NURS 131 Exam 1

jasmine's version from 2016-04-20 13:32

Section 1

Question Answer
A group of adolescents is waiting for pregnancy tests in a clinic. One of the girls asks about the . The nurse explains that certain body functions protect the female from infection of the reproductive organs. Which of the following protects the female from infection of the reproductive organs? Acidic pH and bacteriostatic cervical mucosa
A nurse is teaching a class on the anatomy of the reproductive system. Which statement is correct regarding the function of the round ligament? It steadies the uterus during labor and moves the fetus toward the cervix
Functions of the cervical mucosa Lubricates vaginal canal, acts as bacteriostatic action, provides an alkaline environment to protect sperm from acidic environment
What factors can alter the vagina's pH and decrease its self-cleansing action? Antibiotic therapy, douching and use of perineal sprays or deodorants
Function of the vagina Serves as a passage way for sperm, fetal birth and menstruation. Protects against sexual intercourse and infection
The figure-eight pattern of the middle layer of the uterine muscle fibers Constricts larger uterine blood vessels when the fibers contract
Function of endometrium Produces thin, watery alkaline secretions that help sperm travel to Fallopian tubes, nourishes the developing embryo before implantation
Isthmus Site of tubal ligation and surgical procedure to prevent pregnancy
Primary function of the ovaries Secrete estrogen and progesterone, responsible for progesterone
What is the primary function of the tubercles of Montgomery? Secrete a fatty substance that helps lubricate and protect the breasts
What portion of the breast contains the cuboidal epithelial cells that secrete the components of milk? Alveoli
The female reproductive cycle (FRC) is comprised of two interrelated cycles that occur simultaneously; the _____ and the _____ cycle. Ovarian, Menstrual
Estrogen Hormones associated with characteristics contributing to "femaleness". Control the development of the female secondary sex characteristics; breasts, body hair, widening of hips, and deposits of fat on butt and mons pubis
Progesterone Secreted by the corpus luteum and is found in greatest amounts during the secretory (luteal or progestational) phase of the menstrual cycle. "hormone of pregnancy". Placenta primary source of progesterone during pregnancy
Follicle-stimulating hormone (FSH) Primarily responsible for the maturation of the ovarian follicle
Lutenizing hormone (LH) Final maturation of the follicle cannot happen about without this action
Prostaglandin (PGs) Oxygenated fatty acids that are produced by the cells of the endometrium and are also classified as hormones
A girl waiting for a pregnancy test asks the nurse which hormone causes ovulation to occur. The nurse explains that about 12 hours after the peak production of ____, ovulation occurs. LH (lutenizing hormone)
The nurse asks the girl to identify the hormone responsible for enhancing development of the Graafian follicle and rebuilding the endometrium. The right answer is FSH-RH (follicle-stimulating hormone-releasing hormone)
Describe the process of ovulation and the released changes in the ovarian follicle Follicular phase: under the influence of FSH, the Graafian follicle matures; LH assists the oocyte in rupturing out of the ovary around day 14
How would a decrease in follicle-stimulating hormone (FSH) affect the proliferation phase of the menstrual cycle? FSH is primarily responsible for the maturation of the ovarian follicle. As the follicle matures, it secretes increasing amounts of estrogen, which enhance the development of the follicle. Decreased amounts of FSH could inhibit the proliferation phase and maturation of the follicle
The most important purpose for the location of the scrotum is to Maintain a temperature lower than that of the body
What is the main function of the vas deferens? Rapidly squeeze sperm from their storage sites into urethra

Section 2

Question Answer
List at least three changes that have occurred in childbirth practices over the past 25 years Partner and family in room, newborns in rooms during post partum, father actively involved
One of the most important approaches available to improve pregnancy outcomes Early prenatal care
What is the purpose of the Healthy People 2020 goals? Provide science based, focused agendas for improving healthcare for all Americans
The three areas of focus of primary are Promotion, prevention, individual responsibility
Primary care is best provided in a _______ setting. Community based
Professional nurse Grad accredited program, completed NCLEX, licensed
Clinical nurse specialist (CNS) Passed national certification showing expertise in field
Nurse Practioner (NP) Doctor or nursing practice
Certified nurse-midwife (CNM) Masters degree and special knowledge certified American college of Midwives
Who would be most qualified to provide prenatal, intrapartum, postpartum and newborn care for the low-risk childbearing woman? Certified nurse-midwife
Standards of care that shape maternal-newborn nursing Establish minimum standards of care for competent proficient delivery of nursing care. Standards for specialty practice

Section 3

Question Answer
Quickening Fetal movements
Dilation Estrogen stimulates uterine muscle contraction which opens up the cervix. The cervical os and cervical canal widen from <1 to approximately 10 cm to allow birth of the fetus. Cervix completely dialated, can no longer be palpated; at same time around ligaments pull fundus forward aligning fetus with boney pelvis
Rupture of membranes Water breaking, 24 hours until delivery
Braxton hicks Practice contractions should go away with rest, full glass of water, change of position; not regular pattern
Contractions are rhythmic but intermittent, between there is a period of ______. Relaxations
Phase of contraction: Increment Building up of a contraction-tighten
Phase of contraction: Acne Peak
Phase of contraction: Decrement Letting up
Frequency Time between the beginning of one contraction and the beginning of the next
DurationThe time between the beginning of one contraction to the end of that contraction
Intensity How strong was the contraction
Nursing care after amniotic fluid breaks or is leaking Assess fetal heart rate (FHR), assess for cord prolapse, time of rupture, characteristics of fluid and consistency amount, color and odor. Assess for meconium. Should be clear with earthy tones. Assess for ROM using Nitrazine rest tape before doing a vaginal exam. Bed Rest. Vaginal exams to a minimal to prevent infection. 24 hours to deliver, may start Pitocin if contractions don't pick up

Section 4

Question Answer
1st Stage of labor Starts at onset of true labor and ends at 10 cm dilated
Latent Early, up to 3 cm
Active 4-7 cm
Transition 8-10 cm
2nd stage of labor Cervix 10 cm, 100% effaced, ends with birth of baby
Nullipara First delivery for mother, pushes up to 3 hours
Mulipara More than one pregnancy, pushes average of 15 minutes
3rd stage of labor From delivery of the infant to expulsion of the placenta (lasts 5 to 30 minutes) after delivery uterus contracts firmly, placenta delivered and examined
4th stage of labor 1-4 hours after delivery. Moderate drop in vitals, approximately 250-500 mL of blood with vaginal birth, assess fundus frequently, assess for bleeding, promote bonding and breastfeeding
Presentation and presenting part Determined by the fetal lie and by the body part of the fetus that first enters the pelvic passage. Most common is cephalic (head first)