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NUR234 Final Exam Questions And Verified Detailed Answers

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NUR234 Final Exam Questions And Verified Detailed Answers...

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  • September 29, 2024
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NUR234 Final Exam Questions And
Verified Detailed Answers

diaphragm

A dome shaped cup with a flexible rim that fits snugly over the cervix. Barrier to the
passage of sperm.

diaphragm teaching

- Should remain in place for 6 hours after coitus. If left in for 24 hours, may cause toxic
shock syndrome.

- Using a spermicide will increase effectiveness.

- Replace every 2 years.

- Refit for 15-20 lb. weight fluctuation, after having a baby or abdominal surgery.

diaphragm contraindications

clients who have a history of:

toxic shock

Cystocele

UTI's

uterine prolapse

combined oral contraceptives (COC)

Hormonal contraception containing estrogen and progestin, which suppress ovulation,
and thicken the cervical mucus to block semen.

Prevents implantation.

COC complications

chest pain

SOB

leg pain

,headache

vision changes

HTN

COC contraindications

thromboembolic disorders

smoking

HTN

COC teaching

take every day

the pill is highly effective if taken correctly and consistently

ovulation



involves monitoring the menstrual cycle and, using various techniques, attempting to
determine when ovulation has occurred, an event that occurs about 14 days before the
beginning of the next menstrual cycle

infertile phase

begins when cervical mucus is watery, transparent and can be stretched between the
fingers

functions of the placenta

Nutrients and oxygen are carried to the fetus by

Screens waste material and provides a barrier to some toxic substances and
medications such as insulin.

- Attached to the baby via umbilical cord made up of 2 arteries & 1 vein

hormones produced by the placenta

- hCG

- progesterone

- estrogen

- human placental lactogen

- oxytocin & prostaglandin

,human chorionic gonadotropin (hCG)

Present in maternal blood and urine as early as the first missed menstrual period,
shortly after implantation has occurred

progesterone



Required to support the endometrial lining of the uterus during pregnancy

estrogen



Plays role in development of the mammary glands in preparation for lactation



human placental lactogen

Regulates maternal glucose, protein, and fat levels so adequate amounts are available
to the fetus

oxytocin & prostaglandin

released later in pregnancy to help induce labor

Nagele's Rule

- predicts delivery

- From first day of last menstrual cycle; Subtract 3 months, and add 7 days (and if
necessary, add a year)

amniocentesis

- Aspiration of amniotic fluid from pregnant uterus for examination

- Usually scheduled between the 14th and 16th week of pregnancy.

- This is to check lung maturity in the fetus. L/S ratio should be 2:1

Lecithin/sphingomyelin (L/S) ration

in surfactant, primary test of fetal lung maturity.

- L/S rations is 2:1.

amniocentesis prep

- Empty bladder before procedure.

, - If mother is RH negative blood type, administer Rhogam.

nonstress test

- A noninvasive tool.

- Measures fetal heart rate response to fetal movement (fetal wellbeing)

nonstress test interpretations and interventions

interpreted as reactive if the FHR accelerates at least 15 beats above baseline, for at
least 15 seconds and occurs two or more times during a 20- minute period

If baby hasn't moved, offer mom a drink or snack and have her move around for a few
minutes

reproductive system changes

uterus

ovaries

vagina

breast

presumptive signs of pregnancy



Fatigue



Tender breasts



Pigment changes (areola, melasma, Linea nigra)



Quickening



Amenorrhea



Uterine enlargement

Stria gravidarum

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