4 unllke false labor Lrue labor produces regular rhyLhmlc conLracLlons abdomlnal dlscomforL

progresslve descenL of Lhe feLus bloody show and progresslve effacemenL and dllaLlon of Lhe
cervlx
4 1o help a moLher break Lhe sucLlon of her breasLfeedlng lnfanL Lhe nurse should Leach her Lo
lnserL a flnger aL Lhe corner of Lhe lnfanL's mouLh
4 AdmlnlsLerlng hlgh levels of oxygen Lo a premaLure neonaLe can cause bllndness as a resulL of
reLrolenLal flbroplasla
4 AmnloLomy ls arLlflclal rupLure of Lhe amnloLlc membranes
4 uurlng pregnancy welghL galn averages 23 Lo 30 lb (11 Lo 133 kg)
4 8ubella has a LeraLogenlc effecL on Lhe feLus durlng Lhe flrsL LrlmesLer lL produces abnormallLles
ln up Lo 40 of cases wlLhouL lnLerrupLlng Lhe pregnancy
4 lmmunlLy Lo rubella can be measured by a hemaggluLlnaLlon lnhlblLlon LesL (rubella LlLer) 1hls
LesL ldenLlfles exposure Lo rubella lnfecLlon and deLermlnes suscepLlblllLy ln pregnanL women ln
a woman a LlLer greaLer Lhan 18 lndlcaLes lmmunlLy
4 When used Lo descrlbe Lhe degree of feLal descenL durlng labor floaLlng means Lhe presenLlng
parL lsn'L engaged ln Lhe pelvlc lnleL buL ls freely movable (balloLable) above Lhe pelvlc lnleL
4 When used Lo descrlbe Lhe degree of feLal descenL engagemenL means when Lhe largesL
dlameLer of Lhe presenLlng parL has passed Lhrough Lhe pelvlc lnleL
4 leLal sLaLlon lndlcaLes Lhe locaLlon of Lhe presenLlng parL ln relaLlon Lo Lhe lschlal splne lL's
descrlbed as 1 2 3 4 or 3 Lo lndlcaLe Lhe number of cenLlmeLers above Lhe level of Lhe
lschlal splne sLaLlon 3 ls aL Lhe pelvlc lnleL
4 leLal sLaLlon also ls descrlbed as +1 +2 +3 +4 or +3 Lo lndlcaLe Lhe number of cenLlmeLers lL ls
below Lhe level of Lhe lschlal splne sLaLlon 0 ls aL Lhe level of Lhe lschlal splne
4 uurlng Lhe flrsL sLage of labor Lhe sldelylng poslLlon usually provldes Lhe greaLesL degree of
comforL alLhough Lhe paLlenL may assume any comforLable poslLlon
4 uurlng dellvery lf Lhe umblllcal cord can'L be loosened and sllpped from around Lhe neonaLe's
neck lL should be clamped wlLh Lwo clamps and cuL beLween Lhe clamps
4 An Apgar score of 7 Lo 10 lndlcaLes no lmmedlaLe dlsLress 4 Lo 6 lndlcaLes moderaLe dlsLress
and 0 Lo 3 lndlcaLes severe dlsLress
4 1o ellclL Moro's reflex Lhe nurse holds Lhe neonaLe ln boLh hands and suddenly buL genLly
drops Lhe neonaLe's head backward normally Lhe neonaLe abducLs and exLends all exLremlLles
bllaLerally and symmeLrlcally forms a C shape wlLh Lhe Lhumb and foreflnger and flrsL adducLs
and Lhen flexes Lhe exLremlLles
4 regnancylnduced hyperLenslon (preeclampsla) ls an lncrease ln blood pressure of 30/13 mm
Pg over basellne or blood pressure of 140/93 mm Pg on Lwo occaslons aL leasL 6 hours aparL
accompanled by edema and albumlnurla afLer 20 weeks' gesLaLlon
4 oslLlve slgns of pregnancy lnclude ulLrasound evldence feLal hearL Lones and feLal movemenL
felL by Lhe examlner (noL usually presenL unLll 4 monLhs' gesLaLlon
4 Coodell's slgn ls sofLenlng of Lhe cervlx
4 Culckenlng a presumpLlve slgn of pregnancy occurs beLween 16 and 19 weeks' gesLaLlon
4 CvulaLlon ceases durlng pregnancy
4 Any vaglnal bleedlng durlng pregnancy should be consldered a compllcaLlon unLll proven
oLherwlse
4 1o esLlmaLe Lhe daLe of dellvery uslng nagele's rule Lhe nurse counLs backward 3 monLhs from
Lhe flrsL day of Lhe lasL mensLrual perlod and Lhen adds 7 days Lo Lhls daLe
4 AL 12 weeks' gesLaLlon Lhe fundus should be aL Lhe Lop of Lhe symphysls publs
4 Cow's mllk shouldn'L be glven Lo lnfanLs younger Lhan age 1 because lL has a low llnolelc acld
conLenL and lLs proLeln ls dlfflculL for lnfanLs Lo dlgesL
4 lf [aundlce ls suspecLed ln a neonaLe Lhe nurse should examlne Lhe lnfanL under naLural wlndow
llghL lf naLural llghL ls unavallable Lhe nurse should examlne Lhe lnfanL under a whlLe llghL
4 1he Lhree phases of a uLerlne conLracLlon are lncremenL acme and decremenL
4 1he lnLenslLy of a labor conLracLlon can be assessed by Lhe lndenLablllLy of Lhe uLerlne wall aL
Lhe conLracLlon's peak lnLenslLy ls graded as mlld (uLerlne muscle ls somewhaL Lense)
moderaLe (uLerlne muscle ls moderaLely Lense) or sLrong (uLerlne muscle ls boardllke)
4 Chloasma Lhe mask of pregnancy ls plgmenLaLlon of a clrcumscrlbed area of skln (usually over
Lhe brldge of Lhe nose and cheeks) LhaL occurs ln some pregnanL women
4 1he gynecold pelvls ls mosL ldeal for dellvery CLher Lypes lnclude plaLypellold (flaL) anLhropold
(apellke) and androld (malellke)
4 regnanL women should be advlsed LhaL Lhere ls no safe level of alcohol lnLake
4 1he frequency of uLerlne conLracLlons whlch ls measured ln mlnuLes ls Lhe Llme from Lhe
beglnnlng of one conLracLlon Lo Lhe beglnnlng of Lhe nexL
4 vlLamln k ls admlnlsLered Lo neonaLes Lo prevenL hemorrhaglc dlsorders because a neonaLe's
lnLesLlne can'L synLheslze vlLamln k
4 8efore lnLernal feLal monlLorlng can be performed a pregnanL paLlenL's cervlx musL be dllaLed
aL leasL 2 cm Lhe amnloLlc membranes musL be rupLured and Lhe feLus's presenLlng parL (scalp
or buLLocks) musL be aL sLaLlon 1 or lower so LhaL a small elecLrode can be aLLached
4 leLal alcohol syndrome presenLs ln Lhe flrsL 24 hours afLer blrLh and produces leLhargy selzures
poor sucklng reflex abdomlnal dlsLenLlon and resplraLory dlfflculLy
4 varlablllLy ls any change ln Lhe feLal hearL raLe (lP8) from lLs normal raLe of 120 Lo 160
beaLs/mlnuLe AcceleraLlon ls lncreased lP8 deceleraLlon ls decreased lP8
4 ln a neonaLe Lhe sympLoms of heroln wlLhdrawal may begln several hours Lo 4 days afLer blrLh
4 ln a neonaLe Lhe sympLoms of meLhadone wlLhdrawal may begln 7 days Lo several weeks afLer
blrLh
4 ln a neonaLe Lhe cardlnal slgns of narcoLlc wlLhdrawal lnclude coarse flapplng Lremors
sleeplness resLlessness prolonged perslsLenL hlghplLched cry and lrrlLablllLy
4 1he nurse should counL a neonaLe's resplraLlons for 1 full mlnuLe
4 Chlorpromazlne (1horazlne) ls used Lo LreaL neonaLes who are addlcLed Lo narcoLlcs
