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Maternal newborn RNC 1 Exam 2024/2025 | Actual Questions and Answers Latest Updated 2024/2, Exams of Nursing

University of Colorado - Colorado Springs (UCCS)Nursing

Maternal weight gain - ✔✔Healthy weight BMI: 25 to 35 lb 1st trimester: 3.5 to 5 lb 2nd & 3rd trimesters: 1 lb/week BMI < 19.8: 28 to 40 lb 1st trimester: 5 lb 2nd & 3rd trimesters: 1+ lb/week BMI > 25: 15 to 25 lb 1st trimester: 2 lb 2nd & 3rd trimesters: 2/3 lb/week McDonald's rule - ✔✔take the tape measurer from the symphysis pubis to the top of the fundus. the measurement should match the number of weeks you are, within 2-4 wks after 24 wks gestation Nutrition in pregnancy - ✔✔-energy and nutrient needs are high during pregnancy, additional 300-450 calories/day -a balanced diet that includes an *extra serving from each food group* can usually meet a woman's increased needs -a balanced diet and appropriate weight gain can help keep mother and baby healthy foods to avoid while pregnant - ✔✔- raw eggs - unpasteurized milk + cheese - soft cheese (feta, brie, Camembert, queso fresco) - unwashed fruits / veggies - raw fish / shellfish

Typology: Exams

2023/2024

Available from 09/07/2024

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Maternal newborn RNC 1 Exam 2024/2025 | Actual Questions and Answers
Latest Updated 2024/2025 (Graded A+)
Maternal weight gain - ✔✔Healthy weight BMI: 25 to 35 lb
1st trimester: 3.5 to 5 lb
2nd & 3rd trimesters: 1 lb/week
BMI < 19.8: 28 to 40 lb
1st trimester: 5 lb
2nd & 3rd trimesters: 1+ lb/week
BMI > 25: 15 to 25 lb
1st trimester: 2 lb
2nd & 3rd trimesters: 2/3 lb/week
McDonald's rule - ✔✔take the tape measurer from the symphysis pubis to the top of the fundus. the
measurement should match the number of weeks you are, within 2-4 wks after 24 wks gestation
Nutrition in pregnancy - ✔✔-energy and nutrient needs are high during pregnancy, additional 300-450
calories/day
-a balanced diet that includes an *extra serving from each food group* can usually meet a woman's
increased needs
-a balanced diet and appropriate weight gain can help keep mother and baby healthy
foods to avoid while pregnant - ✔✔- raw eggs
- unpasteurized milk + cheese
- soft cheese (feta, brie, Camembert, queso fresco)
- unwashed fruits / veggies
- raw fish / shellfish
pf3
pf4
pf5

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Download Maternal newborn RNC 1 Exam 2024/2025 | Actual Questions and Answers Latest Updated 2024/2 and more Exams Nursing in PDF only on Docsity!

Maternal newborn RNC 1 Exam 2024 /2025 | Actual Questions and Answers

Latest Updated 2024/2025 (Graded A+)

Maternal weight gain - ✔✔Healthy weight BMI: 25 to 35 lb 1st trimester: 3.5 to 5 lb 2nd & 3rd trimesters: 1 lb/week BMI < 19.8: 28 to 40 lb 1st trimester: 5 lb 2nd & 3rd trimesters: 1+ lb/week BMI > 25: 15 to 25 lb 1st trimester: 2 lb 2nd & 3rd trimesters: 2/3 lb/week McDonald's rule - ✔✔take the tape measurer from the symphysis pubis to the top of the fundus. the measurement should match the number of weeks you are, within 2-4 wks after 24 wks gestation Nutrition in pregnancy - ✔✔-energy and nutrient needs are high during pregnancy, additional 300- 450 calories/day

