NUR 221 EXAM 1 Questions With 100% Correct
Answers
What is included in the initial visit/family assessment?
-Was the pregnancy planned, desired, or unwanted?
-Is the woman pleased or displeased?
-What primary support is available?
-Does she need any support from the community?
-Who all lives in the home?
-How prepared does she feel about becoming a mom?
-Does she feel safe in the home?
-Does she have any special cultural considerations?
-What is her birthing plan?
-Family history?
-Nutritional history?
-History of drug/herbal preparation use?
-Obstetric/Gynecologic history?
-Mental health screening
Vaccines given during pregnancy
Tdap
Flu
can give Hep series if necessary
**Do not give any live vaccines (ex. Varicella)
Normal weight gain during pregnancy
underweight- 28-40 lbs
normal- 25-35 lbs
overweight- 15-25 lbs
obese 11-20 lbs
laboratory tests at initial visit
Urine- tests for protein, glucose, and leukocytes
Blood- blood type, baseline blood levels, detects anemia, detects infection, renal function tests,
Rubella titer, STI's
Pap test- HPV, other STI's
TB test might also be done
Signs of abuse during preganacy
missed apts
bruises/unexplained injuries
chronic pain
overuse of health services
depression/anxiety
untreated serious injuries
injuries not matching the description
nonadherence to treatment
won't make eye contact
won't speak for herself
keeps someone with them or on the phone at all times
withdrawn
guards themselves when you try to touch them
,intimate partner violence assessment
-Assess safety at every visit
-Are you with a spouse or partner who threatens or physically hurts you? if yes? who?
-Within the past year or in this pregnancy, has anyone hit, slapped, kicked, or otherwise hurt you? Are
you currently with that person?
-Has anyone forced you to have sexual activities that made you uncomfortable? if yes, who? Are you
with that person?
Nursing interventions for signs of abuse
-speak to patient alone (sometimes you have to get creative)
-make aware of available resources
-teach her about how to get a safety plan in place (pack a bag, extra key, check book)
-offer use of telephone to call for help if she chooses
-let them know what is happening to them is not okay
-if in immediate danger report and take action to protect her and her children
-complete physical assessment for injuries and observe for behaviors
Naegele's Rule
add 7 days to first day of LMP, subtract 3 months, and add 1 year
or
add 7 days to first day of LMP and add 9 months
Gravida
number of times a woman has been pregnant
Parity
number of pregnancies greater than or equal to 20 weeks gestation
GTPAL
Gravida (# of pregnancies)
Term (greater than or equal to 37 weeks)
Preterm (20-36 weeks 6 days
Abortions (less than 20 weeks)
Living Children
nuclear family
Mother, father and children living as a unit
extended family
a family that extends beyond the nuclear family, including grandparents, aunts, uncles, and other
relatives, who all live nearby or in one household.
multigenerational family
a family household containing at least two adult generations or a grandparent and at least one other
generation
No-biologic parent families
, those in which children live independently in foster care or kinship care such as living with a
grandparent
married-blended families
Family formed as a result of divorce and remarriage, consisting of unrelated family members
(stepparents, stepchildren, stepsiblings)
cohabiting-parent families
family form in which children live with two unmarried biologic parents or two adoptive parents
Single-parent family
a family in which only one parent is present to care for the children
tends to be vulnerable economically and socially, creating unstable and deprived environment for the
growth of children.
Homosexual families
same-sex partners living together with children
presumptive signs of pregnancy
Signs that a woman may have that make her think that she is pregnant. Including: Amenorrhea,
fatigue, nausea/vomiting, breast changes, uterine enlargement
Major Goals of Prenatal Care
-Define health status of mother and fetus
-Determine the gestational age of the fetus and monitor fetal development
-Identify the women at risk
-Anticipate problems
-Provide education and counseling
Probable signs of pregnancy
blood and urine tests, Chadwick's sign, Goodell's sign, Hegar's sign
Positive signs of pregnancy
audible fetal heartbeat, fetal movement felt by examiner, ultrasound visualization of fetus
Chadwick's sign
Bluish purple discoloration of the cervix, vagina, and labia during pregnancy as a result of increased
vascular congestion.
