FINAL EXAM STUDYING MCN 273 WITH
COMPLETE SOLUTIONS
What are the top causes of morality in pregnancy? - ANSWER-HITEC (hemorrhage,
infection, toxemia/HTN disorders, embolism, cardiovascular)
What is fetal morality? - ANSWER-baby dies in utero
What is neonate morality? - ANSWER-baby does within 1-28 days of life
What is infant morality? - ANSWER-baby dies within 1-12 months of life
What is EDC/EDD/EDB? - ANSWER-estimated date of birth
What is LMP? - ANSWER-last menstrual period (first day of bleeding)
What is gestation? - ANSWER-time from conception to birth
What is GA? - ANSWER-gestational age
What is EGA? - ANSWER-estimated gestational age
How many weeks in the timeline of pregnancy is conception? - ANSWER-2 weeks
What does pre-viable mean? - ANSWER-<20 weeks and baby can not survive outside
uterus
What is an abortion? - ANSWER-baby delivered <20 weeks and died during pregnancy
What is a spontaneous abortion? - ANSWER-miscarriage
What is an induced abortion? - ANSWER-person chooses to induce abortion
How many weeks is preterm? - ANSWER-20-37 weeks
How many weeks is term? - ANSWER-37-40 weeks
How many weeks is postterm? - ANSWER->40 weeks
What is baby at risk for if postterm? - ANSWER-risk for fetal morality and still birth
What is an ultrasound? - ANSWER-a hand held device that shows visual image of fetus
and HR
,Why is a US beneficial earlier in pregnancy? - ANSWER-allows to give most accurate
GA because all babies same length at 10 weeks
What is a NSVD? - ANSWER-normal spontaneous vaginal delivery (doctors didn't have
to help baby out)
What is a VAVD? - ANSWER-vacuum vaginal assisted delivery
What is a FAVD? - ANSWER-forceps assisted vaginal delivery
What is a c/s? - ANSWER-c-section
What is a transverse c/s? - ANSWER-horizontal cut, usually for term babies
What is a classical c/s? - ANSWER-vertical cut, usually for premies
What is gradiva? - ANSWER-number of pregnancies including the current
What is para? - ANSWER-amount of birth experiences after 20 weeks
What does GTPAL stand for? - ANSWER-G: Number of pregnancies
T: Term (37-40 wks)
P: Preterm (20-27 wks)
A: Abortions (<20 wks)
L: Living children
What do GA fractions tell us? - ANSWER-amount of days in the week (37.5 = 37 weeks
and 5 days)
What is nulligravida? - ANSWER-never been pregnant
What is primigravida? - ANSWER-first time being pregnant
What is primipara? - ANSWER-first time giving birth
What is multipara? - ANSWER-pregnant many times
What is a SVE? - ANSWER-sterile vaginal exam: exam done using sterile gloved to
palpate and get info
What can a SVE tell us? - ANSWER-dilation/effacement/station
Why would you do a SVE? - ANSWER-allows us to get more info about patient
When wouldn't you do a SVE? - ANSWER-if risk of infection and bleeding
,What is a SSE? - ANSWER-sterile speculum exam: exam using speculum to look at
cervix
What is stage 3 of labor? - ANSWER-placental delivery
How long after delivery of baby should the placenta deliver? - ANSWER-<30 min -->
any longer is retained placenta
What is stage 4 of labor? - ANSWER-recovery/postpartum
What are you monitoring for in stage 4 of labor? - ANSWER-blood loss
What is normal amount of blood loss in labor process? - ANSWER-500-1000
How much blood loss is considered hemorrhage? - ANSWER-1000
Why is it important to check the fundus after delivery? - ANSWER-once baby and
placenta is delivered there is an open wound so at risk for PPH
Why would you use a SSE? - ANSWER-ROM, infection or bleeding risk
How does an SSE work? - ANSWER-blades on hinge of speculum push tissue out of
the way to see the cervix and neck of uterus
What is complementary therapy? - ANSWER-in conjunction with conventional medicine
What is alternative therapy? - ANSWER-in place of conventional medicine
When do you not so a SVE? - ANSWER-if bleeding or infection risk
