Download Exam 1: NUR202/ NUR 202 (New 2025/ 2026 Update) Maternal Newborn Nursing Review | Q&As and more Exams Nursing in PDF only on Docsity!
Exam 1: NUR202/ NUR 202 (New 2025/ 2026
Update) Maternal Newborn Nursing Review |
Questions and Verified Answers| 100%
Correct| A Grade– Fortis
QUESTION
what is GTPAL? Answer: G: Gravidity- includes all pregnancies, including present T: Term pregnancies (after 37 weeks) P: Preterm pregnancies (20- 37 weeks) A: Abortions/miscarried pregnancies (before 20 weeks) L: Living children to date (Decrease if child dies)
QUESTION
what are positive signs of pregnancy? Answer: fetal heart sounds, visualization of fetus ultrasound, fetal movement palpated by hcp (18- 20 weeks)
QUESTION
what does primapara mean? Answer:
- has had one delivery after 20 weeks gestation
QUESTION
what are the effects of estrogen during pregnancy?
Answer: lightheadedness and nasal stuffiness
QUESTION
what are the probable signs of pregnancy? Answer:
- Chadwick's Sign- purplish or bluish discoloration of the cervix, vagina, and vulva
- Hegar's sign- softening of the lower uterine segment
- Mcdonald's sign- flex the body of the uterus against the cervix
- Goodells sign: softening of the cervix and vagina Ballottement- fetal part is displaced by a light tap of the examining finger
QUESTION
what is the most accurate way for a doctor to estimate a due date? Answer: a first trimester ultrasound
QUESTION
what is Naegel's rule? Answer: LMP - 3 months + 7 days
QUESTION
what is the vena cava syndrome?
- what type of signs will we see? Answer:
QUESTION
what indicates Rh incompatibillity? Answer: mother is Rh negative and baby is Rh positive
QUESTION
what happens during/after pregnancy if a mother is Rh negative Answer: mother will get a RoGam shot to stop her body from developing Rh + antibodies. once the baby is born, if the baby is Rh+ the mother will get another RoGam shot
QUESTION
what does smoking during pregnancy cause? Answer: IUGR (intrauterine growth restriction) which leads to low birth weight
QUESTION
where does conception take place? Answer: in the fallopian tubes, then the egg implants in the uterus
QUESTION
what is Linea Nigra? Answer: Single dark vertical line on the abdomen during pregnancy caused by increasing progesterone
QUESTION
what does progesterone do during pregnancy? Answer: it maintains the pregnancy
QUESTION
when should you have a patient reschedule a Pap smear? Answer: if they have had intercourse, douched, or put a medication in vagina 24 - 48 prior to the test
QUESTION
What is lightening during pregnancy? when does this happen? Answer: is it a preceding sign of labor, the baby drops into the pelvis, this happens during weeks 38- 40
QUESTION
what is a carrier screening? Answer: a test that detect autosomal recessive gene mutations for conditions the parents do not show symptoms of
- ex: cystic fibrosis and sickle cell
QUESTION
teaching for Kegel exercises
increased risk of low birth weight and anemia
- need to consult with a dietician
QUESTION
what is the transition phase of labor? Answer: occurs during stage 1: 8cm dilated, the mother feels the urge to bare down
QUESTION
what foods are high in Vitamin B12?
- what does a B12 deficit increase the risk of? Answer: foods: milk, eggs, meats, liver, fortified soy milk
- B12 deficit increases risk of spina bifida
QUESTION
what is a nonpharmacologic pain management activity for the mother in the beginning of labor? Answer: ambulating
QUESTION
what is pica? Answer: eating non-food items including dirt, clay, starch, laundry detergent because of an iron deficiency
QUESTION
heart burn interventions Answer:
- small frequent meals
- taking antacids
- avoid spicy and acidic foods and dairy products
QUESTION
what is meant by "mirrors the contraction" or "deceleration resolves when the contraction resolves"?
- is this normal? what interventions are needed? Answer:
- this is a sign of early decelerations, these are normal and no interventions are needed
QUESTION
what is VEAL CHOP? Answer: V;Variable Decel ---reposition mom---C;Cord Compression E; Early Decel----------Expected ------ H; Head Compression A; Accels----reassuring --------------- O;O2 adequate (okay) L; Late decel-O2, stop pitocin, MD, reposition-P; Placental Insufficieny (problem)
QUESTION
what is the fetal scalp spiral electrode test?
- when is a good time to do this test Answer: an internal monitoring test that converts the fetal ECG
- if mother is experiencing bradycardia is a good time to do this because we get an answer from the baby fast, but the cervix must be dilated enough for the correct placement of the test - greater then 2-3 cm
- regular uterine contractions
- cervix changes (like dilating)
QUESTION
what is the main way hypotension occurs during labor? Answer: an epidural
QUESTION
what to monitor on the patient when given an epidural? Answer: assess pain, bladder, and hypotension
QUESTION
what are cervical ripening meds? Answer: prostaglandin gel (softens the cervix)
QUESTION
what is shoulder dystocia? when does this happen? Answer:
- when the baby's head cannot pass through the pubic arch
- happens during the second stage of labor (after 10 cm)
QUESTION
what stage of pregnancy is the most critical?
Answer: embryonic stage
QUESTION
what is the function of the placental? Answer: fetal oxygenation (fetal metabolic exchange)
QUESTION
which deceleration is the most concerning? Answer: late deceleration
QUESTION
how to stop abnormal fetal patterns? Answer: SPOILT S: stop pitocin P: position change (left lateral) O: oxygen (10L non rebreather) I: iv bolus L: low blood pressure T: torolysis - slow contractions
QUESTION
how to calculate ml of ice chips from 4oz? Answer:
QUESTION
what is ethnocentrism? Answer: feeling that our own belief or culture is superior than all others
QUESTION
what to teach a patient about when to do a breast self examination? Answer: do this 5 - 7 days after the completion of menses each month
QUESTION
whats the job of amniotic fluid? Answer:
- lung development
- regulates baby's temperature
- allows baby to move
- provides a cushion for the baby
- fluid and electrolyte balance