Hegar's sign
softening of the lower uterine segment
Goodell's sign
softening of the cervix
Answers
What is included in the initial visit/family assessment?
-Was the pregnancy planned, desired, or unwanted?
-Is the woman pleased or displeased?
-What primary support is available?
-Does she need any support from the community?
-Who all lives in the home?
-How prepared does she feel about becoming a mom?
-Does she feel safe in the home?
-Does she have any special cultural considerations?
-What is her birthing plan?
-Family history?
-Nutritional history?
-History of drug/herbal preparation use?
-Obstetric/Gynecologic history?
-Mental health screening
Vaccines given during pregnancy
Tdap
Flu
can give Hep series if necessary
**Do not give any live vaccines (ex. Varicella)
Normal weight gain during pregnancy
underweight- 28-40 lbs
normal- 25-35 lbs
overweight- 15-25 lbs
obese 11-20 lbs
laboratory tests at initial visit
Urine- tests for protein, glucose, and leukocytes
Blood- blood type, baseline blood levels, detects anemia, detects infection, renal function tests,
Rubella titer, STI's
Pap test- HPV, other STI's
TB test might also be done
Signs of abuse during preganacy
missed apts
bruises/unexplained injuries
chronic pain
overuse of health services
depression/anxiety
untreated serious injuries
injuries not matching the description
nonadherence to treatment
won't make eye contact
won't speak for herself
keeps someone with them or on the phone at all times
withdrawn
guards themselves when you try to touch them
,intimate partner violence assessment
-Assess safety at every visit
-Are you with a spouse or partner who threatens or physically hurts you? if yes? who?
-Within the past year or in this pregnancy, has anyone hit, slapped, kicked, or otherwise hurt you? Are
you currently with that person?
-Has anyone forced you to have sexual activities that made you uncomfortable? if yes, who? Are you
with that person?
Nursing interventions for signs of abuse
-speak to patient alone (sometimes you have to get creative)
-make aware of available resources
-teach her about how to get a safety plan in place (pack a bag, extra key, check book)
-offer use of telephone to call for help if she chooses
-let them know what is happening to them is not okay
-if in immediate danger report and take action to protect her and her children
-complete physical assessment for injuries and observe for behaviors
Naegele's Rule
add 7 days to first day of LMP, subtract 3 months, and add 1 year
or
add 7 days to first day of LMP and add 9 months
Gravida
number of times a woman has been pregnant
Parity
number of pregnancies greater than or equal to 20 weeks gestation
GTPAL
Gravida (# of pregnancies)
Term (greater than or equal to 37 weeks)
Preterm (20-36 weeks 6 days
Abortions (less than 20 weeks)
Living Children
nuclear family
Mother, father and children living as a unit
extended family
a family that extends beyond the nuclear family, including grandparents, aunts, uncles, and other
relatives, who all live nearby or in one household.
multigenerational family
a family household containing at least two adult generations or a grandparent and at least one other
generation
No-biologic parent families
, those in which children live independently in foster care or kinship care such as living with a
grandparent
married-blended families
Family formed as a result of divorce and remarriage, consisting of unrelated family members
(stepparents, stepchildren, stepsiblings)
cohabiting-parent families
family form in which children live with two unmarried biologic parents or two adoptive parents
Single-parent family
a family in which only one parent is present to care for the children
tends to be vulnerable economically and socially, creating unstable and deprived environment for the
growth of children.
Homosexual families
same-sex partners living together with children
presumptive signs of pregnancy
Signs that a woman may have that make her think that she is pregnant. Including: Amenorrhea,
fatigue, nausea/vomiting, breast changes, uterine enlargement
Major Goals of Prenatal Care
-Define health status of mother and fetus
-Determine the gestational age of the fetus and monitor fetal development
-Identify the women at risk
-Anticipate problems
-Provide education and counseling
Probable signs of pregnancy
blood and urine tests, Chadwick's sign, Goodell's sign, Hegar's sign
Positive signs of pregnancy
audible fetal heartbeat, fetal movement felt by examiner, ultrasound visualization of fetus
Chadwick's sign
Bluish purple discoloration of the cervix, vagina, and labia during pregnancy as a result of increased
vascular congestion.
Hegar's sign
softening of the lower uterine segment
Goodell's sign
softening of the cervix