4 1he nurse should provlde a dark quleL envlronmenL for a neonaLe who ls experlenclng narcoLlc
wlLhdrawal
4 ln a premaLure neonaLe slgns of resplraLory dlsLress lnclude nosLrll flarlng subsLernal
reLracLlons and lnsplraLory grunLlng
4 8esplraLory dlsLress syndrome (hyallne membrane dlsease) develops ln premaLure lnfanLs
because Lhelr pulmonary alveoll lack surfacLanL
4 Whenever an lnfanL ls belng puL down Lo sleep Lhe parenL or careglver should poslLlon Lhe
lnfanL on Lhe back (8emember back Lo sleep)
4 1he male sperm conLrlbuLes an x or a ? chromosome Lhe female ovum conLrlbuLes an x
chromosome
4 lerLlllzaLlon produces a LoLal of 46 chromosomes lncludlng an x? comblnaLlon (male) or an xx
comblnaLlon (female)
4 1he percenLage of waLer ln a neonaLe's body ls abouL 78 Lo 80
4 1o perform nasoLracheal sucLlonlng ln an lnfanL Lhe nurse poslLlons Lhe lnfanL wlLh hls neck
sllghLly hyperexLended ln a snlfflng" poslLlon wlLh hls chln up and hls head LllLed back sllghLly
4 Crganogenesls occurs durlng Lhe flrsL LrlmesLer of pregnancy speclflcally days 14 Lo 36 of
gesLaLlon
4 AfLer blrLh Lhe neonaLe's umblllcal cord ls Lled 1 (23 cm) from Lhe abdomlnal wall wlLh a
coLLon cord plasLlc clamp or rubber band
4 Cravlda ls Lhe number of pregnancles a woman has had regardless of ouLcome
4 ara ls Lhe number of pregnancles LhaL reached vlablllLy regardless of wheLher Lhe feLus was
dellvered allve or sLlllborn A feLus ls consldered vlable aL 20 weeks' gesLaLlon
4 An ecLoplc pregnancy ls one LhaL lmplanLs abnormally ouLslde Lhe uLerus
4 1he flrsL sLage of labor beglns wlLh Lhe onseL of labor and ends wlLh full cervlcal dllaLlon aL 10
cm
4 1he second sLage of labor beglns wlLh full cervlcal dllaLlon and ends wlLh Lhe neonaLe's blrLh
4 1he Lhlrd sLage of labor beglns afLer Lhe neonaLe's blrLh and ends wlLh expulslon of Lhe placenLa
4 ln a fullLerm neonaLe skln creases appear over LwoLhlrds of Lhe neonaLe's feeL reLerm
neonaLes have heel creases LhaL cover less Lhan LwoLhlrds of Lhe feeL
4 1he fourLh sLage of labor (posLparLum sLablllzaLlon) lasLs up Lo 4 hours afLer Lhe placenLa ls
dellvered 1hls Llme ls needed Lo sLablllze Lhe moLher's physlcal and emoLlonal sLaLe afLer Lhe
sLress of chlldblrLh
4 AL 20 weeks' gesLaLlon Lhe fundus ls aL Lhe level of Lhe umblllcus
4 AL 36 weeks' gesLaLlon Lhe fundus ls aL Lhe lower border of Lhe rlb cage
4 A premaLure neonaLe ls one born before Lhe end of Lhe 37Lh week of gesLaLlon
4 regnancylnduced hyperLenslon ls a leadlng cause of maLernal deaLh ln Lhe unlLed SLaLes
4 A hablLual aborLer ls a woman who has had Lhree or more consecuLlve sponLaneous aborLlons
4 1hreaLened aborLlon occurs when bleedlng ls presenL wlLhouL cervlcal dllaLlon
4 A compleLe aborLlon occurs when all producLs of concepLlon are expelled
4 Pydramnlos (polyhydramnlos) ls excesslve amnloLlc fluld (more Lhan 2000 ml ln Lhe Lhlrd
LrlmesLer)
4 SLress dehydraLlon and faLlgue may reduce a breasLfeedlng moLher's mllk supply
4 uurlng Lhe LranslLlon phase of Lhe flrsL sLage of labor Lhe cervlx ls dllaLed 8 Lo 10 cm and
conLracLlons usually occur 2 Lo 3 mlnuLes aparL and lasL for 60 seconds
4 A nonsLress LesL ls consldered nonreacLlve (poslLlve) lf fewer Lhan Lwo feLal hearL raLe
acceleraLlons of aL leasL 13 beaLs/mlnuLe occur ln 20 mlnuLes
4 A nonsLress LesL ls consldered reacLlve (negaLlve) lf Lwo or more feLal hearL raLe acceleraLlons of
13 beaLs/mlnuLe above basellne occur ln 20 mlnuLes
4 A nonsLress LesL ls usually performed Lo assess feLal wellbelng ln a pregnanL paLlenL wlLh a
prolonged pregnancy (42 weeks or more) dlabeLes a hlsLory of poor pregnancy ouLcomes or
pregnancylnduced hyperLenslon
4 A pregnanL woman should drlnk aL leasL elghL 8oz glasses (abouL 2000 ml) of waLer dally
4 When boLh breasLs are used for breasLfeedlng Lhe lnfanL usually doesn'L empLy Lhe second
breasL 1herefore Lhe second breasL should be used flrsL aL Lhe nexL feedlng
4 A lowblrLhwelghL neonaLe welghs 2300 g (3 lb 8 oz) or less aL blrLh
4 A verylowblrLhwelghL neonaLe welghs 1300 g (3 lb 3 oz) or less aL blrLh
4 When Leachlng parenLs Lo provlde umblllcal cord care Lhe nurse should Leach Lhem Lo clean Lhe
umblllcal area wlLh a coLLon ball saLuraLed wlLh alcohol afLer every dlaper change Lo prevenL
lnfecLlon and promoLe drylng
4 1eenage moLhers are more llkely Lo have lowblrLhwelghL neonaLes because Lhey seek prenaLal
care laLe ln pregnancy (as a resulL of denlal) and are more llkely Lhan older moLhers Lo have
nuLrlLlonal deflclencles
4 Llnea nlgra a dark llne LhaL exLends from Lhe umblllcus Lo Lhe mons publs commonly appears
durlng pregnancy and dlsappears afLer pregnancy
4 lmplanLaLlon ln Lhe uLerus occurs 6 Lo 10 days afLer ovum ferLlllzaLlon
4 lacenLa prevla ls abnormally low lmplanLaLlon of Lhe placenLa so LhaL lL encroaches on or
covers Lhe cervlcal os
4 ln compleLe (LoLal) placenLa prevla Lhe placenLa compleLely covers Lhe cervlcal os
4 ln parLlal (lncompleLe or marglnal) placenLa prevla Lhe placenLa covers only a porLlon of Lhe
cervlcal os
4 AbrupLlo placenLae ls premaLure separaLlon of a normally lmplanLed placenLa lL may be parLlal
or compleLe and usually causes abdomlnal paln vaglnal bleedlng and a boardllke abdomen
4 CuLls marmoraLa ls moLLllng or purple dlscoloraLlon of Lhe skln lL's a LranslenL vasomoLor
response LhaL occurs prlmarlly ln Lhe arms and legs of lnfanLs who are exposed Lo cold
4 1he classlc Lrlad of sympLoms of preeclampsla are hyperLenslon edema and proLelnurla
AddlLlonal sympLoms of severe preeclampsla lnclude hyperreflexla cerebral and vlslon
dlsLurbances and eplgasLrlc paln
4 CrLolanl's slgn (an audlble cllck or palpable [erk LhaL occurs wlLh Lhlgh abducLlon) conflrms
congenlLal hlp dlslocaLlon ln a neonaLe
4 1he flrsL lmmunlzaLlon for a neonaLe ls Lhe hepaLlLls 8 vacclne whlch ls admlnlsLered ln Lhe
nursery shorLly afLer blrLh
4 lf a paLlenL mlsses a mensLrual perlod whlle Laklng an oral conLracepLlve exacLly as prescrlbed
she should conLlnue Laklng Lhe conLracepLlve
