CHAMBERLAIN NR327 MATERNAL
EXAM 1 REVIEW 2025/2026 QUESTIONS
AND ANSWERS 100% PASS
Estrogen - ANS Uterine and breast enlargement
causes increases vascularity of mucous membranes of URT
Progesterone - ANS Keeps Uterus and Blood vessels relaxed
(inhibits uterine contract-ability & lactation during pregnancy)
hCG (human chorionic gonadotropin) - ANS This stimulates the corpus luteum to produce
estrogen & progesterone until the placenta takes over
hPL (human placental lactogen) - ANS released by umbilical cord, makes lactaid hormones
also decreases insulin sensitivity in the mother i.e. making more glucose available for the fetus
Relaxin - ANS a hormone secreted by the placenta that causes the cervix to dilate by relaxing
joints of pelvis and prepares the uterus for the action of oxytocin during labor.
Inhibits uterine contractions to prevent premature birth
1 @COPYRIGHT 2025/2026.
,Colostrum - ANS a specialized form of milk that delivers essential nutrients and antibodies in
a form that the newborn can digest
- high in carbs, protein and antibodies.
Nagele's Rule - ANS 1st day of last period + 7 days - 3 months
fundal height 12-13 weeks: - ANS rises out of the symphysis;
not palpable until 12 weeks
fundal height 20 weeks: - ANS at umbilicus
fundal height 24 weeks: - ANS 1-2 fingers above umbilicus
fundal height 28 weeks: - ANS Half way point between umbilicus and Xiphoid process
fundal height 32-40 weeks: - ANS arriving at xiphoid process
Betamethasone - ANS A glucocorticoid that is administered IM in two injections prior to
preterm labor (24-34 weeks gestation)
1st shot 48 hours before labor
2nd shot 24 hours before labor
Enhance Fetal Lung Maturity and Surfactant Productions
2 @COPYRIGHT 2025/2026.
, Which medication is enhances Fetal Lung Maturity and Surfactant production? -
ANS Betamethasone
Nursing Considerations for Betamethasone - - ANS Monitor the client and neonate for
pulmonary edema by assessing lung sounds, hyperglycemia and monitor neonate for changes in
HR.
placenta previa - ANS implantation of the placenta over the cervical opening or in the lower
region of the uterus
Hegar's sign - ANS A probable sign of pregnancy that involves softening of the lower uterine
segment found upon palpation in the second or third month of pregnancy
noted 6th-8th
Chawick's sign - ANS A probable sign of pregnancy that involves a deepened violet-bluish
color of cervix and vaginal mucosa b/c increased vascularity
noted at 6th week
Goodell's sign - ANS A probable sign of pregnancy occurring during the second month of
pregnancy that involves a softening of the cervix.
present at 6 weeks
HU GC CV - ANS Hegar's = uterus
Goodell's = Cervix
Chadwick's = Violet Color (Cervix and vaginal mucosa)
3 @COPYRIGHT 2025/2026.
EXAM 1 REVIEW 2025/2026 QUESTIONS
AND ANSWERS 100% PASS
Estrogen - ANS Uterine and breast enlargement
causes increases vascularity of mucous membranes of URT
Progesterone - ANS Keeps Uterus and Blood vessels relaxed
(inhibits uterine contract-ability & lactation during pregnancy)
hCG (human chorionic gonadotropin) - ANS This stimulates the corpus luteum to produce
estrogen & progesterone until the placenta takes over
hPL (human placental lactogen) - ANS released by umbilical cord, makes lactaid hormones
also decreases insulin sensitivity in the mother i.e. making more glucose available for the fetus
Relaxin - ANS a hormone secreted by the placenta that causes the cervix to dilate by relaxing
joints of pelvis and prepares the uterus for the action of oxytocin during labor.
Inhibits uterine contractions to prevent premature birth
1 @COPYRIGHT 2025/2026.
,Colostrum - ANS a specialized form of milk that delivers essential nutrients and antibodies in
a form that the newborn can digest
- high in carbs, protein and antibodies.
Nagele's Rule - ANS 1st day of last period + 7 days - 3 months
fundal height 12-13 weeks: - ANS rises out of the symphysis;
not palpable until 12 weeks
fundal height 20 weeks: - ANS at umbilicus
fundal height 24 weeks: - ANS 1-2 fingers above umbilicus
fundal height 28 weeks: - ANS Half way point between umbilicus and Xiphoid process
fundal height 32-40 weeks: - ANS arriving at xiphoid process
Betamethasone - ANS A glucocorticoid that is administered IM in two injections prior to
preterm labor (24-34 weeks gestation)
1st shot 48 hours before labor
2nd shot 24 hours before labor
Enhance Fetal Lung Maturity and Surfactant Productions
2 @COPYRIGHT 2025/2026.
, Which medication is enhances Fetal Lung Maturity and Surfactant production? -
ANS Betamethasone
Nursing Considerations for Betamethasone - - ANS Monitor the client and neonate for
pulmonary edema by assessing lung sounds, hyperglycemia and monitor neonate for changes in
HR.
placenta previa - ANS implantation of the placenta over the cervical opening or in the lower
region of the uterus
Hegar's sign - ANS A probable sign of pregnancy that involves softening of the lower uterine
segment found upon palpation in the second or third month of pregnancy
noted 6th-8th
Chawick's sign - ANS A probable sign of pregnancy that involves a deepened violet-bluish
color of cervix and vaginal mucosa b/c increased vascularity
noted at 6th week
Goodell's sign - ANS A probable sign of pregnancy occurring during the second month of
pregnancy that involves a softening of the cervix.
present at 6 weeks
HU GC CV - ANS Hegar's = uterus
Goodell's = Cervix
Chadwick's = Violet Color (Cervix and vaginal mucosa)
3 @COPYRIGHT 2025/2026.
