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michelleunicorn

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The nurse caring for a newly pregnant woman would advise her that ideally prenatal care should begin:
 
  a. Before the first missed menstrual period.
  b. After the first missed menstrual period.
  c. After the second missed menstrual period.
  d. After the third missed menstrual period.

Question 2

During pregnancy, many changes occur as a direct result of the presence of the fetus. Which of these adaptations meet this criteria?
 
  a. Leukorrhea
  b. Development of the operculum
  c. Quickening
  d. Ballottement
  e. Lightening



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parker125

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Answer to Question 1

ANS: B
Prenatal care ideally should begin soon after the first missed menstrual period. Regular prenatal visits offer opportunities to ensure the health of the expectant mother and her infant.

Answer to Question 2

ANS: C, D, E
Leukorrhea is a white or slightly gray vaginal discharge that develops in response to cervical stimulation by estrogen and progesterone. Quickening is the first recognition of fetal movements or feeling life. Quickening is often described as a flutter and is felt earlier in multiparous women than in primiparas. Lightening occurs when the fetus begins to descend into the pelvis. This occurs 2 weeks before labor in the nullipara and at the start of labor in the multipara. Mucus fills the cervical canal creating a plug otherwise known as the operculum. The operculum acts as a barrier against bacterial invasion during the pregnancy. Passive movement of the unengaged fetus is referred to as ballottement.





 

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