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MATERNAL CHILD NURSING CARE IN CANADA, FINAL EXAM

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MATERNAL CHILD NURSING CARE IN CANADA, FINAL EXAM What are the two main functions of the placenta? - CORRECT ANSWER -Endocrine: Produces hormones to maintain pregnancy, support embryo, and fetus Metabolic: Respiration, nutrition, excretion and storage. What is the purpose of hCG? - CORRECT ANSWER -To preserve the function of the ovarian corpus luteum. What is the purpose of hCS/hPL? - CORRECT ANSWER -Acts as a growth hormone, stimulates maternal supply of nutrients for fetal growth. Also facilitates glucose transport across placenta, and stimulates maternal breast development for lactation. What is the purpose of the progesterone produced by the placenta? - CORRECT ANSWER -To maintain endometrium, decrease contractility of the uterus, stimulate maternal metabolism and develop breast alveoli. What is the purpose of estrogen produced by the placenta? - CORRECT ANSWER -Stimulates uterine growth, uteroplacental blood flow, and proliferation of breast glandular tissue. Also stimulates myometrial contractility. What is the pelvic outlet? - CORRECT ANSWER -The lower border of the true pelvis; bounded by the pubic arch, ischial tuberosities, and tip of coccyx. What is the pelvic cavity? - CORRECT ANSWER -Midpelvis, curved passage that is bounded by the symphisis pubis, ischium, ilium, sacrum and coccyx What is the pelvic inlet? - CORRECT ANSWER -The upper border of the true pelvis, formed by the upper margins of the public bone, the iliopectineal lines, and the anterior upper margin of the sacrum What is engagement? - CORRECT ANSWER -the largest presenting part has passed through the pelvic inlet; corresponds with station 0. When does a woman normally experience engagement and how does this vary in nulliparous and multiparous women? - CORRECT ANSWER -Engagement can occur weeks before labour in nulliparous women but may occur during labour for multiparous women.

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