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NUR 507 EXAM 1 FLASHCARD EXAM WITH CORRECT QUESTIONS AND ANSWERS 2025

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NUR 507 EXAM 1 FLASHCARD EXAM WITH CORRECT QUESTIONS AND ANSWERS 2025

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NUR 507 EXAM 1 FLASHCARD EXAM
WITH CORRECT QUESTIONS AND
ANSWERS 2025

 Infertility - CORRECT-ANSWERSInability to conceive a child or sustain a pregnancy to

birth

 Infertile couple - CORRECT-ANSWERSOne who has not become pregnant after at least

1 year of unprotected coitus

 Subfertility - CORRECT-ANSWERSTerm used rather than "infertility" because it

denotes that couple has a potential to conceive



 Affects 11% to 14% of couples desiring children

 Primary subfertility - CORRECT-ANSWERSNo previous conceptions

 Secondary subfertility - CORRECT-ANSWERSPrevious pregnancies occurred; however,

couple is not able to presently conceive

 Sterility - CORRECT-ANSWERSInability to conceive due to known cause such as

absence of a uterus

 Male Subfertility Factors - CORRECT-ANSWERSDisturbance in spermatogenesis

 Inadequate FSH and LH production

 Seminiferous tubule, duct, or vessel obstruction

 Seminal fluid changes preventing sperm motility

 Development of autoimmunity

 Ejaculation problems

, Female Subfertility Factors - CORRECT-ANSWERSInadequate FSH or LH production

 Anovulation

 Problems of ova transport through the fallopian tubes to the uterus

 Uterine factors

 Cervical and vaginal factors

 Fertilization - CORRECT-ANSWERS(also referred to as conception and impregnation):

union of ovum and spermatozoon

 Implantation - CORRECT-ANSWERScontact between growing structure and uterine

endometrium, approximately 8 to 10 days after fertilization

 Psychological Tasks 1st Trimester - CORRECT-ANSWERSAccepting the

pregnancy.....Common reactions include ambivalence, or feeling pleased yet not pleased

about pregnancy.

 Psychological Tasks 2nd Trimester - CORRECT-ANSWERSAccepting the

fetus....narcissism and introversion - worried about parenting and that responsibility.

 Psychological Tasks 3rd Trimester - CORRECT-ANSWERSPreparation and end of

pregnancy....preparing the nursing, getting impatient for arrival.

 Physiologic Changes During Pregnancy - CORRECT-ANSWERSCardiac output and

blood volume increase 30-50%. By term it is 45-50%, to meet the greater metabolic

needs. Heart rate increases during pregnancy.

 Blood pressure ...

 Position of pregnant patient can affect BP. In the supine position, maternal weight &

pressure of the uterus on the vena cava can decrease venous blood flow to the heart.

, Encourage the patient to lie in a left lateral position or semi-Folowers position. You can

also place a wedge under one hip to alleviate pressure to the vena cava.



 Pulse increases and remains elevated throughout pregnancy.

 Respirations increase due to the elevation of the diaphragm (up to 4 cm) and changes in

the chest wall to facilitate increased maternal oxygen demands. Some shortness of breath

may be noted.




 Cervix - softening begins in order to efface and dilate.

 Pigmentation increases :

 Chloasma - pigmentation that occurs on the face

 Linea nigra - dark line of pigmentation from the umbilicus extending to the public area

 Striae gravidarum - stretch marks most notably found on the abdomen and thighs.



 Musculoskeletal - Body alternations and weight increase necessitate an adjustment in

posture. Pelvic joints relax - preparing for growth of fetus and delivery.



 Kidneys - GFR increases to the influence of pregnancy hormones and increase in blood

volume and metabolic demands. Urinary frequency is common in pregnancy.

,  GI - N/V due to hormonal changes and increase of pressure within the abdominal cavity

(displaces stomach & intestines). Constipation can occur due to increased transit time of

food through the GI tract and increased water absorption.



 Hormones are active during pregnancy - hCG, progesterone, estrogen, human placental

lactogen & prostaglandins are produced in large

 Presumptive Sign - CORRECT-ANSWERSFelt by the woman:



 Amenorrhea

 Breat tenderness

 Quickening

 Nausea

 Urinary Frequency

 Fatigue

 Probable Sign - CORRECT-ANSWERSFelt by the examiner:



 Positive pregnancy test

 Uterine enlargement

 Hegar's sign

 Goodell's sign

 Chadwick's sign

 Braxton Hicks Ctx

 Pigmentation changes

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