Maternal Newborn Exam 1
2023
What immunization can you NOT have during pregnancy? - Answer-Rubella (live virus)
How many extra calories does a mom need
... [Show More] if she has a normal-weight BMI? - Answerabout 300 calories (a bagel)
What is a psychosocial assessment? - Answer-history of emotional or physical abuse
history of emotional problems
Support systems
acceptance of pregnancy, plans for care
feeding preference for baby
How long are trimesters? - Answer-13 weeks
what is nagele's Rule? - Answer-First day of last menstrual period- 3 months + 7 days=
EDD
antepartum is considered when? - Answer-conception to labor
Intraparum is considered when? - Answer-active labor until 2 hrs after baby is born
Postpartum is considered when? - Answer-2 hrs after baby is born to 6 weeks
How often should prenatal visits be scheduled for a mom from conception to 28weeks?
- Answer-Every 4 weeks
How often should a prenatal visit be scheduled for a mom thats 29-36 weeks? - Answerevery 2-3 weeks
How often should a mom have a prenatal visit between 37 weeks to birth? - AnswerEvery week
Nulligravida - Answer-never been pregnant
primigravida - Answer-woman who is pregnant for the first time
multigravida - Answer-woman who is pregnant for at least the 2nd time
para - Answer-given birth to one or more children who are passed age of "viability"
which is 20 weeks (twins count as 1)
abortion - Answer-termination of pregnancy before viability of 20 weeks; induced or
spontaneous
term - Answer-37 weeks or greater (para)
Preterm - Answer-20-36.6 weeks (para)
GTPAL(M) - Answer-Gravida
Term
Preterm
Abortions
Living
Multiple
what are some danger signs of pregnancy? - Answer-gush of fluid from vagina
vaginal bleeding
abdominal pain
fever over 100.4
blurred vision, dizziness, spots before eyes
persistent vomiting
pre-tibial edema
muscular convulsions
RUQ pain (liver)
un-relievable headaches
oliguria/dysuria
decrease/absence of fetal movement
umbilical cord contains which vessels and how many? - Answer-one vein and two
arteries (always 3 vessels)
the umbilical arteries carry which kind of blood? - Answer-deoxygenated blood
What type of blood does the umbilical vein carry? - Answer-oxygenated blood
what is the normal length of the umbilical cord? - Answer-55cm
What is the substance that protects the umbilical cord? - Answer-wharton's jelly,
protects from compression or breakage
How does the fetus breath in uteuro? - Answer-placenta supplies oxygen and allows
fetus to excrete CO2 into the maternal blood stream.
What are the three fetal shunts? - Answer-foramen ovale
ductus venosus
ductus arteriosus
how do these shunts work? - Answer-Fetal circulation. Blood leaves the placenta and
enters the fetus through the umbilical vein. After circulating through the fetus, the blood
returns to the placenta through the umbilical arteries. The ductus venosus, the foramen
ovale, and the ductus arteriosus allow the blood to bypass the fetal liver and lungs
Fetal hemoglobin and oxygen compared to mother? - Answer-fetal hemoglobin carries
20-30% more oxygen, 50% more hemoglobin, and higher CO per weight
how old does a fetus have to be to be called a "fetus"? - Answer-9 weeks
what is amennorhea? - Answer-absence of blood
quickening - Answer-first awareness of fetal movement= 18weeks
what are presumptive signs of pregnancy? - Answer-subjective data, what the mom tells
us
What are probable signs of pregnancy - Answer-physiological and anatomical changes
that can be perceived by the health care provider... (objective data)
linea nigra - Answer-line up mideline of stomach due to collagen overgrowth
what are positive signs of pregnancy? - Answer-auscultation of fetal heartbeat
fetal movement observed/palpated by examiner
visualization of the fetus on ultrasound
(objective data that only relates to fetus)
Physiologic changes in the reproductive system of the mom - Answer-increased
estrogen and progesterone
20x enlargement of uterus
Expanded circulatory volume
Acid pH of vagina
what can a UTI cause in a pregnant mom? - Answer-preterm labor
What does progesterone due for circulation? - Answer-vasodilation to fetal circulation,
relaxes everything
what is a nullipara cervix? - Answer-not had baby yet, round.
multipara cevix - Answer-had baby 20 weeks or older, elongated
what is mcdonalds rule? - Answer-the fundus to symphysis distance in cm is equal to
the week of gestation between the 20-31st week of pregnancy (probable sign=fundal
height measurement)
what is the top of the uterus called? - Answer-fundus
when is the placenta fully developed to take over baby's hormones and such? - Answer21 weeks
What does hCG do? - Answer-caused by increase of estrogen and progesterone.
stops sperm from fertilizing another egg
hormone tested in pregnancy tests
goes away after placenta development
where would you expect the top of the fundus to be located at 20 weeks? - Answerumbilicus
supine hyptension - Answer-aka vena cava syndrome
weight of uterus compresses vena cava, decreasing blood return to mom. Happens
when they lay flat on back
pseudoanemia - Answer-fluid part of blood increases more than RBC component and
gives hemodilution.
palpatations - Answer-increases in thoracic pressure w/ sudden movement
why do pregnant women waddle? - ...
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