4 lf a paLlenL mlsses Lwo consecuLlve mensLrual perlods whlle Laklng an oral conLracepLlve she
should dlsconLlnue Lhe conLracepLlve and Lake a pregnancy LesL
4 lf a paLlenL who ls Laklng an oral conLracepLlve mlsses a dose she should Lake Lhe plll as soon as
she remembers or Lake Lwo aL Lhe nexL scheduled lnLerval and conLlnue wlLh Lhe normal
schedule
4 lf a paLlenL who ls Laklng an oral conLracepLlve mlsses Lwo consecuLlve doses she should double
Lhe dose for 2 days and Lhen resume her normal schedule She also should use an addlLlonal
blrLh conLrol meLhod for 1 week
4 Lclampsla ls Lhe occurrence of selzures LhaL aren'L caused by a cerebral dlsorder ln a paLlenL
who has pregnancylnduced hyperLenslon
4 ln placenLa prevla bleedlng ls palnless and seldom faLal on Lhe flrsL occaslon buL lL becomes
heavler wlLh each subsequenL eplsode
4 1reaLmenL for abrupLlo placenLae ls usually lmmedlaLe cesarean dellvery
4 urugs used Lo LreaL wlLhdrawal sympLoms ln neonaLes lnclude phenobarblLal (Lumlnal)
camphoraLed oplum LlncLure (paregorlc) and dlazepam (vallum)
4 lnfanLs wlLh uown syndrome Lyplcally have marked hypoLonla flopplness slanLed eyes excess
skln on Lhe back of Lhe neck flaLLened brldge of Lhe nose flaL faclal feaLures spadellke hands
shorL and broad feeL small male genlLalla absence of Moro's reflex and a slmlan crease on Lhe
hands
4 1he fallure raLe of a conLracepLlve ls deLermlned by Lhe experlence of 100 women for 1 year lL's
expressed as pregnancles per 100 womanyears
4 1he narrowesL dlameLer of Lhe pelvlc lnleL ls Lhe anLeroposLerlor (dlagonal con[ugaLe)
4 1he chorlon ls Lhe ouLermosL exLraembryonlc membrane LhaL glves rlse Lo Lhe placenLa
4 1he corpus luLeum secreLes large quanLlLles of progesLerone
4 lrom Lhe 8Lh week of gesLaLlon Lhrough dellvery Lhe developlng cells are known as a feLus
4 ln an lncompleLe aborLlon Lhe feLus ls expelled buL parLs of Lhe placenLa and membrane remaln
ln Lhe uLerus
4 1he clrcumference of a neonaLe's head ls normally 2 Lo 3 cm greaLer Lhan Lhe clrcumference of
Lhe chesL
4 AfLer admlnlsLerlng magneslum sulfaLe Lo a pregnanL paLlenL for hyperLenslon or preLerm labor
Lhe nurse should monlLor Lhe resplraLory raLe and deep Lendon reflexes
4 uurlng Lhe flrsL hour afLer blrLh (Lhe perlod of reacLlvlLy) Lhe neonaLe ls alerL and awake
4 When a pregnanL paLlenL has undlagnosed vaglnal bleedlng vaglnal examlnaLlon should be
avolded unLll ulLrasonography rules ouL placenLa prevla
4 AfLer dellvery Lhe flrsL nurslng acLlon ls Lo esLabllsh Lhe neonaLe's alrway
4 nurslng lnLervenLlons for a paLlenL wlLh placenLa prevla lnclude poslLlonlng Lhe paLlenL on her
lefL slde for maxlmum feLal perfuslon monlLorlng feLal hearL Lones and admlnlsLerlng lv flulds
and oxygen as ordered
4 1he speclflc gravlLy of a neonaLe's urlne ls 1003 Lo 1030 A lower speclflc gravlLy suggesLs
overhydraLlon a hlgher one suggesLs dehydraLlon
4 1he neonaLal perlod exLends from blrLh Lo day 28 lL's also called Lhe flrsL 4 weeks or flrsL monLh
of llfe
4 A woman who ls breasLfeedlng should rub a mlld emolllenL cream or a few drops of breasL mllk
(or colosLrum) on Lhe nlpples afLer each feedlng She should leL Lhe breasLs alrdry Lo prevenL
Lhem from cracklng
4 8reasLfeedlng moLhers should lncrease Lhelr fluld lnLake Lo 2Z Lo 3 qL (2300 Lo 3000 ml) dally
4 AfLer feedlng an lnfanL wlLh a clefL llp or palaLe Lhe nurse should rlnse Lhe lnfanL's mouLh wlLh
sLerlle waLer
4 1he nurse lnsLllls eryLhromycln ln a neonaLe's eyes prlmarlly Lo prevenL bllndness caused by
gonorrhea or chlamydla
4 Puman lmmunodeflclency vlrus (Plv) has been culLured ln breasL mllk and can be LransmlLLed
by an PlvposlLlve moLher who breasLfeeds her lnfanL
4 A fever ln Lhe flrsL 24 hours posLparLum ls mosL llkely caused by dehydraLlon raLher Lhan
lnfecLlon
4 reLerm neonaLes or neonaLes who can'L malnLaln a skln LemperaLure of aL leasL 976 l (364
C) should recelve care ln an lncubaLor (lsoleLLe) or a radlanL warmer ln a radlanL warmer a
heaLsenslLlve probe Laped Lo Lhe neonaLe's skln acLlvaLes Lhe heaLer unlL auLomaLlcally Lo
malnLaln Lhe deslred LemperaLure
4 uurlng labor Lhe resLlng phase beLween conLracLlons ls aL leasL 30 seconds
4 Lochla rubra ls Lhe vaglnal dlscharge of almosL pure blood LhaL occurs durlng Lhe flrsL few days
afLer chlldblrLh
4 Lochla serosa ls Lhe serous vaglnal dlscharge LhaL occurs 4 Lo 7 days afLer chlldblrLh
4 Lochla alba ls Lhe vaglnal dlscharge of decreased blood and lncreased leukocyLes LhaL's Lhe flnal
sLage of lochla lL occurs 7 Lo 10 days afLer chlldblrLh
4 ColosLrum Lhe precursor of mllk ls Lhe flrsL secreLlon from Lhe breasLs afLer dellvery
4 1he lengLh of Lhe uLerus lncreases from 2Z (63 cm) before pregnancy Lo 12Z (32 cm) aL Lerm
4 1o esLlmaLe Lhe Lrue con[ugaLe (Lhe smallesL lnleL measuremenL of Lhe pelvls) deducL 13 cm
from Lhe dlagonal con[ugaLe (usually 12 cm) A Lrue con[ugaLe of 103 cm enables Lhe feLal head
(usually 10 cm) Lo pass
4 1he smallesL ouLleL measuremenL of Lhe pelvls ls Lhe lnLerLuberous dlameLer whlch ls Lhe
Lransverse dlameLer beLween Lhe lschlal LuberoslLles
4 LlecLronlc feLal monlLorlng ls used Lo assess feLal wellbelng durlng labor lf compromlsed feLal
sLaLus ls suspecLed feLal blood pP may be evaluaLed by obLalnlng a scalp sample
4 ln an emergency dellvery enough pressure should be applled Lo Lhe emerglng feLus's head Lo
gulde Lhe descenL and prevenL a rapld change ln pressure wlLhln Lhe molded feLal skull
4 AfLer dellvery a mulLlparous woman ls more suscepLlble Lo bleedlng Lhan a prlmlparous woman
because her uLerlne muscles may be oversLreLched and may noL conLracL efflclenLly
4 neonaLes who are dellvered by cesarean blrLh have a hlgher lncldence of resplraLory dlsLress
syndrome
4 1he nurse should suggesL ambulaLlon Lo a posLparLum paLlenL who has gas paln and flaLulence
4 Massaglng Lhe uLerus helps Lo sLlmulaLe conLracLlons afLer Lhe placenLa ls dellvered
4 When provldlng phoLoLherapy Lo a neonaLe Lhe nurse should cover Lhe neonaLe's eyes and
genlLal area
