Galen NUR 230 Maternity exam 1
UPDATED ACTUAL Questions and
CORRECT Answers
Presumptive signs of pregnancy - CORRECT ANSWER - Amenorrhea
Fatigue
N/V
Breast tenderness
Urinary frequency
Quickening (Fetal movement)
Probable signs of pregnancy - CORRECT ANSWER - Hegar's sign (lower uterine
segment softens)
Goodell's sign (Cervical softening, occurs approx 4 weeks gestation)
Chadwick's sign (bluish discoloration of the cervix, vagina, and labia. seen as early a 6-8 weeks
after conception)
Positive pregnancy test
Braxton hicks contractions (false contractions)
,Ballotment (push the baby's head up and it goes up and comes back down)
Positive signs of pregnancy - CORRECT ANSWER - Hearing fetal heart tones
Visualization of the fetus
Palpation of fetal movement by examiner
Pregnancy terms - CORRECT ANSWER - Gravida: # of pregnancies (including current)
Para: # of pregnancies 20 weeks or greater
Term: 37-40+ weeks (postterm 42+ weeks)
Preterm: 20-37 weeks
Abortion: any pregnancy that ended prior to 20 weeks
Living: # of living children
Neagle's Rule - CORRECT ANSWER - method for calculating
estimated due date (EDD)
first day of last menstrual period (LMP)
Subtract 3 from the month
, Add 7 to the day
Adjust year if needed
Fetal Assessment - CORRECT ANSWER - FHR: 110-160
Uterine height in cm should equal gestational age +/- 2
Fetal movement: once felt, they should keep feeling it and it should increase as pregnancy goes
Cardiac changes in mom - CORRECT ANSWER - Blood volume increases 40-50%
-results in anemia
-BP stays the same or decreases
Cardiac output increases 30-50%
-HR increases
Increased risk for clotting due to increased clotting time and factors
Respiratory changes in mom - CORRECT ANSWER - Increased O2 requirements
Ligaments of rib cage relax
Diaphragm is displaced due to enlarging uterus; chest breathing vs abd breathing
Upper respiratory more vascular: congestion, epistaxis (nose bleeds), changing in voice
RR increases
UPDATED ACTUAL Questions and
CORRECT Answers
Presumptive signs of pregnancy - CORRECT ANSWER - Amenorrhea
Fatigue
N/V
Breast tenderness
Urinary frequency
Quickening (Fetal movement)
Probable signs of pregnancy - CORRECT ANSWER - Hegar's sign (lower uterine
segment softens)
Goodell's sign (Cervical softening, occurs approx 4 weeks gestation)
Chadwick's sign (bluish discoloration of the cervix, vagina, and labia. seen as early a 6-8 weeks
after conception)
Positive pregnancy test
Braxton hicks contractions (false contractions)
,Ballotment (push the baby's head up and it goes up and comes back down)
Positive signs of pregnancy - CORRECT ANSWER - Hearing fetal heart tones
Visualization of the fetus
Palpation of fetal movement by examiner
Pregnancy terms - CORRECT ANSWER - Gravida: # of pregnancies (including current)
Para: # of pregnancies 20 weeks or greater
Term: 37-40+ weeks (postterm 42+ weeks)
Preterm: 20-37 weeks
Abortion: any pregnancy that ended prior to 20 weeks
Living: # of living children
Neagle's Rule - CORRECT ANSWER - method for calculating
estimated due date (EDD)
first day of last menstrual period (LMP)
Subtract 3 from the month
, Add 7 to the day
Adjust year if needed
Fetal Assessment - CORRECT ANSWER - FHR: 110-160
Uterine height in cm should equal gestational age +/- 2
Fetal movement: once felt, they should keep feeling it and it should increase as pregnancy goes
Cardiac changes in mom - CORRECT ANSWER - Blood volume increases 40-50%
-results in anemia
-BP stays the same or decreases
Cardiac output increases 30-50%
-HR increases
Increased risk for clotting due to increased clotting time and factors
Respiratory changes in mom - CORRECT ANSWER - Increased O2 requirements
Ligaments of rib cage relax
Diaphragm is displaced due to enlarging uterus; chest breathing vs abd breathing
Upper respiratory more vascular: congestion, epistaxis (nose bleeds), changing in voice
RR increases