Maternal

1. Herbal supplements are fine to take and there should be no need to tell your OB.

True

False

2. Match the following:

Passes through placenta

Does not pass through placenta

Submit

3. Hyperemesis gravidarium is:

Excessive urination during pregnancy

Excessive eating during pregnancy

Excessive vomiting during pregnancy

Submit

6. Pregnant women should limit thier amount of water intake to help with frequent urination.

True

False

Submit

8. One more question: We are all going to ROCK this test, right?

True

False

The ONLY correct answer is true!!

Explanation

The ONLY correct answer is true!!

9. The best way to relieve a blood clot is to massage it.

True

False

NEVER massage a blood clot

Explanation

NEVER massage a blood clot

Submit

11. This blocks the cervical os and protects from bacterial invasion:

Cervix

Mucus Plug

Heavy Gravid

Submit

13. Eating small frequent meals will aid in control of morning sickness.

True

False

14. Pregnant females with a regular pregnancies should visit the doctor every 2 weeks until 28 weeks and then will visit the doctor every 4 weeks.

True

False

Actually should be every 4 weeks up to 28 weeks, then every 2 wks up to 36 weeks and then weekly until delivery.

Explanation

Actually should be every 4 weeks up to 28 weeks, then every 2 wks up to 36 weeks and then weekly until delivery.

15. Side lying will help with pressure on the vena cava.

True

False

16. Which aids in lactation?

Progesterone

Estrogen

Prolactin

Submit

19. A pregnant woman should move at least every___ hours.

4

2

6

Submit

21. All tests that can harm mother or fetus are optional

True

False

22. Average fetal heart rate:

60-100

180-210

110-160

160-180

23. Hot tubs and saunas are okay during the 1st trimester but not okay in the 2nd and 3rd trimesters.

True

False

They should not be used at all during pregnancy.

Explanation

They should not be used at all during pregnancy.

24. You can not take stool softners during pregnancy.

True

False

25. Pesumptive Signs of Pregnancy: (Check all that apply- because I know how much we love these!)

Ultrasound

Fatigue

Tender breasts

Pregnancy test

N/V

Submit

26. Support hose should be very tight on the legs

True

False

Support hose should not be too tight or hurt

Explanation

Support hose should not be too tight or hurt

27. The ideal time for genetic counseling is:

1st trimester

2nd trimester

Preconception

28. Match the following signs of pregnancy:

Presumptive

Positive

Probable

Submit

29. Match the following definition and term:

This only checks for potential problems

This confirms there is a problem

Submit

30. Match the following signs:

Cervix begins to soften - between 6-8 wks

Softening of the lower uterine segment or isthmus - between 6-8 wks

Spontaneous, irregular and painless contractions

Bluish-purple coloration of the vaginal mucosa and cervix

Submit

31. To perform Positive Homan Sign

Lay or sit and point foot to ceiling

Stand and balance on one foot

Lay or sit and point foot to floor

32. Minimal bleeding is normal for hemorrhoids

True

False

33. Match the MAN (only a man would come up with two of these) with thier techniques:

Fear causes the pain so get rid of the fear and you will get rid of the pain

Uses imagery, focus and breathing

Focus on pleasurable part of pain

Submit

34. It is best to start prenatal vitamins 1 week before conception.

True

False

The correct answer: 2 1/2 - 8 weeks

Explanation

The correct answer: 2 1/2 - 8 weeks

35. Nagele's Rule and the circle wheel are accurate to establish the due date.

True

False

36. Match the following about hormones:

Aids in implantation

Aids in enlargement of breasts, uterus and increased vascularity

Increases flexibility of pubic symphysis and pelvic expansion during delivery

Maintains corpus luteum

Submit

37. Match the following dietary needs:

For formation of RBCs

Prevents neural tube defects

Submit

38. Match the following abnormalities:

When chromosomal abnormalities do not show up in every cell and only some cells or tissues carry the abnormality

Only one copy of a particular chromosome instead of the usual pair

There are three of a particular chromosome instead of the usual two

An increase in the number of haploid sets of chromosomes in a cell; incompatible with life

Disease caused by an abnormality in genetic material or genome

Breakage and loss of a portion of one or more chromosomes and during the repair process they are rejoined incorrectly

Submit

39. If pregnant woman is experiencing discharge, she should wear cotton panties and pads.

True

False

She should not wear pads.

Explanation

She should not wear pads.

