Maternal child nclex review question 1-25 rationales

The probable signs of pregnancy include uterine enlargement, Hegar's sign

(compressibility and softening of the lower uterine segment that occurs at about
week 6), Goodell's sign (softening of the cervix that occurs at the beginning of the
second month), Chadwick's sign (violet coloration of the mucous membranes of the
cervix, vagina, and vulva that occurs at about week 4), ballottement (rebounding of
the fetus against the examiner's fingers on palpation), Braxton Hicks contractions,
Braxton Hicks contractions, and a positive pregnancy test for the presence of
human chorionic gonadotropin
Positive signs of pregnancy include fetal heart rate detected by electronic device
(Doppler transducer) at 10 to 12 weeks and by nonelectronic device (fetoscope) at
20 weeks of gestation, active fetal movements palpable by the examiner, and an
outline of the fetus by radiography or ultrasonography.
Braxton Hicks contractions are irregular, painless contractions that may occur
intermittently throughout pregnancy
For women with active lesions, either recurrent or primary at the time of labor,
delivery should be by cesarean section to prevent the fetus from being in contact
with the genital herpes.
At the beginning of the second month of gestation, the cervix becomes softer as a
result of increased vascularity and hyperplasia, which cause Goodell's sign. Cervical
softening is noted by the examiner during pelvic examination.
Human chorionic gonadotropin noted in maternal urine is a probable sign of
pregnancy
Accurate use of Ngele's rule requires that the woman have a regular 28-day
menstrual cycle. Subtract 3 months and add 7 days to the first day of the last
menstrual period, and then add 1 year to that date: first day of the last menstrual
period
Ballottement is a technique of palpating a floating structure by bouncing it gently
and feeling it rebound. In the technique used to palpate the fetus, the examiner
places a finger in the vagina and taps gently upward, causing the fetus to rise. The
fetus then sinks, and the examiner feels a gentle tap on the finger.
Assess the cervix for compressibility is related to Hegar's sign
Quickening is fetal movement that is felt by the mother. In the multiparous woman
this may occur as early as the fourteenth to sixteenth weeks. The nulliparous
woman may not notice these sensations until the eighteenth week or later
The normal range of the fetal heart rate depends on gestational age. The heart rate
is usually 160 to 170 beats/minute in the first trimester and slows with fetal growth.
Near and at term, the fetal heart rate ranges from 110 to 160

Maternal child nclex review question 1-25 rationales

Pregnancy outcomes can be described with the acronym GTPAL. G is gravidity, the
number of pregnancies; T is term births, the number born at term (longer than 37
weeks); P is preterm births, the number born before 37 weeks' gestation; A is
abortions or miscarriages, the number of abortions or miscarriages (included in
gravida if before 20 weeks' gestation; included in parity [number of births] if past 20
weeks' gestation); and L is the number of current living children A woman who is
pregnant with twins and has a child has a gravida of 2. Because the child was
delivered at 38 weeks, the number of term births is 1, and the number of preterm
births is 0. The number of abortions is 0, and the number of living children is 1.
Because amniocentesis is an invasive procedure, informed consent needs to be
obtained before the procedure. After the procedure, the client is instructed to rest,
but may resume light activity after the cramping subsides. The client is instructed to
keep the puncture site clean and to report any complications, such as chills, fever,
bleeding, leakage of fluid at the needle insertion site, decreased fetal movement,
uterine contractions, or cramping Amniocentesis is an outpatient procedure and
may be done in a health care provider's private office or in a special prenatal testing
unit. Hospitalization is not necessary after the procedure.
Leukorrhea begins during the first trimester. Many clients notice a thin, colorless or
yellow vaginal discharge throughout pregnancy. Some clients become distressed
about this condition, but it does not require that the client report to the health care
clinic or emergency department immediately. If vaginal discharge is profuse, the
client may use panty liners, but she should not wear tampons because of the risk of
infection. If the client uses panty liners, she should change them frequently
A reactive nonstress test is a normal result. To be considered reactive, the baseline
fetal heart rate must be within normal range (120 to 160 beats/minute) with good
long-term variability. In addition, two or more fetal heart rate accelerations of at
least 15 beats/minute must occur, each with a duration of at least 15 seconds, in a
20-minute interval.
Contraction stress test results may be interpreted as negative (normal), positive
(abnormal), or equivocal. A negative test result indicates that no late decelerations
occurred in the fetal heart rate
Pica practices often lead to iron deficiency anemia, resulting in a decreased
hemoglobin level
Nonweight-bearing exercises are preferable to weight-bearing exercises during
pregnancy. Exercises to avoid are shoulder standing and bicycling with the legs in
the air because the knee-chest position should be avoided. Competitive or high-risk
sports such as scuba diving, water skiing, downhill skiing, horseback riding,
basketball, volleyball, and gymnastics should be avoided. Nonweight-bearing
exercises such as swimming are allowable.