Maternal Newborn Nursing Exam 1 Question & Answers 2024, Exams of Nursing

Download Maternal Newborn Nursing Exam 1 Question & Answers 2024 and more Exams Nursing in PDF only on Docsity! Maternal Newborn Nursing Exam 1 Question & Answers 2024 Barriers to healthcare access - Correct Answers ✅Cost!! (inability to pay) Transportation, lack of dependent child care, lack of providers for low- interest women, high insurance costs, etc. Increase cost of healthcare - Correct Answers ✅Shift in demographics Increased emphasis on high cost technology Higher incidence of obesity Liability costs Caring for increased number of low birth weight infants is major source of cost Reduction of health disparities - Correct Answers ✅Health Resource and Service Administration Health Disparities Collaborative is aimed at improving delivery of care for all people in the US who are treated in HRSA supported health centers. National Institutes of Health provides funding for research and training for minority researchers Broad public health perspective is needed to reduce disparities. Maternal Infant Biostatistics - Correct Answers ✅ Maternal Newborn Nursing Exam 1 Question & Answers 2024 Low birth weight infants - Correct Answers ✅Newborn weighing less then 2500 g (5 lb 8 oz). Morbidity and mortality increase Smoking and multiple births contribute Racial disparities: non hispanic black babies much more likely to die within first year then non hispanic white babies Preterm - Correct Answers ✅Infant born before 37 weeks of gestation Types of family structure - Correct Answers ✅Nuclear family (mother father children) Bi nuclear family (divorce, children members of 2 families) Reconstituted or blended family (unrelated that join together ex: step children) Extended family (other relatives in same house) Single parent families Alternative or homosexual families Female Reproductive System - Correct Answers ✅Includes external and internal structures External female genitalia - Correct Answers ✅Mons pubis Maternal Newborn Nursing Exam 1 Question & Answers 2024 Uterine tubes (fallopian tubes) - Correct Answers ✅Passageway for sperm to meet the ovum, site of fertilization, nourishing environment for ovum, means of transporting ovum to the corpus Ovaries - Correct Answers ✅Production of hormones and maturation of an ovum during each reproductive cycle Almond shaped, held in place by ovarian and uterine ligaments Parts of the Uterus - Correct Answers ✅Corpus/fundus Cervix Corpus - Correct Answers ✅Body of uterus Fundus is dome shaped top of uterus 3 distinct layers including perimetrium, myometrium and endometrium Cervix - Correct Answers ✅Neck or lower part of uterus Consists of cervical canal with an internal opening near uterine corpus (internal os) Opening into vagina (external os) Maternal Newborn Nursing Exam 1 Question & Answers 2024 Layers of uterus - Correct Answers ✅Endometrium, myometrium, perimetrium Endometrium - Correct Answers ✅Highly vascular lining made up of three layers (inner most layer) Outer two layers are shed during menstraution Myometrium - Correct Answers ✅Made up of layers of smooth muscle, extend in 3 different directions (longitudinal, transverse, oblique) Perimetrium - Correct Answers ✅Outer layer of uterus Purpose of bony pelvis - Correct Answers ✅Support and distribute body weight, support and protect pelvic organs and form the birth passageway. Montgomery tubercles - Correct Answers ✅Small sebaceous glands on the aerolas around the nipples of the breasts that enlarge during pregnancy and lactation. Secrete fatty substance that lubricates Maternal Newborn Nursing Exam 1 Question & Answers 2024 Breast self exam - Correct Answers ✅Best time is when breasts are not swollen or tender, can also do in shower. Use opposite hand Laying down: hand over head and use circular motion of finger pads. Move in vertical line pattern over all areas of breast, deeper pressure allows you to feel tissue closer to chest. Be sure to check all areas Check in mirror for dimpling, swelling, discharge Phases of endometrial cycle - Correct Answers ✅Menstruation: day 1- 5 Proliferative phase: rapid growth. 5th day to ovulation (14) Secretory phase: ovulation to 3 days before next menustration. Ischemic phase: fall in progesterone and estrogen levels. If no fertilization, basal layer separates and bleeding begins (around 25 day to 28) Climacteric - Correct Answers ✅Transitional phase during which ovarian function and hormone production decline. Spans premenopausal time to post menopausal time Risks of hormone birth control - Correct Answers ✅Side effects usually dose related, screen for medical conditions. Contraindicated with thromboembolic disorders, CAD, cerebrovascular disease, valvular heart disease, breast cancer, other estrogen dependent tumors Maternal Newborn Nursing Exam 1 Question & Answers 2024 Chorion - Correct Answers ✅Outer cell membrane of fetus Covering of fetal side of placenta Function of amniotic fluid - Correct Answers ✅Helps maintain