What is dilation? - ANSWER-opening of the cervix 0-10cm
What is is effacement? - ANSWER-thinness/thickness of cervix (0-100%/0-4cm)
What is station? - ANSWER-Where baby is r/t ischial spines(-3 - 3+)
What is the first thing you should do when the BOW breaks? - ANSWER-place monitor
on mom to assess baby
What is TACO? - ANSWER-Time
Amount
Color
Odor
, What does external fetal monitoring tell us? - ANSWER-allows us to assess how baby is
doing r/t what's happening and what the uterus is doing too
What is stage 1 of labor? - ANSWER-dilation of the cervix
What is latent phase of labor? - ANSWER-0-6cm dilated
What is active phase of labor? - ANSWER-6-10cm dilated
What is stage 2 of labor? - ANSWER-pushing/delivery
Visit schedule throughout pregnancy - ANSWER-1-28 weeks: every 4 weeks
28-36 weeks: every 2 weeks
36+ weeks: every week
What do you end with in stage 2 of labor? - ANSWER-delivery of baby
How old is considered newborn? - ANSWER-1-28 days of life
When does the immediate newborn assessment occur? - ANSWER-at birth with
APGAR assessment and then for 2 hours do VS q30 min
What does APGAR stand for? - ANSWER-appearance, pulse, grimace, activity,
respiration
What are the parameters for the Appearance in APGAR? - ANSWER-0 points: cyanotic
or pale
1 point: acrocyanosis
2 points: full body is pink
What are the parameters for the Pulse in APGAR? - ANSWER-0: no pulse
1 point: <100 bpm
2 points: >100 bpm
What are the parameters for the Grimace in APGAR? - ANSWER-0 points: no response
to stimuli
1 point: slight grimace or frown to stimuli
2 points: sneeze, cough, cry
What are the parameters for the Activity in APGAR? - ANSWER-0 points: limp or flaccid
1 point: little flexion, little resistance to extension
2 points: strong flexion, good resistance and quick return
What are the parameters for the Respirations in APGAR? - ANSWER-0 points: no
respirations
COMPLETE SOLUTIONS
What are the top causes of morality in pregnancy? - ANSWER-HITEC (hemorrhage,
infection, toxemia/HTN disorders, embolism, cardiovascular)
What is fetal morality? - ANSWER-baby dies in utero
What is neonate morality? - ANSWER-baby does within 1-28 days of life
What is infant morality? - ANSWER-baby dies within 1-12 months of life
What is EDC/EDD/EDB? - ANSWER-estimated date of birth
What is LMP? - ANSWER-last menstrual period (first day of bleeding)
What is gestation? - ANSWER-time from conception to birth
What is GA? - ANSWER-gestational age
What is EGA? - ANSWER-estimated gestational age
How many weeks in the timeline of pregnancy is conception? - ANSWER-2 weeks
What does pre-viable mean? - ANSWER-<20 weeks and baby can not survive outside
uterus
What is an abortion? - ANSWER-baby delivered <20 weeks and died during pregnancy
What is a spontaneous abortion? - ANSWER-miscarriage
What is an induced abortion? - ANSWER-person chooses to induce abortion
How many weeks is preterm? - ANSWER-20-37 weeks
How many weeks is term? - ANSWER-37-40 weeks
How many weeks is postterm? - ANSWER->40 weeks
What is baby at risk for if postterm? - ANSWER-risk for fetal morality and still birth
What is an ultrasound? - ANSWER-a hand held device that shows visual image of fetus
and HR
,Why is a US beneficial earlier in pregnancy? - ANSWER-allows to give most accurate
GA because all babies same length at 10 weeks
What is a NSVD? - ANSWER-normal spontaneous vaginal delivery (doctors didn't have
to help baby out)
What is a VAVD? - ANSWER-vacuum vaginal assisted delivery
What is a FAVD? - ANSWER-forceps assisted vaginal delivery
What is a c/s? - ANSWER-c-section
What is a transverse c/s? - ANSWER-horizontal cut, usually for term babies
What is a classical c/s? - ANSWER-vertical cut, usually for premies
What is gradiva? - ANSWER-number of pregnancies including the current
