WorksheetsChapter 4 &5 intro to maternity
Total questions: 76
Worksheet time: 1hrs 2mins
A temporary, physiological process that affects a woman physically and emotionally.
(a)
_____ and _______ prenatal care is the best way to ensure a healthy outcome for both mother and child.
(a)
WOTF are the major roles of the nurse during prenatal care.
educating in self care
provide nutrition counseling
identifying and evaluating risk factors.
promoting the families adaptation to pregnancy
Collecting data from pregnant woman
All of the following are presumptive signs of pregnancy, except?
Audible fetal heart beat
amenorrhea
breast tenderness
nausea
WOTF are probable signs of pregnancy.
Goodells sign
fetal movement felt by examiner
abdominal enlargement
Chadwick's sign
positive pregnancy test
Audible fetal heartbeat, fetal movement felt by examiner, and ultrasound visualization of fetus are all (a) signs of pregnancy
The placenta turns into a temporary endocrine organ.
True
False
The (a) undergoes the most obvious changes in pregnancy.
When Vaginal blood supply increase causing the bluish color, it is called
Goodell's sign
McDonald's sign
Chadwick's sign
corpus luteum
The ovaries still produce ovas during pregnancy.
True
False
Which hormones prepare the breasts for lactation.
(a)
With only a slight increase in respiratory rate, oxygen consumption only increases by (a) percent.
Blood volume gradually increases to about (a) percent, compared to pre-pregnant woman, and then by 32-34 weeks gestation, it gradually declines slightly.
Why does a pregnant woman often have trouble with balance.
Softening of ligaments
vision often is blurred during pregnancy
change in the center of gravity
The excess hormones cause instability in balance
Vitamin __ and ______ are often recommended to help ease nausea symptoms
(a)
What helps prevent neural tube defects.
(a)
Vigorous exercise is often recommended during pregnancy.
True
False
It is generally safe to travel up to 36 weeks during pregnancy.
True
false
1984 researcher Reva Rubin noted 4 maternal tasks that the woman accomplishes during pregnancy. WOTF are of those 4 maternal tasks.
accepting her choices regarding her fetus
learning to give of self and to receive the care and concern for others
seeking safe passage for herself and fetus
securing acceptance for herself as a mother
committing herself to the child.
Fathers go through phases similar to those of expecting mothers
True
False
all of these are the three phases that fathers go through during pregnancy, except?
Announcement phase
Adjustment stage
Focus stage
Acceptance stage
The term for excessive nausea and vomiting, can significantly interfere with food intake and fluid balance
(a)
Which of the following bleeding disorders can complicate early pregnancy ?
eptopic pregnancy
multiple pregnancies
spontaneous abortion
hydatidiform mole
In most cases, (a) , or suturing an incompetent cervix is successful in most cases.
What is the spontaneous (miscarriage) or intentional termination of pregnancy.
(a)
What type of abortion is it when there is vaginal bleeding.
(a)
What type of abortion is it when the membranes rupture and cervix dilates.
(a)
What type of abortion is it when some products of conception have been expelled, but some remain in the uterus.
(a)
WOTF are reasons that recurrent pregnancy losses happen?
Genetics
immunological
anatomical
endocrine
infectious factors
Only with pregnancy losses after 30 weeks is counseling of parents required.
True
False
(a) (pitocin) controls blood loss before and after curettage, much as the drugs do after term birth.
The nurse documents the amount and character of ________ and saves anything that looks like clots or tissue for evaluation by a __________.
(a)
Weighing a clean unused pad, and then taking a (a) after, and recording the level of saturation, is one of the most accurate ways to document blood loss.
What makes a woman high risk for pregnancy?
daily folic acid
environmental hazards that affect the mother and her fetus
maintenance exercise
behavioral and lifestyle choices
Procedure in which amniotic fluid is removed from the uterus for testing or treatment.
(a)
How does the nurse approach and prepare a woman for an upcoming amniocentesis with a patient
prepare patient properly
clarify and interpret results
explain the reason for the test
Tell her she shouldn't worry.
WOTF scenarios means that the pregnancy is in danger.
sudden gush of fluid after 38 weeks
sudden gush of fluid before full term
chills and fever over 100.4 (38 C)
Blueish discoloration or vagina and cervix
Persistent vomiting
(a) drugs, and correct hydration are treatment options for hyperemesis gravidarum
All of the following are types of chosen abortions, except.
Induced
Elective
Incomplete
Therapeutic
When the cervix dilates without any perceivable contractions.
(a)
95 % of eptopic pregnancies occur outside the Fallopian tube.
True
False
Methotrexate is a treatment to do what?
