Durham & Chapman Maternal Newborn Chapter 4
Questions with Correct Answers
Which of these are focuses of antepartum care? (Select all that apply)
A. Regular assessment of the health of the pregnancy
B. Screening for risk factors for complications
C. Intervention and management for complications during pregnancy
D. Health promotion
E. Inclusion of family members in care and education to promote
adaptation
F. Education with the goal of modifying risk factors prior to conception
Correct Answer-A. Regular assessment of the health of the pregnancy
B. Screening for risk factors for complications
C. Intervention and management for complications during pregnancy
D. Health promotion
E. Inclusion of family members in care and education to promote
adaptation
The prenatal period that begins with conception and ends with the onset
of labor is called?
A. Antepartum
B. Postpartum
C. Intrapartum
D. Perineum Correct Answer-A. Antepartum
,Folic acid supplementation decreases the risk of
A. preeclampsia
B. preterm birth
C. neural tube defects
D. sickle cell anemia Correct Answer-C. neural tube defects
Calcium, magnesium and Vitamin D Correct Answer-contribute to bone
health and osteoporosis prevention
It is best to implement excercise Correct Answer-several months in
advance of conception so that when pregnancy occurs regular excercise
is comfortable and routine
What type of excercise should you do? Correct Answer-Some form of
aerobic activity, including regular weight bearing excercise such as
walking or running as well as stretching exercises and some type of
strengthening together to provide overall body conditioning.
Self Care: Most woman arent aware they are pregnant Correct Answer-
for 1-2 weeks
- for this reason it is important to cousel the preconception woman to
decrease risk behaviors and eliminate exposure to substances that are
known or suspected to be harmful during gestation as soon as she stops
using contraception:
- alcohol
- tobacco
,- secondhand smoke
- excessive use of caffeine
- drugs
Contraception Cessation: before conception it is ideal for a woman to
have Correct Answer-two to three normal menstrual periods
-have IUD removed
-stop hormonal contraception
Nursing Actions in Preconception Care Correct Answer--provide
comfort and privacy
-use therapeutic communication techniques
-obtain health history
-conduct review of systems
-assist with physical and pelvic exams
-assist with obtaining specimens
-provide teaching about procedures
-provide antepartum guidance related to plan of care and appropriate
follow up
-assess patient understanding
-provide education, recommendations, and referrals to help woman
make appropriate behavioral, lifestyle, or medical changes based on
history or physical exam
, Presumptive signs of pregnancy Correct Answer-include all subjective
signs of pregnancy (i.e. physiological changes perceived by the woman
herself
Presumptive signs of pregnancy are Correct Answer--Amenorrhea
-nausea or vomitting at week 2 to 12
-breast changes at 2-3 weeks
-fatigue
-frequent urination
-quickening (awareness of fetal movement) 18 weeks
Amenorrhea Correct Answer-absence of mentruation
Breast Changes Correct Answer-enlargement, tenderness, tinglings of
breasts
Quickening Correct Answer-a woman's first awareness of fetal
movement occurs around 18 weeks gestation -early as 16 weeks late as
22 weeks
Fatigue Correct Answer-common during the first trimester
Urinary Frequency Correct Answer-related to pressure of enlarging
uterus on the bladder, decreases as uterus moves upward and out of
pelvis
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