NUR1025C Exam 1 Questions With Complete Solutions
**How much does vascular volume increase during pregnancy?
Correct Answers 40 to 60% to give blood flow to the placenta
**IUGR (intrauterine growth restriction) is dx by: Correct
Answers ultrasound
**Kick counts (fetal movement count) - when to notify provider
Correct Answers less than 1 kick an hour is a problem!
**Low birth weight can be a result of the mother: Correct
Answers smoking
**What would you give to a pregnant pt who is addicted to
opiods? Correct Answers methadone
5 rights of delegation: Correct Answers 1. Right task
2. Right circumstance
3. Right person
4. Right direction/communication
5. Right supervision/evaluation
A laboring patient's amniotic membranes have just ruptured.
What is the immediate action of the nurse? Correct Answers To
assess the fetal heart rate (FHR) pattern
A pt on Brethine w/ a high heart rate could be given: Correct
Answers A beta blocker such as IV Propranolol
,Active phase: Correct Answers ACTIVE PHASE: 4-7 cms
dilation
Nullipara: 4+ hrs
Multipara: 2+ hrs
Adaptations to Pregnancy in the Breasts: Correct Answers
Fullness, heaviness
Heightened sensitivity from tingling to sharp pain
Areola become more pigmented
Montgomery tubercles
Colostrum
Adaptations to Pregnancy in the CV system: Correct Answers
Maternal HR increases by 15-20 bpm by 32 weeks gestation
until term.
Blood pressure
Supine hypotensive syndrome
Blood volume and composition
Cardiac output increases by 30-50% by 25-30 weeks &
decreases to 20% increase by 40 weeks.
Circulation and coagulation times
Increases in various clotting factors
Adaptations to Pregnancy in the Gastrointestinal system:
Correct Answers Appetite-Varies
70% with nausea &/or vomiting
PICA
Mouth and teeth-sensitive gums due to estrogen changes
Esophagus, stomach, and intestines-Increased progesterone
causes reflux, *iron absorption, increased estrogen &
progesterone causes decreased peristalsis
, Gallbladder and liver-pregnancy-related changes along with
increased progesterone may cause a gravid woman more likely
to have gallstones.
Abdominal discomfort-Usually caused by normal changes of
pregnancy but other issues must be ruled out
Adaptations to Pregnancy in the Neurologic system: Correct
Answers Carpal tunnel syndrome in last trimester due to edema
of peripheral nerves
Sensory changes in the legs due to pelvic nerve compression or
vascular stasis
Dorsolumbar lordosis causing nerve compression
Adaptations to Pregnancy in the Respiratory system: Correct
Answers Pulmonary function-increased estrogen causes
enlarges capillaries resulting in:
Nasal stuffiness, epistaxis,URIs
Acid-base balance
Adaptations to Pregnancy in the Uterus: Correct Answers
Changes in size, shape, and position
Changes in contractility
Uteroplacental blood flow
Cervical changes
Changes related to the presence of the fetus
Ballottement-passive movement of the unengaged fetus (16-18
weeks)
Quickening-Fetal movement (14-16 weeks)
**How much does vascular volume increase during pregnancy?
Correct Answers 40 to 60% to give blood flow to the placenta
**IUGR (intrauterine growth restriction) is dx by: Correct
Answers ultrasound
**Kick counts (fetal movement count) - when to notify provider
Correct Answers less than 1 kick an hour is a problem!
**Low birth weight can be a result of the mother: Correct
Answers smoking
**What would you give to a pregnant pt who is addicted to
opiods? Correct Answers methadone
5 rights of delegation: Correct Answers 1. Right task
2. Right circumstance
3. Right person
4. Right direction/communication
5. Right supervision/evaluation
A laboring patient's amniotic membranes have just ruptured.
What is the immediate action of the nurse? Correct Answers To
assess the fetal heart rate (FHR) pattern
A pt on Brethine w/ a high heart rate could be given: Correct
Answers A beta blocker such as IV Propranolol
,Active phase: Correct Answers ACTIVE PHASE: 4-7 cms
dilation
Nullipara: 4+ hrs
Multipara: 2+ hrs
Adaptations to Pregnancy in the Breasts: Correct Answers
Fullness, heaviness
Heightened sensitivity from tingling to sharp pain
Areola become more pigmented
Montgomery tubercles
Colostrum
Adaptations to Pregnancy in the CV system: Correct Answers
Maternal HR increases by 15-20 bpm by 32 weeks gestation
until term.
Blood pressure
Supine hypotensive syndrome
Blood volume and composition
Cardiac output increases by 30-50% by 25-30 weeks &
decreases to 20% increase by 40 weeks.
Circulation and coagulation times
Increases in various clotting factors
Adaptations to Pregnancy in the Gastrointestinal system:
Correct Answers Appetite-Varies
70% with nausea &/or vomiting
PICA
Mouth and teeth-sensitive gums due to estrogen changes
Esophagus, stomach, and intestines-Increased progesterone
causes reflux, *iron absorption, increased estrogen &
progesterone causes decreased peristalsis
, Gallbladder and liver-pregnancy-related changes along with
increased progesterone may cause a gravid woman more likely
to have gallstones.
Abdominal discomfort-Usually caused by normal changes of
pregnancy but other issues must be ruled out
Adaptations to Pregnancy in the Neurologic system: Correct
Answers Carpal tunnel syndrome in last trimester due to edema
of peripheral nerves
Sensory changes in the legs due to pelvic nerve compression or
vascular stasis
Dorsolumbar lordosis causing nerve compression
Adaptations to Pregnancy in the Respiratory system: Correct
Answers Pulmonary function-increased estrogen causes
enlarges capillaries resulting in:
Nasal stuffiness, epistaxis,URIs
Acid-base balance
Adaptations to Pregnancy in the Uterus: Correct Answers
Changes in size, shape, and position
Changes in contractility
Uteroplacental blood flow
Cervical changes
Changes related to the presence of the fetus
Ballottement-passive movement of the unengaged fetus (16-18
weeks)
Quickening-Fetal movement (14-16 weeks)
