نساء وولادة
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Questions and Answers

Which phase of labor involves fetal expulsion?

  • Taking-in phase
  • Latent phase
  • Active phase
  • Transition phase (correct)

    • What are the stages of labor based on dilation?

  • 2-4 cm, 5-7 cm, 8-10 cm
  • 1-4 cm, 4-7 cm, 8-10 cm (correct)
  • 1-2 cm, 3-5 cm, 6-8 cm
  • 1-3 cm, 4-6 cm, 7-10 cm

    • What is the progression of lochial findings post-delivery?

  • Alba to rubra to serosa
  • Alba to serosa to rubra
  • Rubra to alba to purulenta
  • Rubra to serosa to alba (correct)

    • What are the postpartum psychological adaptation phases?

    <p>Taking-in, taking-hold, letting-go</p> Signup and view all the answers

    What is a postpartum complication related to uterine atony?

    <p>Postpartum hemorrhage</p> Signup and view all the answers

    What is the management approach for mastitis?

    <p>Continuing breastfeeding and antibiotics</p> Signup and view all the answers

    What is a key consideration in postpartum care related to uterine involution?

    <p>Monitoring for subinvolution</p> Signup and view all the answers

    What is crucial for appropriate intervention during labor?

    <p>Assessment of fetal heart rate patterns</p> Signup and view all the answers

    What is a part of postpartum hemorrhage management?

    <p>Bladder evacuation</p> Signup and view all the answers

    What is involved in education on mastitis and engorgement?

    <p>Emphasizing the importance of breastfeeding and antibiotic use</p> Signup and view all the answers

    What is the focus of discharge teaching 48 hours post-delivery?

    <p>Assessing the client's postpartum psychological adaptation phase</p> Signup and view all the answers

    What is the primary purpose of assessing fetal position and station during labor?

    <p>To determine the presenting part's relationship to ischial spines</p> Signup and view all the answers

    What are the priority conditions for pregnant mothers?

    <p>Vaginal bleeding, eclampsia, diabetes, and headaches</p> Signup and view all the answers

    How is gestational trophoblastic disease diagnosed?

    <p>Ultrasonography revealing grape-like clusters</p> Signup and view all the answers

    What are the common causes of hemorrhage during the first half of pregnancy?

    <p>Abortion, ectopic pregnancy, and hydatidiform mole</p> Signup and view all the answers

    What is the characteristic pain of ectopic pregnancy?

    <p>Sudden pain in the upper part of the abdomen</p> Signup and view all the answers

    How is preeclampsia safety need indicated according to Maslow's hierarchy of needs?

    <p>Feeling anxious and crying</p> Signup and view all the answers

    What is the effective outcome for magnesium sulfate therapy in pre-eclampsia?

    <p>No seizures occur</p> Signup and view all the answers

    What may progestin use in adult patients increase the risk for?

    <p>Tubal or ectopic pregnancy</p> Signup and view all the answers

    What are the symptoms a pregnant woman should report to the nurse?

    <p>Increased frequency of urination, blurred or double vision, and feeling tired after resting</p> Signup and view all the answers

    How are patients with ectopic pregnancy likely to experience HCG levels?

    <p>Normally rising HCG levels</p> Signup and view all the answers

    What are the necessities for a caesarean section?

    <p>Severe preeclampsia and total placenta previa</p> Signup and view all the answers

    What are the lab investigations for diagnosing gestational trophoblastic disease?

    <p>Serum HCG levels and serum estrogen levels</p> Signup and view all the answers

    How is partial placenta previa managed?

    <p>Bed rest and avoiding stress</p> Signup and view all the answers

    Where does fertilization occur?

    <p>Fallopian Tubes</p> Signup and view all the answers

    When does implantation occur after fertilization?

    <p>6 days</p> Signup and view all the answers

    What is the role of follicle-stimulating hormone (FSH) in the menstrual cycle?

    <p>Causes follicle growth in the ovaries</p> Signup and view all the answers

    During which phase does the uterus shed its inner lining?

    <p>Menstrual phase</p> Signup and view all the answers

    Which hormone is pivotal for maternal recognition of pregnancy?

    <p>Human chorionic gonadotropin (hCG)</p> Signup and view all the answers

    What is the range of fetal heart rate in utero?

    <p>110 to 160 beats per minute</p> Signup and view all the answers

    Which phase involves the preparation of the uterine lining for pregnancy and shedding if fertilization does not occur?

    <p>Luteal phase</p> Signup and view all the answers

    What do signs like Hegar's sign, Goodell's sign, and Chadwick's sign indicate during pregnancy?