(a)
Fetal heart rate changes (increased, decreased, less fluctuation) Rising, weak pulse, respiratory rate, Shallow irregular respiration: air hunger, Falling blood pressure, are all signs of
(a)
What is the condition that has abnormal implantation of the placenta, bright red bleeding, occurs when cervix dilates with painless bleeding, and is classified in three different degrees.
(a)
What is the name of the condition that has normal implantation of the placenta, dark red painful bleeding with enlargement of the uterus that will suggest that blood is accumulating within the cavity, and the abdomen is very hard.
(a)
Also known as gestational trophoblastic disease, or molar pregnancy, occurs when the chorionic villi abnormally increase and develop vesicles; may cause hemorrhage, clotting abnormalities, and later development of cancer. Often happens on both sides of the extremes of reproductive life.
(a)
Manifestations of a hydatidiform mole, or molar pregnancy include which of the following. Select all that apply.
rapid uterine growth
bleeding
failure to detect fetal heartbeat
signs of hyperemesis gravidarum
uterine rupture
Gestational hypertension, also referred to as pregnancy-induced hypertension, is a condition characterized by high blood pressure during pregnancy, which can lead to which two serious conditions.
Anemia
Preeclamsia
Eclampsia
hyperemesis gravidarum
Preeclampsia refers to before a seizure occurs, while eclampsia is after a seizure occurs.
True
False
All of the following are common risk factors for gestational hypertension, except.
Family history of Gestational hypertension
being underweight
A woman who is above age 40, and below age 19.
being a woman's first pregnancy
WOTF are signs of gestational hypertension?
protein in urine
sugar in urine
blood clotting
Pica, or craving non-food items.
Management of Gestational hypertension depends on the severity.
True
False
Maintaining blood flow to vital organs, with anti-hypertensives, and magnesium sulfate as the drug of choice is main focus of treatment of (a) ?
RH positive blood type is a ________ trait, while RH negative is a _________ trait.
(a)
Rh (a) , occurs when the woman is rh negative and the fetus is rh positive
WOTF applies to erythroblastosis fetalis?
anti-hypertensives are a treatment
maternal Rh antibodies cross the placenta and destroy fetal positive erythrocytes before the infant is born.
Magnesium sulfate is given to treat at beginning of pregnancy
Requires rhogam shot at 28 weeks gestation.
Anything that ends in -ASE is a(n)
(a)
there are some Major risks for congenital anomalies to occur from maternal hyperglycemia during the embryonic period (before 8th week of development). What are some associated risks?
Maternal obesity
Large infant
congestive heart failure
previous unexplained stillbirth
What is it called when there moms giving baby a lot of sugar the baby spits out a lot of excess insulin, and becomes XL. Once the umbilical cord is cut, the baby is still producing excess insulin, and the baby becomes hypoglycemic fast.
(a)
WOTF are signs and symptoms of heart disease in a pregnant woman?
persistent cough
Excessive heartburn
Moist lung sounds
hyperemesis gravidarum
WOTF are treatments of heart disease in a pregnant woman?
antipyeretics
Beta-andrenergic blockers
anticoagulants
magnesium sulfate
What is the reduced ability of blood to carry oxygen to cells?
(a)
Too few healthy red blood cells in the body, this type of deficiency puts the baby at risk for developmental delays.
(a)
Lack of folic acid in the blood, it is a B vitamin that helps your body make red blood cells.
(a)
What is the best treatment option for anemia?
Take iron supplements with glass of milk
take iron supplements with water
Why shouldn't you take iron supplements with milk?
Milk mixed with iron is the leading reason for small birth weight
Milk and iron mixed are associated with developmental delays in the fetus
Milk creates extra doubles the amount on iron the body intakes, creating dangerous amounts in the blood.
Milk interferes with the body's ability to absorb iron.
Folic acid can prevent what type of defects?
(a)
WOTF are associated with sickle cell disease?
autosomal recessive disease
massive erythrocyte destruction and vessel occlusion
abnormal hemoglobin causes erythrocytes to become distorted.
Fetus does not appear to be affected
Thalassemia
Genetic trait causes abnormality in one of two chains of hemoglobin
Fetus is severely effected
Fetus does not appear affected
Body absorbs and stores iron in higher amounts
Acronym TORCH stands for
(a)
Herpes type likely to cause fever blisters and cold sore
(a)
Neonatal herpes is
high mortality rate
localized
disseminated
very minor
Acquired through cat feces and transplanted through the placenta
(a)
Fetus may be infected transplacentally or by contact with blood or vaginal secretion during delivery
(a)
All of the following are ways HIV can be transmitted, except
Droplets from coughing or sneezing
contact with infected maternal secretions
Breast milk
through the placenta
True or False. The longer a woman is in labor, or if the membranes rupture prematurely, there is greater risk for group B streptococcus
True
False
