PN 3003 Maternity Exam Study Guide Questions and Answers | Verified and Updated 2026 | Graded A+

PN 3003 Maternity Exam Study Guide Questions and Answers | Verified and Updated 2026 | Graded A+ Gravida - answer-Pregnancy Primigravida - answer-pregnant for the first time Nulligravida - answer-a woman who has never been pregnant Multigravida - answer-a woman who has had two or more pregnancies Primipara - answer-first delivery Para - answer-Delivery GTPAL: G - answer-number of pregnancies GTPAL: T - answer-number of term births (36-40 weeks) GTPAL: P - answer-Number of preterm deliveries (under 36 weeks) GTPAL: A - answer-Number of abortionsGTPAL: L - answer-Number of living children APGAR use - answer-Nurses evaluate each sign of the apgar system and totals the schore of 1 and 5 minutes after birth to assess the condition of the infant APGAR score of 8-10 - answer-requries no action other than continued observation and support of infants adaptaions APGAR score of 4-7 - answer-means the infant needs gentle stimulation such as rubbing the back, the posibility of opioid-induced respiratory distress should be considered APGAR score less than 3 - answer-severe distress, infant needs active resucitation Newborn is born at 5 mins. what is the APGAR score? - answer-scored 4-7 possible signs of pregnancy - answer-- amenorrhea - nausea, vomiting - fatigue, breast change - frequent urination PROBABLE signs of pregnancy - answer-- presence of HCG in blood: 4-12 weeks - chadwick: bluish discolouration of the cervis, vagina, and vulva - godwell: softening of the cervix - 8+ uterine growth - Braxton hicks: pre labour contractions, false labor occurs during the second trimester (16weeks)POSITIVE signs of pregnancy - answer-- visualy see fetus on ultrasound (6+ weeks) - fetal heart sounds by fetal stethescope (20-24 weeks) - fetal movements felt by the examiner (22+ weeks) - late pregnancy: fetus movement visible normal length of pregnancy is? - answer-38-40 weeks Normal weight gain in pregnancy - answer-25-35 lbs; not normally monitored Routine lab tests for pregnant women - answer-BBP - HGR - blood grouping - blood glucose - pap smear - HIV/ Herpes - group B strep - rubella Tests of fetal well-being - answer-ABC - UN - Amniocentesis - Breast self stimulation - contraction stress test - ultra sound - non stress testWhat happens in the first stage of labour? - answer-- cervix effacement - contractions - dilation What happens in the second stage of labour? - answer-- Complete cervical dilation (10cm) - women should push as fetal descent is noticable - baby delivered What happens in the third stage of labour? - answer-- Baby is born - delivery of placenta - lengthen of umbilical cord - fundus becomes globular & and gush of blood What happens in the fourth stage of labour? - answer-(1-2 hours after birth) - postpartum risk: hemmorrhage, increased vitals - teach mom breast feed First stage of labour: Latent - answer-5-10 mins between contractions, 0-3cm dilated First Stage of labour: Active - answer-3-5mins between contractions, 4-7 cm dilated First stage of labour: transition - answer-2-3 mis between contractions, 8-10cm dilated What stage of labor is the women in if she is restless, flushed or irritable? - answer-Transitional phaseThere are 4 nursing interventions during the fourth stage. Which one is the priority? - answer-- postpartum stage (risk of hemorrhaging/lacerations) - help mom with breastfeeding What is supine hypertension? - answer-when women lays on her spine, weight of gravid uterus compresses inferior vena cava and aorta causing decreased blood flow to heart and brain How to reduce/ prevent supine hypertension from happening - answer-Place towel under one hip, turn PT laterally S/S of supine hypertension - answer-- faint - dizziness - lightheadache - agitation If pregnant women is still nauseous or has a headache from supine hypotension the nurse should? - answer-- call the doctor - BP 140/90 call for medical attention What are skeletal system changes during pregnancy? - answer-Back pain womens posture changes as her child grows within the uterus lower back painWhy is colostrum important for babies? - answer-- High in protein, fat soluble vitamins and minerals - contains mothers antibodies to diseases and is secreted 2-3 days after birth breast feeding What is gestational diabetes - answer-diabetes during pregnancy caused by HPL hormone (causeing insulin deficiency) How can a mom manage gestational diabetes? - answer-3 meals/ 3 snacks (food intake control) to stablize the blood glucose levels What are some complications of gestational diabetes? - answer-Macrosomia (abnormally large baby) Increased risk of still born birth during last semester What is the purpose of folic acid, b9? - answer-reduces neural tube defects (NTD) such a spina bifida and anecephaly - neural tube defects = b9 supplement Purpose of iron supplements for pregnancy? - answer-The fetus must store an adequate supply to meet its need in 3-6 months after birth. What to take with iron supplements? - answer-Take vitamin C to increase absorption What is vitamin k for? why do we give them to newborns? - answer-To prevent clottingWhat is abnormal finding in pregnancy? - answer-excessive anxiety What is an ectopic pregnancy? - answer-Tubal pregnancy, when a fertilized egg develops outside the uterus (usually in the fallopian tube). High risk for rupture and death. What are s/s of ectopic pregnancy - answer-- sharp severe, dull lower abdomen pain - vaginal bleeding - low hcg/ progesterone - signs of hypovolemic shock Placenta previa complications - answer-Occurs when the placenta develops in the lower part of the uterus reather than upper Placenta abruption - answer-occurs when the placenta or a portion of it tears away from the inner lining of uterus What is preeclampsia? - answer-pregnancy induced hypertension, increased blood pressure