrigerated smoked seafood, deli salads - ANSWER-What foods should
pregnant patients avoid due to the risk of bacteria and viruses?
Wakefulness, irritability, temperature, hyperactivity, diarrhea, respiratory distress,
apneic attacks, weight loss, alkalosis (respiratory), lacrimation - ANSWER-
WITHDRAWAL Acronym
hospitalization for withdrawal/detox, urine screening if suspected, plan for labor and
birth, help mother recover from illicit abuse to optimize long-term health of self and
baby, be nonjudgmental - ANSWER-Management of substance use in pregnancy
infertility - ANSWER-inability to conceive after 1 year of unprotected intercourse
decrease sperm count/viability, sperm blocked from release - ANSWER-Infertility
Factors for Males
high heat for prolonged periods, heavy alcohol, marijuana, cocaine use, cancer
treatments, scarring from STIs - ANSWER-What are the possible causes of infertility in
men?
ovarian dysfunction, tubal/pelvic pathology - ANSWER-Infertility Factors in Females
, overweight/underweight, autoimmune disorders, chronic illnesses (DM, etc..) PID/STIs,
Hormonal Imbalances, smoking/alcohol consumption - ANSWER-What are the possible
causes of infertility in women?
20% - ANSWER-What Percentage of infertility cases are unknown or a combination
cause?
semen analysis, evaluation of ovarian function, cervical mucus adequacy sperm
receptivity, tubal patency, uterine structure evaluation - ANSWER-What does the
general fertility investigation include?
lifestyle changes, ovulatory factors (basal body temp recording, medications), hormonal
agents, therapeutic insemination/IUI, IVF, embryo donation/transfer, surrogacy/adoption
- ANSWER-What are the treatment options for infertility?
emotional aspect, explaining procedures, listen to concerns, answer questions, support
client/family, provide accurate info about infertility, dispel beliefs - ANSWER-What are
some nursing considerations for infertility treatments?
1st trimester: 5 lbs, 2nd & 3rd trimester 1.3 lb/wk (total 28-40 lb) - ANSWER-How much
should a pregnant patient with a BMI <18.5 gain throughout their pregnancy?
1st trimester: 3.5-5 lbs, 2nd & 3rd trimester 1 lb/wk (total 25-35 lb) - ANSWER-How
much should a pregnant patient with a BMI between 18.5-24.9 gain throughout their
pregnancy?
1st trimester: 2 lbs, 2nd & 3rd trimester 0.7 lb/wk (total 15-25 lb) - ANSWER-How much
should a pregnant client with a BMI between 25-29.9 gain throughout their pregnancy?
11-20 lbs - ANSWER-How much should a pregnant client with a BMI over 30 gain
throughout their pregnancy?
+300 cal/day, protein 80 g/day, 8-10 glasses of fluid, folic acid 400-800 mcg, iron
supplements - ANSWER-What are the nutritional requirements of a pregnant patient?
Chlamydia, gonorrhea - ANSWER-Bacterial STIs that is transmitted vertically
HSV - ANSWER-STIs that are transmitted through contact
Syphilis - ANSWER-STIs that are transmitted through tran-placental
chlamydia - ANSWER-the most common bacterial STIs where 50-70% of patients are
asymptomatic.
<25 yrs even asymptomatic, >25 yrs at risk, all pregnant patients - ANSWER-CDC
screening standards for Chlamydia
