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HACC N141 Midterm Exam With Complete Solutions

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HACC N141 Midterm Exam With Complete Solutions ...

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HACC NURSING 242 QUIZ 2 QUESTIONS AND
ANSWERS 100% SOLVED


What do you do as a nurse during your first Initial prenatal Assessment when meeting
with the patient? - answer Definition of Terms

Client Profile

Determination of Due Date

Physical Exam

Screening Tests

Subsequent Prenatal Assessment

Define Gravida - answer number of pregnancies regardless of outcome including
current one

Define Para - answer A birth after 20 weeks gestation regardless of outcome

Define Antepartum - answer is her gestation time; from pregnancy until onset of labor

Define Intra partum - answer Onset of labor until birth

Define Postpartum - answer Time of birth until woman's body returns to pre-pregnancy
condition

Define Gestation - answer The time it takes to grow a baby; from last period on..

Define miscarriage/ Abortion - answer A birth before 20 weeks gestation or fetus
weighing less than 500gm.

Define Term Gestation - answer 38 - 42 week

Define Pre-Term Gestation - answer 20 - 37 6/7 weeks

Define Nulligravida - answer a woman who has never been pregnant

Define Premedgravida - answer A woman who is pregnant for the first time

Define Multigravida - answer woman who has been pregnant 2 or more times

Define Nullipara - answer Never given birth but has been pregnant

Define Prime Para - answer A woman who has had one birth at more than 20 weeks
regardless of outcome

,Define Multipara - answer has given birth 2 or more times

What does EDD, EDB, and EDC stand for? - answer EDD = Est Date of Delivery

EDB = Est Date of Birth

EDC = Est Date of Confinement



What is Nagele's Rule? - answer 1st day of last menstrual cycle, minus 3 months, plus 7
days = estimated date of delivery



Susan is pregnant for the 4th time. Her history shows that she gave birth to a viable
female at 41 weeks, a spontaneous abortion at 14 weeks, a viable male at 32 weeks;
what is her Gravida and Para? - answer G=4 T=1 P=1 A=1 L=2



What is the McDonald's Method? - answer Measure uterine fundal height in centimeters
from the symphysis pubis to the top of the uterine fundus.



What items are covered during the History and Physical Assessment? - answer This is
completed during the first Trimester and includes:

Comprehensive health and risk assessment: Smoking, Occupation, Drugs, alcohol, cats
(toxoplasmosis), ask about multiple partners

Current pregnancy history is the G(TPAL)

Complete physical and pelvic examination if they never gave birth vaginally before

Determination EDD

Nutrition Assessment: No lunch meat, hot dogs, soft cheeses, or sushi, no juice or
anything diet, and low caffeine

Psychosocial Assesment = how they feel about the pregnancy, history of Depression;
bi-polar, Does she have a support system

Intimate Partner violence Assessment

What information will you be asking about when Identifying information to complete a
health and risk assessment? - answer Age

Gravida/para

Address

,Race/ethnicity

Religion

Marital/family status

Occupation

Education

What are we going to ask about when identifying information that relates to Disease and
complications when completing a health and risk Assessment? - answer History of or
current medical conditions/diseases

Surgeries

History of physical/sexual abuse

Medications use (prescription, OTC, complementary)

Allergies

Immunizations

What does TORCH stand for? - answer Toxoplasmosis

Other (syphilis/ Hep B/ Group B beta strep)

Rubella

Cytomegalovirus (CMV)

Herpes

*These infections can cause abortions



What are the different FDA Pregnancy Classifications of Drugs? - answer Category A-
safe

Category B- Animal studies have failed show any risks towards baby but may not be
enough studies

Category C- Animal studies have shown and adverse effects but effects may outway risk
towards baby (Psych drugs)

Category D- + evidence of harm to baby

Category X- causes harm and isn't justified to give to pregnant moms

, What are some Family Medical questions you would ask upon their Health and Risk
assessment? - answer Current Health Status

Genetics

Medical Conditions / Disease

Zika Virus - 2-12 days of intubation: rash/fever, muscle joint pain; will get ultrasounds
every 3-4 weeks



What are some Reproductive questions you would ask upon their Health and Risk
assessment? - answer Menstrual

Obstetric

Gynecological

Contraceptive

Sexual - how many partners



What are some Self-Care/ Lifestyle / Safety behavior questions you would ask upon their
Health and Risk assessment? - answer Frequency of health maintenance visits

Bowel patterns

Stress management

Nutrition

Alcohol, tobacco, substance abuse/use

Spiritual or religious practices



Define Pelvic Inlet - answer superior space between the brim of each coxal bone



Define Pelvic Outlet - answer inferior space between the ischial spine of each coxal
bone



Define diagonal conjugate - answer is 12.5 cm or greater distance from anterior surface
of the sacral province to the anterior surface of the inferior margin of the synthesis
pubic
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