MPN CH 4 Prenatal Care and Adaptations to Pregnancy
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Questions and Answers

Define the term 'gestational age'

  • The estimated date of delivery
  • The physiological changes that occur during pregnancy
  • The date of the last normal menstrual period
  • The duration of pregnancy (correct)

    • Which sign is characterized by a bluish discoloration of the cervix and vagina?

  • Hegar's sign
  • Chadwick's sign (correct)
  • Goodell's sign
  • McDonald's sign

    • What is the purpose of a birth plan?

  • To calculate the expected date of delivery
  • To discuss nursing support for emotional changes
  • To outline the woman's preferences for labor and delivery (correct)
  • To identify nutritional needs for pregnancy

    • What does the term 'colostrum' refer to?

    <p>The first milk produced by the breasts after delivery</p> Signup and view all the answers

    Which of the following is a probable sign of pregnancy?

    <p>Quickening</p> Signup and view all the answers

    What is the purpose of using the biparietal diameter, head circumference, abdominal circumference, and femur length in an abdominal ultrasound after 14 weeks gestation?

    <p>To monitor fetal growth</p> Signup and view all the answers

    Which of the following is a presumptive sign of pregnancy?

    <p>Deepening pigmentation</p> Signup and view all the answers

    What is the purpose of the LMNP plus 280 days method for estimating the due date?

    <p>To predict the date of delivery</p> Signup and view all the answers

    During pregnancy, there are three phases:

    <p>Antepartum, intrapartum, and postpartum</p> Signup and view all the answers

    The focus of nursing care during pregnancy is to

    <p>Teach the mother how to maintain good health</p> Signup and view all the answers

    Prenatal care is considered a form of

    <p>Preventive medicine</p> Signup and view all the answers

    Preconception care involves discussion of

    <p>Pregnancy intention, access to care, and use of multivitamins</p> Signup and view all the answers

    During the birth process, the continuous presence and support of the parents by a labor and delivery nurse or doula is known as

    <p>Intrapartum care</p> Signup and view all the answers

    Which of the following is a part of postpartum care?

    <p>Encouragement to breastfeed</p> Signup and view all the answers

    What is the purpose of preconception care?

    <p>To reduce the negative impact of risk factors on the outcome of pregnancy</p> Signup and view all the answers

    When should prenatal care ideally begin?

    <p>Before conception</p> Signup and view all the answers

    Which of the following is NOT a routine prenatal test mentioned in the text?

    <p>VDRL</p> Signup and view all the answers

    When is blood glucose screening typically done during pregnancy?

    <p>Between 24 and 28 weeks gestation</p> Signup and view all the answers

    What is the recommended schedule for prenatal visits in an uncomplicated pregnancy?

    <p>Every 4 weeks until 28 weeks, then every 2 to 3 weeks until 36 weeks, then weekly until birth</p> Signup and view all the answers

    What is the purpose of Leopold's maneuvers during a prenatal visit?

    <p>To determine the position of the fetus</p> Signup and view all the answers

    Which of the following is a common symptom of pregnancy in the early months?

    <p>Urinary frequency</p> Signup and view all the answers

    What causes the linea nigra in pregnant women?

    <p>Increased pigmentation</p> Signup and view all the answers

    When does urinary frequency occur during pregnancy?

    <p>First trimester</p> Signup and view all the answers

    What is the cause of fatigue in pregnant women?

    <p>Increased metabolic needs</p> Signup and view all the answers

    When is quickening, fetal movement felt by the mother, first perceived?

    <p>16 to 20 weeks</p> Signup and view all the answers

    Who is more likely to report quickening at an earlier stage?

    <p>Experienced mothers</p> Signup and view all the answers

    According to Nägele's rule, how is the estimated date of delivery (EDD) calculated?

    <p>By counting backward 3 months from the first day of the last normal menstrual period (LNMP) and adding 7 days</p> Signup and view all the answers

    What is the definition of gravida?

    <p>Any pregnancy, regardless of duration; also, the number of pregnancies including the one in progress</p> Signup and view all the answers

    What is the definition of para?

    <p>A woman who has given birth to one or more children who reached the age of viability (20 weeks gestation), regardless of the number of fetuses delivered and regardless of whether those children are now living</p> Signup and view all the answers

    What is the average duration of a term pregnancy?

