NCLEX Maternity
Study online at https://quizlet.com/_4adejv
1. What are presumptive signs of preg- Amenorrhea
nancy? Nausea/vomiting
Urinary frequency
Breast tenderness
2. What hormone causes amenorrhea? Progesterone
3. What is one of the first signs of preg- Urinary frequency
nancy?
4. What causes breast tenderness? Excess hormones
5. What are probable signs of pregnancy? A positive pregnancy test
Goodell' sign
Chadwick's sign
Hegar's sign
Uterine enlargement
Braxton hicks contractions
Pigmentation/changes of skin
6. What is a positive pregnancy test based hCG levels
on?
7. What other conditions can produce hydatiform mole
positive hCG levels? drugs
8. What is Goodell's sign? Softening of cervix in the second
month of pregnancy
9. What is Chadwick's sign? Bluish color of vaginal mucosa
and cervix at 4 weeks
10. What is Hegar's sign? Softening of the lower uterine
segment; 2nd/3rd month
11. What pigmentation/changes of the skin Linear nigra
take place during pregnancy?
Abdominal striae
Facial chloasma (mask of preg-
, NCLEX Maternity
Study online at https://quizlet.com/_4adejv
nancy)
Darkening of the areola (around
the nipple)
12. What are positive signs of pregnancy? Fetal heartbeat: Doppler (10-12
weeks)
Fetoscope (17-20 weeks)
Fetal movement
Ultrasound
13. What is gravidity? Number of times someone has
been pregnant
14. What is parity? Number of pregnancies in which
the fetus reaches 20 weeks
15. What is viability? 20 weeks, which means the infant
has the ability to live outside the
uterus.
16. Is a 20 week baby considered viable? No
17. What does TPAL mean? T = term
P = preterm
A = abortion
L = living children
18. How do you calculate Naegel's rule? Find the first day of the last men-
strual period and add 7 days.
Subtract 3 months and add 1
year.
19. What should the nurse teach a pregnant Eat all 4 food groups
mother about nutrition?
Increase calories by 300 per day
after the first trimester
, NCLEX Maternity
Study online at https://quizlet.com/_4adejv
For adolescents increase calo-
ries by 500 after the first trimester
Increase protein to 60 grams per
day
20. How much should a pregnant woman 4 pounds
gain in the first trimester?
21. Why don't women like taking prenatal They cause constipation and GI
vitamins? upset
22. How should iron be taken? Take with vitamin C to enhance
absorption
23. What is the purpose of a pregnant Prevent birth defects
woman taking folic acid?
24. What daily dose of folic acid is recom- 400 mcg/day
mended?
25. What should the nurse teach the preg- No high impact exercise
nant client about exercise?
Walking and swimming are best
No heavy or unaccustomed exer-
cise
No overheating (no hot tubs or
electric blanket either)
- increases body temp and caus-
es birth defects
Don't let heart rate go above 140
If heart rate goes above 140, car-
diac output and uterine perfusion
will drop
, NCLEX Maternity
Study online at https://quizlet.com/_4adejv
26. What are some danger signs in preg- Sudden gush of vaginal fluid
nancy? Bleeding
Persistent vomiting
Severe headache
Abdominal pain
Increased temperature
Edema
No fetal movement
27. What are common discomforts in preg- Nausea/vomiting
nancy? Breast tenderness
Urinary frequency
Tender gums
Fatigue
Heartburn
Increased vaginal secretions
Nasal stuffiness
Varicose veins
Ankle edema
Hemorrhoids
Constipation
Backache
Leg cramps
28. What should the nurse tell a pregnant Don't unless you ask the doctor
client about taking medications?
29. What should the nurse tell the pregnant Stop
client about smoking?
30. How often should the pregnant client First 28 weeks: once a month
visit the primary health care provider? 28-36 weeks: every 2 weeks
36 weeks: weekly until delivery
31. Before an ultrasound, what will you ask Drink water to distend the bladder
a client to do?
