Vulnerable & High Risk Populations
Defining Pregnancy
Physiological Changes
Embryology and Fetal Development
Maternal and Fetal Nutrition
Screening and Testing
Danger Signs
100

The population of pregnant woman who are at the greatest risk for intrauterine growth restriction (IUGR).

Who are the Adolescents?

100

An exercise to help stretch lower back muscles and relieve back pain.

What are pelvic rock exercises?

100

This phenomenon is the result of the doubling of plasma volume as pregnancy progresses.

What is physiological/dilutional anemia?

100

Vulnerable period of the developing embryo.

What are weeks 3 through 8?

100

A patient with a BMI < 18.5.

When is an underweight patient identified?

100

The fetal heart rate should increase by 15 more beats per min. for 15 seconds within a 20 minute period.

A positive non-stress test indicates the fetus is well-oxygenated during movements.

100

A danger sign of pregnancy that might occur in any trimester slowly or abruptly.

What is vaginal bleeding?

200

The racial population with the highest pregnancy-related mortality rate in the US.

Who are the African-American women?

200

Goodell's, Chadwick's, Braxton Hicks, and hCG+ urine

What are the probable signs of pregnancy?

200

During pregnancy the heart rate increases and stroke volume increases which causes the heart to pump a higher volume of blood per minute.

What is cardiac output?

200

Fundal location at the 20th week.

When does the fundus reach the umbilicus?

200

The majority of calories should be consumed from these.

What are complex carbohydrates?

200

An increased fetal protein found in maternal blood during the first trimester (maternal serum marker) that indicates an increase risk of a fetal neural tube defect such as spina bifida.

What is Alpha Fetalprotein?

200

The high-risk patient is instructed about fetal movements.

What are fetal kick counts?

300

Mother, father, children.

What is a nuclear family structure?

300

Amenorrhea, nausea and vomiting, and fatigue.

What are presumptive signs of pregnancy?

300

This hormone stimulates growth of the breast and uterine tissue during pregnancy.

What is estrogen?

300

A newborn with brushfield spots and palmar simian creases

What are some clinical signs of Down syndrome?

300

Unpasteurized cheeses, raw seafood, and any uncooked meat.

What foods should be avoided during pregnancy?

300

Maternal blood is collected to check for any abnormal genes.

What is genetic screening such as cystic fibrosis and sickle cell?

300

Low back pain and pelvic pressure.

What are the signs of early labor/ preterm labor?

400

The most vulnerable family structure.

What is the single parent?

400

A nurse categorizes this patient:

  A 36 year old patient with 4 children. A set of twins delivered at 36 weeks. A daughter delivered at 33 weeks and another daughter delivered at 37 weeks. Last year she delivered a 27-week stillborn.

What is  41304?

400

Low back pain and a waddling gait.

What are some musculoskeletal changes due to increased progesterone in pregnancy?

400

Fetal life begins.

What occurs at the 9th gestational week?

400

The nutrients in maternal blood are actively transported across the placenta into the fetal vessels, ultimately reaching the umbilical vein.

How does the fetus receive nutrition?

400

Given to mothers who are Rh negative and their fetus is Rh positive.

What is Rhogam/ Immunoglobulin D?

400

Pyelonephritis is manifested as this type of pain.

What is flank pain?

500

A nurse providing care based on acceptable standards of care and that another reasonably prudent nurse would provide in similar circumstances.

What is Standard of Care?

500

A 22 year-old with 3 pregnancies and two children is not a nulligravida.

What is a multigravida and mulitpara?

500

Risk associated with increased fibrinogen levels and decreased fibrinolytic activity during pregnancy.

What are blood clots or deep vein thrombosis?

500

Vitamin B9 for neurological cellular growth and development.

What is folic acid.

500

 Inhibit nutrition and growth of the fetus.

What is tobacco/nicotine and substance use?

500

Oxytocin is used for this test, and the best outcome is a negative result. 

What is the contraction stress test?

500

Flashes of light, seeing spots, or blurred vision.

Visual changes associated with the onset of preeclampsia.