    <p>40 weeks (280 days)</p> Signup and view all the answers

    Which test is used to assess the presentation and position of the fetus by abdominal palpation?

    <p>Leopold's maneuvers</p> Signup and view all the answers

    At what point during pregnancy can the beating of the fetal heart be seen on ultrasound examination?

    <p>8 weeks after LNMP</p> Signup and view all the answers

    Which test is used to screen for group B streptococcus at 36 weeks gestation?

    <p>Group B streptococcus test</p> Signup and view all the answers

    What is the recommended frequency of prenatal visits during the 29 to 36 weeks of pregnancy?

    <p>Every 2 to 3 weeks</p> Signup and view all the answers

    Which of the following is a positive sign of pregnancy?

    <p>Chadwick's sign</p> Signup and view all the answers

    What is the purpose of McDonald's sign during a prenatal visit?

    <p>To assess cervical softening</p> Signup and view all the answers

    What is the estimated date of delivery (EDD) calculated according to Nägele's rule?

    <p>Last normal menstrual period (LNMP) plus 280 days</p> Signup and view all the answers

    What is the purpose of a birth plan?

    <p>To prepare for labor and delivery</p> Signup and view all the answers

    Which of the following is NOT a part of postpartum care?

    <p>Continuous presence and support of parents</p> Signup and view all the answers

    What is the purpose of preconception care?

    <p>To identify risk factors and improve the woman's health before pregnancy</p> Signup and view all the answers

    When should prenatal care ideally begin?

    <p>Before conception</p> Signup and view all the answers

    What is the purpose of Leopold's maneuvers during a prenatal visit?

    <p>To evaluate the size and condition of the pelvis and reproductive organs</p> Signup and view all the answers

    Which of the following is a positive sign of pregnancy?

    <p>Fetal movement felt by examiner</p> Signup and view all the answers

    What is the purpose of Diclegis (doxylamine and pyridoxine) medication during pregnancy?

    <p>Relieve morning sickness</p> Signup and view all the answers

    What is the main complaint associated with morning sickness during pregnancy?

    <p>Nausea</p> Signup and view all the answers

    What is the purpose of Leopold's maneuvers during a prenatal visit?

    <p>Determine fetal position</p> Signup and view all the answers

    According to Nägele's rule, how is the estimated date of delivery (EDD) calculated?

    <p>Add 7 days to the first day of LNMP</p> Signup and view all the answers

    What is the definition of gravida?

    <p>A woman who has been pregnant before</p> Signup and view all the answers

    What is the definition of para?

    <p>A woman who has given birth to one or more children</p> Signup and view all the answers

    What is the purpose of using the TPALM system to describe parity?

    <p>To describe the detailed outcomes of a woman's pregnancies on her prenatal record</p> Signup and view all the answers

    Which of the following is NOT a goal of prenatal care?

    <p>Prepare parents for the responsibilities of parenthood.</p> Signup and view all the answers

    What is the current goal of prenatal care?

    <p>To prevent adult-onset diseases in the infant.</p> Signup and view all the answers

    What is the expanded focus of prenatal care?

    <p>To prevent adult disease in the newborn infant.</p> Signup and view all the answers

    What is the purpose of preconception care?

    <p>To prepare the woman for the impact the newborn will have on family dynamics.</p> Signup and view all the answers

    Which of the following is a common symptom of pregnancy in the early months?

    <p>Fatigue and drowsiness</p> Signup and view all the answers

    When does urinary frequency occur during pregnancy?

    <p>First trimester</p> Signup and view all the answers

    What causes the linea nigra in pregnant women?

    <p>Hormonal changes</p> Signup and view all the answers

    Who is more likely to report quickening at an earlier stage?

    <p>Mothers who have previously given birth</p> Signup and view all the answers

    What is the purpose of preconception care?

    <p>To promote healthy behaviors and identify potential risks before pregnancy</p> Signup and view all the answers

    What is the purpose of a birth plan?

    <p>To outline the medical interventions desired during labor and birth</p> Signup and view all the answers

    Which of the following signs is considered a presumptive sign of pregnancy?

    <p>Braxton Hicks contractions</p> Signup and view all the answers

    What is the purpose of using Nägele's rule during pregnancy?

