NUR 235- Exam 1 Test Questions and Correct Answers
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Course
NUR 235
Institution
NUR 235
Current OB Practices at CHH -Decreased separation of mom/baby -"Golden Hour" -Kangaroo care after birth (skin to skin contact) -Delayed bathing to prevent stress -Purple Code: Postpartum Hemorrhage
Maternity Nursing Care Focus is on... -Childbearing women and their family -During all stages of pre...
NUR 235- Exam 1 Test Questions and
Correct Answers
Current OB Practices at CHH ✅-Decreased separation of mom/baby
-"Golden Hour"
-Kangaroo care after birth (skin to skin contact)
-Delayed bathing to prevent stress
-Purple Code: Postpartum Hemorrhage
Maternity Nursing Care ✅Focus is on...
-Childbearing women and their family
-During all stages of pregnancy, childbirth, and first 6 weeks following delivery
Antepartum - Intrapartum - Postpartum
-Maternal fetal client - Antepartum period = 2 clients.
-Care provided to one affects the other.
Intrapartum = labor and birth.
Postpartum = care following birth.
-Contemporary care = family centered care
Smoking causes ✅Low birth weight
Cultural Factors ✅Culture- set of ideas/beliefs/values shared by a group of people and
the way a person accepts them throughout their life
Childbearing ✅Critical life experience, often many traditional beliefs/practice
Ethnocentrism ✅View that one's way of doing things is better
Care during Pregnancy and Cultural Differences ✅-Communication
-Personal Space
-Time Orientation
-Family Roles
Female Reproductive System ✅Vagina: Extends from cervix to perineum
Functions: Discharge of menstrual flow, passage of fetus, intercourse
Folds= rugae
Female Reproductive System ✅Uterus: Muscular, reception/implantation of fertilized
ovum and later contracts to expel fetus
,Fundus= dome shaped top of uterus
Female Reproductive System ✅Fallopian tubes: Pathway for ovum, Fertilization occurs
here
Female Reproductive System ✅Ovaries: Almond- shaped organs, on each side of
uterus.
Function: Hormone production (estrogen, progesterone, and androgen) and Ovulation.
Smooth before menarche, later become nodular.
Female Reproductive System ✅-Bony pelvis
-Protection of pelvic structures
-Accommodate growing fetus during pregnancy
-Anchor for pelvic support structures
-False pelvis and true pelvis
Breasts ✅-Secrete milk after birth to nourish infant - lactation
-Estrogen and progesterone stimulate growth of acinar cells and ductal system
-Prolactin: stimulates milk production
-Montgomery tubercles - sebaceous glands in areola
-Oxytocin: Causes contractions and milk release (EJECTS BABY AND MILK)
-Colostrum
Menstrual cycle ✅-Periodic uterine bleeding, appox. 14 days after ovulation.
-Hypothalamic-pituitary cycle
-Ovarian cycle
-Endometrial cycle
-Other cyclic changes: BBT (Basal body temperature), spinnbarkeit (Cervical mucous
gets thin and stretchy), mittelschmerz (pain during ovulation)
Endometrial Cycle ✅-Menstrual Phase - Shedding of 2/3 of the endometrium
-Proliferative Phase - rapid growth, day 5-14
-Secretory Phase - from ovulation until 3 days before next menstrual period -
*progesterone* (IMPLANTATION OCCURS)
-Estrogen levels peak - release of egg = Ovulation - Day 14
-Following ovulation, estrogen levels drop, Lutueal Phase - Corpus Luteum High levels
of - *Progesterone*
Gravida ✅Pregnancy
Para ✅Delivery
Abortion ✅-First trimester abortion
-Surgical (Vacuum) aspiration -most common
-Medical abortion - up to 9 weeks
-Methotrexate
-Misoprostol (Cytotec) and mifepristone (RU 486)
-Second trimester abortion
-Dilation and evacuation
-May use laminaria
Abortion Complications ✅Infection, retained products of conception, and excessive
vaginal bleeding
Follow-up care ✅-Schedule follow-up exam
-Contraceptive counseling
-Rhogam if necessary
-Avoid strenuous activity for a few days
-Bleeding/ cramping possible 1-2 weeks
-No tampons/douching/intercourse 1-3 weeks
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