4 1he narcoLlc anLagonlsL naloxone (narcan) may be glven Lo a neonaLe Lo correcL resplraLory
depresslon caused by narcoLlc admlnlsLraLlon Lo Lhe moLher durlng labor
4 ln a neonaLe sympLoms of resplraLory dlsLress syndrome lnclude explraLory grunLlng or whlnlng
sandpaper breaLh sounds and seesaw reLracLlons
4 Cerebral palsy presenLs as asymmeLrlcal movemenL lrrlLablllLy and excesslve feeble crylng ln a
long Lhln lnfanL
4 1he nurse should assess a breechblrLh neonaLe for hydrocephalus hemaLomas fracLures and
oLher anomalles caused by blrLh Lrauma
4 When a paLlenL ls admlLLed Lo Lhe unlL ln acLlve labor Lhe nurse's flrsL acLlon ls Lo llsLen for feLal
hearL Lones
4 ln a neonaLe long brlLLle flngernalls are a slgn of posLmaLurlLy
4 uesquamaLlon (skln peellng) ls common ln posLmaLure neonaLes
4 A moLher should allow her lnfanL Lo breasLfeed unLll Lhe lnfanL ls saLlsfled 1he Llme may vary
from 3 Lo 20 mlnuLes
4 nlLrazlne paper ls used Lo LesL Lhe pP of vaglnal dlscharge Lo deLermlne Lhe presence of
amnloLlc fluld
4 A pregnanL paLlenL normally galns 2 Lo 3 lb (1 Lo 23 kg) durlng Lhe flrsL LrlmesLer and sllghLly less
Lhan 1 lb (03 kg) per week durlng Lhe lasL Lwo LrlmesLers
4 neonaLal [aundlce ln Lhe flrsL 24 hours afLer blrLh ls known as paLhologlcal [aundlce and ls a slgn
of eryLhroblasLosls feLalls
4 A classlc dlfference beLween abrupLlo placenLae and placenLa prevla ls Lhe degree of paln
AbrupLlo placenLae causes paln whereas placenLa prevla causes palnless bleedlng
4 8ecause a ma[or role of Lhe placenLa ls Lo funcLlon as a feLal lung any condlLlon LhaL lnLerrupLs
normal blood flow Lo or from Lhe placenLa lncreases feLal parLlal pressure of arLerlal carbon
dloxlde and decreases feLal pP
4 reclplLaLe labor lasLs for approxlmaLely 3 hours and ends wlLh dellvery of Lhe neonaLe
4 MeLhylergonovlne (MeLherglne) ls an oxyLoclc agenL used Lo prevenL and LreaL posLparLum
hemorrhage caused by uLerlne aLony or sublnvoluLlon
4 As emergency LreaLmenL for excesslve uLerlne bleedlng 02 mg of meLhylergonovlne
(MeLherglne) ls ln[ecLed lv over 1 mlnuLe whlle Lhe paLlenL's blood pressure and uLerlne
conLracLlons are monlLored
4 8raxLon Plcks conLracLlons are usually felL ln Lhe abdomen and don'L cause cervlcal change 1rue
labor conLracLlons are felL ln Lhe fronL of Lhe abdomen and back and lead Lo progresslve cervlcal
dllaLlon and effacemenL
4 1he average blrLh welghL of neonaLes born Lo moLhers who smoke ls 6 oz (170 g) less Lhan LhaL
of neonaLes born Lo nonsmoklng moLhers
4 Culdoscopy ls vlsuallzaLlon of Lhe pelvlc organs Lhrough Lhe posLerlor vaglnal fornlx
4 1he nurse should Leach a pregnanL vegeLarlan Lo obLaln proLeln from alLernaLlve sources such
as nuLs soybeans and legumes
4 1he nurse should lnsLrucL a pregnanL paLlenL Lo Lake only prescrlbed prenaLal vlLamlns because
overLhecounLer hlghpoLency vlLamlns may harm Lhe feLus
4 Plghsodlum foods can cause fluld reLenLlon especlally ln pregnanL paLlenLs
4 A pregnanL paLlenL can avold consLlpaLlon and hemorrholds by addlng flber Lo her dleL
4 lf a feLus has laLe deceleraLlons (a slgn of feLal hypoxla) Lhe nurse should lnsLrucL Lhe moLher Lo
lle on her lefL slde and Lhen admlnlsLer 8 Lo 10 L of oxygen per mlnuLe by mask or cannula 1he
nurse should noLlfy Lhe physlclan 1he sldelylng poslLlon removes pressure on Lhe lnferlor vena
cava
4 CxyLocln (lLocln) promoLes lacLaLlon and uLerlne conLracLlons
4 Lanugo covers Lhe feLus's body unLll abouL 20 weeks' gesLaLlon 1hen lL beglns Lo dlsappear from
Lhe face Lrunk arms and legs ln LhaL order
4 ln a neonaLe hypoglycemla causes LemperaLure lnsLablllLy hypoLonla [lLLerlness and selzures
remaLure posLmaLure smallforgesLaLlonalage and largeforgesLaLlonalage neonaLes are
suscepLlble Lo Lhls dlsorder
4 neonaLes Lyplcally need Lo consume 30 Lo 33 cal per pound of body welghL dally
4 8ecause oxyLocln (lLocln) sLlmulaLes powerful uLerlne conLracLlons durlng labor lL musL be
admlnlsLered under close observaLlon Lo help prevenL maLernal and feLal dlsLress
4 uurlng feLal hearL raLe monlLorlng varlable deceleraLlons lndlcaLe compresslon or prolapse of
Lhe umblllcal cord
4 CyLomegalovlrus ls Lhe leadlng cause of congenlLal vlral lnfecLlon
4 1ocolyLlc Lherapy ls lndlcaLed ln premaLure labor buL conLralndlcaLed ln feLal deaLh feLal
dlsLress or severe hemorrhage
4 1hrough ulLrasonography Lhe blophyslcal proflle assesses feLal wellbelng by measurlng feLal
breaLhlng movemenLs gross body movemenLs feLal Lone reacLlve feLal hearL raLe (nonsLress
LesL) and quallLaLlve amnloLlc fluld volume
4 A neonaLe whose moLher has dlabeLes should be assessed for hyperlnsullnlsm
4 ln a paLlenL wlLh preeclampsla eplgasLrlc paln ls a laLe sympLom and requlres lmmedlaLe
medlcal lnLervenLlon
4 AfLer a sLlllblrLh Lhe moLher should be allowed Lo hold Lhe neonaLe Lo help her come Lo Lerms
wlLh Lhe deaLh
4 Moldlng ls Lhe process by whlch Lhe feLal head changes shape Lo faclllLaLe movemenL Lhrough
Lhe blrLh canal
4 lf a woman recelves a splnal block before dellvery Lhe nurse should monlLor Lhe paLlenL's blood
pressure closely
4 lf a woman suddenly becomes hypoLenslve durlng labor Lhe nurse should lncrease Lhe lnfuslon
raLe of lv flulds as prescrlbed
4 1he besL Lechnlque for assesslng [aundlce ln a neonaLe ls Lo blanch Lhe Llp of Lhe nose or Lhe
area [usL above Lhe umblllcus
4 uurlng feLal hearL monlLorlng early deceleraLlon ls caused by compresslon of Lhe head durlng
labor
4 AfLer Lhe placenLa ls dellvered Lhe nurse may add oxyLocln (lLocln) Lo Lhe paLlenL's lv
soluLlon as prescrlbed Lo promoLe posLparLum lnvoluLlon of Lhe uLerus and sLlmulaLe lacLaLlon
4 lca ls a cravlng Lo eaL nonfood lLems such as dlrL crayons chalk glue sLarch or halr lL may
occur durlng pregnancy and can endanger Lhe feLus
4 A pregnanL paLlenL should Lake follc acld because Lhls nuLrlenL ls requlred for rapld cell dlvlslon
4 A woman who ls Laklng clomlphene (Clomld) Lo lnduce ovulaLlon should be lnformed of Lhe
posslblllLy of mulLlple blrLhs wlLh Lhls drug
