QUESTIONS WITH COMPLETE SOLUTIONS MATERNAL NEWBORN EXAM 1

QUESTIONS WITH COMPLETE
SOLUTIONS MATERNAL NEWBORN
EXAM 1
WhataimmunizationacanayouaNOTahaveaduringapregnancy?a-
acorrectaanswera✔✔Rubellaa(liveavirus)




Howamanyaextraacaloriesadoesaaamomaneedaifasheahasaaanormal-weightaBMI?a-
acorrectaanswera✔✔abouta300acaloriesa(aabagel)




Whataisaaapsychosocialaassessment?a-
acorrectaanswera✔✔historyaofaemotionalaoraphysicalaabuse

historyaofaemotionalaproblems
Supportasystems
acceptanceaofapregnancy,aplansaforacare
feedingapreferenceaforababy

Howalongaareatrimesters?a-acorrectaanswera✔✔13aweeks

whataisanagele'saRule?a-acorrectaanswera✔✔Firstadayaofalastamenstrualaperiod-
a3amonthsa+a7adays=aEDD




antepartumaisaconsideredawhen?a-acorrectaanswera✔✔conceptionatoalabor

Intraparumaisaconsideredawhen?a-
acorrectaanswera✔✔activealaborauntila2ahrsaafterababyaisaborn




Postpartumaisaconsideredawhen?a-acorrectaanswera✔✔2ahrsaafterababyaisabornatoa6aweeks

Howaoftenashouldaprenatalavisitsabeascheduledaforaaamomafromaconceptionatoa28weeks?a-
acorrectaanswera✔✔Everya4aweeks




Howaoftenashouldaaaprenatalavisitabeascheduledaforaaamomathatsa29-36aweeks?a-
acorrectaanswera✔✔everya2-3aweeks




Howaoftenashouldaaamomahaveaaaprenatalavisitabetweena37aweeksatoabirth?a-
acorrectaanswera✔✔Everyaweek




Nulligravidaa-acorrectaanswera✔✔neverabeenapregnant

primigravidaa-acorrectaanswera✔✔womanawhoaisapregnantaforatheafirstatime

,multigravidaa-acorrectaanswera✔✔womanawhoaisapregnantaforaataleastathea2ndatime

paraa-
acorrectaanswera✔✔givenabirthatoaoneaoramoreachildrenawhoaareapassedaageaofa"viability"aw

hichaisa20aweeksa(twinsacountaasa1)

abortiona-
acorrectaanswera✔✔terminationaofapregnancyabeforeaviabilityaofa20aweeks;ainducedaoraspo

ntaneous

terma-acorrectaanswera✔✔37aweeksaoragreatera(para)

Preterma-acorrectaanswera✔✔20-36.6aweeksa(para)

GTPAL(M)a-acorrectaanswera✔✔Gravida
Term
Preterm
Abortions
Livinga
Multiple

whataareasomeadangerasignsaofapregnancy?a-acorrectaanswera✔✔gushaofafluidafromavagina
vaginalableeding
abdominalapain
feveraovera100.4
blurredavision,adizziness,aspotsabeforeaeyes
persistentavomiting
pre-tibialaedema
muscularaconvulsions
RUQapaina(liver)
un-relievableaheadaches
oliguria/dysuria
decrease/absenceaofafetalamovement

umbilicalacordacontainsawhichavesselsaandahowamany?a-
acorrectaanswera✔✔oneaveinaandatwoaarteriesa(alwaysa3avessels)




theaumbilicalaarteriesacarryawhichakindaofablood?a-acorrectaanswera✔✔deoxygenatedablood

Whatatypeaofabloodadoesatheaumbilicalaveinacarry?a-acorrectaanswera✔✔oxygenatedablood

whataisatheanormalalengthaofatheaumbilicalacord?a-acorrectaanswera✔✔55cm

, Whataisatheasubstanceathataprotectsatheaumbilicalacord?a-
acorrectaanswera✔✔wharton'sajelly,aprotectsafromacompressionaorabreakage




Howadoesatheafetusabreathainauteuro?a-
acorrectaanswera✔✔placentaasuppliesaoxygenaandaallowsafetusatoaexcreteaCO2aintoatheama

ternalabloodastream.

Whataareatheathreeafetalashunts?a-acorrectaanswera✔✔foramenaovale
ductusavenosus
ductusaarteriosus

howadoatheseashuntsawork?a-
acorrectaanswera✔✔Fetalacirculation.aBloodaleavesatheaplacentaaandaentersatheafetusathrou

ghatheaumbilicalavein.aAfteracirculatingathroughatheafetus,atheabloodareturnsatoatheaplacentaa
throughatheaumbilicalaarteries.aTheaductusavenosus,atheaforamenaovale,aandatheaductusaart
eriosusaallowatheabloodatoabypassatheafetalaliveraandalungs

Fetalahemoglobinaandaoxygenacomparedatoamother?a-
acorrectaanswera✔✔fetalahemoglobinacarriesa20-

30%amoreaoxygen,a50%amoreahemoglobin,aandahigheraCOaperaweight

howaoldadoesaaafetusahaveatoabeatoabeacalledaaa"fetus"?a-acorrectaanswera✔✔9aweeks

whataisaamennorhea?a-acorrectaanswera✔✔absenceaofablood

quickeninga-acorrectaanswera✔✔firstaawarenessaofafetalamovement=a18weeks

whataareapresumptiveasignsaofapregnancy?a-
acorrectaanswera✔✔subjectiveadata,awhatatheamomatellsaus




Whataareaprobableasignsaofapregnancya-
acorrectaanswera✔✔physiologicalaandaanatomicalachangesathatacanabeaperceivedabyatheah

ealthacareaprovider...a(objectiveadata)

lineaanigraa-acorrectaanswera✔✔lineaupamidelineaofastomachadueatoacollagenaovergrowth

whataareapositiveasignsaofapregnancy?a-acorrectaanswera✔✔auscultationaofafetalaheartbeat
fetalamovementaobserved/palpatedabyaexaminera
visualizationaofatheafetusaonaultrasound
(objectiveadataathataonlyarelatesatoafetus)

Physiologicachangesainatheareproductiveasystemaofatheamoma-
acorrectaanswera✔✔increasedaestrogenaandaprogesterone

20xaenlargementaofauterus