Chapman Maternal-Newborn Nursing Chapter 4
Questions with Correct Answers
Antepartum Period Correct Answer-prenatal period begins with
conception and ends with the onset of labr
Focus of Antepartum Nursing Care Correct Answer--Regular assessment
of the health of the pregnancy
-Regular assessment and screening of risk factors for potential
complications
-Implementation of appropriate interventions based on risk status or
actual complications
-Inclusion of significant others/family in care and education to promote
pregnancy adaptation
-Education on health promotion and disease prevention
Preconception Care Correct Answer-interventions that aim to identify
medical, behavioral, and social risks to a woman's health or pregnancy
outcomes through prevention and management
Preconception care consists of Correct Answer-- health promtion
- risk screening
- implemention for childbearing aged women before a pregnancy with
the goal of modifyimg risk factors that could negatively affect a
pregnancy
,Two components of Preconception Health Care Visit Correct Answer-1.
physical examination
2. Lab & Diagnostic Tests
Preconception physical exam includes Correct Answer-comprehensive
physical exam
breast exam
pelvic exam
height and weight
Preconception lab & diagnostic tests Correct Answer-Pap smear
blood type and Rh factor
blood count
serum cholesterol
serum glucose
urinalysis
HIV
Syphilis
STD cultures
Anticipatory Guidance Correct Answer-information and guidance to
women and their families that enables them to be knowledgeable and
prepared as the process of pregnancy and childbirth unfold.
,Anticipatory guidance and teaching include Correct Answer--nutrition
-prenatal vitamins
-exercise
-self-care
-contraception cessation
-timing of conception
-modifying behavior to reduce risk
The goal of preconception education is to provide a woman Correct
Answer-with information she can use to enhance her health before
becoming pregnant
Maternal obesity prior to conception has been linked to Correct Answer-
childhood obesity in their offspring
Obesity increases a womans risk for Correct Answer-- infertility
- antepartum complications such as HTN, preeclampsia, gestational
diabetes, thromboembolism, UTIs
- prolonged labor
- hemorrhage
- poor wound healing
- cesearean birth
Overweight and obese women should receive Correct Answer-
counseling prior to pregnancy and in the interconceptional period on the
, roles of diet and physical activity, in order to ameriolate these adverse
outcomes
An overweight or obese pre pregnancy weight increases the risk for
Correct Answer-poor maternal and neonatal outcomes and may have
long term implications and development of a chronic disease
Underweight pre pregnancy weight increases the risk for Correct
Answer-poor fetal growth and low birth weight
Nutritional education for women of childbearing years: Correct
Answer-- educate on diet and physical activity
- advise the importance on maintaining healthy weight prior to
conception
- encourage nutrious foods such as fruits and veggies, lean proteins, low
fat or non fat dairy foods, whole grains
- help choose appropriate foods and serving sizes
Prenatal vitamins consist of Correct Answer-a wide ride of vitamins and
minerals important for good health during pregnancy
Maternal obesity associated with Correct Answer-increased perinatal
morbidity and mortality
Folic acid supplementation Correct Answer-decreases risk of neural tube
defects
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