OB Quiz 1

Please remember the mnemonic?

(Doppler) D 12 3 (Fetoscope) F 16 4 (Stethoscope) S 20 5

The nurse has a legal responsibility to report communicable diseases.

(such as tuberculosis and sexually transmitted diseases), foodborne infections, child abuse, and threats of suicide.

Nurse Practice Act

-Nurses are responsible for practicing within the scope of their nursing license. -It is the nurse's responsibility to know what that scope allows -A nurse who fails to provide the standards of care within his or her scope of practice can be accused of negligence or malpractice

What is the focus of current maternity practice?

1. A quality family experience for each patient

When describing the female reproductive tract to a pregnant woman, the nurse would explain that which uterine layer is involved in implantation?

1. Endometrium Rationale: The endometrium is the inner mucosal layer of the uterus that is governed by cyclical hormonal changes. It is functional during menstruation and during the implantation of a fertilized ovum.

Types of pelvises?

1. Gynecoid: most favorable for vaginal delivery 2. Android: is a male-type pelvis 3. Anthropoid: has a long anteroposterior outlet 4. Platypelloid: is unfavorable for vaginal delivery

What are the functions of the placental hormones?

1. Human Chorionic Gonadotropin (hCG) Function: hCG is one of the first hormones produced by the placenta, detectable in maternal blood soon after implantation. Its primary function is to maintain the corpus luteum, which produces progesterone during the early stages of pregnancy. 2. Human Placental Lactogen (hPL) Function: hPL is a hormone released by the placenta when you're pregnant. It helps prepare your body for breastfeeding. It also regulates metabolism and insulin sensitivity to make sure the fetus gets enough nutrients. A blood test can measure the hormone to help determine the health of the placenta, fetus and pregnant person. 3. Progesterone Function during Pregnancy: Maintain uterine lining for implantation of zygote, Reduce uterine contractions to prevent spontaneous abortion, Prepare gland of breasts for lactation, Stimulate testes to produce testosterone, which aids the male fetus in developing the reproductive tract. 4. Estrogen Function during pregnancy: Stimulates uterine growth, Increases blood flow to uterine vessels, Stimulates development of breast ducts.

Know your terms.

1. Lanugo: Fine hairs, light, suede, delicate, and unpigmented hair that covers the bodies of developing fetuses in a mother's womb. 2. Vernix caseosa: Thick, cheesy substance made up of sebum and shed epithelial cells. 3. Mortality: Death Rate 4. Morbidity: Disease Rate

Therapeutic Communication

1. Listening 2. Observation 3. Documentation (SBAR)

What are the Two Main functions of the Testes?

1. Manufacture Sperm 2. Secrete Male Hormone (Androgens)

Fertilization takes place in the outer third of the fallopian tube, which is closest to the ovary?

1. Outer third of the fallopian tube near the ovary

What are the layers of Uterus?

1. Perimetrium: outermost protective layer. 2. Myometrium: Middle layer 3. Endometrium: inner layer

Birthing centers are capable of providing full-service obstetric care, classes for new mothers, and family planning. (SATA)

1. Prenatal Care 2. Labor and delivery services 3. Classes for new mothers 4. Family Planning

what are the different interdisciplinary team and their scope of practice?

1. RN Scope of Practice: RNs provide direct patient care, coordinate treatment plans, and educate patients. They work independently and under the supervision of physicians or nurse practitioners. 2. Certified Nurse-Midwife (CNM's) Scope of Practice: CNMs are advanced practice nurses specializing in midwifery. They provide care for women throughout pregnancy, childbirth, and the postpartum period. 3. Nurse Practitioners Scope of Practice: NPs are advanced practice nurses who can diagnose and treat medical conditions. In many states, they have full practice authority and can work independently. 4. Physician (MD/DO) Scope of Practice: Physicians diagnose, treat, and manage acute and chronic illnesses. They may specialize in areas like internal medicine, surgery, pediatrics, or psychiatry.

The nurse working in a prenatal clinic reviews a client's chart and notes that the primary health care provider documents that the client has a gynecoid pelvis. The nurse plans care understanding that which findings are characteristic of this type of pelvis? (SATA)

1. Round Shape 2. Diagonal conjugate measures 12.5 cm to 13 cm 3. Blunt, somewhat widely separated ischial spines

Contraceptives: A nurse is teaching a group of young women about the use of oral contraceptives. The nurse should teach that taking which of the following herbal preparations reduces the effectiveness of this birth control method?

1. St. John's wort (responsible for breakthrough bleeding and unintentional pregnancies)

6. A nursing student on an obstetric rotation questions the floor nurse about the definition of the LVN/LPN scope of practice. What resource can the nurse suggest to the student?

1. State's board of nursing Rationale: The scope of practice of the LVN/LPN is published by the state's board of nursing.

Fetal Development

1. Zygote: conception to 2nd week 2. Embryo: 2nd to 8th week 3. Fetus: 9th week to birth

Age of Viability?

20th Weeks

What is AVA?

AVA is the umbilical cord consists of 2 arteries carrying blood away from the fetus and 1 vein carrying blood to the fetus.

what are the steps of nursing care plan (Process)?

Assessment Diagnosis Planning Implementation Evaluation

Breast Education?

Breast size does not determine amount of milk production

What term appropriately describes the nurse who is able to adapt health care practices to meet the needs of various cultures?

Culturally competent

Combined oral contraceptives (COCs)

Hormonal contraception containing estrogen and progestin, which acts by suppressing ovulation, thickening the cervical mucus to block semen, and altering the uterine decidua to prevent implantation.

Menstruation

Slough off Endometrium

Fallopian tubes

The fallopian tube provides passage for both sperm and ova, offering an optimum place for fertilization and a safe environment for the zygote.

signs of puberty in girls?

The first outward change of puberty in girls is the development of breasts at about 10 to 11 years of age, pubic hairs.

Oral Contraceptives

are contraindicated for individuals who have hypertension, especially if it is not controlled by medication. High doses of estrogen and progestin in oral contraceptives are associated with risk for stroke, myocardial infarction, hypertension, and thromboembolism. Clients who have hypertension are already at an increased risk for a thromboembolic event.

signs of puberty in boys?

increases muscle mass, strength and growth of long bones, deepening of voice, presence of axillary hairs

The beginning of menstruation, called menarche?

occurs approximately 2 to 2½ years later (around 11 to 15 years of age)