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NURB 334 Final Exam questions and complete correct answers 2024
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What is the scope of maternity nursing - correct answer Caring for patient, baby, partner and family pre-pregnancy through postpartum. What are landmark years and changes within Maternity Nursing? - correct answer 1920s: spike in mortality led to origin of maternity nursing in trying to discover...

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  • September 10, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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  • nurb 334 final exam questions and answers

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NURB 334 Final Exam

What is the scope of maternity nursing - correct answer Caring for patient, baby, partner and family pre-
pregnancy through postpartum.



What are landmark years and changes within Maternity Nursing? - correct answer 1920s: spike in
mortality led to origin of maternity nursing in trying to discover how to lower rates

1940s: extended care to include family during pregnancy process

1969: Association of Women's Health, Obstretical, and Neonatal nurses was born (governing)

Today: has subspecialties in maternity nursing



How has Maternity Nursing changed over the years? - correct answer Changed from looking at
pregnancy as solely a medical procedure to more patient driven and viewing pregnancy and birth as
healthcare provdiers being partners in care



Ethnocentrism - correct answer is the negative end viewing one's own culture as the best for everyone



Cultural relativism - correct answer is the positive end where you view your own culture as what is best
for you but value that another persons culture is what is best for them. This value comes in the form of
learning about and applying others cultures



Cultural competence - correct answer is having knowledge about patients culture so that you can act in a
way that meets clients' needs



hCG - correct answer initial hormone to maintain pregnancy

-prevents involution of corpus luteum.

-Corpus luteum increases production of estrogen & progesterone until the 11th week, when the placenta
takes over.

-Maximum level at 50-70 days & then begins to decrease.

-After progetersone and estrogen take over so hCG is no longer necessary

,-Detectable in maternal blood as soon as implantation occurs, usually 8-10 days after fertilization.

-Basis for pregnancy tests.



hCS - correct answer adjusts metabolism

-Stimulates adjustments in metabolism, so that adequate protein, glucose, & minerals are available for
developing fetus.

-Increases resistance to insulin, facilitates glucose transport across placental membrane, & stimulates
breast development.



progesterone - correct answer relaxation

-Responsible for body tissues to "relax" or decrease tone.

-Vascular: relax blood vessel walls (causes hemorrhoids and edema)

-GI: constipation, heartburn and gall bladder disease

-Respiratory: decrease airway resistance

-Renal: urinary stasis, bladder infections and UTIs



estrogen - correct answer proliferation

-Builds Tissue: Either increases the size or # of tissues, blood vessels, & blood cells.

-increase size of uterus, external genitalia, breast, blood, lymphatic, nerve supply to uterus

-increased fat tissue, WBCs, fibrinogen, clots

-softening connective and collagen tissue

-retain more sodium and water



Heart size change in pregnancy - correct answer slight cardiac enlargement



Blood volume change in pregnancy - correct answer increased by 40-45% (7.5 L)



HR change in pregnancy - correct answer -Between 14 & 20 weeks heart rate increases approximately
10-15 beats/min.

-Palpitations may occur due to increases in thoracic pressure.

, -Recognize this is completely normal



Peripheral vascular resistance change in pregnancy - correct answer -decreased

-These changes allow body to accommodate increased blood volume without pressure changes

-Orthostatic hypotension is common because vascular dilation happens faster than increase in blood
volume



lab values changes in pregnancy - correct answer decreased hematocrit

leukocyte are normal or slightly higher

increased coagulation (risk for DVT)



how wold you explain pregnancy changes to your patient? - correct answer



vena caval syndrome - correct answer -Dizzy, clammy, and pale.

-Caused by weight of uterus resting heavily on vena cava when pregnant person is lying flat on their
back.

-worse laying on back



vena caval syndrome intervention - correct answer Rapid relief occurs by having pregnant person turn
onto their side or by raising head of bed.



pregnancy respiratory changes - correct answer -Maternal oxygen requirements increase during
pregnancy

-Decrease in airway resistance

-Increased tidal volume (essentially how much the lungs can hold) (how much is availabel for gas
exchange), more efficiently ventilating

-Decreased blood PCO2

-Increased tidal volume



pregnancy metabolic changes - correct answer -Cells become insulin resistant

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