NURS 3730 Test 1 (Antepartum 2 Week 4) Questions With
Complete Solutions
abdomen during pregnancy Correct Answers assess contour
size and muscle tone, fundal height should be measured if the
fundus is palpable above the symphysis pubis.
amniocentesis education Correct Answers patient will still feel
pressure and cramping when needle enters myometrium.
may need to start RhoGam
pregnancy loss from this is <1%
women may experience vaginal spotting or continuous leakage
of amniotic fluid this usually corrects itself, if on going for more
than 24 hours notify MD.
incidence of needle injury fetus is rare
lower abdominal discomfort may last 24-48 hours
call MD if bleeding or amniotic fluid leaks after more than 24
hours, severe cramping lasting several hours, or temp >100.4
amniocentesis reasons Correct Answers obtains amniotic fluid
done after 14 weeks
used for genetic concerns (karyotyping, NTD), fetal maturity
(L/S ratio 2:1 determines lung development), fetal hemolytic
disease
birthplan Correct Answers The planning should involve all of
the individuals who will affect or be affected by the event:
mother and father, siblings, extended family, trainers, and
medical personnel.
includes provider, setting, and classes.
may be as detailed or general as the mother wants
,blood pressure in pregnancy Correct Answers make sure to use
the same arm, same position, and same sphygmomanometer.
have woman seated with arm horizontal at heart level. document
what arm used, pressures obtained, and type used. manual and
automatic may be different. BP decreases in first and second
trimester and should normalize at the third trimester. a BP of
140/90 or higher may indicate preeclampsia and requires
additional eval
Braxton Hicks contractions Correct Answers intermittent weak
contractions of the uterus occurring during pregnancy. Start
around 16weeks(painless) stronger by 28 weeks
reassure that this is normal
rest
take deep breaths through the contraction
effleurage (circular massage on belly)
hydrate!!
carpal tunnel in pregnancy Correct Answers when edema
presses on the medial nerve. causes pain in hands and wrist.
splinting helps - should resolve by 3 months postpartum
cell free DNA Correct Answers serum test
trisomy 21, 18, and 13, and sex chromosome abnormalities
can be done at 10wks - delivery
childbirth education should include information about... Correct
Answers relaxation, conditioning, breathing, mental stimulation
(focal point, imagery, music), cutaneous stimulation (effleurage,
, sacral pressure, massage, thermal/hydrotherapy, positioning),
medication options
chorionic villus sampling (CVS) Correct Answers technique
for genetic studies, earlier diagnosis, rapid results, performed
between 10 and 13 wks, involves removal of specimen from
fetal portion of the placenta, transcervically or transabdominally,
need to give RhoGam before. shows DNA abnormalities. some
spotting and cramping is normal after procedure. report heavy
bleeding, clot or tissue passage, leaking of amniotic fluid or
temp >100.4.
combined test Correct Answers done at 10-14 weeks
screens for trisomy 21 and 18
looks at PAPP-A and hCG levels
nuchal translucency
complications of obesity in pregnancy Correct Answers
hypertension, gestational diabetes, postpartum hemorrhage, poor
labor progression, C-Section delivery, anesthesia complications,
wound infection, birth of large for gestational age infants
-tests of fetal wellbeing important in the third trimester
Contraction Stress Test (CST) Correct Answers goal is to have
3 40 second or longer contractions in 10 minutes and monitor
fetal heart rate.
contractions can be started by nipple stimulation or oxytocin
infusion
negative - no late decels - normal
positive - variable or late decels
equivocal-hyperstimulation - too many contractions
Complete Solutions
abdomen during pregnancy Correct Answers assess contour
size and muscle tone, fundal height should be measured if the
fundus is palpable above the symphysis pubis.
amniocentesis education Correct Answers patient will still feel
pressure and cramping when needle enters myometrium.
may need to start RhoGam
pregnancy loss from this is <1%
women may experience vaginal spotting or continuous leakage
of amniotic fluid this usually corrects itself, if on going for more
than 24 hours notify MD.
incidence of needle injury fetus is rare
lower abdominal discomfort may last 24-48 hours
call MD if bleeding or amniotic fluid leaks after more than 24
hours, severe cramping lasting several hours, or temp >100.4
amniocentesis reasons Correct Answers obtains amniotic fluid
done after 14 weeks
used for genetic concerns (karyotyping, NTD), fetal maturity
(L/S ratio 2:1 determines lung development), fetal hemolytic
disease
birthplan Correct Answers The planning should involve all of
the individuals who will affect or be affected by the event:
mother and father, siblings, extended family, trainers, and
medical personnel.
includes provider, setting, and classes.
may be as detailed or general as the mother wants
,blood pressure in pregnancy Correct Answers make sure to use
the same arm, same position, and same sphygmomanometer.
have woman seated with arm horizontal at heart level. document
what arm used, pressures obtained, and type used. manual and
automatic may be different. BP decreases in first and second
trimester and should normalize at the third trimester. a BP of
140/90 or higher may indicate preeclampsia and requires
additional eval
Braxton Hicks contractions Correct Answers intermittent weak
contractions of the uterus occurring during pregnancy. Start
around 16weeks(painless) stronger by 28 weeks
reassure that this is normal
rest
take deep breaths through the contraction
effleurage (circular massage on belly)
hydrate!!
carpal tunnel in pregnancy Correct Answers when edema
presses on the medial nerve. causes pain in hands and wrist.
splinting helps - should resolve by 3 months postpartum
cell free DNA Correct Answers serum test
trisomy 21, 18, and 13, and sex chromosome abnormalities
can be done at 10wks - delivery
childbirth education should include information about... Correct
Answers relaxation, conditioning, breathing, mental stimulation
(focal point, imagery, music), cutaneous stimulation (effleurage,
, sacral pressure, massage, thermal/hydrotherapy, positioning),
medication options
chorionic villus sampling (CVS) Correct Answers technique
for genetic studies, earlier diagnosis, rapid results, performed
between 10 and 13 wks, involves removal of specimen from
fetal portion of the placenta, transcervically or transabdominally,
need to give RhoGam before. shows DNA abnormalities. some
spotting and cramping is normal after procedure. report heavy
bleeding, clot or tissue passage, leaking of amniotic fluid or
temp >100.4.
combined test Correct Answers done at 10-14 weeks
screens for trisomy 21 and 18
looks at PAPP-A and hCG levels
nuchal translucency
complications of obesity in pregnancy Correct Answers
hypertension, gestational diabetes, postpartum hemorrhage, poor
labor progression, C-Section delivery, anesthesia complications,
wound infection, birth of large for gestational age infants
-tests of fetal wellbeing important in the third trimester
Contraction Stress Test (CST) Correct Answers goal is to have
3 40 second or longer contractions in 10 minutes and monitor
fetal heart rate.
contractions can be started by nipple stimulation or oxytocin
infusion
negative - no late decels - normal
positive - variable or late decels
equivocal-hyperstimulation - too many contractions