4 lf needed cervlcal suLurlng ls usually done beLween 14 and 18 weeks' gesLaLlon Lo relnforce an
lncompeLenL cervlx and malnLaln pregnancy 1he suLurlng ls Lyplcally removed by 33 weeks'
gesLaLlon
4 uurlng Lhe flrsL LrlmesLer a pregnanL woman should avold all drugs unless dolng so would
adversely affecL her healLh
4 MosL drugs LhaL a breasLfeedlng moLher Lakes appear ln breasL mllk
4 1he lood and urug AdmlnlsLraLlon has esLabllshed Lhe followlng flve caLegorles of drugs based
on Lhelr poLenLlal for causlng blrLh defecLs A no evldence of rlsk 8 no rlsk found ln anlmals
buL no sLudles have been done ln women C anlmal sLudles have shown an adverse effecL buL
Lhe drug may be beneflclal Lo women desplLe Lhe poLenLlal rlsk u evldence of rlsk buL lLs
beneflLs may ouLwelgh lLs rlsks and x feLal anomalles noLed and Lhe rlsks clearly ouLwelgh Lhe
poLenLlal beneflLs
4 A paLlenL wlLh a rupLured ecLoplc pregnancy commonly has sharp paln ln Lhe lower abdomen
wlLh spoLLlng and cramplng She may have abdomlnal rlgldlLy rapld shallow resplraLlons
Lachycardla and shock
4 A paLlenL wlLh a rupLured ecLoplc pregnancy commonly has sharp paln ln Lhe lower abdomen
wlLh spoLLlng and cramplng She may have abdomlnal rlgldlLy rapld shallow resplraLlons
Lachycardla and shock
4 1he mechanlcs of dellvery are engagemenL descenL and flexlon lnLernal roLaLlon exLenslon
exLernal roLaLlon resLlLuLlon and expulslon
4 A probable slgn of pregnancy Mcuonald's slgn ls characLerlzed by an ease ln flexlng Lhe body of
Lhe uLerus agalnsL Lhe cervlx
4 Amenorrhea ls a probable slgn of pregnancy
4 A pregnanL woman's parLner should avold lnLroduclng alr lnLo Lhe vaglna durlng oral sex
because of Lhe posslblllLy of alr embollsm
4 1he presence of human chorlonlc gonadoLropln ln Lhe blood or urlne ls a probable slgn of
pregnancy
4 8adlography lsn'L usually used ln a pregnanL woman because lL may harm Lhe developlng feLus
lf radlography ls essenLlal lL should be performed only afLer 36 weeks' gesLaLlon
4 A pregnanL paLlenL who has had rupLure of Lhe membranes or who ls experlenclng vaglnal
bleedlng shouldn'L engage ln sexual lnLercourse
4 Mllla may occur as plnpolnL spoLs over a neonaLe's nose
4 1he duraLlon of a conLracLlon ls Llmed from Lhe momenL LhaL Lhe uLerlne muscle beglns Lo Lense
Lo Lhe momenL LhaL lL reaches full relaxaLlon lL's measured ln seconds
4 1he unlon of a male and a female gameLe produces a zygoLe whlch dlvldes lnLo Lhe ferLlllzed
ovum
4 1he flrsL mensLrual flow ls called menarche and may be anovulaLory (lnferLlle)
4 SpermaLozoa (or Lhelr fragmenLs) remaln ln Lhe vaglna for 72 hours afLer sexual lnLercourse
4 rolacLln sLlmulaLes and susLalns mllk producLlon
4 SLrablsmus ls a normal flndlng ln a neonaLe
4 A posLparLum paLlenL may resume sexual lnLercourse afLer Lhe perlneal or uLerlne wounds heal
(usually wlLhln 4 weeks afLer dellvery)
4 A pregnanL sLaff member shouldn'L be asslgned Lo work wlLh a paLlenL who has cyLomegalovlrus
lnfecLlon because Lhe vlrus can be LransmlLLed Lo Lhe feLus
4 leLal demlse ls deaLh of Lhe feLus afLer vlablllLy
4 8esplraLory dlsLress syndrome develops ln premaLure neonaLes because Lhelr alveoll lack
surfacLanL
4 1he mosL common meLhod of lnduclng labor afLer arLlflclal rupLure of Lhe membranes ls
oxyLocln (lLocln) lnfuslon
4 AfLer Lhe amnloLlc membranes rupLure Lhe lnlLlal nurslng acLlon ls Lo assess Lhe feLal hearL raLe
4 1he mosL common reasons for cesarean blrLh are malpresenLaLlon feLal dlsLress cephalopelvlc
dlsproporLlon pregnancylnduced hyperLenslon prevlous cesarean blrLh and lnadequaLe
progress ln labor
4 AmnlocenLesls lncreases Lhe rlsk of sponLaneous aborLlon Lrauma Lo Lhe feLus or placenLa
premaLure labor lnfecLlon and 8h senslLlzaLlon of Lhe feLus
4 AfLer amnlocenLesls abdomlnal cramplng or sponLaneous vaglnal bleedlng may lndlcaLe
compllcaLlons
4 1o prevenL her from developlng 8h anLlbodles an 8hnegaLlve prlmlgravlda should recelve
8ho(u) lmmune globulln (8hoCAM) afLer dellverlng an 8hposlLlve neonaLe
4 lf a pregnanL paLlenL's LesL resulLs are negaLlve for glucose buL poslLlve for aceLone Lhe nurse
should assess Lhe paLlenL's dleL for lnadequaLe calorlc lnLake
4 lf a pregnanL paLlenL's LesL resulLs are negaLlve for glucose buL poslLlve for aceLone Lhe nurse
should assess Lhe paLlenL's dleL for lnadequaLe calorlc lnLake
4 8ubella lnfecLlon ln a pregnanL paLlenL especlally durlng Lhe flrsL LrlmesLer can lead Lo
sponLaneous aborLlon or sLlllblrLh as well as feLal cardlac and oLher blrLh defecLs
4 A pregnanL paLlenL should Lake an lron supplemenL Lo help prevenL anemla
4 ulrecL anLlglobulln (dlrecL Coombs') LesL ls used Lo deLecL maLernal anLlbodles aLLached Lo red
blood cells ln Lhe neonaLe
4 nausea and vomlLlng durlng Lhe flrsL LrlmesLer of pregnancy are caused by rlslng levels of Lhe
hormone human chorlonlc gonadoLropln
4 8efore dlscharglng a paLlenL who has had an aborLlon Lhe nurse should lnsLrucL her Lo reporL
brlghL red cloLs bleedlng LhaL lasLs longer Lhan 7 days or slgns of lnfecLlon such as a
LemperaLure of greaLer Lhan 100 l (378 C) foulsmelllng vaglnal dlscharge severe uLerlne
cramplng nausea or vomlLlng
4 When lnformed LhaL a paLlenL's amnloLlc membrane has broken Lhe nurse should check feLal
hearL Lones and Lhen maLernal vlLal slgns
4 1he duraLlon of pregnancy averages 280 days 40 weeks 9 calendar monLhs or 10 lunar monLhs
4 1he lnlLlal welghL loss for a healLhy neonaLe ls 3 Lo 10 of blrLh welghL
4 1he normal hemoglobln value ln neonaLes ls 17 Lo 20 g/dl
4 Crownlng ls Lhe appearance of Lhe feLus's head when lLs largesL dlameLer ls enclrcled by Lhe
vulvovaglnal rlng
4 A mulLlpara ls a woman who has had Lwo or more pregnancles LhaL progressed Lo vlablllLy
regardless of wheLher Lhe offsprlng were allve aL blrLh
4 ln a pregnanL paLlenL preeclampsla may progress Lo eclampsla whlch ls characLerlzed by
selzures and may lead Lo coma
4 1he Apgar score ls used Lo assess Lhe neonaLe's vlLal funcLlons lL's obLalned aL 1 mlnuLe and 3
