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A comprehensive review of key concepts in obstetrics and gynecology, covering topics such as fetal presentation, labor stages, pregnancy hormones, and common pregnancy complications. It includes multiple-choice questions and answers, designed to help students prepare for their nur 406 exam. Particularly useful for students studying nursing or related healthcare fields.
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the most common pelvic type for females is? - ANS-✅gynecoid (round) the ___ fontanelle doesn't ossify until approximately 18 months of age - ANS-✅anterior mentum is a term for... - ANS-✅chin the overlapping of the skull bones that allow passage of the fetal head through the birth canal is termed... - ANS-✅molding Vertex, brow and face are all types of ____ presentation - ANS-✅cephalic in a vertex presentation, the smallest diameter of the fetal head presents, called the... - ANS-✅occiput complete, frank and footling are types of ____ presentation - ANS-✅breech what is the name of the manuevers that help determine fetal presentation and position? - ANS- ✅Leopold's ____ is when the largest part of the presenting part passes through the pelvic inlet - ANS-✅engagement A zero station (0) is at the level of the _____. - ANS-✅ischial spine contraction frequency is from ____ - ANS-✅the beginning of one contraction to the beginning of the next duration of a contraction is____ - ANS-✅from the beginning of the contraction to the end of that contraction the hormone that has a smooth muscle relaxing effect on the uterus is... - ANS-✅progesterone _____ stimulates contractions of the smooth muscles of the uterus - ANS-✅oxytocin the contractions of false labor are called.... - ANS-✅braxton hicks the term for when the baby drops or becomes engaged is... - ANS-✅lightening latent, active and transition phases all occur in the ____ stage of labor - ANS-✅first there are ____ stages of labor - ANS-✅ 4 ____ is a hormone that is needed in large quantities to maintain a pregnancy. - ANS-✅progesterone the hormone that is responsible for enlarging the breasts and uterus during pregnancy is... - ANS- ✅estrogen fertilization takes place in the... - ANS-✅fallopian tube FHT can be heard on doppler by.... - ANS-✅10-12 weeks T or F; a multipara generally feels fetal movement (quickening) earlier than a primipara. - ANS-✅True when evaluating a biophysical profile, a score of___ is considered reassuring. - ANS-✅8- T or F; There is a chance of limb reduction with an amniocentesis - ANS-✅false when administering meperidine to a labor patient, it is important to monitor her... - ANS-✅respirations _____ is the drug used to reverse respiratory depression caused by systemic analgesics such as meperidine - ANS-✅narcan evaluation of a NST shows 2 FHR accelerations 15 beats above the baseline occurring with fetal movements in a 20 minute period. This indicates a _____ NST. - ANS-✅reactive cord compression would elicit ____ decelerations - ANS-✅variable Jane Doe's LMP was June 20th. Using Nagele's rule, determine her EDB. - ANS-✅March 27 (subtract 3 months, add 7 days) the recommended weight gain for a woman of normal weight prior to pregnancy is ____ lbs - ANS-✅25- 35lbs when is exposure to teratogens during pregnancy most dangerous? - ANS-✅first 8 weeks
T or F; the nuclear family is no longer the most common family type in the US today. - ANS-✅True T or F; The infant mortality rate is the # of infant deaths occurring in the first 28 days of life per 1000 births. - ANS-✅False (neonatal mortality rate) amenorrhea is what type of symptom of pregnancy? - ANS-✅presumptive what is ballottement? - ANS-✅when the examiner pushes against the cervix the term Gravida means? - ANS-✅number of pregnancies Rubella titer should be ___ for a woman to be considered immune during pregnancy - ANS-✅1: a deficiency in folic acid is linked to... - ANS-✅neural tube defects T/F; Pregnant women are at a higher risk than other people to get sick from listeriosis - ANS-✅True T/F; Vegetarians must eat meat during pregnancy to get enough protein - ANS-✅False Which ethnic group has the highest rate of teen pregnancy? - ANS-✅hispanic T/F; iron is recommended during pregnancy but not usually necessary - ANS-✅False A woman pregnant with her 3rd child is gravida - ANS-✅ 3 a woman is gravida 1 and just delivered twins at 36 weeks gestation, what is her para? - ANS-✅ 1 What does EDC mean? - ANS-✅estimated due date T/F; para includes all births - ANS-✅False; only births after 20 weeks T/F; infants are considered to be term at 36 weeks gestation - ANS-✅False; 37-40 weeks what is the term for when women lose their mucous plug? - ANS-✅bloody show a woman is 26 weeks pregnant and has a fundal height of 27cm. What should the nurse do next? - ANS- ✅nothing, this is an expected finding A patient tells you her last menstrual period was October 10th, 2019. According to the Nagele's rule when is her expected due date? - ANS-✅July 17, 2020 You are doing an assessment on a nonpregnant female patient. She tells you she had a baby at 38 weeks. You would chart the following regarding parity? - ANS-✅primipara A woman who is 19 weeks pregnant describes to you she has been feeling her baby move. Which term describes this movement? - ANS-✅quickening which of the following is a probable sign of pregnancy? - ANS-✅positive pregnancy test Where can you expect to locate the fundus of a woman who is 20 weeks pregnant when measuring fundal height? - ANS-✅umbilicus A patient who is 6 weeks pregnant and HIV positive comes into the clinic. What would you educate the patient about? - ANS-✅HIV can be passed in the breastmilk and she should not breastfeed a client in her 6th month of pregnancy says she feels dizzy and clammy when she lies down. What should the nurse instruct her to do? - ANS-✅turn to her left side a nurse who is giving a breastfeeding, postpartum client a rubella vaccine should be concerned about which of the following and provide proper education: - ANS-✅risk for pregnancy within the next 3 months a client in the first stage a labor and has has a cervical dilation that has progressed from 4-7cm. Which phase of labor does cervical dilation occur most rapidly? - ANS-✅active a nurse completes a vaginal exam on a laboring woman and notes 40%, 4cm, -2. Which of the following is correct? - ANS-✅presenting part is 2 cm above the ischial spines When monitoring FHR of a pregnant woman during a nonstress test, the nurse identifies two elevations of 15 beats above the baseline that lasted for 15 seconds in 20 minutes. The results of this test indicate which of the following? - ANS-✅the fetus is oxygenated