Suggested Answers to Assignments, Chapter 7, Prenatal Care

Written Assignment Learning Objective(s)

1. Students’ answers should include the following: 1, 2, 3,
• The history at the first prenatal visit includes chief

complaint, reproductive history, medical-surgical history,

family history, and social history. The reproductive

history includes the obstetric history, which looks at

previous pregnancies and their outcomes. Determining the

gravida and parity of the woman is an important part of

the obstetric history. The parity is usually further

subdivided into the number of term deliveries, preterm

deliveries, abortions (spontaneous or induced), and living

children.

• To calculate the estimated due date by Nagele rule, add 7

days from the 1st day of the last menstrual period, then

subtract 3 months to obtain the due date. Other methods

for estimating the due date use uterus size, landmarks in

the pregnancy, and ultrasonographic measurement of fetal

structures.

2. Students’ answers should include the following: 6

A. Subsequent prenatal visits are shorter and focus on the
 weight, blood pressure, urine protein and glucose

measurements, fetal heart rate, and fundal height.

Inquiry is made regarding the danger signals of

pregnancy at each prenatal visit.

Group Assignment Learning Objective(s)

1. Students’ answers should include the following: 9
• Providing the pregnant woman with information on

relieving common discomforts of pregnancy, self-care

during pregnancy, and preparation for labor and delivery

is a major nursing intervention during the prenatal period.

2. Students’ answers should include the following: 8

• Symptoms that indicate a potential threat to the mother or

fetus must be reported immediately and include an

elevated blood pressure, sudden weight gain, epigastric

pain, vaginal bleeding, decreased fetal movement, or signs

of preterm labor.

Clinical Assignment Learning Objective(s)

1. Students’ answers should include the following: 2,3, 4, 5, 6
 The history at the first prenatal visit includes chief

complaint, reproductive history, medical-surgical

history, family history, and social history. The

 reproductive history includes the obstetric history,

which looks at previous pregnancies and their

outcomes. Determining the gravida and parity of the

woman is an important part of the obstetric history.

The parity is usually further subdivided into the

number of term deliveries, preterm deliveries,

abortions (spontaneous or induced), and living

children.

 A complete physical examination will be done during

the first visit to include a breast examination, a

speculum examination with a Pap test, and a bimanual

examination of the uterus.

 Laboratory assessments done in conjunction with the

first prenatal visit include a complete blood count,

blood type and screen, hepatitis B, HIV, syphilis,

gonorrhea, chlamydia, rubella titer, and a urine

culture.

 To calculate the estimated due date by Nagele rule,

add 7 days from the first day of the last menstrual

period, then subtract 3 months to obtain the due date.

Other methods for estimating the due date use uterus

size, landmarks in the pregnancy, and ultrasonographic

measurement of fetal structures.

 Any abnormal part of the history, physical

 examination, or laboratory work can put the pregnancy

at risk. A history of difficult pregnancy or pregnancy

complications puts subsequent pregnancies at risk.

 Subsequent prenatal visits are shorter and focus on

the weight, blood pressure, urine protein and glucose

measurements, fetal heart rate, and fundal height.

Inquiry is made regarding the danger signals of

pregnancy at each prenatal visit.

Web Assignment Learning Objective

1. Students’ answers should include the following: 7

 The NIH website is much more comprehensive and

detailed and goes into more test detail and offers the
ability to review information from the client
perspective. The book is a good overview of testing
and nursing information. The website is a good
resource for other information.