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Maternal Health Exam 1 Flashcards | StudBud
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Maternal Health Exam 1
Maternal Health Exam 1
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1
After making the patient void, what should her normal fundal height be at 30 weeks?
10 cm
20 cm
15 cm
30 cm
2
Three positive signs of pregnancy are.. (think DIAGNOSIS)
All of the above
Fetal movements palpated by provider
Fetus confirmed on ultrasound or doppler
Fetal heart tones (HR)
3
Risk factors of infertility include...
History of STIs
Obesity
Smoking + Substance abuse
Old age
4
What live vaccine can pregnant women NOT have?
RSV
Influenza
Covid-19
Rubella
5
What is true about the umbilical cord?
All of the above
Arteries carry waste from baby back to the placenta
2 arteries & 1 vein
Vein delivers things to the baby
6
What is the Hegar's sign?
Violet-blue color of the cervix and vaginal mucosa
Palpation of excessive number of fetal parts
Softening and compressibility of the lower uterus
Softening of the cervical tip
7
What are the medications we can give to stop preterm labor?
Terbutaline, Tamoxifen, and Nifedipine,
Terbutaline, Nifedipine, and Indocin
Digoxin, Indocin, and Terbutaline
Indocin, Methotrexate, and Filgastrim
8
Abruption placenta is when the placenta separates from the uterine wall and a C-SECTION is usually done
False
True
9
To prevent preterm birth, what is true about a cervical cerclage?
Removed once labor begins or at 36-37 week
All of the above
Does NOT prevent ROM
Used for hx of preterm birth
10
If a mother's Hgb/Hct are low, what should a nurse do?
Screen for diabetes
Screen for anemia with a CBC
Administer Iron + Vitamin C
Administer metformin
11
What is the antidote for magnesium sulfate toxicity?
Dextrose
Atropine
Dobutamine
Calcium gluconate
12
Four presumptive signs of pregnancy are... (think MOTHER SYMPTOMS)
N/V + Fatigue
Quickening
Frequent urination
Amenorrhea + Breast changes
13
Placenta accreta is when the placenta has attached too deeply to the uterus wall and a HYSTERECTOMY is usually done
False
True
14
What mother blood type does NOT need Rhogam?
Positive blood types
AB negative
O negative
Negative blood types
15
Once diagnosed with placenta previa, a nurse should NEVER STICK FINGERS IN THE VAGINA (will cause blood loss)
False
True
16
If a woman's last menstrual period was September 8, 2024, what is the expected end due date?
July 14th, 2025
July 15th, 2024
June 15th, 2025
June 15th, 2024
17
Quickening butterfly kicks should be felt at 18-20 weeks
True
False
18
At 6 weeks pregnant, a woman has LIGHT vaginal bleeding and severe pain in her LLQ. What does she most likely have?
Placenta abruption
Gestational Hypertension
Ectopic Pregnancy
Gestational Diabetes
19
To prevent Preeclampsia, what medication do we use to treat Gestational Hypertension
Lisinopril
Dobutamine
Labetalol + Hydralazine
Atropine
20
An Ectopic Pregnancy is when implantation occurs somewhere other than within the uterus (MOST COMMON = FALLOPIAN TUBES)
False
True
21
At 20 weeks, where should the fundal height be?
Vagina
Umbilicus
Xyphoid Process
Pubic symphysis
22
Symptoms of a spontaneous abortion include...
Vaginal bleeding
Cramping
No fetal HR
Tissue in vagina
23
In a contraction stress test (CST), 3 uterine contractions in 10 minutes without a drop in fetal heart tone is NORMAL
False
True
24
What is the Chadwick's sign?
Softening and compressibility of the lower uterus
Palpation of excessive number of fetal parts
Softening of the cervical tip
Violet-blue color of the cervix and vaginal mucosa
25
What are causes of MALE infertility?
Sperm Antibodies
Heat exposure
STIs + Drugs
Low hormones
26
Four Healthy People 2030 goals...
