NURSING 328 FINAL EXAM TEST BANK
QUESTIONS WITH CORRECT ANSWERS
Can pregnant women get subclinical jaundice? - correct
answer- Yes bc as smooth muscles relax, the gallbladder
empties sluggishly. This can lead to reabsorption of bilirubin into
maternal bloodstream, causing subclinical jaundice (general
itching)
Hepatic blood flow may increase slightly, causing liver's
workload to increase as BMR increases. Factors within the liver
as well as increased estrogen and progesterone can decrease
bile flow
Does the adrenal gland change during pregnancy? - correct
answer- Yes, it increases production of corticosteroid and
aldosterone increases which increases fluid retention in case of
PPH and to have a larger circulating blood volume to get
nutrients to fetus.
How can we avoid gross hemorrhage when the placenta is
separating? - correct answer- Never exert pressure on
uterus that isn't contracted
,How can we establish a baseline FHR? - correct answer-
Auscultate FHR for 30-60 seconds immediately after a
contraction has ended
External uterine palpation can tell you the frequency, duration
and intensity of contractions and the relaxation time between
them
How do mothers protect the fetus from excessive levels of CO2?
- correct answer- Hyperventilation
How does the neonate maintain body temp? - correct answer-
Produce heat through non shivering thermogenesis
Brown fat is another source of thermogenesis that is unique to
neonate
How is the diaphragm able to expand outwards? - correct
answer- The progesterone relaxes ligaments that join the rib
cage
How is the resp system changed during pregnancy? - correct
answer- Diaphragm rises, preventing lungs from fully
expanding so it compensates by increasing its outward
expansion. We have more thoracic breathing
,How is the thyroid gland affected during pregnancy? - correct
answer- the thyroid gland's production of thyroxin binding
protein increases causing total thyroxine (T4) levels to rise. Bc of
the amount of unbound T4 doesn't increase, these thyroid
changes don't cause hyperthyroidism; however, they increase
BMR, CO, HR, vasodilation and heat intolerance.
How much does BMR increase during the second and third
trimesters? - correct answer- 20% as the growing fetus
places additional demands for energy.
How much more air do you breath in during pregnancy? -
correct answer- 30-40%
Is the BP higher or lower in pregnancy? - correct answer- In
most woman, BP actually decreases slightly during second
trimester bc of the lowered peripheral resistances to circulation
that occurs as placenta rapidly expands.
What additional effect can colostrum have? - correct answer-
The high protein level of colostrum aids in the binding of
bilirubin and also has a laxative effect
, What are some blood changes that occurs during pregnancy? -
correct answer- Blood is able to clot more easily d/t increased
lvls of clotting factors.
Fibrinogen levels are increased to prevent hemorrhage
What are some bodily effects that occur after c-section? -
correct answer- Thrombophlebitis
Blood loss
Decreased BP
Edema
Inflammation
PPH
Self-image & self-esteem
Body defences
What are some causes of hyperbilirubinemia? - correct
answer- As erythrocytes break down at the end of their
neonatal life cycle, hemoglobin separates into globing (protein)
and heme fragments. Heme fragments form unconjugated to
liver cells to conjugated with glucuronide and form direct
bilirubin
QUESTIONS WITH CORRECT ANSWERS
Can pregnant women get subclinical jaundice? - correct
answer- Yes bc as smooth muscles relax, the gallbladder
empties sluggishly. This can lead to reabsorption of bilirubin into
maternal bloodstream, causing subclinical jaundice (general
itching)
Hepatic blood flow may increase slightly, causing liver's
workload to increase as BMR increases. Factors within the liver
as well as increased estrogen and progesterone can decrease
bile flow
Does the adrenal gland change during pregnancy? - correct
answer- Yes, it increases production of corticosteroid and
aldosterone increases which increases fluid retention in case of
PPH and to have a larger circulating blood volume to get
nutrients to fetus.
How can we avoid gross hemorrhage when the placenta is
separating? - correct answer- Never exert pressure on
uterus that isn't contracted
,How can we establish a baseline FHR? - correct answer-
Auscultate FHR for 30-60 seconds immediately after a
contraction has ended
External uterine palpation can tell you the frequency, duration
and intensity of contractions and the relaxation time between
them
How do mothers protect the fetus from excessive levels of CO2?
- correct answer- Hyperventilation
How does the neonate maintain body temp? - correct answer-
Produce heat through non shivering thermogenesis
Brown fat is another source of thermogenesis that is unique to
neonate
How is the diaphragm able to expand outwards? - correct
answer- The progesterone relaxes ligaments that join the rib
cage
How is the resp system changed during pregnancy? - correct
answer- Diaphragm rises, preventing lungs from fully
expanding so it compensates by increasing its outward
expansion. We have more thoracic breathing
,How is the thyroid gland affected during pregnancy? - correct
answer- the thyroid gland's production of thyroxin binding
protein increases causing total thyroxine (T4) levels to rise. Bc of
the amount of unbound T4 doesn't increase, these thyroid
changes don't cause hyperthyroidism; however, they increase
BMR, CO, HR, vasodilation and heat intolerance.
How much does BMR increase during the second and third
trimesters? - correct answer- 20% as the growing fetus
places additional demands for energy.
How much more air do you breath in during pregnancy? -
correct answer- 30-40%
Is the BP higher or lower in pregnancy? - correct answer- In
most woman, BP actually decreases slightly during second
trimester bc of the lowered peripheral resistances to circulation
that occurs as placenta rapidly expands.
What additional effect can colostrum have? - correct answer-
The high protein level of colostrum aids in the binding of
bilirubin and also has a laxative effect
, What are some blood changes that occurs during pregnancy? -
correct answer- Blood is able to clot more easily d/t increased
lvls of clotting factors.
Fibrinogen levels are increased to prevent hemorrhage
What are some bodily effects that occur after c-section? -
correct answer- Thrombophlebitis
Blood loss
Decreased BP
Edema
Inflammation
PPH
Self-image & self-esteem
Body defences
What are some causes of hyperbilirubinemia? - correct
answer- As erythrocytes break down at the end of their
neonatal life cycle, hemoglobin separates into globing (protein)
and heme fragments. Heme fragments form unconjugated to
liver cells to conjugated with glucuronide and form direct
bilirubin
