ATHABASCA UNIVERSITY NURS 326 - MIDTERM
...But Don't be late! Correct Answers Late Decelerations
indicate Uteroplacental insufficiency
1st "P" - Power or labor? Correct Answers -uterine
contractions & maternal pushing effort
-strength/intensity
-duration (measure from the beginning to the end of the
contraction - 50 seconds is a good contraction)
-frequency (beginning of one contraction/beginning of the next -
how often?)
3rd "P" is the passenger? Correct Answers **Passengers --->
fetus and placenta
-Molding
-Attitude (flexion of the baby's neck)
-Presentation (what's presenting to the outlet first)
-Position
-Fetal lie (baby's spine r/t mom's spine)
-Station (where is the presenting part (head) coming out in
relation to the ischial spine)
-Engagement (0 station - head level at the ischial spine)
4th "P" Psyche of the mom? Correct Answers Birth affects the
whole way a woman thinks of herself and has lasting effects.
The nurses role for providing the mother with a positive birth
experience includes:
-clear information (procedures, what to expect)
,-positive support - don't leave her alone
-encourage her self-confidence & self-mastery
-trustworthiness
-breathing exercises & other aspects of the birth that she can
control
-anticipatory guidance
Accelerations =? Correct Answers O.K.
-temporary increase in FHR
-15 bpm increase for 15 seconds
-associated with fetal movement
-reassuring
Antepartum: prenatal care, how often should you go to Dr's?
Correct Answers *Timing of the visits
-conception until 28 weeks: every month
-28 weeks until 36 weeks: every 2 weeks
-36 weeks until delivery: weekly
Antepartum: What is preconception care? Correct Answers
**Initial vist
-history intake (med/surg history, OB history, current pregnancy
history)
-take VS; BP should remain NO MORE than 30 pts systolic and
15 pts diastolic from pregnancy baseline
-check for FHT
-determine EDC (date of confinement) using Nagele's rule
-determine Gravida and Para
-perform physical exam
-test urine for protein/glucose EACH VISIT
,-obtain lab data - send client to lab with Rx and Prenatal
vitamins prescription
Are pregnant woman really eating for two? Correct Answers
No! women should not overeat in the beginning of their
pregnancy in the end they will gain excessive amount. they only
need to increase 300 calories per day (including protein, iron,
folic acid)
Are pregnant women more hyper coagulable? Correct Answers
Yes, it's the body way of protecting itself from postpartum
hemorrhage
Assessment of Risk Factors? Correct Answers -Biophysical
(originates with the mother or the fetus)
-Psychosocial (maternal behaviors and adverse lifestyles that
have a negative effect on health of mother or fetus)
-Sociodemographic
-Environmental
-Specific pregnancy - related problems and related risk factors
(chromosomal abnormalities)
Baby's skull: What are the names of the two fontanels and when
do they close? Correct Answers Fontanels Anterior:
-diamond shaped
-closes at 12-18 months
Fontanels Posterior:
-triangular shaped
-closes 8-12 weeks
, Basis for Monitoring: Fetal response? Correct Answers
maintenance of oxygen supply to prevent fetal compromise
Biophysical profile (BPP) ultrasound score? Correct Answers a
score of 0 or 2 can be obtained for each variable
-reassuring = 8 to 10
-Equivocal = 6 points ; less than 6 points = DELIVER
Can a baby in a transverse lie be born vaginally? What part of
the baby would be presenting? Correct Answers C-section
(caesarean) may be the safest option for delivering the baby,
hands and feet facing the birth canal
Cardiovascular changes (Blood Components) during pregnancy?
Correct Answers Hypercoagulable
-Fibrin and Fibrinogen increase by 50%
-protective mechanism to prevent postpartum hemorrhage
-venous stasis/long periods of standing or sitting
-increased risk of DVT (using Bubble-Dep Assessment)
Cardiovascular changes (BLOOD VOLUME) during
pregnancy? Correct Answers **Increased blood volume!
-plasma volume increases 40-60%
-RBC volume increases 20-30% and total volume increases
Cardiovascular changes (Cardiac Output) during pregnancy?