40. Immunization that should not be given during pregnancy:

MMR

Regular Flu

Varicella

Live Flu

Tdap

Tetanus

Submit

41. The most important thing for a nurse to do when working with a family who suspects they could bear a child with a genetic abnormality.

Maintain the confidentiality of the information

Gather information for three generations

Present the information in a nondirective manner

Inform the family of the need for information

42. Nursing roles and responsibilities related to genetics: (Mark all the apply)

Get family history

Schedule genetic testing

Determine what the outcome of the results will be

Explain purpose of screening and diagnostic tests

Present the information in a directive manner

Address concerns and provide emotional support

Submit

43. How much will the heart rate usually increase during pregnancy?

30-50

60-80

10-20

44. Which can cause potential harm to fetus or mother:

NST - Non-stress test

Amniocentesis

PUBS - percutaneous umbilical blood sampling

Ultrasound

CVS - chorionic villus sampling

AFP - Alpha-fetoprotein

Marker screening

Doppler flow study

Submit

45. Which of the following would usually be the first choice in medication for emesis:

Zofran

Reglan

Compazine

Tigan

46. The immune function in a pregnant woman stays the same.

True

False

47. During the initial prenatal visit, get the following information: (again, check all that apply)

Head to toe assessment

Last menstrual cycle and is she regular?

Baseline for weight and vitals

Is she sexually active?

Where she works and what she does

Submit

48. More matching of pregnancy tests:

Checks for circulatory problems

This test should be done b/t 16-18 wks so there is not a false positive

Expectant mother should drink a full glass of water before procedure

Usually wait until 2nd trimester and it takes 3 wks for results

Can be done anytime after 16 wks, checks for blood disorders

Submit

49. Which will increase during pregnancy (Again, check all that apply)

Heart Rate

Blood Pressure

Cardiac Output

GFR and Kidney Size

Gastric Emptying

Oxygen Consumption

Peristalsis

RBC Production and Plasma

TSH

Submit

50. Which are diagnostic tests:

Marker screening

Amniocentesis

PUBS - percutaneous umbilical blood sampling

Ultrasound

CVS - chorionic villus sampling

AFP - Alpha-fetoprotein

Submit

51. Which are part of the biophysical profile?

Amniotic fluid volume

NST

FNT

Fetal movement

HCG

Breathing

Fetal heart rate

Mother heart rate

Submit

52. Match the following definitions with thier terms (Genetics):

Genetic blueprint

Specific gene makeup - the gene pairs inherited from parents

Observed outward characteristics of an individual

Individual units of heredity of all traits

Pictorial analysis of the number, form and size of individual's chromosomes

Submit

53. Match the following genetic disorders with thier definition:

A single gene in the heterozygous state is cabale of producing the phenotype (abnormal gene will overshadow the normal gene)

Two copies of the abnormal gene in the homozygous state are necessary to produce phenotype (two abnormal genes needed for the disorder to appear)

Altered genes present on the X chromosome

Disorders thought to be caused by many gene and environmental factors

Submit

54. Match the danger signs to thier trimesters:

Headaches, sudden weight gain, swelling in hands and eyes, noquickening for 24 hrs

Spotting, fever over 100, severe vomiting, abdominal pain w/dizziness & shoulder pain

Large amounts of discharge, constant low backaches, regular contractions, no quickening for 24 hours

Submit

55. Match the following about different pregnancy tests:

Noninvasive, usually done at 20-24 wks

Blood test, screening test only

Invasive, needle inserted into sac and fluid is tested

Invasive, gets a sample of fetus blood

Noninvasive, shows flow of blood from mother to fetus

Invasive, gets a piece of placenta for testing

Noninvasive, vital signs of fetus, checks fetal response to contractions

Submit

56. Match the following classes of drugs

Definite risk of defect

Not tested but used frequently and probably safe

Do not use at all

Tested and proven safe

Not tested, more likely to cause defect

Submit

57. One more matching on tests! and there might be one more!!

Screening test only, looks for neural defects

Checks lung development and many potential problems, diagnostic test

Measures length and size of baby, checks amniotic fluid

Checks for chrmosome abnormalities, entry is thru the cervix or abdominal wall

Submit

58. Match the following:

# of pregnancies

Children alive today

>37 wks

Between 20 - 37 wks

Submit

59. Match the following:

State of being pregnant

# of pregnancies

Pregnant woman / pregnancy

Submit

60. Match the genetic disorders with the genetic cause:

Cystic fibrosis, phenylketonuris, Tay-Sachs disease, sickle-cell disease

Cleft lip/palate, spina bifida, clubfoot, congenital hip dysplasia, cardiac defects