    <p>To calculate the expected date of delivery</p> Signup and view all the answers

    Which term refers to the first milk produced by the breasts after delivery?

    <p>Colostrum</p> Signup and view all the answers

    What is the purpose of a birth plan in prenatal care?

    <p>To outline the woman's preferences for labor and delivery</p> Signup and view all the answers

    Which of the following is NOT a routine prenatal test mentioned in the text?

    <p>NTT</p> Signup and view all the answers

    What is the purpose of McDonald's sign during a prenatal visit?

    <p>To assess the presentation and position of the fetus</p> Signup and view all the answers

    What is the cause of fatigue in pregnant women?

    <p>Hormonal changes</p> Signup and view all the answers

    What is the main complaint associated with morning sickness during pregnancy?

    <p>Nausea and vomiting</p> Signup and view all the answers

    Which of the following is NOT a goal of prenatal care?

    <p>Provide physical care</p> Signup and view all the answers

    What is the purpose of preconception care?

    <p>To promote the health of the mother, fetus, newborn, and family</p> Signup and view all the answers

    When should prenatal care ideally begin?

    <p>During the first trimester</p> Signup and view all the answers

    What is the expanded focus of prenatal care?

    <p>To prevent adult-onset diseases in the infant</p> Signup and view all the answers

    Which of the following is NOT a routine prenatal test mentioned in the text?

    <p>Group B streptococcus swab</p> Signup and view all the answers

    What is the purpose of McDonald's sign during a prenatal visit?

    <p>To assess the size, adequacy, and condition of the pelvis and reproductive organs</p> Signup and view all the answers

    What is the purpose of using the TPALM system to describe parity?

    <p>To describe the number of pregnancies and outcomes</p> Signup and view all the answers

    What is the main complaint associated with morning sickness during pregnancy?

    <p>Nausea and vomiting</p> Signup and view all the answers

    Which of the following is a presumptive sign of pregnancy?

    <p>Goodell's sign</p> Signup and view all the answers

    What is the purpose of Diclegis in pregnancy?

    <p>To relieve morning sickness</p> Signup and view all the answers

    At what point during pregnancy does the nausea associated with morning sickness typically improve?

    <p>By the end of the 20th week</p> Signup and view all the answers

    Which of the following skin changes of pregnancy primarily occur in dark-skinned women?

    <p>Increased pigmentation of the face</p> Signup and view all the answers

    According to Nägele's rule, how is the estimated date of delivery (EDD) calculated?

    <p>Count backward 3 months from the first day of LNMP and add 7 days</p> Signup and view all the answers

    What is the average duration of a term pregnancy?

    <p>40 weeks</p> Signup and view all the answers

    What is the purpose of using the TPALM system to describe parity?

    <p>To determine the number of pregnancies a woman has had and the number of children she has delivered</p> Signup and view all the answers

    What is the definition of gravida?

    <p>A woman who has been pregnant before, regardless of the duration of the pregnancy</p> Signup and view all the answers

    Which of the following is a probable sign of pregnancy?

    <p>Linea nigra</p> Signup and view all the answers

    What is the cause of urinary frequency during pregnancy?

    <p>All of the above</p> Signup and view all the answers

    What is the cause of fatigue during pregnancy?

    <p>Increased metabolic needs of the woman and fetus</p> Signup and view all the answers

    When is quickening, fetal movement felt by the mother, first perceived?

    <p>16 to 20 weeks of gestation</p> Signup and view all the answers

    Who is more likely to report quickening at an earlier stage?

    <p>Mothers who have previously given birth</p> Signup and view all the answers

    What causes the linea nigra in pregnant women?

    <p>Increased pigmentation</p> Signup and view all the answers

    Which of the following is NOT a phase of pregnancy?

    <p>Peripartum</p> Signup and view all the answers

    What is the primary goal of prenatal care?

    <p>Promote the health of the mother, fetus, newborn, and family</p> Signup and view all the answers

    What is the expanded focus of prenatal care?

    <p>Preventing adult-onset diseases in the infant</p> Signup and view all the answers

    What is the purpose of preconception care?

    <p>Discussing pregnancy intention and access to care</p> Signup and view all the answers

    Which sign of pregnancy is characterized by the bluish discoloration of the cervix and vagina?

