UNITEK OB EXAM 1 CH 3-5 2025 |
COMPREHENSIVE Q&A FOR GUARANTEED
SUCCESS
A nurse is caring for a client who is at 36 weeks of gestation and has suspected
placenta previa. For which of the following findings should the nurse expect? -
correct-answer-A large amount of bright red vaginal bleeding without pain
A nurse is caring for a client in the prenatal clinic who has a possible ectopic
pregnancy at 8 weeks of gestation. Which of the following findings should the
nurse expect? - correct-answer-Pelvic pain
Monozygotic twins - correct-answer-- Identical twins
- Genetically identical
- Same sex, same appearance
- Develop from a single fertilized ovum
Dizygotic twins - correct-answer-- Fraternal twins
- May or may not be the same sex
- 2 amnions, chorions, and placentas
3 phases of pregnancy - correct-answer-Antepartum, intrapartum, postpartum
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Preconception care - correct-answer-Pregnancy intention, access to care, use of
multivitamins and folic acid, smoking, STI's, illicit drug use, and mental health
issues
Prenatal care - correct-answer-Involves monitoring, care, management of issues
rising during pregnancy
Intrapartum care - correct-answer-Involves the continuous presence and support,
by a labor and delivery nurse or doula during the birth process
Postpartum care - correct-answer-Encourage breast feeding, skin to skin contact,
and bonding while reducing separations and interruptions
Folic acid intake before conception can - correct-answer-Reduce the incidence of
congenital anomalies
Prenatal care should begin when? - correct-answer-Before conception or as soon
as suspicion is held
Prenatal testing - correct-answer-- Conception-28 weeks = every 4 weeks
- 29-36 weeks = every 2-3 weeks
- 37 weeks-birth = weekly
Estimated date of delivery [EDD] - correct-answer-- Calculated based on LNMP
- An ultrasound may be done to confirm EDD
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Routine assessments - correct-answer-- Review of risk factors
- Obtaining blood pressure
- Checking if pattern of weight gain is normal
- Urinalysis for protein, glucose, and ketone levels
- Obtain blood glucose 24-28 weeks of gestation
- Hematocrit, strept, STI at 36 weeks of gestation
- Fundal height for expected fetus growth
- Leopold's maneuvers to assess presentation and position by abdominal palpation
at 36 weeks of gestation
- Fetal activity, kick count at 28 weeks of gestation
- Review of nutrition, calorie and specific nutrients
Obestric history - correct-answer-Number of pregnancies [OB]
Menstrual history - correct-answer-- Usual frequency of menstrual cycles and
duration of flow
- First day of last menstrual period, any spotting
Family history - correct-answer-Genetics or other factors
Health history [refers to woman and partner] - correct-answer-Risk factors and
blood incompatibility between mother and fetus