NURS 330 OBS Midterm Questions with Correct
Answers
When should OBS care begin? Correct Answer--before conception
begins
-at age pregnant people should be assessed for future pregnancies
What entails preconception care? Correct Answer--personal/family Hx
-physical exam
-lab screening
-reproductive plan
-nutrition
-supplements
-weight
-exercise
-vaccinations
-injury prevention
Risk factors for adverse pregnancy outcomes Correct Answer--
isotretinoins
-anti-epileptic drugs
-folic acid deficiency
-HIV/AIDS
-alcohol misuse
-diabetes
,-Hep B
-Rubella seronegativity
-obesity
-STI's
-smoking
Fetal Development Weeks Correct Answer-1st Trimester: week 1-12
2nd Trimester: weeks 13-26
3rd Trimester: week 27-end
preembryonic stage Correct Answer-fertilization to 2nd week
embryonic stage Correct Answer-end of 2nd week to 8th week
Fetal stage Correct Answer-end of 8th week until birth
what are the protective layers in the uterus? Correct Answer--Amnion
-Chorion
What are the presumptive signs of pregnancy? Correct Answer-Fatigue,
breast tenderness, nausea and vomiting, amenorrhea, urinary frequency,
hyperpigmentation of the skin, fetal movements, uterine enlargement,
breast enlargement
,What are probable signs of pregnancy? Correct Answer--braxton hicks
-positive pregnancy test
-abdominal enlargement
-ballottement
-Goodell's sign
-Hegar's sign
-Chadwick's sign
What is Goodell's sign? Correct Answer-Cervical softening
What is Hegar's sign? Correct Answer-softening of lower uterine
segment
What is Chadwick's sign? Correct Answer-blueish purple color of
vagina/cervix
What are the positive signs of pregnancy? Correct Answer--ultrasound
verification of embryo or fetus
-fetal movement by clinician
-auscultation of fetal heart rate tones by doppler
Prenatal health Hx Correct Answer--age
-menstrual Hx
-prior OBS Hx
, -past medical/surgical Hx
-psychological screening
-family Hx
-genetic screening
-dietary habits
-lifestyle practices
-medication/drug use
-Hx of exposure to STI's
What is Nagele's rule? Correct Answer--identify first day of last normal
menstrual period
-subtract 3 months
-add 7 days
-adjust year as necessary
What does GTPAL stand for? Correct Answer--Gravida (total
pregnancies including current)
-Term births (# of term gestations delivering between 38-42 weeks)
-P (# of preterm pregnancies between 20-27 weeks
-A- # of pregnancies ending before 20 weeks
-L- # of living children currently
What does para mean? Correct Answer-# of times a person has given
birth to a fetus @ 20 weeks gestation regardless of viability
Answers
When should OBS care begin? Correct Answer--before conception
begins
-at age pregnant people should be assessed for future pregnancies
What entails preconception care? Correct Answer--personal/family Hx
-physical exam
-lab screening
-reproductive plan
-nutrition
-supplements
-weight
-exercise
-vaccinations
-injury prevention
Risk factors for adverse pregnancy outcomes Correct Answer--
isotretinoins
-anti-epileptic drugs
-folic acid deficiency
-HIV/AIDS
-alcohol misuse
-diabetes
,-Hep B
-Rubella seronegativity
-obesity
-STI's
-smoking
Fetal Development Weeks Correct Answer-1st Trimester: week 1-12
2nd Trimester: weeks 13-26
3rd Trimester: week 27-end
preembryonic stage Correct Answer-fertilization to 2nd week
embryonic stage Correct Answer-end of 2nd week to 8th week
Fetal stage Correct Answer-end of 8th week until birth
what are the protective layers in the uterus? Correct Answer--Amnion
-Chorion
What are the presumptive signs of pregnancy? Correct Answer-Fatigue,
breast tenderness, nausea and vomiting, amenorrhea, urinary frequency,
hyperpigmentation of the skin, fetal movements, uterine enlargement,
breast enlargement
,What are probable signs of pregnancy? Correct Answer--braxton hicks
-positive pregnancy test
-abdominal enlargement
-ballottement
-Goodell's sign
-Hegar's sign
-Chadwick's sign
What is Goodell's sign? Correct Answer-Cervical softening
What is Hegar's sign? Correct Answer-softening of lower uterine
segment
What is Chadwick's sign? Correct Answer-blueish purple color of
vagina/cervix
What are the positive signs of pregnancy? Correct Answer--ultrasound
verification of embryo or fetus
-fetal movement by clinician
-auscultation of fetal heart rate tones by doppler
Prenatal health Hx Correct Answer--age
-menstrual Hx
-prior OBS Hx
, -past medical/surgical Hx
-psychological screening
-family Hx
-genetic screening
-dietary habits
-lifestyle practices
-medication/drug use
-Hx of exposure to STI's
What is Nagele's rule? Correct Answer--identify first day of last normal
menstrual period
-subtract 3 months
-add 7 days
-adjust year as necessary
What does GTPAL stand for? Correct Answer--Gravida (total
pregnancies including current)
-Term births (# of term gestations delivering between 38-42 weeks)
-P (# of preterm pregnancies between 20-27 weeks
-A- # of pregnancies ending before 20 weeks
-L- # of living children currently
What does para mean? Correct Answer-# of times a person has given
birth to a fetus @ 20 weeks gestation regardless of viability