What is para? - ANSWER-amount of birth experiences after 20 weeks
What does GTPAL stand for? - ANSWER-G: Number of pregnancies
T: Term (37-40 wks)
P: Preterm (20-27 wks)
A: Abortions (<20 wks)
L: Living children
What do GA fractions tell us? - ANSWER-amount of days in the week (37.5 = 37 weeks
and 5 days)
What is nulligravida? - ANSWER-never been pregnant
What is primigravida? - ANSWER-first time being pregnant
What is primipara? - ANSWER-first time giving birth
What is multipara? - ANSWER-pregnant many times
What is a SVE? - ANSWER-sterile vaginal exam: exam done using sterile gloved to
palpate and get info
What can a SVE tell us? - ANSWER-dilation/effacement/station
Why would you do a SVE? - ANSWER-allows us to get more info about patient
When wouldn't you do a SVE? - ANSWER-if risk of infection and bleeding
,What is a SSE? - ANSWER-sterile speculum exam: exam using speculum to look at
cervix
What is stage 3 of labor? - ANSWER-placental delivery
How long after delivery of baby should the placenta deliver? - ANSWER-<30 min -->
any longer is retained placenta
What is stage 4 of labor? - ANSWER-recovery/postpartum
What are you monitoring for in stage 4 of labor? - ANSWER-blood loss
What is normal amount of blood loss in labor process? - ANSWER-500-1000
How much blood loss is considered hemorrhage? - ANSWER-1000
Why is it important to check the fundus after delivery? - ANSWER-once baby and
placenta is delivered there is an open wound so at risk for PPH
Why would you use a SSE? - ANSWER-ROM, infection or bleeding risk
How does an SSE work? - ANSWER-blades on hinge of speculum push tissue out of
the way to see the cervix and neck of uterus
What is complementary therapy? - ANSWER-in conjunction with conventional medicine
What is alternative therapy? - ANSWER-in place of conventional medicine
When do you not so a SVE? - ANSWER-if bleeding or infection risk
What is dilation? - ANSWER-opening of the cervix 0-10cm
What is is effacement? - ANSWER-thinness/thickness of cervix (0-100%/0-4cm)
What is station? - ANSWER-Where baby is r/t ischial spines(-3 - 3+)
What is the first thing you should do when the BOW breaks? - ANSWER-place monitor
on mom to assess baby
What is TACO? - ANSWER-Time
Amount
Color
Odor
, What does external fetal monitoring tell us? - ANSWER-allows us to assess how baby is
doing r/t what's happening and what the uterus is doing too
What is stage 1 of labor? - ANSWER-dilation of the cervix
What is latent phase of labor? - ANSWER-0-6cm dilated
What is active phase of labor? - ANSWER-6-10cm dilated
What is stage 2 of labor? - ANSWER-pushing/delivery
Visit schedule throughout pregnancy - ANSWER-1-28 weeks: every 4 weeks
28-36 weeks: every 2 weeks
36+ weeks: every week
What do you end with in stage 2 of labor? - ANSWER-delivery of baby
How old is considered newborn? - ANSWER-1-28 days of life
When does the immediate newborn assessment occur? - ANSWER-at birth with
APGAR assessment and then for 2 hours do VS q30 min
What does APGAR stand for? - ANSWER-appearance, pulse, grimace, activity,
respiration
What are the parameters for the Appearance in APGAR? - ANSWER-0 points: cyanotic
or pale
1 point: acrocyanosis
2 points: full body is pink
What are the parameters for the Pulse in APGAR? - ANSWER-0: no pulse
1 point: <100 bpm
2 points: >100 bpm
What are the parameters for the Grimace in APGAR? - ANSWER-0 points: no response
to stimuli
1 point: slight grimace or frown to stimuli
2 points: sneeze, cough, cry
What are the parameters for the Activity in APGAR? - ANSWER-0 points: limp or flaccid
1 point: little flexion, little resistance to extension
2 points: strong flexion, good resistance and quick return
What are the parameters for the Respirations in APGAR? - ANSWER-0 points: no
respirations
