AWHONN- Module 3 Questions and Answers Rated A+

AWHONN- Module 3 Questions and Answers Rated A+ The developmental task of the first trimester of pregnancy is movement from conflict and ambivalence to acceptance. During pregnancy, maternal hepatic glucose and pancreatic insulin production increase to meet the metabolic demands of both the mother and fetus. Therefore, pregnancy is generally characterized by post prandial hyperglycemia and hyperinsulinemia Which of the following coagulation factors does not increase during pregnancy? platelets Caroline is admitted for observation with signs of preeclampsia. The physician orders a urine test for protein. You recognize that the accuracy of urine specimen collection can be enhanced by sending a 24-hour urine collection instead of a single sample to accommodate diurnal fluctuations in urine flow. Profound reproductive and endocrine changes occur throughout pregnancy. Which of the following statements is true about progesterone? Progesterone supports and maintains implantation of the developing embryo in early pregnancy. During the 2nd trimester of pregnancy, a woman may choose to have a serum alpha-fetoprotein (AFP) level drawn. An AFP is a screening tool for which a low level may be associated with Down's syndrome and other chromosomal abnormalities. As pregnancy progresses, the effect of hormones produced by the placenta results in a decrease in the mother's ability to use insulin. Which of the following is also an effect of maternal hormones during pregnancy? An increase in the maternal demand for insulin Which fetal structure provides nutrients to the fetus until the placenta is fully functioning? yolk sac Mrs. McKenzie has arrived for a routine prenatal visit. She is 34 weeks pregnant and is complaining of heartburn and constipation. Her vital signs, fetal heart rate, and deep tendon reflexes are normal. You recognize that her complaints may be due to a/an decrease in gastric smooth muscle tone and motility caused by increasing maternal hormones. An essential component of prenatal health assessment is the determination of the pregnant woman's vital signs. Which of the following is an expected change in vital signs during pregnancy? An increase in the respiratory rate and a heighted awareness to breathe as pregnancy progresses During the initial prenatal examination, Veronica asks what to expect at future examinations. You describe that over the next few months, each prenatal exam will consist of an abdominal exam, as well as assessment of fetal heart rate and movement. Which of the following conditions may not cause increased risk for thromboembolism? Von Willebrand factor high in the first trimester of pregnancy and decreases as the placenta matures. Human chorionic gonadotropin (hCG) is a hormone which is Mrs. Mavis is 38 weeks pregnant and presents to the outpatient testing unit for a nonstress test. A reactive nonstress test for a fetus at this gestational age includes two fetal heart rate increases of 15 beats per minute above the baseline lasting for 15 seconds or longer in a timeframe of 20 min A routine screening for diabetes should occur around the 28th week of gestation. During the initial screen, the woman drinks 50 grams of ingestible glucose solution. The normal pre-meal plasma glucose level should be <105 Three hundred to four hundred milliliters of amniotic fluid is produced daily by fetal lungs Women experience various phases and stages as they adapt to pregnancy and adjust to their new role as mothers. As a perinatal nurse, it is important to recognize that pregnant women are influenced by previous relationships and cultural factors which may affect their reaction to each developmental stage. If a mother is Rh-negative and her fetus is Rh-positive, the mother will create antibodies against the fetal cells anytime they cross the placenta. To prevent Rh isoimmunization, Rh-negative mothers are screened with a D (Rh) antibody screen and given D immune globulin (RhIG) as prophylaxis at which gestational age? 28 Sofia has arrived to your unit for a labor evaluation. She is 37 weeks pregnant and has been complaining of excessive fatigue. Which of the following is a normal physiologic response to the expanding blood volume during pregnancy? increased RBC production Johanna was recently diagnosed with gestational hypertension. She arrives to the outpatient clinic for an ultrasound examination at 26 weeks gestation to monitor fetal status. Ultrasound examination of the umbilical cord should show two arteries carrying deoxygenated blood from the fetus to the placenta and one vein returning oxygenated blood from the placenta to the fetus. Your organization offers an early pregnancy class for women in the first trimester of pregnancy. Many topics are discussed including the developmental tasks or pregnancy. Which of the following should the nurse discuss in this class? The need to prepare for childbirth and to ensure the fetus' safe passage begins during the first trimester and continues throughout the pregnancy.