  • a balanced diet that includes an extra serving from each food group can usually meet a woman's increased needs
  • a balanced diet and appropriate weight gain can help keep mother and baby healthy foods to avoid while pregnant - ✔✔- raw eggs
  • unpasteurized milk + cheese
  • soft cheese (feta, brie, Camembert, queso fresco)
  • unwashed fruits / veggies
  • raw fish / shellfish
  • shark, swordfish, king mackerel, tilefish
  • processed meats Presumptive signs of pregnancy - ✔✔changes that might make a woman think she is pregnant. such as amenorrhea, fatigue, nausea, vomiting, polyuria, breast changes(darkened areolae, enlarged Montgomery glands), quickening(slight fluttering movements of the fetus felt by the women, usually between 16-20 wks of gestation). Probable signs of pregnancy - ✔✔(examiners objective findings) Positive pregnancy test, enlarge abdomen uterus, Gooddells sign (softeing of cervix), chadwick (discoloration of cervix), hegars sign (compressability of lower uterine segment), skin hyperpigmentation Diagnostic signs of pregnancy - ✔✔Fetal heartbeat Fetal movement Visualization of the fetus Naegele's Rule - ✔✔add 7 days to LMP, subtract 3 months, add 1 year Trimesters of pregnancy - ✔✔- 1st trimester: week 1- 12
  • 2nd trimester: week 13- 27
  • 3rd trimester: week 28- 40 Teratogens - ✔✔agents, such as chemicals and viruses, that can reach the embryo or fetus during prenatal development and cause harm Fetus is most vulnerable during organogenisis, 1st 8wks 1st trimester labs and dx studies - ✔✔Blood type and Rh CBC

Para (parady): # of live births at or after 20wks can be broken down into: T=term P=preterm A=abortion L=living WOMAN HAS TWO KIDS, ONE ABORTION, AND IS CURRENTLY PREGNANT: G4P or G4T2P0A1L Physiologic changes in pregnancy - ✔✔Increased: estrogen/progesterone need for glucose relaixin (softening of joints) blood volume 40% Increased cardiac output Increased heart rate Decreased blood pressure (slightly) UTI acid pH of vagina O2 consumption and respiratory rate, respiratory alkalosis melanin Hemodynamic changes in pregnancy - ✔✔total blood volume increases up to 50%. Can lead to hemodilution and physiologic anemia functions to: meet demands of enlarged uterus, protect against impaired venous return safegaurd against effects of blood loss at delivery

Cardiac output during pregnancy - ✔✔HRxSV= CO increases during pregnancy HR typically up by 10-15 BPM Peaks immediately post delivery which can result in cardiovascular instability can cause EKG changes bP typically falls until mid-pregnancy returns to pre-pregnant baseline by term - vascular resistance decreases during pregnancy fetal circulation - ✔✔oxygenated, nutrient-rich blood from placenta carried to fetus via umbilical vein → half enters Ductus venosus (allows blood to bypass the liver) →carried to inferior vena cava → RA → RV → Ductus arteriosus (conducts some blood from the pulmonary artery to the aorta [bypassing the lungs/fetal pulmonary circulation]) → aorta. Other half enters liver/portal vein → RA → Foramen ovale (allows blood to bypass pulmonary circulation by entering the left atria directly from the right atria since there is no gas exchange in fetal lung) → LA → LV → aorta. Placental Abnormalities - ✔✔- placenta previa

  • placental abruption
  • accreta, increta, percreta
  • velamentous insertion
  • vasa previa placenta previa - ✔✔displaced attachment of the placenta in the lower region of the uterine cavity over the cervical os. 1:200 births risk factors: previous c/s, AMA, smoking symptoms: painless bleeding in 3rd trimester, soft uterus, bright red blood tx:delay delivery if possible, hemorrhage risk abruptio placentae - ✔✔premature separation of the placenta from the uterine wall

sterile pH=7.0-7.5, nitrazine test for pH ferning amniotic fluid volume - ✔✔production - fetal urine is primary source, 400-1200mL/day. secondary source is fetal lungs 300-400mL/day. 200 - 500mL is reabsorbed daily through fetal swallowing increases from 250- 800 between 16 and 32 weeks. estimated by AFI =>6cm-<=20cm is normal oligohydramnios - ✔✔too little amniotic fluid AFI< can cause growth abnormalities caused by: infection kidney dysfunction PROM polyhydramnios - ✔✔excessive amniotic fluid AFI> caused by:Maternal DM, Rh isoimmunization GI or renal disorders spinal deformities