CNUR 303 - Lecture 1 Questions With Complete Solutions
5 components of labour correct answers -5 p's
•Passenger (fetus and placenta)
•Passageway (birth canal)
•Powers (contractions)
•Position of mother
•Psychological response
5 P's: Passenger correct answers •Size of fetal head
•Fetal presentation
•Fetal lie
•Fetal attitude
•Fetal position
Abdomen after birth correct answers •Relaxed
•About 6 weeks
•Prior condition
•Exercise
•Body composition
Assessment of uterine cavity correct answers •Frequency
•Intensity
•Duration
•Resting tone
B-bladder correct answers •Ability to void
•Amount
•Frequency
•Retention
,-think about did she have any perineal trauma? Any prolonged
anesthesia, any lacerations to perineum?
B-bowels correct answers •Bowel sounds
•BM?
•Psychological factors
•Diet
•Medication
B-breasts correct answers •Nipples (symmetry, leaking
colostrum)
•Lumps present?
•Milk coming in
-pain
-are the breasts soft, filling or firm
Blood components after birth correct answers -Hematocrit and
hemoglobin moderately drop
-White blood cell count initially increases and then normalize
-Coagulation factors elevated in immediate PP period so moms
are at a risk for blood clots (anti-emboli stockings)
-varicosities decrease
Breast adaptations to pregnancy correct answers -Fullness,
heaviness
-Heightened sensitivity from tingling to sharp pain (soon after
conception for some)
-Increase in size & nodularity
-Superficial veins more prominent
-Nipples more erectile and more pigmented
-Areolae become more pigmented
,-striae gravidarum: purplish stretch marks
Breast adaptations to pregnancy: colostrum correct answers -
Antibody Rich
-May be expressed around 16 weeks
-May leak in last trimester
-Gradually converts to breastmilk
Breast adaptations to pregnancy: montogomery's tubercules
correct answers -Sebaceous glands of the areola become
enlarged
-Secretions from these glands protect nipples and areolae in BF
Breasts after birth: breast feeding moms correct answers -
Colostrum (yellow ish fluid can be expressed from nipples)
-Tenderness
-72-96 hours before milk comes in and lactation begins
Breasts after birth: nonbreastfeeding moms correct answers -
Colostrum
-not feeding babies so breast might fill with colostrum or lactate
causing engorgement/ discomfort
-Breast binder or tight bra, ice packs, fresh cabbage leaves, or
mild analgesics to help with discomfort
Breech presentation types correct answers frank: butt down, feet
pointed up toward head
footling: one foot down
complete: criss cross applesauce
, Calculating estimated date of delivery correct answers -Also
known as estimated date of birth (EDB)
-Calculation of estimated or expected date of delivery (EDD)
-Use first day of LMP 11/21/20
-Subtract 3 months 8/21/20
-Add 7 days 8/28/20
-Add 1 year 8/28/21 = EDD
-OR: add 7 days to LMP and count forward 9 months
-Gestational or birth calculator or wheel
-Ultrasound
Cardiovascular adaptations to pregnancy correct answers -
Displacement
-Blood pressure
-Blood volume and composition increases up to 45%, mostly
plasma with some RBCs.
-Cardiac output
-Circulation and coagulation times
Cardiovascular adaptations to pregnancy: increases correct
answers -increase in femoral venous pressure causing edema
and varicose veins & hemorrhoids
-Physiologic anemia of pregnancy: Plasma volume increases
with with little RBC increase (hemodilution) and Fe
supplementation important due to increased Fe needs
-Folic acid supplement- prevent maternal megaloblastic anemia
-Leukocyte production increases
-Plasma fibrinogen may increase
-The clotting factors are increased
-hypercoagulable state ★ RISK of DVT
5 components of labour correct answers -5 p's
•Passenger (fetus and placenta)
•Passageway (birth canal)
•Powers (contractions)
•Position of mother
•Psychological response
5 P's: Passenger correct answers •Size of fetal head
•Fetal presentation
•Fetal lie
•Fetal attitude
•Fetal position
Abdomen after birth correct answers •Relaxed
•About 6 weeks
•Prior condition
•Exercise
•Body composition
Assessment of uterine cavity correct answers •Frequency
•Intensity
•Duration
•Resting tone
B-bladder correct answers •Ability to void
•Amount
•Frequency
•Retention
,-think about did she have any perineal trauma? Any prolonged
anesthesia, any lacerations to perineum?
B-bowels correct answers •Bowel sounds
•BM?
•Psychological factors
•Diet
•Medication
B-breasts correct answers •Nipples (symmetry, leaking
colostrum)
•Lumps present?
•Milk coming in
-pain
-are the breasts soft, filling or firm
Blood components after birth correct answers -Hematocrit and
hemoglobin moderately drop
-White blood cell count initially increases and then normalize
-Coagulation factors elevated in immediate PP period so moms
are at a risk for blood clots (anti-emboli stockings)
-varicosities decrease
Breast adaptations to pregnancy correct answers -Fullness,
heaviness
-Heightened sensitivity from tingling to sharp pain (soon after
conception for some)
-Increase in size & nodularity
-Superficial veins more prominent
-Nipples more erectile and more pigmented
-Areolae become more pigmented
,-striae gravidarum: purplish stretch marks
Breast adaptations to pregnancy: colostrum correct answers -
Antibody Rich
-May be expressed around 16 weeks
-May leak in last trimester
-Gradually converts to breastmilk
Breast adaptations to pregnancy: montogomery's tubercules
correct answers -Sebaceous glands of the areola become
enlarged
-Secretions from these glands protect nipples and areolae in BF
Breasts after birth: breast feeding moms correct answers -
Colostrum (yellow ish fluid can be expressed from nipples)
-Tenderness
-72-96 hours before milk comes in and lactation begins
Breasts after birth: nonbreastfeeding moms correct answers -
Colostrum
-not feeding babies so breast might fill with colostrum or lactate
causing engorgement/ discomfort
-Breast binder or tight bra, ice packs, fresh cabbage leaves, or
mild analgesics to help with discomfort
Breech presentation types correct answers frank: butt down, feet
pointed up toward head
footling: one foot down
complete: criss cross applesauce
, Calculating estimated date of delivery correct answers -Also
known as estimated date of birth (EDB)
-Calculation of estimated or expected date of delivery (EDD)
-Use first day of LMP 11/21/20
-Subtract 3 months 8/21/20
-Add 7 days 8/28/20
-Add 1 year 8/28/21 = EDD
-OR: add 7 days to LMP and count forward 9 months
-Gestational or birth calculator or wheel
-Ultrasound
Cardiovascular adaptations to pregnancy correct answers -
Displacement
-Blood pressure
-Blood volume and composition increases up to 45%, mostly
plasma with some RBCs.
-Cardiac output
-Circulation and coagulation times
Cardiovascular adaptations to pregnancy: increases correct
answers -increase in femoral venous pressure causing edema
and varicose veins & hemorrhoids
-Physiologic anemia of pregnancy: Plasma volume increases
with with little RBC increase (hemodilution) and Fe
supplementation important due to increased Fe needs
-Folic acid supplement- prevent maternal megaloblastic anemia
-Leukocyte production increases
-Plasma fibrinogen may increase
-The clotting factors are increased
-hypercoagulable state ★ RISK of DVT
