What is :Gravidity is number of pregnancies including current
Parity means the number of pregnancies that have reached 20 wks
100
Prenatal care should begin
what is: after first missed period
100
Mom is encouraged to put the baby to breast within the first 15 min following birth because this period of time is known as...
what is: the first period of reactivity
100
The five P's of labor include: passenger, powers, position of baby, psychologic response of mother and ..
what is: Passageway (pelvis/soft tissues)
100
Nurse's first priority when notices the fetal heart rate starts to decelerate late in the contraction is to..
what is: change the mom's position, left side if not already placed this way
200
Amenorrhea is a presumptive sign of pregnancy and means
What is:cessation of menses
200
HIV testing is recommended for:
what is: all women regardless of risk factors
200
A full term newborn's breathing pattern is mainly..
what is: abdominal with synchronous chest movements
200
Molding is known as the...
what is: slight overlapping of cranial bones during labor
200
Accelerations during labor are generally ...
what is: reassuring
300
Fetal movement felt by nurse midwife during exam
What is : a positive sign of pregnancy
300
Vaginal bleeding in the first trimester is considered:
what is: a warning sign that should be reported to her health care provider immediately
300
Expected apical pulse range for a full term, quiet and alert newborn is:
what is: 110-160 bpm
300
The nurse caring for woman during labor instructs her to change positions frequently because is it will...
what is: increase her comfort and minimize fatigue
300
Late fetal heart rate decelerations are usually the result of :
utero-placental insufficiency
400
At 14 wks gestation the nurse would expect to feel the fundus at which level?
What is:Slightly above the symphysis pubis
400
A woman who is a regular jogger may be given what advice around the seventh month of pregnancy:
what is: may need to modify exercise to walking later in pregnancy
400
Maintaining a newborn's body temperature is important to prevent ..
what is: cold stress
400
The best indicator of true labor is:
what is: cervical dilation and effacement
400
Fetal heart rate remains in the 80's after five minutes and no cervical change. As her nurse you have repositioned the mother, provided oxygen and increased her IV fluids , your next action is to..
what is: notify the provider
500
During a physical exam the nurse notes that the lower uterine segment is soft on palpation and documents this finding as
What is:Hegar's sign
500
Multiple marker test , or AFP is used to primarily assess the fetus for what condition
what is: Down's syndrome
500
The nurse explains the the family that Mongolian spots are ...
what is: bluish discoloration on buttocks resembling bruises
500
Bloody show is associated with..
what is: cervical dilation and effacement
500
In explaining to the parents what the fetal monitor strip means the nurse explains that the top line on the graph represents..
the fetal heart rate and may fluctuate during labor
600
A woman in the second trimester of pregnancy has an increased pulse rate, the nurse understands that this is a ....
What is : a normal finding
600
A woman who is 32 wks pregnant is taught by the nurse that a decrease in fetal movement or no fetal movement is:
what is: a cause for concern, a warning sign and to follow up with provider
600
When examining the newborn the nurse notes uneven skin folds on buttocks and a click when performing Ortolani's maneuver and recognizes these findings as a sign of possible..
what is: hip dysplasia
600
The nurse gives a woman given Demerol for pain during labor and should have what medication available for possible postnatal effects on newborn?
what is: Naloxone (Narcan)
600
The nurse knows the proper placement of the toco transducer for monitoring contractions during labor is located..
over the uterine fundus
700
Changes in integumentary system occur during pregnancy. One of the changes that may persist after birth is...
What is:Striae gravidarum (stretch marks)
700
A woman asks the nurse if it is ok to have an occasional glass of wine with dinner. The nurse best responds..
what is: it is not known who little alcohol it takes to cause problems , so the best course is to abstain throughout pregnancy
700
Acrocyanosis is a condition that presents as..
what is: bluish discoloration of hands/feet temporary condition seen shortly after birth
700
What common complication must the nurse monitor for in a woman who has received an epidural during labor?
what is: blood pressure and hypotension
700
Increasing the rate of IV fluids during labor can increase fetal oxygenation by..
expanding maternal blood volume
800
Increased lordosis , or inward curvature of the spine is
what is: a normal musculoskeletal change adapting to pregnancy
800
Some helpful measures the nurse mentions to the mom who is 18 wks pregnant for back pain are..
what is: stretching/massage/heat/better support bra
800
The most critical physiologic change required of the newborn is:
what is: initiation and maintainance of respirations
800
Back pain in labor can be relived by :
what is: Counter-pressure on sacrum
800
Phrases used to describe classification of fetal heart tracing during labor are..
Category 1, 2 and 3
900
With regard to pregnancy testing and false positive results, the nurse knows that anti-convulsant medications can cause:
what is: a false positive pregnancy test
900
A woman who is pregnant and HIV positive is advised what about her plans to breastfeed...
what is: is contraindicated
900
The nurse tells the parents concerning the newborn's vision that
what is: infant's can track parent's eyes and distinguish patterns/prefer complex patterns
900
Thrombocytopenia (platelets low 67,000) in a woman who desires an epidural would be..
what is: contraindicated
900
The nurse knows that true labor contractions will ..
get stronger regardless of position or activity
1000
Nasal congestion and corresponding occasional epistaxis (nose bleed) is
What is: a normal respiratory change in pregnancy caused by increased estrogen levels
1000
The nurse advises the woman who is 12 wks pregnant and reports mood changes where she goes from happy to sad in quick succession that..
what is: hormonal changes during pregnancy commonly result in mood swings
1000
The Moro reflex is elicited with a loud noise and results in the baby..
what is: abduction and extension of both arms and slight tremor
1000
The nurse knows that a woman's anxiety level can influence her pain level how?
what is: severe anxiety increases tension, which increases pain, which in turn increases fear and anxiety etc
1000
The appearance of Amniotic fluid can best be described:
pale,straw color with small white particles
1100
Hormone most essential to maintaining pregnancy is:
what is: progesterone
1100
The main role of the woman's partner in pregnancy is to..
what is: provide support and nurture her
1100
The nurse knows that the soft spot or anterior fontanel on baby's head closes how long after birth..
what is: 18 months
1100
Some effects on newborn when mom receives systemic analgesics during labor are..
what is: decreased alertness and delayed sucking
1100
The biggest risk to a laboring woman who has rupture of membranes is..
intrauterine infection
1200
Pica is a condition of pregnancy that is manifested by what and means what?
what is: cravings for dirt/gravel and other non-food items and signifies client is anemic
1200
Nitrous oxide used by a mother during labor involves..
what is: breathing into a mouthpiece just before start of contraction
1200
The nurse knows the second stage of labor may be starting when the woman begins to..
bear down or push
1300
One main advantage to fetus when mom uses non-pharamacologic pain relief methods is..
no side effects or risks to baby
1300
Fetal sleep cycles can cause what change in fetal heart rate..
Decreased variability
1400
A mom who needs a blood patch after epidural anesthesia is most likely experiencing what..
severe headache
1400
When the baby's head is +4-+5 below the ischial spines the nurse knows that birth is..