Which of the following are the functions of amniotic fluid?
1. Cushions the fetus from abdominal trauma
2. Serves as the fluid for the fetus
3. Maintains the internal temperature
4. Facilitates fetal movement
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Solution
All of the above
All the four functions enumerated are true of amniotic fluid.
Which of the following statements is TRUE of conception?
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Solution
Within 2-4 hours after intercourse conception is possible in a fertile woman
The sperms when deposited near the cervical os will be able to reach the fallopian tubes within 4 hours. If the woman has just ovulated (within 24hours after the rupture of the graafian follicle), fertilization is possible.
The following are skin changes in pregnancy EXCEPT:
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Solution
Chadwick’s sign
Chadwick’s sign is bluish discoloration of the vaginal mucosa as a result of the increased vascularization in the area.
Mrs. Santos is on her 5th pregnancy and has a history of abortion in the 4th pregnancy, and the first pregnancy was a twin. She is considered to be
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Solution
G 5 P 3
Gravida refers to the total number of pregnancies including the current one. Para refers to the number of pregnancies that have reached viability. Thus, if the woman has had one abortion, she would be considered Para 3. Twin pregnancy is counted only as 1.
The common normal site of nidation/implantation in the uterus is
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Solution
Upper uterine portion
The embryo’s normal nidation site is the upper portion of the uterus. If the implantation is in the lower segment, this is an abnormal condition called placenta previa.
The nursing intervention to relieve “morning sickness” in a pregnant woman is by giving
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Solution
Dry carbohydrate food like crackers
Morning sickness maybe caused by hypoglycemia early in the morning thus giving carbohydrate food will help.
When preparing the mother who is in her 4th month of pregnancy for an abdominal ultrasound, the nurse should instruct her to:
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Solution
Drink at least 2 liters of fluid 2 hours before the procedure and not void until the procedure is done
Drinking at least 2 liters of water 2 hours before the procedure will result to a distended bladder. A full bladder is needed when doing an abdominal ultrasound to serve as a “window” for the ultrasonic sound waves to pass through and allow visualization of the uterus (located behind the urinary bladder).
You want to perform a pelvic examination on one of your pregnant clients. You prepare your client for the procedure by:
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Solution
Asking her to void
A pelvic examination includes abdominal palpation. If the pregnant woman has a full bladder, the manipulation may cause discomfort and accidental urination because of the pressure applied during the abdominal palpation. Also, a full bladder can impede the accuracy of the examination because the bladder (which is located in front of the uterus) can block the uterus.
Which of the following signs will require a mother to seek immediate medical attention?
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Solution
No fetal movement is felt on the 6th month
Fetal movement is usually felt by the mother during 4.5 – 5 months. If the pregnancy is already in its 6th month and no fetal movement is felt, the pregnancy is not normal either the fetus is already dead intra-uterine or it is an H-mole.
The diet that is appropriate in normal pregnancy should be high in
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Solution
Protein, minerals and vitamins
In normal pregnancy there is a higher demand for protein (body building foods), vitamins (esp. vitamin A, B, C, folic acid) and minerals (esp. iron, calcium, phosphorous, zinc, iodine, magnesium) because of the need of the growing fetus.