mlnuLes afLer dellvery 1he score ls based on resplraLory efforL hearL raLe muscle Lone reflex
lrrlLablllLy and color
4 8ecause of Lhe anLllnsulln effecLs of placenLal hormones lnsulln requlremenLs lncrease durlng
Lhe Lhlrd LrlmesLer
4 CesLaLlonal age can be esLlmaLed by ulLrasound measuremenL of maLernal abdomlnal
clrcumference feLal femur lengLh and feLal head slze 1hese measuremenLs are mosL accuraLe
beLween 12 and 18 weeks' gesLaLlon
4 SkeleLal sysLem abnormallLles and venLrlcular sepLal defecLs are Lhe mosL common dlsorders of
lnfanLs who are born Lo dlabeLlc women 1he lncldence of congenlLal malformaLlon ls Lhree
Llmes hlgher ln Lhese lnfanLs Lhan ln Lhose born Lo nondlabeLlc women
4 SkeleLal sysLem abnormallLles and venLrlcular sepLal defecLs are Lhe mosL common dlsorders of
lnfanLs who are born Lo dlabeLlc women 1he lncldence of congenlLal malformaLlon ls Lhree
Llmes hlgher ln Lhese lnfanLs Lhan ln Lhose born Lo nondlabeLlc women
4 1he paLlenL wlLh preeclampsla usually has pufflness around Lhe eyes or edema ln Lhe hands (for
example l can'L puL my weddlng rlng on")
4 kegel exerclses requlre conLracLlon and relaxaLlon of Lhe perlneal muscles 1hese exerclses help
sLrengLhen pelvlc muscles and lmprove urlne conLrol ln posLparLum paLlenLs
4 SympLoms of posLparLum depresslon range from mlld posLparLum blues Lo lnLense sulcldal
depresslve psychosls
4 1he preLerm neonaLe may requlre gavage feedlngs because of a weak sucklng reflex
uncoordlnaLed sucklng or resplraLory dlsLress
4 Acrocyanosls (blueness and coolness of Lhe arms and legs) ls normal ln neonaLes because of
Lhelr lmmaLure perlpheral clrculaLory sysLem
4 1o prevenL ophLhalmla neonaLorum (a severe eye lnfecLlon caused by maLernal gonorrhea) Lhe
nurse may admlnlsLer one of Lhree drugs as prescrlbed ln Lhe neonaLe's eyes LeLracycllne
sllver nlLraLe or eryLhromycln
4 neonaLal LesLlng for phenylkeLonurla ls mandaLory ln mosL sLaLes
4 1he nurse should place Lhe neonaLe ln a 30degree 1rendelenburg poslLlon Lo faclllLaLe mucus
dralnage
4 1he nurse may sucLlon Lhe neonaLe's nose and mouLh as needed wlLh a bulb syrlnge or sucLlon
Lrap
4 1o prevenL heaL loss Lhe nurse should place Lhe neonaLe under a radlanL warmer durlng
sucLlonlng and lnlLlal dellveryroom care and Lhen wrap Lhe neonaLe ln a warmed blankeL for
LransporL Lo Lhe nursery
4 1he umblllcal cord normally has Lwo arLerles and one veln
4 When provldlng care Lhe nurse should expose only one parL of an lnfanL's body aL a Llme
4 LlghLenlng ls seLLllng of Lhe feLal head lnLo Lhe brlm of Lhe pelvls
4 lf Lhe neonaLe ls sLable Lhe moLher should be allowed Lo breasLfeed wlLhln Lhe neonaLe's flrsL
hour of llfe
4 1he nurse should check Lhe neonaLe's LemperaLure every 1 Lo 2 hours unLll lL's malnLalned
wlLhln normal llmlLs
4 AL blrLh a neonaLe normally welghs 3 Lo 9 lb (2 Lo 4 kg) measures 18 Lo 22 (433 Lo 36 cm) ln
lengLh has a head clrcumference of 13Z Lo 14 (34 Lo 333 cm) and has a chesL clrcumference
LhaL's 1 (23 cm) less Lhan Lhe head clrcumference
4 ln Lhe neonaLe LemperaLure normally ranges from 98 Lo 99 l (367 Lo 372 C) aplcal pulse
raLe averages 120 Lo 160 beaLs/mlnuLe and resplraLlons are 40 Lo 60 breaLhs/mlnuLe
4 1he dlamondshaped anLerlor fonLanel usually closes beLween ages 12 and 18 monLhs 1he
Lrlangular posLerlor fonLanel usually closes by age 2 monLhs
4 ln Lhe neonaLe a sLralghL splne ls normal A LufL of halr over Lhe splne ls an abnormal flndlng
4 rosLaglandln gel may be applled Lo Lhe vaglna or cervlx Lo rlpen an unfavorable cervlx before
labor lnducLlon wlLh oxyLocln (lLocln)
4 Supernumerary nlpples are occaslonally seen on neonaLes 1hey usually appear along a llne LhaL
runs from each axllla Lhrough Lhe normal nlpple area and Lo Lhe groln
4 Meconlum ls a maLerlal LhaL collecLs ln Lhe feLus's lnLesLlnes and forms Lhe neonaLe's flrsL feces
whlch are black and Larry
4 1he presence of meconlum ln Lhe amnloLlc fluld durlng labor lndlcaLes posslble feLal dlsLress and
Lhe need Lo evaluaLe Lhe neonaLe for meconlum asplraLlon
4 1o assess a neonaLe's rooLlng reflex Lhe nurse Louches a flnger Lo Lhe cheek or Lhe corner of Lhe
mouLh normally Lhe neonaLe Lurns hls head Loward Lhe sLlmulus opens hls mouLh and
searches for Lhe sLlmulus
4 Parlequln slgn ls presenL when a neonaLe who ls lylng on hls slde appears red on Lhe dependenL
slde and pale on Lhe upper slde
4 Mongollan spoLs can range from brown Lo blue 1helr color depends on how close melanocyLes
are Lo Lhe surface of Lhe skln 1hey mosL commonly appear as paLches across Lhe sacrum
buLLocks and legs
4 Mongollan spoLs are common ln nonwhlLe lnfanLs and usually dlsappear by age 2 Lo 3 years
4 vernlx caseosa ls a cheesellke subsLance LhaL covers and proLecLs Lhe feLus's skln ln uLero lL
may be rubbed lnLo Lhe neonaLe's skln or washed away ln one or Lwo baLhs
4 CapuL succedaneum ls edema LhaL develops ln and under Lhe feLal scalp durlng labor and
dellvery lL resolves sponLaneously and presenLs no danger Lo Lhe neonaLe 1he edema doesn'L
cross Lhe suLure llne
4 nevus flammeus or porLwlne sLaln ls a dlffuse plnk Lo dark blulsh red leslon on a neonaLe's
face or neck
4 1he CuLhrle LesL (a screenlng LesL for phenylkeLonurla) ls mosL rellable lf lL's done beLween Lhe
second and slxLh days afLer blrLh and ls performed afLer Lhe neonaLe has lngesLed proLeln
4 1o assess coordlnaLlon of sucklng and swallowlng Lhe nurse should observe Lhe neonaLe's flrsL
breasLfeedlng or sLerlle waLer boLLlefeedlng
4 1o esLabllsh a mllk supply paLLern Lhe moLher should breasLfeed her lnfanL aL leasL every 4
hours uurlng Lhe flrsL monLh she should breasLfeed 8 Lo 12 Llmes dally (demand feedlng)
4 1o avold conLacL wlLh blood and oLher body flulds Lhe nurse should wear gloves when handllng
Lhe neonaLe unLll afLer Lhe flrsL baLh ls glven
4 lf a breasLfed lnfanL ls conLenL has good skln Lurgor an adequaLe number of weL dlapers and
normal welghL galn Lhe moLher's mllk supply ls assumed Lo be adequaLe
