Chapter 1
Who is the IOM?
What is a nonprofit organization that regulates nursing standards?
Drops in this hormone cause menstruation.
What is estrogen?
At this week the pregnancy is considered term.
What is week 37?
These are the five Ps of labor.
What are passenger, passageway, powers, position, and psychological influences?
VEAL-CHOP-MINE
variable-cord-maternal position
early-head-identifies progression
acceleration-Okay-nothing
late-placental-excute interventions
What is the fetal liver?
Name two of the several professional organizations that define standards of practice in MN nursing.
What are AWHONN, AGOG, AAP, or TJC?
This hormone surges before ovulation.
What is LH?
At this point in a pregnancy a loss in considered a stillbirth instead of an abortion.
What is week 20?
This is the bone used to define the fetal station.
What are the ischial spines?
This is why we do NST during pregnancy.
What is fetal heart monitoring to determine the oxygenation of the fetus; if decelerations are present it would indicate that the fetus may not be able to handle the laboring process.
This is the difference between monozygotic and dizygotic twins.
What is monozygotic is one sperm and one ovum whereas dizygotic is two ovums and two sperm?
This is the goal of the State Nurse Practice Act.
What is protecting the public by defining the scope of nursing?
This hormone is released in pulses after puberty.
What is GnHR?
This is the definition of Naegele's rule.
What is subtracting three months, adding seven days, and adjusting the year?
This medication can induce labor by initiating the softening of the cervix.
What is cervidil (dinoprostone) or Cytotec (misoprostol)?
These medications cause mild cramping and after a certain amount of time, other medications or interventions are done to start labor.
Three presumptive signs of pregnancy.
What are breast changes, n/v, amenorrhea, increased urination, fatigue, uterine enlargement, quickening, and skin changes?
Name the four major tests or interventions during normal pregnancy and the week they are done.
What are weeks 20 ROA u/s, 24-28 glucola, 26-28 RhoGAM, and GBS 34-36?
These are the exceptions to confidentiality.
What are reportable laws?
These are the functions of the placenta.
What are an interface, removal of waste, provide oxygen and nutrients, hormone productions, and immunity?
This is how often you see a provider in a healthy pregnancy.
What are Q4 until 28 weeks?
Q2 until 36
weekly until the due date
after the due date two times a week
These methods (medications or actions) are used to augment labor that is processing slowly.
What are AROM and Pitocin?
Name two presumptive signs of pregnancy
What are breast changes, n/v, amenorrhea, increased urination, fatigue, uterine enlargement, and quickening?
this is important to know about fetal and maternal blood.
What are they normally they do not mix. However, they can at delivery which is why we give the RhoGAM.
Two of the standards in the code of ethics.
What are beneficence, nonmaleficence, respect for autonomy, and justice?
These are the functions of the umbilical cord.
What is a lifeline, arteries carry away, veins carry to, and deliver oxygen and nutrients and Wharton's jelly protects vessel?
This type of spontaneous abortion is one in which all products of conception have been passed without intervention.
What is a complete abortion?
Name the three Phases of the first stage of labor.
What are latent, active, and transitioning?
Contractions start at this location.
What is the Fundus? Patients will feel pain starting in their back and it will radiate to the abdomen.
This is an amniocentesis.
What is needle aspiration of amniotic fluid?
A nurse should always consult this when they do not know what to do in any situation.
What is look at the policy?
A patient should wait this long before getting pregnant after receiving the rubella vaccine.
What is four weeks?
Special diets are okay in pregnancy but this is something someone should not do.
What is starting a new diet or exercise routine?
This is the nursing priority after AROM.
What is checking the FHR?
Contraction frequency is calculated this way.
What is counting from the beginning of one contraction to the beginning of the next contraction?
This structure allows blood to flow from the right to left atrium bypassing the fetal lungs.
What is the Foramen Ovale?
Three characteristics of family-centered care.
What are birth is normal, baby rooms in, inclusive, roles change, support, and advocate?
These are things to do and not do while trying to get pregnant.
What is intercourse every other day, eat healthy, no alcohol, healthy weight, lie down after intercourse, don't shower, and no douching.
These are the difference between a D&C and a D&E.
Both are used to remove the Products of conception after a miscarriage or for an elective abortion.
What is a D&E uses suction and a D&C does not? A D&C is done when the fetus is smaller usually before ten weeks and a D&E is done when the fetus is larger or older than 10 weeks gestation. An older fetus has to be cut into parts because it is to large to fit through the cervix.
Flexed, military, brow, and face are examples of this.
What is fetal attitude?
A Reactive NST will have this.
What are accelerations that last 15 seconds and go up by 15 beats and no declarations?
This structure diverts blood from the pulmonary artery to the descending aorta bypassing the lungs.
What is the Ductus Arteriosus?
These are two ways a nurse provides culturally competent care.
What are asking questions, incorporating traditions, teaching, being aware, respectful, etc.?
These are three expected changes in pregnancy.
What are GI slow, skin changes, edema, blood volume increase, HR increases, o2 consumption increases separation of the abdominal muscles, constipation, hemorrhoids, round ligament pain, and increased urine output?
GTPAL stands for this.
What are Gravida, term, perterm, abortions, and living children?
These are three signs that labor is going to start soon.
What are energy spurt, lightening, engagement, increased vaginal secretions, loss of mucus plug, bloody show, ROM, and cervical change?
This is what a client should expect after SROM or AROM
What is an increase in contraction intensity and frequency?
This is how the infant is oxygenated.
What is through the placenta?