    <p>Chadwick's sign</p> Signup and view all the answers

    What is the term for the fluid secreted by the breasts during pregnancy, before the production of breast milk?

    <p>Colostrum</p> Signup and view all the answers

    What is the term for the first fetal movements felt by the mother during pregnancy?

    <p>Quickening</p> Signup and view all the answers

    What is the term for a woman who has given birth to two or more viable infants?

    <p>Multipara</p> Signup and view all the answers

    Which term is used to describe a woman who has given birth to her first child?

    <p>Primipara</p> Signup and view all the answers

    What is the purpose of using Nägele's rule to determine the estimated date of delivery (EDD)?

    <p>To identify the first day of the last normal menstrual period (LNMP)</p> Signup and view all the answers

    What is the definition of gravida?

    <p>The number of pregnancies a woman has had, regardless of duration</p> Signup and view all the answers

    What is the average duration of a term pregnancy?

    <p>40 weeks</p> Signup and view all the answers

    Which of the following is NOT a routine prenatal test mentioned in the text?

    <p>Venereal Disease Research Laboratory (VDRL)</p> Signup and view all the answers

    What is the purpose of Leopold's maneuvers during a prenatal visit?

    <p>To assess the presentation and position of the fetus by abdominal palpation</p> Signup and view all the answers

    When should prenatal care ideally begin?

    <p>At 8 weeks after the last normal menstrual period (LNMP)</p> Signup and view all the answers

    What is the cause of urinary frequency during pregnancy?

    <p>Pressure from the growing uterus on the bladder</p> Signup and view all the answers

    Which of the following is a probable sign of pregnancy?

    <p>Quickening</p> Signup and view all the answers

    What is the main complaint associated with morning sickness during pregnancy?

    <p>Nausea and vomiting</p> Signup and view all the answers

    What is the purpose of using the biparietal diameter, head circumference, abdominal circumference, and femur length in an abdominal ultrasound after 14 weeks gestation?

    <p>To assess fetal growth and development</p> Signup and view all the answers

    What is the purpose of Diclegis in pregnancy?

    <p>To relieve nausea and vomiting</p> Signup and view all the answers

    What is the purpose of obtaining urine cultures at 12 to 16 weeks gestation during prenatal care?

    <p>To screen for asymptomatic bacteriuria</p> Signup and view all the answers

    What is the purpose of a vaginal and rectal swab at 35 to 37 weeks gestation during prenatal care?

    <p>To detect group B streptococcus</p> Signup and view all the answers

    What is the purpose of calculating the estimated date of delivery (EDD) based on LNMP during prenatal care?

    <p>To determine the approximate due date of the pregnancy</p> Signup and view all the answers

    What is the purpose of performing Leopold's maneuvers during a prenatal visit?

    <p>To determine the position and presentation of the fetus</p> Signup and view all the answers

    Which of the following is a common symptom of pregnancy in the early months?

    <p>Fatigue</p> Signup and view all the answers

    When does urinary frequency occur during pregnancy?

    <p>First trimester</p> Signup and view all the answers

    What causes the linea nigra in pregnant women?

    <p>Hormonal changes</p> Signup and view all the answers

    When is quickening, fetal movement felt by the mother, first perceived?

    <p>16 to 20 weeks</p> Signup and view all the answers

    Who is more likely to report quickening at an earlier stage?

    <p>Mothers who have previously given birth</p> Signup and view all the answers

    Which of the following signs is considered a presumptive sign of pregnancy?

    <p>Quickening</p> Signup and view all the answers

    True or false: Prenatal care is a primary example of preventive medicine.

    <p>True</p> Signup and view all the answers

    True or false: Prenatal influences have a long-term effect on the adult health of the newborn infant.

    <p>True</p> Signup and view all the answers

    True or false: Preconception care involves a discussion of pregnancy intention, access to care, use of multivitamins and folic acid, smoking, sexually transmitted infections, illicit drug use, and mental health issues.

    <p>True</p> Signup and view all the answers

    True or false: Optimal obstetric care includes preconception care, prenatal care, and postpartum care.

    <p>True</p> Signup and view all the answers

    True or false: Intrapartum care involves the continuous presence and support of the parents by a labor and delivery nurse or doula during the birth process.

