BSNC 5000 MODULE 1 OB EXAM
QUESTIONS WITH ALL CORRECT
ANSWERS
what is the breastmilk mode of transmission for TORCH infections - Answer-by
breastmilk in premature or small gestational age babies (CMV)
what is toxoplasmosis
source of infection
reason for testing
most common congenital effect - Answer-- a parasite
- ingestion of spores in undercooked meat, or inhalation of spores from cat litter
- 80% of infected pregnant women are asymptomatic, treatment with spiramycin
reduces rate of fetus infection by 60%
- sensorineural hearing loss, CNS problems (chorioretinitis, cognitive and motor
dysfunction, seizures)
when will toxoplasmosis cause the most damage - Answer-1st trimester
why is it not likely to be infected by toxoplasmosis in first trimester - Answer-the gap
between the endometrial wall and placenta (anchoring villi) is to small for it to fit through
when is the most common time to get infected by toxoplasmosis - Answer-3rd trimester
what is syphillis
source of infection
congenital effects
signs and symptoms on baby - Answer-- bacterial infection
- transplacental, 80% transmission rate if untreated (through SVD)
- if mom untreated during pregnancy = 25% chance still birth, 14% neonatal death, 41%
congenital syphillis
- rash on hands, feet, genital area, larger liver and spleen, affects development of teeth
and bone
A nurse starts an admission assessment on a pregnant client with twins. The client has
a healthy 5 year-old child that was delivered at 36 weeks and had one abortion at 8
weeks. The nurse would document the GTPAL for this client as:
A. G = 2; T = 1; P = 1; A = 1; L = 1
B. G = 3; T = 0; P = 1; A = 1; L = 1
C. G = 4; T = 2; P = 0; A = 1; L = 1
D. G = 3; T = 0; P = 0; A = 1; L = 1 - Answer-B
,What changes occur to the cardiovascular system during a normal pregnancy? Select
all that apply.
A. Clotting factor production decreases as pregnancy progresses
B. Increased progesterone levels relax the smooth muscle around blood vessels
C. Diastolic blood pressure initially increases with pregnancy, then begins to decrease
during the third trimester
D. Increased cardiac output and heart rate
E. Blood volume increases 40-50% above non-pregnancy levels - Answer-B, D, E
A nurse is educating a client recently swabbed as group B streptococcus (GBS)
positive. Which of the following responses by the client would indicate further teaching
is required:
A. "GBS should be treated in the second trimester of pregnancy"
B. "GBS is not considered a sexually transmitted disease"
C. "GBS is normal in pregnancy"
D. "GBS is routinely tested for in pregnancy" - Answer-A
Maternal clients who have experienced intimate partner violence (IPV), often describe
the initial behaviours as their partners discouraging them from seeing family and friends.
True or False - Answer-True
Intimate partner violence (IPV) is perpetrated by an intimate partner in the context of
coercive control. Which of the following are types of violence that are included in the
definition of IPV? Select all that apply.
A. Physical
B. Financial
C. Social
D. Cultural
E. Mental - Answer-A, B, C, E
A pregnant client is diagnosed with gestational diabetes insulin dependent (GDID) and
asks the nurse what the diagnosis means in regard to pregnancy. Which of the following
responses by the nurse are appropriate? Select all that apply.
A. The client's GDID will be controlled with diet and physical activity only
B. The client's GDID will be controlled with insulin, diet and physical activity
C. The client will be required to have a cesarean section at 37 weeks gestation
D. For future pregnancies, the client will be diagnosed with gestational diabetes
E. The client will need to be monitored by an Endocrinologist for GDID - Answer-B, E
Correctly match the following terms and definitions:
A person who is pregnant
A person who is pregnant for the first time
, A person who has had two or more pregnancies
1. Gravida
2. Primigravida
3. Multigravida - Answer-Gravida = person who is pregnant
Primigravida = person pregnant for first time
Multigravida = person who has had multiple pregnancies
What are the key hormones in pregnancy - Answer-- progesterone
- estrogen
- Human chorionic gonadotropin
- relaxin
- prolactin
- oxytocin
what is progesterone important for in pregnancy - Answer-- relaxes smooth muscle of
uterus/blood vessels
- decreases bladder tone
- inhibits lactation
- quiets immune system response to foreign DNA
what is estrogen important for in pregnancy - Answer-- enhances uterine lining
- causes spider veins
- causes nausea and later increased appetite
- stimulates fetal adrenal glands to grow
what is human chorionic gonadotropin (HCG) for in pregnancy - Answer-- levels rise
from day 8 and peal 80-90 days
- promotes angiogenesis in uterus
- promotes cell differentiation to generate syncytiotrophoblast
- blocks maternal immune system/macrophage activity
what is relaxin for in pregnancy - Answer-- vasodilation reducing BP as plasma volume
decreases
- relaxes ligaments of thoracic wall
- relaxes pelvic ligaments in preparation for delivery
what is prolactin for in pregnancy - Answer-- tranquilizing effect
- prepares breast tissue for lactation
what is oxytocin for in pregnancy - Answer-- stretches cervix and stimulates
contractions
- stimulates milk production
- augments mother and baby bond
When does chronic hypertension in pregnancy appear - Answer-weeks 1-20