constant body temperature Source of oral fluid and repository for waste Cushions fetus from trauma Freedom of movement for skeletal development Keeps fetus from tangling in membranes Umbilical cord and vessels - Correct Answers ✅Two arteries and carry blood from embryo to chorionic villi. One vein returns blood to embryo Dizygotic twins - Correct Answers ✅Two zygotes Two mature ova produced in one ovarian cycle but have potential to be fertilized separately Monozygotic twins - Correct Answers ✅Develop from one fertilized ovum which then divides Identical twins, same sex and same genotype Maternal Newborn Nursing Exam 1 Question & Answers 2024 Gravida - Correct Answers ✅women who is pregnant Gravidity - Correct Answers ✅pregnancy Parity - Correct Answers ✅Number of pregnancies in which fetus or fetuses have reached viability (20 wks). Stillbirth or alive does not matter, not number of fetuses born Multigravida - Correct Answers ✅women who has had 2 or more pregnancies Nulligravida - Correct Answers ✅women who has never been pregnant Multipara - Correct Answers ✅women who has completed two or more pregnancies to stage of fetal viability Nullipara - Correct Answers ✅women who has not completed a pregnancy with fetus who has reached viable stage Primigravida - Correct Answers ✅women pregnant for first time Maternal Newborn Nursing Exam 1 Question & Answers 2024 Primipara - Correct Answers ✅women who has completed one pregnancy with fetus who has reached viable stage Ballotment - Correct Answers ✅Diagnostic technique using palpation. A floating fetus when tapped or pushed moves away then returns to touch examiners hand Braxton hicks - Correct Answers ✅Irregular and painless contractions, occur intermittently throughout pregnancy False labor, occur more frequently as pregnancy progresses Presumptive sign of pregnancy - Correct Answers ✅Specific changes felt by women Ex: ammenorhea, fatigue, vomiting, nausea, breast change Probable sign of pregnancy - Correct Answers ✅Changes observed by an examiner Ex: softening of uterus, Hegar sign, ballottement, pregnancy test Positive sign of pregnancy - Correct Answers ✅Signs that are attributable only to appearance of fetus Ex: hearing fetal heart tones, visualization of fetus, palpating fetal movements Maternal Newborn Nursing Exam 1 Question & Answers 2024 Hgb electrophoresis - Correct Answers ✅Detects hemoglobinopathies Blood type, Rh, irregular antibody - Correct Answers ✅Identifies fetus at risk for developing erthyroblastosis or hyperbilirubin in neonate period Urinalysis - Correct Answers ✅Monitor/identify diabetes, renal disease, HTN, infection, occult hematuria Urine culture - Correct Answers ✅Identify asymptomatic UTI/bacteruria Pap smear - Correct Answers ✅Screen for neoplasia, herpes simplex 2, HPV RPR, VDRL or FTA ABS - Correct Answers ✅identifies women with untreated syphillis MSAFP/quad screen - Correct Answers ✅Screen for down syndrome, NTDs. 15-20 wks Maternal Newborn Nursing Exam 1 Question & Answers 2024 1 hour glucose tolerance - Correct Answers ✅Screen for gestational diabetes, first visit for women with risk factors, 24-28 wks for all pregnant women not known to be diabetic 3 hour glucose tolerance - Correct Answers ✅Screens for diabetes in women with elevated glucose level after 1 hr test. 2 elevated readings to be gestational diabetes Fundal height - Correct Answers ✅Measurement of height of uterus above symphis pubis and an indicator of fetal growth Can also detect high risk factors and gross estimate of duration of pregnancy Goals of childbirth education - Correct Answers ✅Assist individuals and their family members to make informed, safe decisions about pregnancy, birth and early parenthood. Assist in comprehending the long lasting potential that empowering birth experiences have in the lives of women and that early experiences have on the development of the children and family Dose of iron during pregnancy - Correct Answers ✅30 mg daily Dose of folic acid during pregnancy - Correct Answers ✅600 mg daily Maternal Newborn Nursing Exam 1 Question & Answers 2024 Abortus - Correct Answers ✅An embryo or fetus that is expelled or removed from the uterus at 20 wks gestation or less, weighs 500 g or less and measures 25 cm or less Birth rate - Correct Answers ✅Number of live births in 1 year per 1000 population Fertility rate - Correct Answers ✅Number of births per 1000 women between ages of 15 to 44 calculated on a yearly basis Infant mortality rate - Correct Answers ✅Number of deaths of infants under 1 year of age per 1000 live births Maternal mortality rate - Correct Answers ✅Number of maternal deaths from births and complications of pregnancy, child birth and pureperium (first 42 days after termination of pregnancy) per 100,000 live births. Neonatal mortality rate - Correct Answers ✅Number of deaths of infants under 28 days of age per 1000 live births Perinatal mortality rate - Correct Answers ✅Number of stillbirths and number of neonatal deaths per 1000 live births