    <p>True</p> Signup and view all the answers

    True or false: Early discharge to a busy household can interfere in mother-infant bonding in early postpartum days.

    <p>True</p> Signup and view all the answers

    True or false: Preconception care helps the woman to begin pregnancy in the best possible state of health.

    <p>True</p> Signup and view all the answers

    True or false: Prenatal care should begin, if not before conception, as soon as a woman suspects that she is pregnant.

    <p>True</p> Signup and view all the answers

    True or false: Aortocaval compression refers to the compression of the aorta and vena cava by the growing uterus, which can lead to supine hypotensive syndrome during pregnancy?

    <p>True</p> Signup and view all the answers

    True or false: Chloasma is a bluish discoloration of the cervix and vagina during pregnancy?

    <p>False</p> Signup and view all the answers

    True or false: The estimated date of delivery (EDD) is calculated by subtracting three months from the last normal menstrual period (LNMP) and adding seven days?

    <p>False</p> Signup and view all the answers

    True or false: McDonald's sign refers to the softening of the cervix that occurs during pregnancy?

    <p>True</p> Signup and view all the answers

    True or false: Prenatal tests are primarily used to establish a baseline normal for comparison throughout pregnancy.

    <p>True</p> Signup and view all the answers

    True or false: The future direction of prenatal testing is to provide early, accurate, noninvasive screening tests.

    <p>True</p> Signup and view all the answers

    True or false: The recommended schedule for prenatal visits in an uncomplicated pregnancy is every 4 weeks from conception to 28 weeks.

    <p>True</p> Signup and view all the answers

    True or false: Low prepregnancy weight or inadequate weight gain are risk factors for preterm birth and other problems.

    <p>True</p> Signup and view all the answers

    True or false: Virtual prenatal visits are suitable for all pregnant patients, regardless of their risk level.

    <p>False</p> Signup and view all the answers

    True or false: Nägele's rule is used to determine the estimated date of delivery (EDD) by counting backward 3 months from the first day of LNMP and adding 7 days.

    <p>True</p> Signup and view all the answers

    True or false: The term 'gravida' refers to the number of pregnancies a woman has had, while the term 'para' refers to the number of children a woman has delivered after at least 20 weeks gestation.

    <p>True</p> Signup and view all the answers

    True or false: The TPALM system is used to describe a woman's obstetric history and includes information on the number of term infants born, number of preterm infants born, number of pregnancies aborted before 20 weeks gestation, number of children now living, and number of multiple gestations.

    <p>True</p> Signup and view all the answers

    True or false: The LMNP plus 280 days is one of the methods recommended by ACOG and the American Institute of Ultrasound and the Maternal-Fetal Society to estimate the due date.

    <p>True</p> Signup and view all the answers

    True or false: An abdominal ultrasound after 14 weeks gestation can use the biparietal diameter, head circumference, abdominal circumference, and femur length to confirm the estimated date of delivery (EDD).

    <p>True</p> Signup and view all the answers

    True or false: Presumptive signs of pregnancy are those signs and symptoms that can definitively diagnose pregnancy.

    <p>False</p> Signup and view all the answers

    True or false: Nausea and vomiting during pregnancy, commonly referred to as 'morning sickness,' are caused by an increase in human chorionic gonadotropin (hCG) levels and are associated with unfavorable outcomes for the mother and infant.

    <p>False</p> Signup and view all the answers

    True or false: The linea nigra is a faint fluttering in the lower abdomen that is felt by the mother at 16 to 20 weeks of gestation.

    <p>True</p> Signup and view all the answers

    True or false: Urinary frequency occurs in the first trimester until the uterus expands and becomes an abdominal organ in the second trimester.

    <p>True</p> Signup and view all the answers

    True or false: Fatigue and drowsiness are early symptoms of pregnancy caused by increased metabolic needs of the woman and fetus.

    <p>True</p> Signup and view all the answers

    True or false: Quickening is first perceived at 16 to 20 weeks of gestation as a faint fluttering in the lower abdomen.

    <p>True</p> Signup and view all the answers

    True or false: Women who have previously given birth often report quickening at an earlier stage because they know how to identify it.

    <p>True</p> Signup and view all the answers

    True or false: The linea nigra is an area of increased pigmentation most noticeable in dark-skinned women.

    <p>True</p> Signup and view all the answers

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