Reduce preterm births
Increase prenatal care
Increase healthy weight before pregnancy
Reduce fetal/maternal deaths
27
What are risk factors of Chorionic Villus Sampling (CVS) and an Amniocentesis?
Rupture of Membranes
Loss of pregnancy
Bleeding
Infection
28
What should a mom NOT incorporate into their diet when pregnant?
Iron (prevents anemia)
Folic acid (prevents neural tube defects)
Water
Alcohol and Caffeine
29
How does smoking effect newborns?
Causes excessive uterine stretch or distention
Causes decidual hemorrhage
Causes intrauterine growth restriction (IUGR)
Causes exaggerated inflammatory respons
30
A nurse must always be honest to their clients. What ethical principle is this?
Autonomy
Fidelity
Veracity
Nonmaleficence
31
A mother has sudden SEVERE PAIN, DARK bleeding, and abdominal rigidity. What does she most likely have?
Hyperemesis gravidarum
Abruption Placenta
Placenta Accreta
Placenta Previa
32
What score should the biophysical profile be so no further testing is needed?
8/10
2/10
1/10
4/10
33
What are the screenings for Gestational Diabetes?
4 hour glucose
3 hour glucose to diagnose
1 hour minute glucose
10 hour glucose to diagnose
34
A nurse should discontinue Magnesium sulfate if a patient presents with...
Increased deep tendon reflexes
ABSENT deep tendon reflexes
DECREASED respiration
Capillary refill greater than 3 seconds
35
Interventions during an Eclamptic seizure include...
Suction + O2
IV MAGNESIUM SULFATE
Siderails pads
Lay patient on their side
36
A mother has continuous headaches, blurry vision, RUQ pain, and edema. The anticipated diagnosis is...
Eclampsia
Subchorionic hemorrhage
Uterine fibroids
Preeclampsia
37
A HIGH AFP indicates neural tube defects and a LOW AFP indicates Down Syndrome
True
False
38
What is the normal kick count we want to educate moms about?
3 kicks every 1 hours
7 kicks every 5 hours
10 kicks every 2 hours
2 kicks every 2 hours
39
If GBS is high, what medication should be administered to prevent harm to the baby?
Clindamycin
Penicillin
Tetracycline
Vancomycin
40
When is the screening for Group Beta Strep (GBS) done?
10 weeks
36 weeks
1 day
12 weeks
41
Iron deficiency anemia is when Hgb is below 11 and Hct is below 33%
False
True
42
Progesterone supports pregnancy by facilitating implantation and decreasing uterine contraction
False
True
43
What test identifies if a person carries gene mutations or disorder? (ex. cystic fibrosis and sickle cell disease)
NST
CVS
AMA
Carrier testing
44
The Nonstress Test (NST) records fetal heart tone in relation to fetal activity
False
True
45
Sperm antibodies are most commonly developed in males who have experienced...
Testicular trauma
Circumcision
Reversal vasectomy
Precocious puberty
46
At 16 weeks, where should the fundal height be?
Umbilicus
Pubic symphysis
Xyphoid process
Halfway between symphysis and umbilicus
47
What is the GTPAL? 4 total pregnancies, 2 birthed at 37 weeks, 1 birthed at 35 weeks, and 1 aborted.
G4-T3-P0-A1-L3
G4-T1-P2-A1-L3
G4-T2-P1-A1-L3
G4-T3-P2-A1-L4
48
Symptoms of Hyperglycemia include...
Polyphagia (increased hunger)
Polydipsia (increased thirst)
Polyuria (increased urine)
All of the above
49
How does marijuana use effect newborns?
Causes hearing impairment
Negative effect on the neurological development
Causes hypertension
Causes blurred vision
50
Symptoms of hypoglycemia include...
Clammy Hands
Sweating
Tremors + Shaking
Fatigue
51
What is the Goodell's sign?
Softening and compressibility of the lower uterus
Softening of the cervical tip
Violet-blue color of the cervix and vaginal mucosa
Palpation of excessive number of fetal parts
52
What does the amniocentesis, CVS, and AFP diagnostic test all detect?
