Unitek OB Exam 1 [CH 3-5] 2024/2025 EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse is caring for a client who is at 36 weeks of gestation and has suspected
placenta previa. For which of the following findings should the nurse expect? - ans
-A large amount of bright red vaginal bleeding without pain
A nurse is caring for a client in the prenatal clinic who has a possible ectopic
pregnancy at 8 weeks of gestation. Which of the following findings should the
nurse expect? - ans -Pelvic pain
Human chorionic gonadotropin [hCG] - ans -Causes the corpus luteum to produce
estrogen and progesterone to sustain pregnancy
Human placental lactogen [hPL] - ans -Decreases insulin sensitivity and makes
more glucose available to the fetus
Umbilical cord - ans -- The lifeline between mom and fetus
- 2 arteries carry blood away, 1 vein brings blood
- Wharton jelly covers and cushions the cord vessels, keeping them seperated
- Normal length of the cord is about 55cm [22 inches]
Circulation of blood is established when? - ans -After the 4th week of gestation
Ductus venosus - ans -Diverts blood away from the liver as it returns from the
placenta
Foramen ovale - ans -Diverts blood from the right atrium to the left atrium
Ductus arteriosus - ans -Diverts blood from the pulmonary artery into the aorta
Circulation before birth - ans -Oxygenated blood enters the fetal body through
the umbilical vein; about half goes to the liver and the rest goes to the inferior
vena cava
, Monozygotic twins - ans -- Identical twins
- Genetically identical
- Same sex, same appearance
- Develop from a single fertilized ovum
Dizygotic twins - ans -- Fraternal twins
- May or may not be the same sex
- 2 amnions, chorions, and placentas
3 phases of pregnancy - ans -Antepartum, intrapartum, postpartum
Preconception care - ans -Pregnancy intention, access to care, use of
multivitamins and folic acid, smoking, STI's, illicit drug use, and mental health
issues
Prenatal care - ans -Involves monitoring, care, management of issues rising during
pregnancy
Intrapartum care - ans -Involves the continuous presence and support, by a labor
and delivery nurse or doula during the birth process
Postpartum care - ans -Encourage breast feeding, skin to skin contact, and
bonding while reducing separations and interruptions
Folic acid intake before conception can - ans -Reduce the incidence of congenital
anomalies
Prenatal care should begin when? - ans -Before conception or as soon as suspicion
is held
Prenatal testing - ans -- Conception-28 weeks = every 4 weeks
- 29-36 weeks = every 2-3 weeks
- 37 weeks-birth = weekly
Estimated date of delivery [EDD] - ans -- Calculated based on LNMP
- An ultrasound may be done to confirm EDD
QUESTIONS AND CORRECT DETAILED ANSWERS
(VERIFIED ANSWERS) |ALREADY GRADED A+
A nurse is caring for a client who is at 36 weeks of gestation and has suspected
placenta previa. For which of the following findings should the nurse expect? - ans
-A large amount of bright red vaginal bleeding without pain
A nurse is caring for a client in the prenatal clinic who has a possible ectopic
pregnancy at 8 weeks of gestation. Which of the following findings should the
nurse expect? - ans -Pelvic pain
Human chorionic gonadotropin [hCG] - ans -Causes the corpus luteum to produce
estrogen and progesterone to sustain pregnancy
Human placental lactogen [hPL] - ans -Decreases insulin sensitivity and makes
more glucose available to the fetus
Umbilical cord - ans -- The lifeline between mom and fetus
- 2 arteries carry blood away, 1 vein brings blood
- Wharton jelly covers and cushions the cord vessels, keeping them seperated
- Normal length of the cord is about 55cm [22 inches]
Circulation of blood is established when? - ans -After the 4th week of gestation
Ductus venosus - ans -Diverts blood away from the liver as it returns from the
placenta
Foramen ovale - ans -Diverts blood from the right atrium to the left atrium
Ductus arteriosus - ans -Diverts blood from the pulmonary artery into the aorta
Circulation before birth - ans -Oxygenated blood enters the fetal body through
the umbilical vein; about half goes to the liver and the rest goes to the inferior
vena cava
, Monozygotic twins - ans -- Identical twins
- Genetically identical
- Same sex, same appearance
- Develop from a single fertilized ovum
Dizygotic twins - ans -- Fraternal twins
- May or may not be the same sex
- 2 amnions, chorions, and placentas
3 phases of pregnancy - ans -Antepartum, intrapartum, postpartum
Preconception care - ans -Pregnancy intention, access to care, use of
multivitamins and folic acid, smoking, STI's, illicit drug use, and mental health
issues
Prenatal care - ans -Involves monitoring, care, management of issues rising during
pregnancy
Intrapartum care - ans -Involves the continuous presence and support, by a labor
and delivery nurse or doula during the birth process
Postpartum care - ans -Encourage breast feeding, skin to skin contact, and
bonding while reducing separations and interruptions
Folic acid intake before conception can - ans -Reduce the incidence of congenital
anomalies
Prenatal care should begin when? - ans -Before conception or as soon as suspicion
is held
Prenatal testing - ans -- Conception-28 weeks = every 4 weeks
- 29-36 weeks = every 2-3 weeks
- 37 weeks-birth = weekly
Estimated date of delivery [EDD] - ans -- Calculated based on LNMP
- An ultrasound may be done to confirm EDD
