childbirth latest practice test with
questions and flashcard correct answers
What is the goal of early prenatal care? - CORRECT ANSWER-To optimize the health of the woman and
fetus and to increase the odds that the fetus will be born healthy and to a healthy mother.
What are the responsibilities of the nurse during prenatal care? - CORRECT ANSWER-Teaching
throughout pregnancy, screening at each visit, monitor vital signs, preform assessments delegated by
OBGYN, answer questions, and report any abnormal commissions to the doctor.
What happens at the first prenatal visit? - CORRECT ANSWER-Longest visit: baseline data collected to
compare subsequent visits to. Confirm or rule out pregnancy, ascertain risk factors, determine due date,
and provide education on maintaining a healthy pregnancy
What is included in the patients reproductive history? - CORRECT ANSWER-Time of menarche,
characteristics of normal menstrual cycles, first day of last menstrual period, pregnancy history in
outcomes using GTPAL, and any complications occurred during previous pregnancies.
Communicates the outcome of previous pregnancies - CORRECT ANSWER-Parity, or "para". Includes any
delivery after twenty weeks, living or stillborn. Counts multiples as one single pregnancy.
All previous pregnancies a woman has had, regardless of outcome. - CORRECT ANSWER-Gravida
GTPAL - CORRECT ANSWER-Gravida
Term deliveries (at or beyond 38 weeks)
Preterm deliveries (20-37 weeks)
Abortions (number of pregnancies that ended before 20 weeks)
Living Children
, Never been pregnant - CORRECT ANSWER-Nulligravida
First pregnancy - CORRECT ANSWER-Primigravida
What is included in the medical-surgical history? - CORRECT ANSWER-Any major medical problem (such
as heart disease or diabetes), a list of all medications she is taking including over the counter
medications and herbal remedies, risk factors for infectious diseases, immunization status, and risk
factors for sexually transmitted infections
What is included in the family history? - CORRECT ANSWER-health status of the father of the baby and
any close relatives of the woman and her partner, specifically if there is a history for genetic diseases
that would require testing or counseling. If you only history for cystic fibrosis or hearing loss may require
genetic testing.the ethnic background of the woman and relatives of the fetus are important factors to
consider as well. sickle cell anemia and thalassemia are higher in African American, Indian and Middle
Eastern descent. Tay Sachs disease is higher in European Jews and French Canadians. Cystic fibrosis is
higher in Caucasians.
what is included in the social history? - CORRECT ANSWER-focuses on environmental factors that may
influence the pregnancy. these include things such as social support, housing in nutrition, education,
type of employment, presence of domestic violence or abuse, smoking, alcohol, and illicit and over the
counter drug use, and hobbies such as gardening or pet care (can expose mother to toxoplasmosis,
which can harm the fetus).
List the laboratory assessments done during pregnancy and their purpose - CORRECT ANSWER-CBC:
indicates overall health status of the mother, including anemia which can suggest poor nutritional status
and a potentially poor pregnancy outcome.
HEMOGLOBIN ELECTROPHORESIS Test: done if the woman is at risk for sickle cell anemia or thalassemia.
Blood type and antibody screen: helps identify women who are at risk of developing antigen
incompatibility with fetal blood cells.
Screens for infection: hep B, HIV, syphilis, gonorrhea, chlamydia
Rubella Titer: determines mother's immunity to rubella. The rubella immunization cannot be given
during pregnancy.
Pap Smear: checks for cervical CA
Urine Culture: screens for bacteria in the urine which can lead to UTI and premature labor