177 pregnancy induced hypertension preeclampsia is an

177. Pregnancy-induced hypertension
(preeclampsia) is an increase in blood
pressure of 30/15 mm Hg over baseline or
blood pressure of 140/95 mm Hg on two
occasions at least 6 hours apart

accompanied by edema and albuminuria
after 20 weeks’ gestation.
178. Positive signs of pregnancy include
ultrasound evidence, fetal heart tones, and
fetal movement felt by the examiner (not
u sually present until 4 months’ gestation)
179. Goodell’s sign is softening of the
cervix.
180. Quickening, a presumptive sign of
pregnancy, occurs between 16 and 19
weeks’ gestation.
181. Ovulation ceases during pregnancy.
182. Any vaginal bleeding during pregnancy
should be considered a complication until
proven otherwise.
183. To estimate the date of delivery using
Nägele’s rule, the nurse counts backward 3
months from the first day of the last
menstrual period and then adds 7 days to
this date.
184. At 12 weeks’ gestation, the fundus
should be at the top of the symphysis
pubis.
185. Cow’s milk shouldn’t be given to
infants younger than age 1 because it has
a low linoleic acid content and its protein
is difficult for infants to digest.
186. If jaundice is suspected in a neonate,
the nurse should examine the infant under
natural window light. If natural light is
unavailable, the nurse should examine the
infant under a white light.
187. The three phases of a uterine
contraction are increment, acme, and
decrement.
188. The intensity of a labor contraction
can be assessed by the indentability of the
uterine wall at the contraction’s peak.
Intensity is graded as mild (uterine muscle
is somewhat tense), moderate (uterine
muscle is moderately tense), or strong
(uterine muscle is boardlike).
189. Chloasma, the mask of pregnancy, is
pigmentation of a circumscribed area of
skin (usually over the bridge of the nose
and cheeks) that occurs in some pregnant
women.
190. The gynecoid pelvis is most ideal for
delivery. Other types include platypelloid
(flat), anthropoid (apelike), and android
(malelike).
191. Pregnant women should be advised
that there is no safe level of alcohol intake.
192. The frequency of uterine contractions,
which is measured in minutes, is the time
from the beginning of one contraction to
the beginning of the next.
193. Vitamin K is administered to neonates
to prevent hemorrhagic disorders because
a neonate’s intestine can’t synthesize
vitamin K.
194. Before internal fetal monitoring can be
performed, a pregnant patient’s cervix
must be dilated at least 2 cm, the amniotic
membranes must be ruptured, and the
fetus’s presenting part (scalp or buttocks)
must be at station – 1 or lower, so that a
small electrode can be attached.
195. Fetal alcohol syndrome presents in the
first 24 hours after birth and produces
lethargy, seizures, poor sucking reflex,
abdominal distention, and respiratory
difficulty.
196. Variability is any change in the fetal
heart rate (FHR) from its normal rate of
120 to 160 beats/minute. Acceleration is
increased FHR; deceleration is decreased
FHR.