NSG 307 Care of the Childbearing Client
Exam 1 Study Guide
Please use the objectives in each module as well as the power points to guide your textbook
reading/study. This is not an all-inclusive Study Guide. You will need to do your book readings as
well as review your PowerPoints.
Community Health Concepts: Reproductive Health
 Infant and maternal mortality rates as an indicator of health
 Purpose of preconception counseling
 Issues of pregnancy and infancy
 Reproductive health and nutrition
 Primary, Secondary, and Tertiary Prevention measures
Ch 3 Female Reproductive System
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External and internal structures
Menstrual Cycle (Hypothalamic-pituitary cycle, Ovarian cycle, & Endometrial cycle)
Signs and Symptoms of ovulation
Ch 6 Genetics
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Prenatal tests, carrier screening tests, and predictive testing
Number of chromosomes and karyotyping
Autosomal dominant disorders and estimation of risk of occurrence
Autosomal recessive disorders and estimation of risk of occurrence
Ch 6 Conception and Fetal Development
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Process of Conception (Fertilization) and implantation
Pregnancy duration including pre-embryonic, embryonic and fetal periods
Functions of amniotic fluid
Placental endocrine functions
Fetal maturation week by week
Fetal circulation
Ch 7 Anatomy and Physiology of Pregnancy
 Determine Gravity and Parity using the 5 digit system
 Presumptive, Probable, and Positive signs of pregnancy
 Uterine structure and fundal height during pregnancy
 Uteroplacental blood flow and Vena Cava Syndrome
 Normal physiologic changes during pregnancy including the Endocrine system
Ch 8 Nursing Care of the Family during Pregnancy
 Determining EDB (Nagele’s rule)
 Normal psychological adaptations to pregnancy
 Common Lab tests throughout pregnancy
 Initial PN care and follow-up clinic visits throughout pregnancy
 S&S of common discomforts versus danger signs or potential complications
 Patient educational needs
Ch 9 Maternal and Fetal Nutrition
 Recommended weight gain
 Importance of Folate/Folic acid
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Nutrients needed during pregnancy
Food choices which supply essential nutrients during pregnancy
Indicators of nutritional risk during pregnancy
Nutrition-related discomforts
Note: Each exam will also have some dosage calculation questions.