solutions.
NURS 372 Final exam with 241 complete
solutions.
When does a pregnancy mom begin to feel quickening? - ANSWER 16-20 weeks
When educating a mom on fetal movement counting, it is important to include that if less than _____
movements occur within 2 hours further assessment is necessary - ANSWER 6
Describe the process of screening for gestational diabetes mellitus - ANSWER 50g of glucose given to
mom & blood glucose measured 1 hr later to see how she tolerated it.
Results:
-<7.8 mmol/L normal
-7.8-11 mmol/L further testing required
->11 mmol/L GDM
HELLP is an acronym used for s/s that occur in 20% of women with severe eclampsia. What does it stand
for? - ANSWER Hemolysis
Elevated
Liver enzymes
Low
Platelets
What is placenta previa? - ANSWER A placenta implanted in the lower uterine segment rather than the
upper portion
A pregnant women comes into the clinic with bright red blood/discharge, but reports no pain. She is
most likely experiencing... - ANSWER Placenta previa
,NURS 372 Final exam with 241 complete
solutions.
What is abrupto placenta? - ANSWER Premature separation of placenta from uterine wall after the 20th
week of gestation. Leads to hemorrhage
A pregnant women comes into the clinic with the following symptoms: dark vaginal, non-clotting
bleeding, abdominal pain, lower back pain, uterine contractions, and uterine tenderness. The fetus has
an abnormal HR. This women most likely has... - ANSWER abrupto placenta
(premature separation of the placenta from the uterine wall after the 20th week leading to hemorrhage)
What does fetal station refer to? - ANSWER The relationship of the presenting part to the women ischial
spines (negative # = higher up, # increases as baby closer to birth, 0 = at level of ischial spines)
What are the 2 phases of the 1st stage of labour? How long do they last? - ANSWER Latent (early) phase:
~6-8 hrs
Active phase: ~3-6 hrs
If a women is 0-3 cm dilated, she is in the _________ stage of labour. - ANSWER Latent (early) phase of
the 1st stage of labour
If a women is 4-10 cms dilated, she is in the __________ stage of labour. - ANSWER Active phase of the
1st stage of labour
What is in the 1st stage of labour? - ANSWER Onset of regular contractions to 10cm dilated & 100%
effacement
The softening, thinning, and shortening of the cervical canal is referred to as... - ANSWER Effacement
What are referred to as "practice" contractions that have no regular pattern and do not cause dilation or
effacement? - ANSWER Braxton Hicks Contractions
What is the acronym used to assess amniotic fluid after rupture of membranes? - ANSWER C = color
, NURS 372 Final exam with 241 complete
solutions.
O = odor
A = amount
T - time it occurred
A pregnant women comes into the hospital and her membranes rupture. The amniotic fluid is clear with
small flecks and particles in it. Is this normal? - ANSWER Yes. It is associated with vernix
What occurs in the second stage of labour? - ANSWER Full cervical dilation & complete effacement to
babies birth (consists of passive & active pushing phase)
What occurs in the 3rd stage of labour? - ANSWER Delivery of placenta
What occurs in the 4th stage of labour? - ANSWER ~1-2 hours after birth
Which side of the placenta is shiny/grey - ANSWER The fetal side
If the shiny/grey side of the fetus is presented first, the placenta separated... - ANSWER Inside - out
The acronym REEDA is used to assess perineal laceration repairs, episiotomies, and cesarean scars. What
does it stand for? - ANSWER R = redness (erythema)
E = edema
E = ecchymosis (bruising)
D = discharge
A = approximation
A new born baby has a HR of 90, she cries strong and vigorous in response to stimulation, is partially
flexed, and is acrocyanotic. What is the babies APGAR score? - ANSWER Total Score: 7
Activity/muscle tone - 1
Pulse - 1