Fetal heart beat
Fetal genetic and DNA abnormalities
Overgrowth of normal flora
Biophysical profile
53
Rhogam is an injection used to prevent RH incompatibility from developing during pregnancy
True
False
54
What are emotional responses of infertility?
Sexual dysfunction
All of the above
Stress + Anxiety
Increased arguments
55
What medication stimulates the release of FSH/LH and helps increase ovulation in women who are infertile?
Tamoxifen
Clomiphene
Metoprolol
Magnesium sulfate
56
What are diagnostic tests used to identify female infertility?
Ovarian reserve
Sonohysterogram, Hysteroscopy, + hysterosalpingogram
LH Surge
Anti-mullerian hormone
57
A mother has PAINLESS BRIGHT RED vaginal bleeding that is intermittent or in gushes. What does she most likely have?
Abruption Placenta
Placenta Previa
Placenta Accreta
Hyperemesis gravidarum
58
MVAs are the common cause of maternal death
False
True
59
What L/S ratio identifies fetal lungs are mature?
4:2
2:1
3:1
1:2
60
A mother with hyperemesis gravidarum must avoid triggers and greasy food to prevent PRETERM LABOR
True
False
61
Four probable signs of pregnancy are... (think BABY SYMPTOMS)
Goodell's, Chadwick's, and Hegar's sign
All of the above
Positive pregnancy Test
Abdominal enlargement
62
HELLP is a complication of preeclampsia. What are the symptoms?
Elevated AST/ALT + bilirubin
Elevated LDH
Low platelets
Hypertension
63
What is the most common cause of Abruption Placenta?
Hypertension
Blunt external abdominal trauma (car crash)
Early pregnancy
Uterine fibroids
64
TORCH infections can lead to... (Remember what this stands for!)
All of the above
Birth defects
Developmental issues
Spontaneous abortion
65
A Biophysical profile uses an ultrasound and NST to further detect...
Fetal heart tone
Amniotic fluid volume
Fetal breathing
Fetal movement
66
At around 16 weeks, why would progesterone be administered?
Placenta previa
Placenta accreta
Threatened spontaneous abortion
Hx of preterm birth
67
What corticosteroid is used to increase fetal lung maturity?
Betamethasone
Cromolyn
Albuterol
Fluticasone
68
A mother has excessive vomiting with severe electrolyte and nutritional imbalances. What does she most likely have?
Thrombocytopenia
Placenta increta
Agranulocytosis
Hyperemesis gravidarum
69
After an amniocentesis, a nurse must monitor for...
Fetal Heart tone
Greasy liquid
Vaginal bleeding/leaking
Acrocyanosis
70
A woman has increased discharge, pelvic pressure, and low dull backaches. What might she be experiencing?
Inevitable abortion
Preterm labor
Spontaneous abortion
Dysfunctional ovulation
71
A pregnant woman should NEVER lay on their back because it...
DECREASES BP
Compresses carotid artery
Increases BP
Compresses the inferior vena cava
72
An Electronic Fetal Monitor (EFM) is used to assess fetal heart tone and contraction patterns (in pregnancy or labor)
True
False
73
Along with genetic testing, an amniocentesis is most commonly used to detect...
Diabetes
Fetal Kidney
Hyperlipidemia
Lung Maturity
74
What medication do we give to HIV positive people, especially during pregnancy?
Ritonavir
ART (antiviral therapy)
Nelfinavir
Stavudine
75
What are two infertility issues for FEMALES?
Spermatogenesis + pituitary tumors
Fibroids + Low ovulation
Goodell's + Chadwick's sign
Anemia + Low cervical mucous
76
A nurse should screen for intimate partner violence every time on everyone
False
True
77
Illicit drug use is a common cause of NO prenatal care
False
True
78
What medication is used to treat an Ectopic Pregnancy?
Isoniazid
Methotrexate
Terbutaline
Cromolyn
79
What is most detrimental to a fetus in the 1st 8 weeks?
Love
TERATOGENS!!!
Grapes
Apples
80
Mom's can have sex during pregnancy, EXCEPT ON THEIR BACK
True
False
