HPR 205 CERTIFICATION EVALUATION
SCRIPT FULL SOLUTION GRADED A+
●● what week can u determine sex of baby?
Answer: 20 weeks
●● When to do Prenatal visits?
Answer: up to 28 weeks ( every 4 weeks)
29-36 weeks ( every 2-3 weeks)
37 weeks to birth ( weeekly)
●● Probable signs of pregnancy?
Answer: -Goodells sign - softening/ vascularation of cervix
-Chadwicks sign- blush discolartion of cervix, labia, vagina
-Hegar sign- Soft uterus
-abd enlargment
-Braxton Hicks contractions
-Abdomen striae
-Pos prego test
●● Positive signs of pregnancy?
Answer: Audible fetal heartbeat
,Fetal movement felt
Ultrasound of fetus
●● Safety alert for preganant women
Answer: A change in center of gravity and joint instability predisposes
the prego women to problems with balance
-prenatal education is required
●● Nutrition During pregnancy and lactation
Answer: - Women should be educated that they are not eating for 2
- Intake should increase by 300 kcal per day
●● How much weight do you gain during pregnancy?
And how much if having twins?
Answer: -25-35 pounds
- 4-6 pounds in the first trimester, 1.5 pounds per week during 2nd, and
3rd trimester, total= 37-54 pounds
●● lactation
Answer: The secretion of milk by the mammary glands.
●● Nutrition during lactation
Answer: -Caloric intake should be 500 cal more than non prego RDA
,- Protein intake should be 65 mg per day
- take calcium and iron still
- vitamin supplements
- limit caffeine and alcohol
- 8-10 glasses of fluids per day
- Some foods eaten by mother may cause a changein the taste of the milk
or cause baby flatus
-Meds taken by mom can be secreted to baby
●● Exercise during pregnancy
Answer: -Goal is the maintainence of fitness, not improvement of fitness
or weight loss
-maternal cardiac stat and fetoplacental reserve should be the basis to
determine exercise levels
●● Common discomfort in preganancy
Answer: Fatigue
Nasal stiffiness
Nausea
Heartburn
Constipation
Hemmroihoids
Vaginal discharge
, Backache
Varicose veins
Leg cramps
Edema in lower extremities ( 50% Inc output of blood)
●● Impact on father
Answer: -Cultural value influence the role of fathers role
- The nurse should not assume that a father is uninterested if he takes a
less active role in preganancy and birth
-Acceptance of the preganancy results in strengthening of the family
support
●● Impact on adolescent
Answer: -Nurse assess the girls development and education level as well
as her support sytem
- Consider her developmental level and priorities typical of her age
- Must cope with stressful change of transitioning from : adolesence and
parenthood
●● Immunizations with pregnancy
Answer: -live vaccines are contraindicated
-thimerosal should not be given (risk for mercury poisoning)
- Avoid pregancy for at least one month after receiving MMR vaccine
SCRIPT FULL SOLUTION GRADED A+
●● what week can u determine sex of baby?
Answer: 20 weeks
●● When to do Prenatal visits?
Answer: up to 28 weeks ( every 4 weeks)
29-36 weeks ( every 2-3 weeks)
37 weeks to birth ( weeekly)
●● Probable signs of pregnancy?
Answer: -Goodells sign - softening/ vascularation of cervix
-Chadwicks sign- blush discolartion of cervix, labia, vagina
-Hegar sign- Soft uterus
-abd enlargment
-Braxton Hicks contractions
-Abdomen striae
-Pos prego test
●● Positive signs of pregnancy?
Answer: Audible fetal heartbeat
,Fetal movement felt
Ultrasound of fetus
●● Safety alert for preganant women
Answer: A change in center of gravity and joint instability predisposes
the prego women to problems with balance
-prenatal education is required
●● Nutrition During pregnancy and lactation
Answer: - Women should be educated that they are not eating for 2
- Intake should increase by 300 kcal per day
●● How much weight do you gain during pregnancy?
And how much if having twins?
Answer: -25-35 pounds
- 4-6 pounds in the first trimester, 1.5 pounds per week during 2nd, and
3rd trimester, total= 37-54 pounds
●● lactation
Answer: The secretion of milk by the mammary glands.
●● Nutrition during lactation
Answer: -Caloric intake should be 500 cal more than non prego RDA
,- Protein intake should be 65 mg per day
- take calcium and iron still
- vitamin supplements
- limit caffeine and alcohol
- 8-10 glasses of fluids per day
- Some foods eaten by mother may cause a changein the taste of the milk
or cause baby flatus
-Meds taken by mom can be secreted to baby
●● Exercise during pregnancy
Answer: -Goal is the maintainence of fitness, not improvement of fitness
or weight loss
-maternal cardiac stat and fetoplacental reserve should be the basis to
determine exercise levels
●● Common discomfort in preganancy
Answer: Fatigue
Nasal stiffiness
Nausea
Heartburn
Constipation
Hemmroihoids
Vaginal discharge
, Backache
Varicose veins
Leg cramps
Edema in lower extremities ( 50% Inc output of blood)
●● Impact on father
Answer: -Cultural value influence the role of fathers role
- The nurse should not assume that a father is uninterested if he takes a
less active role in preganancy and birth
-Acceptance of the preganancy results in strengthening of the family
support
●● Impact on adolescent
Answer: -Nurse assess the girls development and education level as well
as her support sytem
- Consider her developmental level and priorities typical of her age
- Must cope with stressful change of transitioning from : adolesence and
parenthood
●● Immunizations with pregnancy
Answer: -live vaccines are contraindicated
-thimerosal should not be given (risk for mercury poisoning)
- Avoid pregancy for at least one month after receiving MMR vaccine