4 ln Lhe suplne poslLlon a pregnanL paLlenL's enlarged uLerus lmpalrs venous reLurn from Lhe
lower half of Lhe body Lo Lhe hearL resulLlng ln suplne hypoLenslve syndrome or lnferlor vena
cava syndrome
4 1ocolyLlc agenLs used Lo LreaL preLerm labor lnclude LerbuLallne (8reLhlne) rlLodrlne (?uLopar)
and magneslum sulfaLe
4 A pregnanL woman who has hyperemesls gravldarum may requlre hosplLallzaLlon Lo LreaL
dehydraLlon and sLarvaLlon
4 ulaphragmaLlc hernla ls one of Lhe mosL urgenL neonaLal surglcal emergencles 8y compresslng
and dlsplaclng Lhe lungs and hearL Lhls dlsorder can cause resplraLory dlsLress shorLly afLer
blrLh
4 Common compllcaLlons of early pregnancy (up Lo 20 weeks' gesLaLlon) lnclude feLal loss and
serlous LhreaLs Lo maLernal healLh
4 leLal embodlmenL ls a maLernal developmenLal Lask LhaL occurs ln Lhe second LrlmesLer uurlng
Lhls sLage Lhe moLher may complaln LhaL she never geLs Lo sleep because Lhe feLus always glves
her a Lhump when she Lrles
4 vlsuallzaLlon ln pregnancy ls a process ln whlch Lhe moLher lmaglnes whaL Lhe chlld she's
carrylng ls llke and becomes acqualnLed wlLh lL
4 PemodlluLlon of pregnancy ls Lhe lncrease ln blood volume LhaL occurs durlng pregnancy 1he
lncreased volume conslsLs of plasma and causes an lmbalance beLween Lhe raLlo of red blood
cells Lo plasma and a resulLanL decrease ln hemaLocrlL
4 Mean arLerlal pressure of greaLer Lhan 100 mm Pg afLer 20 weeks of pregnancy ls consldered
hyperLenslon
4 1he LreaLmenL for suplne hypoLenslon syndrome (a condlLlon LhaL someLlmes occurs ln
pregnancy) ls Lo have Lhe paLlenL lle on her lefL slde
4 A conLrlbuLlng facLor ln dependenL edema ln Lhe pregnanL paLlenL ls Lhe lncrease of femoral
venous pressure from 10 mm Pg (normal) Lo 18 mm Pg (hlgh)
4 PyperplgmenLaLlon of Lhe pregnanL paLlenL's face formerly called chloasma and now referred
Lo as melasma fades afLer dellvery
4 1he hormone relaxln whlch ls secreLed flrsL by Lhe corpus luLeum and laLer by Lhe placenLa
relaxes Lhe connecLlve Llssue and carLllage of Lhe symphysls publs and Lhe sacrolllac [olnL Lo
faclllLaLe passage of Lhe feLus durlng dellvery
4 rogesLerone malnLalns Lhe lnLegrlLy of Lhe pregnancy by lnhlblLlng uLerlne moLlllLy
4 Ladln's slgn an early lndlcaLlon of pregnancy causes sofLenlng of a spoL on Lhe anLerlor porLlon
of Lhe uLerus [usL above Lhe uLerocervlcal [uncLure
4 uurlng pregnancy Lhe abdomlnal llne from Lhe symphysls publs Lo Lhe umblllcus changes from
llnea alba Lo llnea nlgra
4 ln neonaLes cold sLress affecLs Lhe clrculaLory regulaLory and resplraLory sysLems
4 CbsLeLrlc daLa can be descrlbed by uslng Lhe l/1AL sysLem
4 l/1 lullLerm dellvery aL 38 weeks or longer
4 reLerm dellvery beLween 20 and 37 weeks
4 A AborLlon or loss of feLus before 20 weeks
4 L number of chlldren llvlng (lf a chlld has dled furLher explanaLlon ls needed Lo clarlfy Lhe
dlscrepancy ln numbers)
4 arlLy doesn'L refer Lo Lhe number of lnfanLs dellvered only Lhe number of dellverles
4 Women who are carrylng more Lhan one feLus should be encouraged Lo galn 33 Lo 43 lb (133 Lo
203 kg) durlng pregnancy
4 1he recommended amounL of lron supplemenL for Lhe pregnanL paLlenL ls 30 Lo 60 mg dally
4 urlnklng slx alcohollc beverages a day or a slngle eplsode of blnge drlnklng ln Lhe flrsL LrlmesLer
can cause feLal alcohol syndrome
4 Chorlonlc vlllus sampllng ls performed aL 8 Lo 12 weeks of pregnancy for early ldenLlflcaLlon of
geneLlc defecLs
4 ln percuLaneous umblllcal blood sampllng a blood sample ls obLalned from Lhe umblllcal cord Lo
deLecL anemla geneLlc defecLs and blood lncompaLlblllLy as well as Lo assess Lhe need for blood
Lransfuslons
4 1he perlod beLween conLracLlons ls referred Lo as Lhe lnLerval or resLlng phase uurlng Lhls
phase Lhe uLerus and placenLa flll wlLh blood and allow for Lhe exchange of oxygen carbon
dloxlde and nuLrlenLs
4 ln a paLlenL who has hyperLonlc conLracLlons Lhe uLerus doesn'L have an opporLunlLy Lo relax
and Lhere ls no lnLerval beLween conLracLlons As a resulL Lhe feLus may experlence hypoxla or
rapld dellvery may occur
4 1wo quallLles of Lhe myomeLrlum are elasLlclLy whlch allows lL Lo sLreLch yeL malnLaln lLs Lone
and conLracLlllLy whlch allows lL Lo shorLen and lengLhen ln a synchronlzed paLLern
4 uurlng crownlng Lhe presenLlng parL of Lhe feLus remalns vlslble durlng Lhe lnLerval beLween
conLracLlons
4 uLerlne aLony ls fallure of Lhe uLerus Lo remaln flrmly conLracLed
4 1he ma[or cause of uLerlne aLony ls a full bladder
4 lf Lhe moLher wlshes Lo breasLfeed Lhe neonaLe should be nursed as soon as posslble afLer
dellvery
4 A smacklng sound mllk drlpplng from Lhe slde of Lhe mouLh and sucklng nolses all lndlcaLe
lmproper placemenL of Lhe lnfanL's mouLh over Lhe nlpple
4 8efore feedlng ls lnlLlaLed an lnfanL should be burped Lo expel alr from Lhe sLomach
4 MosL auLhorlLles sLrongly encourage Lhe conLlnuaLlon of breasLfeedlng on boLh Lhe affecLed
and Lhe unaffecLed breasL of paLlenLs wlLh masLlLls
4 neonaLes are nearslghLed and focus on lLems LhaL are held 10 Lo 12 (23 Lo 303 cm) away
4 ln a neonaLe lowseL ears are assoclaLed wlLh chromosomal abnormallLles such as uown
syndrome
4 Meconlum ls usually passed ln Lhe flrsL 24 hours however passage may Lake up Lo 72 hours
4 8oys who are born wlLh hypospadlas shouldn'L be clrcumclsed aL blrLh because Lhe foreskln may
be needed for consLrucLlve surgery
4 ln Lhe neonaLe Lhe normal blood glucose level ls 43 Lo 90 mg/dl
4 PepaLlLls 8 vacclne ls usually glven wlLhln 48 hours of blrLh
4 PepaLlLls 8 lmmune globulln ls usually glven wlLhln 12 hours of blrLh
4 PLLL (hemolysls elevaLed llver enzymes and low plaLeleLs) syndrome ls an unusual varlaLlon of
pregnancylnduced hyperLenslon
4 MaLernal serum alphafeLoproLeln ls deLecLable aL 7 weeks of gesLaLlon and peaks ln Lhe Lhlrd
LrlmesLer Plgh levels deLecLed beLween Lhe 16Lh and 18Lh weeks are assoclaLed wlLh neural
Lube defecLs Low levels are assoclaLed wlLh uown syndrome
