Pregnancy Care and Monitoring Quiz

Pregnancy Monitoring

• Urine tests monitor for:
  • Diabetes
  • Preeclampsia (PIH)
  • Dehydration
• Teratogens during embryonic stage (week 2-8) pose the greatest risk
• Increased blood volume during pregnancy can cause physiological anemia

Signs and Symptoms of Pregnancy

• Human chorionic gonadotropin (hCG) is the biological marker detected in pregnancy tests
• Positive signs of pregnancy include:
  • Fetal heart tones
  • Ultrasound confirmation
  • Fetal movement

Pregnancy Care

• Rapid intravenous infusion of Lactated Ringer's solution prior to epidural is done to prevent hypotension
• Cervical change is the best indication of true labor
• Chorionic villus sampling is a screening test done at 10 weeks gestation to detect chromosomal anomalies
• Variable decelerations during labor can be caused by compression of the umbilical cord
• To prevent morning sickness, eat small, frequent meals
• Amniotic fluid:
  • Helps maintain environmental temperature
  • Cushions the baby against harm
  • Keeps the skin lubricated

Labor and Delivery

• The placenta has separated and is ready to be delivered when the uterus falls below the level of the symphysis pubis and becomes firm
• Decreased fetal movement is a danger signal that needs to be reported immediately
• Early decelerations are observed on the fetal monitoring strip, indicating head compression
• A contraction stress test is considered positive when late decelerations occur in about 6 of the 8 contractions
• Leopolds maneuvers assess fetal presentation, dilation, and station
• Contractions in active phase of labor dilate the cervix 4-7 cm
• False labor can include:
  • Irregular contractions
  • Contractions that don't get stronger or more frequent
  • Pain in the abdomen or groin area
  • No change in cervical dilation
• A contraction that is not firm in the abdominal wall is termed mild
• A reactive non-stress test shows two fetal heart accelerations 15 beats above baseline lasting 15 seconds long, occurring within 20 minutes
• To calculate the estimated due date (EDD), add 9 months and 7 days to the LMP

Nursing Interventions

• The nurse instructs the client to begin pushing with her contractions at the end of the 1st stage of labor.
• Frequency of contractions is determined by the beginning of one contraction to the beginning of the next one
• Goodell's sign indicates softening of the cervix
• Ketones in urine can indicate a complication of morning sickness
• If the FHR is 152, immediately report it to the physician
• The position of the baby in the picture is LOA (Left Occiput Anterior)
• If the FHR is consistently 170-180 bpm, take the mother's temperature first
• The client is beginning the second stage of labor when the cervix is completely dilated
• To assess for ruptured membranes in a laboring patient, perform a vaginal exam with sterile gloves and test a vaginal sample of fluid with Nitrazine paper
• Nursing responsibilities prior to an epidural include:
  • IV fluids (bolus 400 cc)
  • Assess contractions
• To help a pregnant client with heartburn, eat smaller and more frequent meals
• If a pregnant client in a supine position feels lightheaded, dizzy, and nauseous, change positions to the left side.
• Couples where the mother is Rh negative and the father is Rh positive are at potential risk for developing problems with the Rh factor
• A maternal test that needs to be addressed in a client having an amniocentesis is the Rh factor
• Dads may experience physical symptoms similar to the mother during pregnancy.

Test your knowledge on pregnancy care, monitoring techniques, and signs and symptoms of pregnancy. This quiz covers essential topics such as urine tests, fetal development, and labor indications. Perfect for students and professionals in maternal health.