NUR 254 EXAM 1 COMPREHENSIVE
QUESTIONS AND SOLUTIONS
◉ True Labor
Answer: Cervical Change & Contractions
◉ Para
Answer: # of viable pregnancies (>20 weeks)
◉ False Labor
Answer: Braxton Hicks contractions
◉ Nullgravida
Answer: Never pregnant
◉ Primigravida
Answer: Pregnant or one chile
◉ Multigravida
Answer: Pregnant second or more times
◉ Ovulation
Answer: Occurs 14 days before next menstruation
,◉ Mature Ovum
Answer: Live 12-24 hours then starts to degenerate
◉ Sperm
Answer: Lives up to 5 days in female system
◉ Naegeles Rule
Answer: add 7 days to LMP, subtract 3 months, add 1 year
◉ Term
Answer: Delivery at 37 to 42 weeks
◉ Preterm
Answer: Delivery after 20 weeks- 36 weeks 6/7 days
◉ Abortion
Answer: Delivery before 20 weeks
◉ Human Chorionic Gonadotropin (hCG)
Answer: Maintain corpus leteum
In urine & serum 10 to 14 days after conception
,◉ Human Placental Lactogen (hPL)
Answer: Insulin antagonist by placenta increase blood glucose
◉ Estrogen
Answer: Vasodilation, changes sensitivity of respiratory system to
carbon dioxide
Softens cervix, initiate uterine activity, maintain labor
Develops breasts for lactation, secretion of prolactin
◉ Presumptive Signs of Pregnancy
Answer: Subjective signs
◉ Probable signs of pregnancy
Answer: Objective signs
Positive pregnancy test, Ballottement, Hegar, Goddells
◉ Hormones of Pregnancy
Answer: progesterone and estrogen
Relaxin
◉ Breast function
Answer: Progesterone (glands)
Estrogen (ducts)
Prolactin (milk secretions)
, ◉ Hegars Sign
Answer: softening of the lower uterine segment
◉ Goddells sign
Answer: Cervical softening
◉ Ballottement
Answer: a sharp upward pushing against the uterine wall with a
finger inserted into the vagina for diagnosing pregnancy by
feeling the return impact of the displaced fetus
◉ Positive Signs of pregnancy
Answer: audible fetal heartbeat, fetal movement felt by examiner,
ultrasound visualization of fetus, leopolds
◉ Muscular Uterine changes
Answer: Can hold 15-20 liters
Mucous plug
◉ Placenta previa
Answer: Low implantation of the placenta
No vaginal ultrasounds, Monitor bleeding- should be painless
C/s @ delivery
QUESTIONS AND SOLUTIONS
◉ True Labor
Answer: Cervical Change & Contractions
◉ Para
Answer: # of viable pregnancies (>20 weeks)
◉ False Labor
Answer: Braxton Hicks contractions
◉ Nullgravida
Answer: Never pregnant
◉ Primigravida
Answer: Pregnant or one chile
◉ Multigravida
Answer: Pregnant second or more times
◉ Ovulation
Answer: Occurs 14 days before next menstruation
,◉ Mature Ovum
Answer: Live 12-24 hours then starts to degenerate
◉ Sperm
Answer: Lives up to 5 days in female system
◉ Naegeles Rule
Answer: add 7 days to LMP, subtract 3 months, add 1 year
◉ Term
Answer: Delivery at 37 to 42 weeks
◉ Preterm
Answer: Delivery after 20 weeks- 36 weeks 6/7 days
◉ Abortion
Answer: Delivery before 20 weeks
◉ Human Chorionic Gonadotropin (hCG)
Answer: Maintain corpus leteum
In urine & serum 10 to 14 days after conception
,◉ Human Placental Lactogen (hPL)
Answer: Insulin antagonist by placenta increase blood glucose
◉ Estrogen
Answer: Vasodilation, changes sensitivity of respiratory system to
carbon dioxide
Softens cervix, initiate uterine activity, maintain labor
Develops breasts for lactation, secretion of prolactin
◉ Presumptive Signs of Pregnancy
Answer: Subjective signs
◉ Probable signs of pregnancy
Answer: Objective signs
Positive pregnancy test, Ballottement, Hegar, Goddells
◉ Hormones of Pregnancy
Answer: progesterone and estrogen
Relaxin
◉ Breast function
Answer: Progesterone (glands)
Estrogen (ducts)
Prolactin (milk secretions)
, ◉ Hegars Sign
Answer: softening of the lower uterine segment
◉ Goddells sign
Answer: Cervical softening
◉ Ballottement
Answer: a sharp upward pushing against the uterine wall with a
finger inserted into the vagina for diagnosing pregnancy by
feeling the return impact of the displaced fetus
◉ Positive Signs of pregnancy
Answer: audible fetal heartbeat, fetal movement felt by examiner,
ultrasound visualization of fetus, leopolds
◉ Muscular Uterine changes
Answer: Can hold 15-20 liters
Mucous plug
◉ Placenta previa
Answer: Low implantation of the placenta
No vaginal ultrasounds, Monitor bleeding- should be painless
C/s @ delivery