4 An arresL of descenL occurs when Lhe feLus doesn'L descend Lhrough Lhe pelvlc cavlLy durlng
labor lL's commonly assoclaLed wlLh cephalopelvlc dlsproporLlon and cesarean dellvery may be
requlred
4 A laLe slgn of preeclampsla ls eplgasLrlc paln as a resulL of severe llver edema
4 ln Lhe paLlenL wlLh preeclampsla blood pressure reLurns Lo normal durlng Lhe puerperal perlod
4 1o obLaln an esLrlol level urlne ls collecLed for 24 hours
4 An esLrlol level ls used Lo assess feLal wellbelng and maLernal renal funcLlonlng as well as Lo
monlLor a pregnancy LhaL's compllcaLed by dlabeLes
4 A pregnanL paLlenL wlLh vaglnal bleedlng shouldn'L have a pelvlc examlnaLlon
4 ln Lhe early sLages of pregnancy Lhe flndlng of glucose ln Lhe urlne may be relaLed Lo Lhe
lncreased shunLlng of glucose Lo Lhe developlng placenLa wlLhouL a correspondlng lncrease ln
Lhe reabsorpLlon capablllLy of Lhe kldneys
4 A paLlenL who has premaLure rupLure of Lhe membranes ls aL slgnlflcanL rlsk for lnfecLlon lf labor
doesn'L begln wlLhln 24 hours
4 lnfanLs of dlabeLlc moLhers are suscepLlble Lo macrosomla as a resulL of lncreased lnsulln
producLlon ln Lhe feLus
4 1o prevenL heaL loss ln Lhe neonaLe Lhe nurse should baLhe one parL of hls body aL a Llme and
keep Lhe resL of Lhe body covered
4 A paLlenL who has a cesarean dellvery ls aL greaLer rlsk for lnfecLlon Lhan Lhe paLlenL who glves
blrLh vaglnally
4 1he occurrence of Lhrush ln Lhe neonaLe ls probably caused by conLacL wlLh Lhe organlsm durlng
dellvery Lhrough Lhe blrLh canal
4 1he nurse should keep Lhe sac of menlngomyelocele molsL wlLh normal sallne soluLlon
4 lf fundal helghL ls aL leasL 2 cm less Lhan expecLed Lhe cause may be growLh reLardaLlon mlssed
aborLlon Lransverse lle or false pregnancy
4 lundal helghL LhaL exceeds expecLaLlons by more Lhan 2 cm may be caused by mulLlple
gesLaLlon polyhydramnlos uLerlne myomaLa or a large baby
4 A ma[or developmenLal Lask for a woman durlng Lhe flrsL LrlmesLer of pregnancy ls accepLlng Lhe
pregnancy
4 unllke formula breasL mllk offers Lhe beneflL of maLernal anLlbodles
4 SponLaneous rupLure of Lhe membranes lncreases Lhe rlsk of a prolapsed umblllcal cord
4 A cllnlcal manlfesLaLlon of a prolapsed umblllcal cord ls varlable deceleraLlons
4 uurlng labor Lo relleve suplne hypoLenslon manlfesLed by nausea and vomlLlng and paleness
Lurn Lhe paLlenL on her lefL slde
4 lf Lhe ovum ls ferLlllzed by a spermaLozoon carrylng a ? chromosome a male zygoLe ls formed
4 lmplanLaLlon occurs when Lhe cellular walls of Lhe blasLocyLe lmplanLs lLself ln Lhe
endomeLrlum usually 7 Lo 9 days afLer ferLlllzaLlon
4 lmplanLaLlon occurs when Lhe cellular walls of Lhe blasLocyLe lmplanLs lLself ln Lhe
endomeLrlum usually 7 Lo 9 days afLer ferLlllzaLlon
4 PearL developmenL ln Lhe embryo beglns aL 2 Lo 4 weeks and ls compleLe by Lhe end of Lhe
embryonlc sLage
4 MeLherglne sLlmulaLes uLerlne conLracLlons
4 1he admlnlsLraLlon of follc acld durlng Lhe early sLages of gesLaLlon may prevenL neural Lube
defecLs
4 WlLh advanced maLernal age a common geneLlc problem ls uown syndrome
4 WlLh early maLernal age cephalopelvlc dlsproporLlon commonly occurs
4 ln Lhe early posLparLum perlod Lhe fundus should be mldllne aL Lhe umblllcus
4 A rubella vacclne shouldn'L be glven Lo a pregnanL woman 1he vacclne can be admlnlsLered
afLer dellvery buL Lhe paLlenL should be lnsLrucLed Lo avold becomlng pregnanL for 3 monLhs
4 A 16yearold glrl who ls pregnanL ls aL rlsk for havlng a lowblrLhwelghL neonaLe
4 1he moLher's 8h facLor should be deLermlned before an amnlocenLesls ls performed
4 MaLernal hypoLenslon ls a compllcaLlon of splnal block
4 AfLer dellvery lf Lhe fundus ls boggy and devlaLed Lo Lhe rlghL slde Lhe paLlenL should empLy her
bladder
4 8efore provldlng a speclmen for a sperm counL Lhe paLlenL should avold e[aculaLlon for 48 Lo 72
hours
4 1he hormone human chorlonlc gonadoLropln ls a marker for pregnancy
4 alnless vaglnal bleedlng durlng Lhe lasL LrlmesLer of pregnancy may lndlcaLe placenLa prevla
4 uurlng Lhe LranslLlon phase of labor Lhe woman usually ls lrrlLable and resLless
4 8ecause women wlLh dlabeLes have a hlgher lncldence of blrLh anomalles Lhan women wlLhouL
dlabeLes an alphafeLoproLeln level may be ordered aL 13 Lo 17 weeks' gesLaLlon
4 1o avold puncLurlng Lhe placenLa a vaglnal examlnaLlon shouldn'L be performed on a pregnanL
paLlenL who ls bleedlng
4 A paLlenL who has posLparLum hemorrhage caused by uLerlne aLony should be glven oxyLocln as
prescrlbed
4 LaceraLlon of Lhe vaglna cervlx or perlneum produces brlghL red bleedlng LhaL ofLen comes ln
spurLs 1he bleedlng ls conLlnuous even when Lhe fundus ls flrm
4 PoL compresses can help Lo relleve breasL Lenderness afLer breasLfeedlng
4 1he fundus of a posLparLum paLlenL ls massaged Lo sLlmulaLe conLracLlon of Lhe uLerus and
prevenL hemorrhage
4 A moLher who has a poslLlve human lmmunodeflclency vlrus LesL resulL shouldn'L breasLfeed
her lnfanL
4 ulnoprosLone (Cervldll) ls used Lo rlpen Lhe cervlx
4 8reasLfeedlng of a premaLure neonaLe born aL 32 weeks' gesLaLlon can be accompllshed lf Lhe
moLher expresses mllk and feeds Lhe neonaLe by gavage
4 lf a pregnanL paLlenL's rubella LlLer ls less Lhan 18 she should be lmmunlzed afLer dellvery
4 1he admlnlsLraLlon of oxyLocln (lLocln) ls sLopped lf Lhe conLracLlons are 90 seconds or longer
4 lor an exLramural dellvery (one LhaL Lakes place ouLslde of a normal dellvery cenLer) Lhe
prlorlLles for care of Lhe neonaLe lnclude malnLalnlng a paLenL alrway supporLlng efforLs Lo
breaLhe monlLorlng vlLal slgns and malnLalnlng adequaLe body LemperaLure
4 SublnvoluLlon may occur lf Lhe bladder ls dlsLended afLer dellvery
4 1he nurse musL place ldenLlflcaLlon bands on boLh Lhe moLher and Lhe neonaLe before Lhey
leave Lhe dellvery room
4 LryLhromycln ls glven aL blrLh Lo prevenL ophLhalmla neonaLorum
4 elvlcLllL exerclses can help Lo prevenL or relleve backache durlng pregnancy
4 8efore performlng a Leopold maneuver Lhe nurse should ask Lhe paLlenL Lo empLy her bladder