NUR1025C Exam 1 questions with verified answers
**How much does vascular volume increase during pregnancy?
Ans✓✓✓ 40 to 60% to give blood flow to the placenta
**IUGR (intrauterine growth restriction) is dx by: Ans✓✓✓ ultrasound
**Kick counts (fetal movement count) - when to notify provider
Ans✓✓✓ less than 1 kick an hour is a problem!
**Low birth weight can be a result of the mother: Ans✓✓✓ smoking
**What would you give to a pregnant pt who is addicted to opiods?
Ans✓✓✓ methadone
5 rights of delegation: Ans✓✓✓ 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? Ans✓✓✓ To assess the fetal heart
rate (FHR) pattern
,A pt on Brethine w/ a high heart rate could be given: Ans✓✓✓ A beta
blocker such as IV Propranolol
Active phase: Ans✓✓✓ ACTIVE PHASE: 4-7 cms dilation
Nullipara: 4+ hrs
Multipara: 2+ hrs
Adaptations to Pregnancy in the Breasts: Ans✓✓✓ Fullness, heaviness
Heightened sensitivity from tingling to sharp pain
Areola become more pigmented
Montgomery tubercles
Colostrum
Adaptations to Pregnancy in the CV system: Ans✓✓✓ 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: Ans✓✓✓
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: Ans✓✓✓ 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: Ans✓✓✓
Pulmonary function-increased estrogen causes enlarges capillaries
resulting in:
Nasal stuffiness, epistaxis,URIs
Acid-base balance
, Adaptations to Pregnancy in the Uterus: Ans✓✓✓ 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)
Adaptations to Pregnancy in the Vagina: Ans✓✓✓ Chadwick sign-
Increased vascularity resulting in bluish coloring/tint (6-8 weeks)
Leukorrhea -White or slightly gray mucoid vaginal discharge with faint
musty odor
-Normal process
-Caused by progesterone & estrogen
-Eventually becomes mucous plug
Amennorhea Ans✓✓✓ abnormal absence or suppression of
menstruation
Avoid condoms w/: Ans✓✓✓ Nonoxynol-9
**How much does vascular volume increase during pregnancy?
Ans✓✓✓ 40 to 60% to give blood flow to the placenta
**IUGR (intrauterine growth restriction) is dx by: Ans✓✓✓ ultrasound
**Kick counts (fetal movement count) - when to notify provider
Ans✓✓✓ less than 1 kick an hour is a problem!
**Low birth weight can be a result of the mother: Ans✓✓✓ smoking
**What would you give to a pregnant pt who is addicted to opiods?
Ans✓✓✓ methadone
5 rights of delegation: Ans✓✓✓ 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? Ans✓✓✓ To assess the fetal heart
rate (FHR) pattern
,A pt on Brethine w/ a high heart rate could be given: Ans✓✓✓ A beta
blocker such as IV Propranolol
Active phase: Ans✓✓✓ ACTIVE PHASE: 4-7 cms dilation
Nullipara: 4+ hrs
Multipara: 2+ hrs
Adaptations to Pregnancy in the Breasts: Ans✓✓✓ Fullness, heaviness
Heightened sensitivity from tingling to sharp pain
Areola become more pigmented
Montgomery tubercles
Colostrum
Adaptations to Pregnancy in the CV system: Ans✓✓✓ 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: Ans✓✓✓
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: Ans✓✓✓ 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: Ans✓✓✓
Pulmonary function-increased estrogen causes enlarges capillaries
resulting in:
Nasal stuffiness, epistaxis,URIs
Acid-base balance
, Adaptations to Pregnancy in the Uterus: Ans✓✓✓ 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)
Adaptations to Pregnancy in the Vagina: Ans✓✓✓ Chadwick sign-
Increased vascularity resulting in bluish coloring/tint (6-8 weeks)
Leukorrhea -White or slightly gray mucoid vaginal discharge with faint
musty odor
-Normal process
-Caused by progesterone & estrogen
-Eventually becomes mucous plug
Amennorhea Ans✓✓✓ abnormal absence or suppression of
menstruation
Avoid condoms w/: Ans✓✓✓ Nonoxynol-9