Correct Answers -stroke volume & heart rate = cardiac output
-increases 50% by week 20
HR
-increases 10-20 bpm
...But Don't be late! Correct Answers Late Decelerations
indicate Uteroplacental insufficiency
1st "P" - Power or labor? Correct Answers -uterine
contractions & maternal pushing effort
-strength/intensity
-duration (measure from the beginning to the end of the
contraction - 50 seconds is a good contraction)
-frequency (beginning of one contraction/beginning of the next -
how often?)
3rd "P" is the passenger? Correct Answers **Passengers --->
fetus and placenta
-Molding
-Attitude (flexion of the baby's neck)
-Presentation (what's presenting to the outlet first)
-Position
-Fetal lie (baby's spine r/t mom's spine)
-Station (where is the presenting part (head) coming out in
relation to the ischial spine)
-Engagement (0 station - head level at the ischial spine)
4th "P" Psyche of the mom? Correct Answers Birth affects the
whole way a woman thinks of herself and has lasting effects.
The nurses role for providing the mother with a positive birth
experience includes:
-clear information (procedures, what to expect)
,-positive support - don't leave her alone
-encourage her self-confidence & self-mastery
-trustworthiness
-breathing exercises & other aspects of the birth that she can
control
-anticipatory guidance
Accelerations =? Correct Answers O.K.
-temporary increase in FHR
-15 bpm increase for 15 seconds
-associated with fetal movement
-reassuring
Antepartum: prenatal care, how often should you go to Dr's?
Correct Answers *Timing of the visits
-conception until 28 weeks: every month
-28 weeks until 36 weeks: every 2 weeks
-36 weeks until delivery: weekly
Antepartum: What is preconception care? Correct Answers
**Initial vist
-history intake (med/surg history, OB history, current pregnancy
history)
-take VS; BP should remain NO MORE than 30 pts systolic and
15 pts diastolic from pregnancy baseline
-check for FHT
-determine EDC (date of confinement) using Nagele's rule
-determine Gravida and Para
-perform physical exam
-test urine for protein/glucose EACH VISIT
,-obtain lab data - send client to lab with Rx and Prenatal
vitamins prescription
Are pregnant woman really eating for two? Correct Answers
No! women should not overeat in the beginning of their
pregnancy in the end they will gain excessive amount. they only
need to increase 300 calories per day (including protein, iron,
folic acid)
Are pregnant women more hyper coagulable? Correct Answers
Yes, it's the body way of protecting itself from postpartum
hemorrhage
Assessment of Risk Factors? Correct Answers -Biophysical
(originates with the mother or the fetus)
-Psychosocial (maternal behaviors and adverse lifestyles that
have a negative effect on health of mother or fetus)
-Sociodemographic
-Environmental
-Specific pregnancy - related problems and related risk factors
(chromosomal abnormalities)
Baby's skull: What are the names of the two fontanels and when
do they close? Correct Answers Fontanels Anterior:
-diamond shaped
-closes at 12-18 months
Fontanels Posterior:
-triangular shaped
-closes 8-12 weeks
, Basis for Monitoring: Fetal response? Correct Answers
maintenance of oxygen supply to prevent fetal compromise
Biophysical profile (BPP) ultrasound score? Correct Answers a
score of 0 or 2 can be obtained for each variable
-reassuring = 8 to 10
-Equivocal = 6 points ; less than 6 points = DELIVER
Can a baby in a transverse lie be born vaginally? What part of
the baby would be presenting? Correct Answers C-section
(caesarean) may be the safest option for delivering the baby,
hands and feet facing the birth canal
Cardiovascular changes (Blood Components) during pregnancy?
Correct Answers Hypercoagulable
-Fibrin and Fibrinogen increase by 50%
-protective mechanism to prevent postpartum hemorrhage
-venous stasis/long periods of standing or sitting
-increased risk of DVT (using Bubble-Dep Assessment)
Cardiovascular changes (BLOOD VOLUME) during
pregnancy? Correct Answers **Increased blood volume!
-plasma volume increases 40-60%
-RBC volume increases 20-30% and total volume increases
Cardiovascular changes (Cardiac Output) during pregnancy?
Correct Answers -stroke volume & heart rate = cardiac output
-increases 50% by week 20
HR
-increases 10-20 bpm