    <p>Softening and changes in the cervix and lower segment of the uterus</p> Signup and view all the answers

    What is the primary function of amniotic fluid?

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

    What is the role of the placenta in fetal development?

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

    What are the implications of different pelvic shapes for vaginal birth?

    <p>Varying implications for vaginal birth</p> Signup and view all the answers

    Which phase of the menstrual cycle does ovulation occur?

    <p>Follicular phase</p> Signup and view all the answers

    What are the components of fetal circulation in the umbilical cord?

    <p>Two deoxygenated arteries and one oxygenated vein</p> Signup and view all the answers

    What do hormonal differences between males and females involve?

    <p>Estrogen and HCG in females, testosterone and estrogen in males</p> Signup and view all the answers

    How are gravida, term births, preterm births, abortions, and living children indicated?

    <p>GTPAL format</p> Signup and view all the answers

    What does weight gain recommendations during pregnancy depend on?

    <p>Pre-pregnancy BMI</p> Signup and view all the answers

    Where does fertilization typically occur?

    <p>Fallopian Tubes</p> Signup and view all the answers

    When does implantation occur after fertilization?

    <p>6 days</p> Signup and view all the answers

    During which phase does the uterus shed its inner lining?

    <p>Menstrual phase (From day 1 to 5)</p> Signup and view all the answers

    What hormone causes the endometrium to grow and thicken during the menstrual cycle?

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

    Study Notes

    Maternal and Fetal Health in Pregnancy - Key Points

    • A pregnant woman should report symptoms like increased frequency of urination, blurred or double vision, and feeling tired after resting to the nurse.
    • Priority conditions for pregnant mothers include vaginal bleeding, eclampsia, diabetes, and headaches.
    • A pregnant woman diagnosed with preeclampsia feeling anxious and crying indicates a need for safety according to Maslow's hierarchy of needs.
    • Magnesium sulfate therapy is effective if no seizures occur in a patient with pre-eclampsia.
    • The three most common causes of hemorrhage during the first half of pregnancy are abortion, ectopic pregnancy, and hydatidiform mole.
    • Gestational trophoblastic disease is diagnosed with ultrasonography revealing grape-like clusters.
    • Progestin use in adult patients may increase the risk for tubal or ectopic pregnancy.
    • Ectopic pregnancy pain characteristics include sudden pain in the upper part of the abdomen.
    • Approximately 95% of patients with ectopic pregnancy will have normally rising HCG levels.
    • Lab investigations for diagnosing gestational trophoblastic disease include serum HCG levels and serum estrogen levels.
    • Management of partial placenta previa involves bed rest and avoiding stress.
    • Necessities for a caesarean section include severe preeclampsia and total placenta previa.

    Pregnancy and Childbirth: Key Concepts and Considerations

    • Ovulation occurs around day 14 of the menstrual cycle, with the release of a mature egg due to a sudden increase in luteinizing hormone (LH).
    • The luteal phase, from day 15 to 28, involves the preparation of the uterine lining for pregnancy and shedding if fertilization does not occur.
    • Different pelvic shapes, such as gynecoid, android, platypelloid, and anthropoid, have varying implications for vaginal birth.
    • Amniotic fluid allows fetal movement, prevents injury, and maintains umbilical cord function.
    • The placenta secretes estrogen, provides oxygen and nutrition to the fetus, and removes waste products.
    • Human chorionic gonadotropin (hCG) is pivotal for maternal recognition of pregnancy.
    • Fetal circulation includes two deoxygenated arteries and one oxygenated vein in the umbilical cord.
    • Fetal heart rate ranges from 110 to 160 beats per minute in utero.
    • Hormonal differences between males and females involve estrogen and HCG in females and testosterone and estrogen in males.
    • Signs such as Hegar's sign, Goodell's sign, and Chadwick's sign indicate softening and changes in the cervix and lower segment of the uterus during pregnancy.
    • Gravida, term births, preterm births, abortions, and living children are indicated using the GTPAL format.
    • Weight gain recommendations during pregnancy depend on the woman's pre-pregnancy body mass index (BMI), with normal weight gain ranging from 11.5 to 16 kilograms.

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    Description

    Test your knowledge about maternal and fetal health in pregnancy and key concepts of pregnancy and childbirth with this informative quiz. Covering symptoms, conditions, diagnostic techniques, and physiological changes, this quiz provides essential information for healthcare professionals and individuals interested in pregnancy and childbirth.

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