Chapter 1 Pregnancy and prenatal care Learning goal: Interpret prenatal findings and teach danger signs. Term pregnancy landmarks Fundus Height in cm approximates weeks (20-36 wk).; Placenta Normally upper segment; low = previa risk.; Fetal head Vertex presentation most common.; Cervix Effaces and dilates in labor.; Umbilical cord Two arteries, one vein (AVA).; Simplified teaching schematic - not to anatomical scale.
Figure 1.1; Test / timing; Purpose; hCG (early); Confirms pregnancy; Glucose challenge, 24-28 wk; Gestational diabetes screen; Group B strep, 36-37 wk; Need for intrapartum antibiotics; Rh status / RhoGAM at 28 wk and after birth; Prevents isoimmunization in Rh-negative clients
SAFETY ALERT Report danger signs: vaginal bleeding, severe headache or vision changes, sudden swelling of face/hands, decreased fetal movement, fluid leakage, fever.
Educational use only. Verify against current facility policy and drug references. Not real NCLEX items.
Chapter 1 study page: Pregnancy and prenatal care Use this page to consolidate the chapter before attempting the questions. Writing the answers from memory (active recall) is one of the most effective study strategies. In your own words, summarise: Pregnancy and prenatal care.
What is the single most dangerous finding in this chapter, and what is the first nursing action?
Which medication, lab value or number from this chapter must you memorise? Write it with its unit.
Create one NCLEX-style question of your own on this chapter and explain the correct answer.
Check your understanding Q. At 20 weeks, fundal height should be approximately at: A. Symphysis pubis B. The umbilicus C. Xiphoid process D. Midway to xiphoid Answers and rationales are in the Practice exam chapter.
Sample shown: about 274 of 2,870 words.