NCM 107: Prenatal Care Quiz
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Questions and Answers

What is emphasized in the mission of Tarlac State University?

  • Building a competitive sports program
  • Fostering responsive global education (correct)
  • Prioritizing administrative excellence only
  • Exclusive focus on research and development

What type of educational programs does the Nursing Department aim to provide?

  • Fundamental training without leadership components
  • The broadest basic education, skills, and competencies (correct)
  • Narrowly focused and technical training only
  • Programs strictly for advanced practitioners

Which strategic direction focuses on improving access to education?

  • Sustainable student support programs (correct)
  • Assurance of quality through accreditation
  • Outstanding international reputation
  • Strict adherence to local norms

What is one of the objectives of the Nursing Department at Tarlac State University?

<p>To strengthen health research initiatives and outreach programs (D)</p> Signup and view all the answers

Which of the following statements aligns with the vision of Tarlac State University?

<p>A globally competitive university recognized for excellence (A)</p> Signup and view all the answers

What core value emphasizes compassion in the service provided by Tarlac State University?

<p>Service with excellence and compassion (C)</p> Signup and view all the answers

What is the primary focus of the NCM 107 course module?

<p>Understanding prenatal care (A)</p> Signup and view all the answers

Which of the following best describes Leopold’s Maneuver?

<p>A series of movements to determine fetal position (D)</p> Signup and view all the answers

Which fetal position is typically the most favorable for labor and delivery?

<p>Cephalic position (A)</p> Signup and view all the answers

What skill is expected to be demonstrated by nursing students in this module?

<p>Performing Leopold’s Maneuver (A)</p> Signup and view all the answers

How should the findings of Leopold's Maneuvers be documented?

<p>On the patient's medical records accurately (C)</p> Signup and view all the answers

What does the fetal presentation refer to?

<p>The part of the fetus that is closest to the cervix (B)</p> Signup and view all the answers

Which of the following is a common misconception about fetal positions?

<p>Breech position is always dangerous (C)</p> Signup and view all the answers

What is the importance of understanding fetal positions and presentations in nursing?

<p>To prepare for possible delivery complications (B)</p> Signup and view all the answers

What is the primary purpose of regular check-ups during prenatal care?

<p>To monitor the pregnancy's progress and detect issues (B)</p> Signup and view all the answers

Which of the following is NOT typically included in health assessments during prenatal visits?

<p>Performing surgical procedures (B)</p> Signup and view all the answers

What is one of the key roles of screening and testing in prenatal care?

<p>To identify potential risks and complications (C)</p> Signup and view all the answers

Which aspect of prenatal care focuses on educating the pregnant individual about ongoing changes and postpartum care?

<p>Education and counseling (B)</p> Signup and view all the answers

What is monitored during the assessment of fetal development in prenatal care?

<p>Fetal heart rate and position (D)</p> Signup and view all the answers

Why is the identification and management of complications important in prenatal care?

<p>To ensure the health of the mother and fetus (B)</p> Signup and view all the answers

What does birth planning in prenatal care help to ensure?

<p>That the individual's wishes are respected during the birthing process (C)</p> Signup and view all the answers

What is a key purpose of providing postpartum preparation during prenatal visits?

<p>To assist with postpartum recovery and newborn care (B)</p> Signup and view all the answers

What is a characteristic of a molar pregnancy?

<p>Aberrant tissue develops instead of a viable embryo (D)</p> Signup and view all the answers

Which condition can mimic pregnancy due to abdominal expansion?

<p>Uterine fibroids (A)</p> Signup and view all the answers

What is the primary purpose of the first maneuver in Leopold's maneuvers?

<p>To determine whether the fetal head or breech is in the fundus (D)</p> Signup and view all the answers

What is the purpose of the WHO Antenatal Care Model?

<p>To lower maternal and perinatal morbidity and mortality (C)</p> Signup and view all the answers

Which maneuver is described as the lateral maneuver and assesses fetal lie, presentation, position, and attitude?

<p>Second maneuver (D)</p> Signup and view all the answers

At what gestational age can fetal heart tones typically be detected using a Doppler device?

<p>Around 10 to 12 weeks (C)</p> Signup and view all the answers

What does the third maneuver primarily determine?

<p>The degree of engagement of the fetus (D)</p> Signup and view all the answers

How often should a pregnant patient visit her healthcare provider from 32 weeks to 36 weeks?

<p>Twice a month (B)</p> Signup and view all the answers

Which of the following is NOT part of the maternal assessment during pregnancy?

<p>Fetal movements (C)</p> Signup and view all the answers

What aspect does the fourth maneuver assess regarding the fetal head?

<p>How the fetal head is flexed (C)</p> Signup and view all the answers

What does 'GTPAL' stand for in obstetrical history?

<p>Gestation, Term births, Preterm births, Abortions, Living children (B)</p> Signup and view all the answers

Which of the following statements about Leopold's maneuvers is correct?

