MVU NURS 629 EXAM 1 LATEST 2022-2023 EXAM 160
REAL EXAM QUESTIONS AND CORRECT ANSWERS
|VERIFIED ANSWERS AGRADE
What are probable (objective) signs of pregnancy?
- ANSWER- Hegar's sign
- pregnancy test,
goodells sign, chadwicks sign, ballottement,
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
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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
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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
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