Hemophilia, color-blindness, Duchenne muscular dystrophy

Huntington's disease, neurofibromatosis, achondroplasia, polycystic kidney disease

Submit

61. Mtch the following organ with the changes they go through with pregnancy (I hope this makes sense to everyone)

Estrogen stimulates growth

Begins to soften b/t 6-8 weeks due to vasocongestion

Estrogen increases vascularity resulting in congestion and hypertrophy

Increased blood supply causes enlargement until 12-14 wks; Active in hormone secretions until placenta takes over

Increased fullness, tenderness due to estrogen and progesterone

Submit

Maternal

1. Herbal supplements are fine to take and there should be no need to tell your OB.

2.

What first name or nickname would you like us to use?

2. Match the following:

3. Hyperemesis gravidarium is:

4. Pigmented line that occurs down the middle of the abdomen:

5. Fetal movement

6. Pregnant women should limit thier amount of water intake to help with frequent urination.

7. The sperm and the egg have _____ unpaired chromosomes.

8. One more question: We are all going to ROCK this test, right?

9. The best way to relieve a blood clot is to massage it.

10. If a pregnant woman is having contractions and after drinking water they go away, it is probably _________________ contractons.

11. This blocks the cervical os and protects from bacterial invasion:

12. The ______________ has the ability to form protein and steriod hormones, unlike any other endocrine organ.

13. Eating small frequent meals will aid in control of morning sickness.

14. Pregnant females with a regular pregnancies should visit the doctor every 2 weeks until 28 weeks and then will visit the doctor every 4 weeks.

15. Side lying will help with pressure on the vena cava.

16. Which aids in lactation?

17. Nagele's Rule: -___ months, add ____ days, plus one year if necessary from _____ day of last menstrual cycle. (when answering put the #s with a space but no commas)

18. Positive Homan Sign will indicate a ____________

19. A pregnant woman should move at least every___ hours.

20. Trisomy 21 causes:

21. All tests that can harm mother or fetus are optional

22. Average fetal heart rate:

23. Hot tubs and saunas are okay during the 1st trimester but not okay in the 2nd and 3rd trimesters.

24. You can not take stool softners during pregnancy.

25. Pesumptive Signs of Pregnancy: (Check all that apply- because I know how much we love these!)

26. Support hose should be very tight on the legs

27. The ideal time for genetic counseling is:

28. Match the following signs of pregnancy:

29. Match the following definition and term:

30. Match the following signs:

31. To perform Positive Homan Sign

32. Minimal bleeding is normal for hemorrhoids

33. Match the MAN (only a man would come up with two of these) with thier techniques:

34. It is best to start prenatal vitamins 1 week before conception.

35. Nagele's Rule and the circle wheel are accurate to establish the due date.

36. Match the following about hormones:

37. Match the following dietary needs:

38. Match the following abnormalities:

39. If pregnant woman is experiencing discharge, she should wear cotton panties and pads.

40. Immunization that should not be given during pregnancy:

41. The most important thing for a nurse to do when working with a family who suspects they could bear a child with a genetic abnormality.

42. Nursing roles and responsibilities related to genetics: (Mark all the apply)

43. How much will the heart rate usually increase during pregnancy?

44. Which can cause potential harm to fetus or mother:

45. Which of the following would usually be the first choice in medication for emesis:

46. The immune function in a pregnant woman stays the same.

47. During the initial prenatal visit, get the following information: (again, check all that apply)

48. More matching of pregnancy tests:

49. Which will increase during pregnancy (Again, check all that apply)

50. Which are diagnostic tests:

51. Which are part of the biophysical profile?

52. Match the following definitions with thier terms (Genetics):

53. Match the following genetic disorders with thier definition:

54. Match the danger signs to thier trimesters:

55. Match the following about different pregnancy tests:

56. Match the following classes of drugs

57. One more matching on tests! and there might be one more!!

58. Match the following:

59. Match the following:

60. Match the genetic disorders with the genetic cause:

61. Mtch the following organ with the changes they go through with pregnancy (I hope this makes sense to everyone)

17. Nagele's Rule: -_ months, add days, plus one year if necessary from ___ day of last menstrual cycle. (when answering put the #s with a space but no commas)