QUESTIONS WITH ALL CORRECT
ANSWERS
what is the breastmilk mode of transmission for TORCH infections - Answer-by
breastmilk in premature or small gestational age babies (CMV)
what is toxoplasmosis
source of infection
reason for testing
most common congenital effect - Answer-- a parasite
- ingestion of spores in undercooked meat, or inhalation of spores from cat litter
- 80% of infected pregnant women are asymptomatic, treatment with spiramycin
reduces rate of fetus infection by 60%
- sensorineural hearing loss, CNS problems (chorioretinitis, cognitive and motor
dysfunction, seizures)
when will toxoplasmosis cause the most damage - Answer-1st trimester
why is it not likely to be infected by toxoplasmosis in first trimester - Answer-the gap
between the endometrial wall and placenta (anchoring villi) is to small for it to fit through
when is the most common time to get infected by toxoplasmosis - Answer-3rd trimester
what is syphillis
source of infection
congenital effects
signs and symptoms on baby - Answer-- bacterial infection
- transplacental, 80% transmission rate if untreated (through SVD)
- if mom untreated during pregnancy = 25% chance still birth, 14% neonatal death, 41%
congenital syphillis
- rash on hands, feet, genital area, larger liver and spleen, affects development of teeth
and bone
A nurse starts an admission assessment on a pregnant client with twins. The client has
a healthy 5 year-old child that was delivered at 36 weeks and had one abortion at 8
weeks. The nurse would document the GTPAL for this client as:
A. G = 2; T = 1; P = 1; A = 1; L = 1
B. G = 3; T = 0; P = 1; A = 1; L = 1
C. G = 4; T = 2; P = 0; A = 1; L = 1
D. G = 3; T = 0; P = 0; A = 1; L = 1 - Answer-B
,What changes occur to the cardiovascular system during a normal pregnancy? Select
all that apply.
A. Clotting factor production decreases as pregnancy progresses
B. Increased progesterone levels relax the smooth muscle around blood vessels
C. Diastolic blood pressure initially increases with pregnancy, then begins to decrease
during the third trimester
D. Increased cardiac output and heart rate
E. Blood volume increases 40-50% above non-pregnancy levels - Answer-B, D, E
A nurse is educating a client recently swabbed as group B streptococcus (GBS)
positive. Which of the following responses by the client would indicate further teaching
is required:
A. "GBS should be treated in the second trimester of pregnancy"
B. "GBS is not considered a sexually transmitted disease"
C. "GBS is normal in pregnancy"
D. "GBS is routinely tested for in pregnancy" - Answer-A
Maternal clients who have experienced intimate partner violence (IPV), often describe
the initial behaviours as their partners discouraging them from seeing family and friends.
True or False - Answer-True
Intimate partner violence (IPV) is perpetrated by an intimate partner in the context of
coercive control. Which of the following are types of violence that are included in the
definition of IPV? Select all that apply.
A. Physical
B. Financial
C. Social
D. Cultural
E. Mental - Answer-A, B, C, E
A pregnant client is diagnosed with gestational diabetes insulin dependent (GDID) and
asks the nurse what the diagnosis means in regard to pregnancy. Which of the following
responses by the nurse are appropriate? Select all that apply.
A. The client's GDID will be controlled with diet and physical activity only
B. The client's GDID will be controlled with insulin, diet and physical activity
C. The client will be required to have a cesarean section at 37 weeks gestation
D. For future pregnancies, the client will be diagnosed with gestational diabetes
E. The client will need to be monitored by an Endocrinologist for GDID - Answer-B, E
Correctly match the following terms and definitions:
A person who is pregnant
A person who is pregnant for the first time
, A person who has had two or more pregnancies
1. Gravida
2. Primigravida
3. Multigravida - Answer-Gravida = person who is pregnant
Primigravida = person pregnant for first time
Multigravida = person who has had multiple pregnancies
What are the key hormones in pregnancy - Answer-- progesterone
- estrogen
- Human chorionic gonadotropin
- relaxin
- prolactin
- oxytocin
what is progesterone important for in pregnancy - Answer-- relaxes smooth muscle of
uterus/blood vessels
- decreases bladder tone
- inhibits lactation
- quiets immune system response to foreign DNA
what is estrogen important for in pregnancy - Answer-- enhances uterine lining
- causes spider veins
- causes nausea and later increased appetite
- stimulates fetal adrenal glands to grow
what is human chorionic gonadotropin (HCG) for in pregnancy - Answer-- levels rise
from day 8 and peal 80-90 days
- promotes angiogenesis in uterus
- promotes cell differentiation to generate syncytiotrophoblast
- blocks maternal immune system/macrophage activity
what is relaxin for in pregnancy - Answer-- vasodilation reducing BP as plasma volume
decreases
- relaxes ligaments of thoracic wall
- relaxes pelvic ligaments in preparation for delivery
what is prolactin for in pregnancy - Answer-- tranquilizing effect
- prepares breast tissue for lactation
what is oxytocin for in pregnancy - Answer-- stretches cervix and stimulates
contractions
- stimulates milk production
- augments mother and baby bond
When does chronic hypertension in pregnancy appear - Answer-weeks 1-20
