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OBS AND GYNE QUIZ 15 WITH ANSWERS AND RATIONALE

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In Bartholomew’s rule of 4, when the level of the fundus is midway between the umbilicus and xiphoid process the estimated age of gestation (AOG) is:

Correct! Wrong!

In Bartholomew’s Rule of 4, the landmarks used are the symphysis pubis, umbilicus and xyphoid process. At the level of the umbilicus, the AOG is approximately 5 months and at the level of the xyphoid process 9 months. Thus, midway between these two landmarks would be considered as 7 months AOG.

The expected weight gain in a normal pregnancy during the 3rd trimester is

Correct! Wrong!

During the 3rd trimester the fetus is gaining more subcutaneous fat and is growing fast in preparation for extra uterine life. Thus, one pound a week is expected.

When a pregnant woman experiences leg cramps, the correct nursing intervention to relieve the muscle cramps is:

Correct! Wrong!

Leg cramps is caused by the contraction of the gastrocnimeus (leg muscle). Thus, the intervention is to stretch the muscle by dosiflexing the foot of the affected leg towards the knee.

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The main reason for an expected increased need for iron in pregnancy is:

Correct! Wrong!

blood cell mass, as well as the fetal, requires about 350-400 mg of iron to grow About 400 mgs of Iron is needed by the mother in order to produce more RBC mass to be able to provide the needed increase in blood supply for the fetus. Also, about 350-400 mgs of iron is need for the normal growth of the fetus. Thus, about 750-800 mgs iron supplementation is needed by the mother to meet this additional requirement.

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The following are ways of determining expected date of delivery (EDD) when the LMP is unknown EXCEPT:

Correct! Wrong!

Naegele’s Rule is determined based on the last menstrual period of the woman.

Kegel’s exercise is done in pregnancy in order to:

Correct! Wrong!

Kegel’s exercise is done by contracting and relaxing the muscles surrounding the vagina and anus in order to strengthen the perineal muscles

From the 33rd week of gestation till full term, a healthy mother should have a prenatal check up every:

Correct! Wrong!

In the 9th month of pregnancy the mother needs to have a weekly visit to the prenatal clinic to monitor fetal condition and to ensure that she is adequately prepared for the impending labor and delivery.

Pelvic rocking is an appropriate exercise in pregnancy to relieve which discomfort?

Correct! Wrong!

Backache is caused by the stretching of the muscles of the lower back because of the pregnancy. Pelvic rocking is good to relieve backache.

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Shoes with low, broad heels, plus a good posture will prevent which prenatal discomfort?

Correct! Wrong!

Backache usually occurs in the lumbar area and becomes more problematic as the uterus enlarges. The pregnant woman in her third trimester usually assumes a lordotic posture to maintain balance causing an exaggeration of the lumbar curvature. Low broad heels provide the pregnant woman with a good support.

If the LMP is Jan. 30, the expected date of delivery (EDD) is

Correct! Wrong!

Based on the last menstrual period, the expected date of delivery is Nov. 7. The formula for the Naegele’s Rule is subtract 3 from the month and add 7 to the day.

OBS AND GYNE QUIZ 15 WITH ANSWERS AND RATIONALE
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