Maternal Child Nursing Final Exam Set Questions and Verified Correct Answers With Rationales 2025

_____________: time between conception and the onset of labor; describes the period during which a women is pregnant - Correct Ans-Antepartum *Used interchangeably with prenatal ___________: time from the onset of true labor until the birth of the baby and placenta. - Correct Ans-Intrapartum ______________: time from the delivery of the placenta and membranes until the woman's body returns to a non-pregnant condition; typically about 6 weeks. - Correct Ans-Postpartum ____________: the number of weeks of pregnancy since the first day of the last menstrual period. - Correct Ans-Gestation _____________: birth that occurs before the end of 20 weeks' gestation OR the birth of a fetus-newborn who weighs less than 500g. - Correct Ans-Abortion *May occur spontaneously or it may be induced (therapeutic abortion) by medical or surgical means. ____________: a baby born dead after 20 weeks' gestation. - Correct Ans-Stillborn ______________: a word that was formerly used to identify the normal duration of pregnancy. - Correct Ans-Term *This is word is now discouraged b/c it represents such a wide range of time and related risk. _____________: labor that occurs after 20 weeks' gestation but before completion of 36 weeks' gestation. - Correct Ans-Preterm labor ______________: labor that occurs after 42 weeks' gestaiton - Correct Ans-Postterm labor ____________: any pregnancy, regardless of duration, including present pregnancy. - Correct Ans-Gravida NURSING NURSING *Gravida is often abbreviated as G. _____________: a woman who has never been pregnant. - Correct Ans-Nulligravida _____________: a woman who is pregnant for the first time. - Correct Ans-Primigravida ______________: a woman who is in her second or any subsequent pregnancy. - Correct Ans-Multigravida __________: birth after 20 weeks' gestation regardless of whether the baby is born alive or dead. - Correct Ans-Para *Para is often abbreviated as P __________: a woman who has had no births at more than 20 weeks' gestation. - Correct Ans-Nullipara _____________: a woman who has had one birth at more than 20 weeks' gestation regardless of whether the baby was born alive or dead. - Correct Ans-Primipara __________: a woman who has had two or more births at more than 20 weeks' gestation. - Correct Ans-Multipara What does the T stand for in the acronym TPAL? - Correct Ans-Number of early, full, or late term births the woman has experienced (number of babies born at the 37 0/7 weeks' gestation or beyond). What does the P stand for in the acronym TPAL? - Correct Ans-Number of preterm births (births after 20 weeks' gestation but before 37 0/7 weeks' gestation, whether living or stillborn). What does the A stand for in the acronym TPAL? - Correct Ans-Number of pregnancies ending in either spontaneous or therapeutic abortion (before 20 weeks' gestation). What does the L stand for in the acronym TPAL? - Correct Ans-Number of currently living children to whom the woman has given birth. What does the term gravida & para refer to? - Correct Ans-Pregnancies, NOT to the fetus. *traditionally, twins, triplets, and other multiple fetuses are counted as ONE pregnancy and ONE birth. What vitamin is required for normal growth, reproduction, & lactation? - Correct Ans Folic acid (folate) NURSING NURSING *Also prevents macrocytic, megaloblastic anemia of pregnancy Inadequate intake of what vitamin causes neutral tube defects (NTDs) such as spina bifida and/or meningomyelocele? - Correct Ans-Folic acid Neural tube defects (NTDs) are considered what? - Correct Ans-Multifactorial How much folic acid is recommended for all women of childbearing age (15 to 45 y/o)? - Correct Ans-400 mcg daily How can folic acid be made inactive? - Correct Ans--Oxidation -Ultraviolet light -Heating What are some sources of folic acid? - Correct Ans--Fresh green leafy vegetables -Liver -Peanuts -Whole-grain breads & cereals *Foods should be stored covered from light, cooked w/ small amount of water, and not overcooked. What 3 different positions can you perform inspection during breast self examination? - Correct Ans-1. Both arms relaxed 2. Both arms over head 3. Both hands placed on hips while leaning forward. During inspection in a self-breast examination what things do you note, or are looking for? - Correct Ans--Size & symmetry -Thickening or edema -Surface of the skin -Nipples What is the appropriate way to palpate when performing a self-breast examination? - Correct Ans-Lie down. Put one hand behind your head. With other hand, fingers flattened, gently feel your breast. Press lightly. Move fingers in an up and down pattern, feeling gently for a lump or thickening. Repeat while sitting up, with your hand still over your head. Squeeze the nipple between your thumb and forefinger. Look for any discharge- Clear, bloody, or milky. What are some warning signs of breast cancer? - Correct Ans--Bloody nipples -Inverted nipples become everted *Anything different than usual NURSING NURSING If there is language barrier between you and the patient, What would be the appropriate action? - Correct Ans--Provide translator -Also signs, posted literature, & brochures of the patients language When caring for a patient of a different culture what things should we be aware of? - Correct Ans--Personal space -Eye contact -Who to speak to -Which gender can assist in care(s) -How to refer to them -Nonverbal communication For a patient who is experiencing PMS (premenstrual syndrome) may be advised to restrict her intake of food containing what? - Correct Ans-Methylxanthines *Such as chocolate, cola, and coffee What would be some other intake restrictions for the patient who is experiencing PMS (premenstrual syndrome)? - Correct Ans--Alcohol -Nicotine -Red meat -Foods containing salt & sugar A patient with PMS (premenstrual syndrome) what would you advise more of in her diet? - Correct Ans--Increase her intake of complex carbohydrates & protein -Increase the frequency of meals For the patient w/ PMS experiencing psychological symptoms, What would you give to treat it? - Correct Ans--B-complex vitamins, especially B6 (decreased anxiety and depression) -complementary therapies such as vitex agnus castus (fruit of the chaste tree) - acupuncture What vitamin may help reduce breast tenderness for the patient with PMS? - Correct Ans-Vitamin E What dietary supplement taken daily may help relieve certain physical & psychological symptoms in a pt with PMS? - Correct Ans-Calcium 1200 mg *Given daily What dietary supplement may help reduce fluid retention & bloating in a pt with PMS? - Correct Ans-Magnesium What are some herbal remedies that a patient experiencing PMS might ingest? - Correct Ans--Black cohosh NURSING NURSING -Ginger -Red raspberry leaf -Evening primrose oil What programs of aerobic exercise would be beneficial for a patient with PMS? - Correct Ans--Walking -Jogging -Aerobic dancing In addition to vitamin supplements what are some pharmacologic treatments for PMS? - Correct Ans--Diuretics -Prostaglandin inhibitors -Caused by the protozoan parasite -Most common curable STI in young sexually active women. -Can be transmitted to babies. -Make sure to treat yourself and your partner. What sexual transmitted infections fits this description? - Correct Ans-Trichomoniasis What treatments would be administered to a patient with the STI trichomoniasis? - Correct Ans--metronidazole (Flagyl) -tinidazole (Tindimax) *Orally in a single dose, anti-invective. When taking Flagyl to treat trichomoniasis what shou