Definitions
A group of infections collectively referred to as ______ that are teratogenic and can negatively affect a women who is pregnant.
TORCH
This is the acronoym to help remember emergent complications w/ combined oral contraception pills:
ACHES
A-abd pain
C-Chest pain, SOB
H-HA
E-eye problems
S-severe leg pain
Underweight women are advised to gain _____ pounds during pregnancy
28-40 pounds
GTPAL stands for:
gravida, term, preterm, abortion, living
True or false:
On the second pregnancy of the Rh(-) mother, the fetus will not be affected
False:
The second pregnancy will be affected, Rhogam should be administered
The difference between a Paraguard (Copper) IUD and Mirena IUD
paraguard- copper mechanism of action. Mirena- low dose hormone (levonorgestrel)
What is the preferred position for a patient in their 3rd trimester of pregnancy? Why?
L lateral recumbent
To combat nausea during pregnancy women are advised to eat small amounts frequently about every ______ hours
2-3
A genogram describes:
distribution of family diseases
A biophysical profile score of 8-10 is considered ______.
normal. * know what this score assesses in the fetus
Pregnant women are recommended to have _____ mcg of folic acid daily during pregnancy
600 mcg; helps prevent NTDs
After a (+) quad screen, the nurse would anticipate what diagnostic?
amniocentesis
A nurse is caring for a client who is at 6 weeks of gestation with her first pregnancy and asks the nurse when she can expect to experience quickening. Which of the following responses should the nurse make?
A.The last trimester of pregnancy
B.The first trimester of pregnancy
C.The 4th or 5th month of pregnancy
D.When the uterus rises out of the pelvis
C (~ 18 weeks primigravida 1st pregnancy, 14-16 weeks in multigravida)
This is the recommended screening at 35-37 weeks gestation?
Group B strep
These are the s/s the nurse should teach the patient to call the clinic:
vaginal bleeding, rupture of membranes, severe HA, decreased fetal movement, severe acute back pain...
Craving non-food items such as dirt or clay is known as ______
pica
Amennorrhea is considered a ______ sign of pregnancy
presumptive
During a biophysical profile test a score of 4 to 6 would be considered ___________?
Abnormal, suspect chronic fetal asphyxia
These are functions of the amniotic fluid:
cushioning fetus, fluid for fetus, facilitates fetal movement
A _______ contraction stress test indicates that within a 10-minute period, with 3 uterine contractions, there are no late decelerations of the fetal heart rate.
negative
This is the type of hormone contraception that is safe with breastfeeding.
progesterone; POP's
Naegele’s rule is to start with the woman’s last menstrual cycle and __________________________________________
Subtract 3 months, then add 7 days, add a year, and then adjust accordingly for the year as necessary.
Using Naegele’s Rule what would the Estimated Date of Birth (EDB) for a woman whose last menstrual period was 5/10/24?
2/17/25
A woman in her 2nd trimester of pregnancy complains of malasma. What should the nurse recommend?
avoid exposure to the sun and use sun protection
A nurse is caring for a pregnant client undergoing a non-stress test. The client asks why the nurse is using an acoustic vibration device. Which of the following responses should the nurse make?
1.“It is used to stimulate uterine contractions.”
2.“It will decrease the incidence of uterine contractions.”
3.“It lulls the fetus to sleep.”
4.“It awakens a sleeping fetus.”
4