32. What is the purpose of distending the It pushes the uterus to abdominal
bladder? surface
Study online at https://quizlet.com/_4adejv
1. What are presumptive signs of preg- Amenorrhea
nancy? Nausea/vomiting
Urinary frequency
Breast tenderness
2. What hormone causes amenorrhea? Progesterone
3. What is one of the first signs of preg- Urinary frequency
nancy?
4. What causes breast tenderness? Excess hormones
5. What are probable signs of pregnancy? A positive pregnancy test
Goodell' sign
Chadwick's sign
Hegar's sign
Uterine enlargement
Braxton hicks contractions
Pigmentation/changes of skin
6. What is a positive pregnancy test based hCG levels
on?
7. What other conditions can produce hydatiform mole
positive hCG levels? drugs
8. What is Goodell's sign? Softening of cervix in the second
month of pregnancy
9. What is Chadwick's sign? Bluish color of vaginal mucosa
and cervix at 4 weeks
10. What is Hegar's sign? Softening of the lower uterine
segment; 2nd/3rd month
11. What pigmentation/changes of the skin Linear nigra
take place during pregnancy?
Abdominal striae
Facial chloasma (mask of preg-
, NCLEX Maternity
Study online at https://quizlet.com/_4adejv
nancy)
Darkening of the areola (around
the nipple)
12. What are positive signs of pregnancy? Fetal heartbeat: Doppler (10-12
weeks)
Fetoscope (17-20 weeks)
Fetal movement
Ultrasound
13. What is gravidity? Number of times someone has
been pregnant
14. What is parity? Number of pregnancies in which
the fetus reaches 20 weeks
15. What is viability? 20 weeks, which means the infant
has the ability to live outside the
uterus.
16. Is a 20 week baby considered viable? No
17. What does TPAL mean? T = term
P = preterm
A = abortion
L = living children
18. How do you calculate Naegel's rule? Find the first day of the last men-
strual period and add 7 days.
Subtract 3 months and add 1
year.
19. What should the nurse teach a pregnant Eat all 4 food groups
mother about nutrition?
Increase calories by 300 per day
after the first trimester
, NCLEX Maternity
Study online at https://quizlet.com/_4adejv
For adolescents increase calo-
ries by 500 after the first trimester
Increase protein to 60 grams per
day
20. How much should a pregnant woman 4 pounds
gain in the first trimester?
21. Why don't women like taking prenatal They cause constipation and GI
vitamins? upset
22. How should iron be taken? Take with vitamin C to enhance
absorption
23. What is the purpose of a pregnant Prevent birth defects
woman taking folic acid?
24. What daily dose of folic acid is recom- 400 mcg/day
mended?
25. What should the nurse teach the preg- No high impact exercise
nant client about exercise?
Walking and swimming are best
No heavy or unaccustomed exer-
cise
No overheating (no hot tubs or
electric blanket either)
- increases body temp and caus-
es birth defects
Don't let heart rate go above 140
If heart rate goes above 140, car-
diac output and uterine perfusion
will drop
, NCLEX Maternity
Study online at https://quizlet.com/_4adejv
26. What are some danger signs in preg- Sudden gush of vaginal fluid
nancy? Bleeding
Persistent vomiting
Severe headache
Abdominal pain
Increased temperature
Edema
No fetal movement
27. What are common discomforts in preg- Nausea/vomiting
nancy? Breast tenderness
Urinary frequency
Tender gums
Fatigue
Heartburn
Increased vaginal secretions
Nasal stuffiness
Varicose veins
Ankle edema
Hemorrhoids
Constipation
Backache
Leg cramps
28. What should the nurse tell a pregnant Don't unless you ask the doctor
client about taking medications?
29. What should the nurse tell the pregnant Stop
client about smoking?
30. How often should the pregnant client First 28 weeks: once a month
visit the primary health care provider? 28-36 weeks: every 2 weeks
36 weeks: weekly until delivery
31. Before an ultrasound, what will you ask Drink water to distend the bladder
a client to do?
32. What is the purpose of distending the It pushes the uterus to abdominal
bladder? surface
