NURS 629 exam 1 questions AND ANSWERS 2022
What are probable (objective) signs of pregnancy? -ANSWER === Hegar's sign
goodells sign,
chadwicks
... [Show More] sign,
ballottement,
+ pregnancy test,
Braxton hicks
fetal outline felt by examiner
Presumptive (subjective) signs of pregnancy -ANSWER === amenorrhea (absence of menses)
N/V
excessive fatigue
urinary frequency
breast tenderness and skin changes
quickening- mothers perception of fetal movement
Positive (diagnostic) signs of pregnancy -ANSWER === Fetal Heartbeat
Fetal Movement (felt by an examiner)
Visualization of Fetus (ultrasound)
12 week fundal height -ANSWER === the fundus should be at the level of the symphysis pubis
Naegele's Rule -ANSWER === add 7 days to LMP, subtract 3 months, add 1 year
s/s of preeclampsia -ANSWER === HA, hyperreflexia, visual changes, irritability, RUQ pain, edema, proteinuria, HIGH BP
Goodell's sign -ANSWER === softening of the cervix
Chadwick's sign -ANSWER === Bluish-purple coloring vaginal mucosa and cervix
Hegar's sign -ANSWER === softening of the lower uterine segment
How do you measure fundal height? -ANSWER === -top of the pubic bone to the top of the uterus (fundus)
cm= # of wks until 36 wks
how often do you see your OB? -ANSWER === 0-28wk=4wks
28-36wks=2wks
>36wks=every week
placent previa vs abruption -ANSWER === abruption=detaches from uterus
previa=placenta covers the cervix
What vaccines are contraindicated in pregnancy? -ANSWER === MMR
Varicella
Live vaccines
s/s mastitis -ANSWER === -
-unilateral, warm, swollen
-chills
-body aches (flu-like s/s)
Tx for mastitis? -ANSWER === abx?
continue BF
warm showers/compress
Tx for morning sickness -ANSWER === *pyridoxine (vit b6)*
*doxylamine* (unisom)
antihistamine(unisom, Benadryl)
antiemetics *(promethazine)*
morning sickness education -ANSWER === small, frequent meals. crackers, ginger
When is quickening felt? -ANSWER === 16-20 weeks
When can you hear fetal heart tones? -ANSWER === 10-12 wks
education for PIH -ANSWER === increase protein, kick counts, weekly NST, monitor for edema and s/s of pre-e
GDM risks -ANSWER === neonatal hypoglycemia, microsomia
Meds to avoid during pregnancy -ANSWER === NSAIDs, pepto, levaquin (certain abx), tetracyclines
Labs at initial prenatal visit -ANSWER === CBC, hep B, RPR, Hcg, G/C, Rh factor, rubella, hep c, HIV. UA
Pap smear guidelines -ANSWER === ages 21-29 pap every 3 years
ages 30-65 cotesting every 5 years (if 2 normal paps) or pap alone every 3
>65 none unless cervical/uterine cancer
Tx for UTI in pregnant women? -ANSWER === Macrobid, reflex, ampicillin (bactrim only 13-36wk)
concerning s/s in pregnancy -ANSWER === vag bleeding, visual changes, decreased FM, palpitations, SOB at rest, oliguria
A pt takes 1hr GTT and blood sugar is 156. What is next? -ANSWER === She must take 3hr glucose test.
OCP counseling for breastfeeding mom -ANSWER === progestin only pill. IUD, depo, and diaphragm are other non pill options
folic acid for pregnant women -ANSWER === 400mcg/day. Prevents neural tube defects
s/s of HELLP -ANSWER === HTN, edema, HA, visual changes, RUQ pain, elevated LFTs, low platelets & H/H, proteinuria
what would clue cells indicate and how to treat? -ANSWER === BV. 500mg Flagyl x7 days
what tests offered in 2nd trimester? -ANSWER === quad screen, glucose, anatomy scan
tx for gonorrhea -ANSWER === 250mg Ceftriaxone IM along with 1g azith3mon cure test
How to measure Fundal Height -ANSWER === top of symphysis pubis to top of fundus
Leopold maneuver sequence -ANSWER === Palpate client's fundus to identify fetal part, determine location of fetal back, palpate presenting part, identify attitude of head
increase in vag [Show Less]