<p>They help in determining the presentation and position of the fetus. (D)</p> Signup and view all the answers

What symptom is commonly associated with menopause or perimenopause that can resemble early pregnancy?

<p>Mood swings and bloating (B)</p> Signup and view all the answers

What is the correct method to calculate estimated fetal weight when the fetal head is engaged?

<p>Subtract 12 from the fundal height and multiply by 155 (A)</p> Signup and view all the answers

If the fetal head is not engaged, what value should you subtract from the fundal height?

<p>11 (B)</p> Signup and view all the answers

Using Haase's rule, if a newborn weighs 729 grams, what is the estimated length in centimeters?

<p>90 cm (A)</p> Signup and view all the answers

Which of the following is NOT one of the four maneuvers in Leopold's maneuver?

<p>Lateral Grip (D)</p> Signup and view all the answers

What aspect does the Pawlik's Grip assess during Leopold's maneuvers?

<p>The engagement of the baby's presenting part in the pelvis (A)</p> Signup and view all the answers

What is the primary purpose of conducting Leopold's maneuvers?

<p>To determine fetal position and presentation (D)</p> Signup and view all the answers

What essential information is determined from the engagement of the fetal head?

<p>The stage of labor (A)</p> Signup and view all the answers

What is the significance of measuring fundal height during prenatal assessments?

<p>To monitor the growth of the uterus and fetuses (C)</p> Signup and view all the answers

Flashcards

TSU Vision

TSU aims to become a globally recognized university excelling in science and emerging technologies.

TSU Mission

Developing skilled personnel, promoting global education, research, extension programs, and sustainable projects.

Nursing Department Goal

Holistic development of professional and caring nurses with core values.

Nursing Student Development

Cultivating compassionate care, service quality, social awareness, and health commitment.

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Nursing Graduate Preparation

Preparing graduates for various nursing roles with fundamental knowledge and skills for leadership.

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Health Research Initiatives

Strategic focus on strengthening and facilitating health-related research.

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Community Outreach Programs

Maintaining active outreach programs with the community.

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AACCUP Accreditation

Level 3 status awarded by the accrediting agency for college and university in the Philippines.

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Prenatal Care

A series of medical appointments during pregnancy that monitor the health of both the mother and the fetus, detect potential issues, and provide education and support.

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Regular Check-ups

Scheduled appointments with healthcare providers to monitor the progress of the pregnancy and identify any potential problems.

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Health Assessments

Physical exams, screenings, and tests during prenatal appointments to assess the health of both the mother and the fetus.

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Leopold's Maneuver

A technique used to determine the position and presentation of the fetus within the mother's womb.

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Fetal Position

Describes the relationship between the presenting part of the fetus and the mother's pelvis.

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Screening and Testing

Tests done during prenatal care to detect potential risks and complications, such as blood tests, ultrasounds, and genetic screenings.

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Nutrition and Lifestyle Guidance

Advice provided during prenatal care on maintaining a healthy diet and engaging in safe physical activity.

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Fetal Presentation

Specifies which part of the fetus is closest to the birth canal.

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Cephalic Presentation

When the baby's head enters the birth canal first.

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Education and Counseling

Information and support provided about the changes of pregnancy, labor, delivery, and postpartum care.

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Monitoring Fetal Development

Tracking the growth and development of the fetus, assessing its position, presentation, and well-being.

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Breech Presentation

When the baby's bottom or feet enter the birth canal first.

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Vertex Presentation

A specific type of cephalic presentation where the baby's head is fully flexed with the chin touching the chest.

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Birth Planning

Creating a plan with the healthcare provider outlining preferences for labor, delivery, and postpartum care.

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Face Presentation

The baby's face presents first, with the chin extended.

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Patient's Medical Records

A comprehensive collection of information regarding a patient's health history, diagnosis, treatment, and progress.

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Molar Pregnancy

A condition where abnormal tissue grows in the uterus instead of a healthy embryo. This growth is non-viable; however, the patient might experience pregnancy-like symptoms like nausea and an enlarged uterus.

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Gestational Trophoblastic Disease

A group of conditions that involve abnormal growth of cells in the uterus during pregnancy. This includes molar pregnancy and choriocarcinoma.

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Polycystic Ovarian Syndrome (PCOS)

A hormonal disorder that affects women of reproductive age, causing cysts to form on the ovaries. It can lead to irregular periods, weight gain, and other pregnancy-like symptoms.

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Ascites

Fluid build-up in the abdomen, commonly caused by liver disease or cancer. It can mimic pregnancy by making the abdomen expand.

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Uterine Fibroids

Benign tumors in the uterus. Large fibroids can cause abdominal enlargement and pressure sensations similar to pregnancy.

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Gravidity

The total number of pregnancies a woman has had, regardless of outcome.

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Parity

The number of pregnancies that have reached at least 20 weeks of gestation, regardless of outcome.

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WHO Antenatal Care Model

A comprehensive care model for pregnant women, emphasizing early and regular visits during pregnancy. This aims to lower maternal and perinatal mortality and improve the standard of care.

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Engagement of Fetal Head

The descent of the fetal head into the maternal pelvis. Engagement occurs when the widest diameter of the fetal head passes through the pelvic inlet.

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Fundal Height (FH)

The measurement from the top of the uterus (fundus) to the symphysis pubis. It is used to estimate fetal growth.

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Estimated Fetal Weight (EFW)

An approximation of the baby's weight based on FH and fetal head engagement.

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HAASE'S RULE

A formula to estimate a baby's length based on weight for babies under 1,000 grams.

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Fundal Grip

The first maneuver in Leopold's method, feeling the top of the uterus to determine position (head or buttocks).

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Umbilical Grip

The second maneuver in Leopold's method, feeling around the belly button to determine fetal back or limbs.

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Pawlik's Grip

The third maneuver in Leopold's method, feeling the sides of the uterus for baby's presenting part engagement.

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Fetal Lie

The relationship of the fetal spine to the maternal spine; either longitudinal (fetal spine parallel to mother's) or transverse (fetal spine perpendicular to mother's).

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Fetal Engagement

The entrance of the presenting part of the fetus into the pelvic inlet and is observed during the third Leopold maneuver.

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Fetal Attitude

The relationship of fetal body parts to each other; typically flexed in a normal position.

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Study Notes

Instructional Module in NCM 107

  • Course Title: Care of Mother and Child Nursing (Wellness) Related Learning Experience
  • Lecturer: Rowena B. Lamorena
  • Course Code: NCM 107 RLE Skills Laboratory
  • Course Description: Principles and techniques for caring for normal mothers, infants, children, and families, focusing on family and family health nursing processes. This module focuses on prenatal care, especially Leopold's Maneuver and fundal height measurement.
  • Course Outcomes: Students will be able to perform Leopold's Maneuver, assess fetal position and presentation, interpret clinical significance, differentiate fetal positions/presentations, and document findings in medical records accurately.

Prenatal Care: Leopold's Maneuver and Fundal Height

  • Prenatal care: Care provided for pregnant individuals to ensure health of both mother and fetus. Aims to monitor pregnancy progress, identify potential complications, and provide interventions. Prenatal visits involve physical exams, screenings, and tests. It monitors vital signs, fundal height, weight gain, and fetal heart rate. Interventions and education are essential.
  • Leopold's Maneuver: A set of four maneuvers used to determine fetal position and presentation. These maneuvers involve palpating the mother's abdomen to assess the baby's location.
  • Fundal Height: The distance from the pubic symphysis (the bony part at the front of the pelvis) to the top of the uterus. It is measured in centimeters. Measuring fundal height helps estimate gestational age, which is the time elapsed since the first day of the last menstrual period.

Prenatal Care: Other Important Information

  • Regular Check-ups: Regular appointments with healthcare providers.
  • Health Assessments: Physical exams, screenings, tests for pregnant person and fetus.
  • Screening and Testing: Blood tests, ultrasounds, genetic screenings, checks for gestational diabetes and pregnancy-induced hypertension.
  • Nutrition and Lifestyle Guidance: Pregnant individuals receive guidance on healthy diet and physical activity.
  • Education and Counseling: Education and advice on changes in pregnancy and postpartum care.
  • Monitoring Fetal Development: tracking fetal growth and development, using Leopold's maneuvers, ultrasounds, and fetal heart rate monitoring.
  • Identification and Management of Complications: Identifying and managing complications such as preeclampsia, gestational diabetes, or preterm labor.
  • Birth Planning: Assisting with a birth plan to outline preferences for labor, delivery, and postpartum care.
  • Postpartum Preparation: Preparing for recovery, breastfeeding, and newborn care.
  • Medical terms related to pregnancy status: Gravida, Para, Primigravida, Primipara, Multigravida, Multipara, Nulligravida, Estimated Date of Confinement(EDC). Age of Gestation (AOG), Estimated Date of Delivery (EDD).
  • Pathological states that may mimic pregnancy: Pseudocyesis (false pregnancy), ectopic pregnancy, ovarian tumors/cysts, molar pregnancy and hormonal imbalances.

Additional Recommendations

  • Low-dose aspirin for high-risk pre-eclampsia.
  • Ultrasound.
  • Mental health screening for mental health conditions in pregnancy and postpartum.
  • HIV and syphilis testing.
  • Recommended vaccines during pregnancy (Tdap, influenza, COVID-19).
  • Vaccines to avoid during pregnancy (MMR, Varicella).
  • Determining estimated birthing dates, including Naegele's Rule. (used to estimate the date of delivery).
  • McDonald's/ Johnson's Rule to determine fetal weight.
  • Leopold's maneuvers, including steps for each maneuver and procedures.

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Related Documents

N107 Skills Learning Module PDF

Description

Test your knowledge on prenatal care with a focus on Leopold's Maneuver and fundal height measurement. This quiz covers essential skills for nursing mothers, infants, and children, ensuring comprehensive care in family health. Assess your understanding of fetal position assessments and documentation.

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