NSG 222 - Family Nursing
HESI Exam
Question:
Pregnancy test hormone
Answer:
An hCG level <5 mIU/mL is considered negative for pregnancy
Anything >25 mIU/mL is considered positive for pregnancy.
· ELISA- measures the blood & urine; 99% effective!
Question:
Heartburn and Indigestion
Answer:
The pain may radiate to the neck and throat. It worsens when the woman lies down, bends over after eating, or wears tight clothes
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Question:
Pregnancy-positive sign
Answer:
Visualizing the fetus by ultrasound, palpating for fetal movements, & hearing a fetal heartbeat are all signs that make the pregnancy a certainty.
Question:
Vaginal discharge-pregnancy
Answer:
Most women experience an increase in a whitish vaginal discharge, called leukorrhea, during pregnancy.
· This is normal except when it is accompanied by itching & irritation, possibly suggesting Candida albicans, a monilial vaginitis
Question:
Urinary changes
Answer:
As more blood flows to the kidneys, the glomerular filtration rate (GFR) increases, leading to an increase in urine flow and volume,
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Question:
Weight gain in pregnancy
Answer:
· A woman who is underweight before pregnancy or who has a low maternal weight gain pattern should be monitored carefully because she is at risk of giving birth to a low-birth-weight infant (lighter than 2,500 g or 5.5 lb).
Encourage the woman to eat snacks that are high in calories such as nuts, peanut butter, milkshakes, cheese, fruit, yogurt, & ice cream.
Question:
Indigestion-3rd trimester
Answer:
Avoid spicy or greasy foods and eat small frequent meals.· Sleep on several pillows so that your head is elevated 30 degrees.· Stop smoking & avoid caffeinated drinks to reduce stimulation.· Avoid lying down for at least three hrs after meals.· Try drinking sips of water to reduce burning sensation.· Avoid foods that trigger symptoms—fried foods, citrus, soda, chocolate
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Question:
Exercise-prepare for labor
Answer:
· At least 30 min of moderate-intense physical activity daily is recommended.
Federal physical activity guidelines recommend at least 150 minutes of moderate-intensity exercise per week during pregnancy
Question:
Pregnancy-air travel
Answer:
Is generally safe for the pregnant woman up to 36 weeks of gestation.
The woman should be counseled to avoid long periods of sitting because of the risk of developing thromboembolism
Question:
Vaginal Examination
Answer:
After donning sterile gloves, the examiner inserts their index and middle fingers into the vaginal introitus. Next, the cervix is palpated to assess dilation, effacement, and position (e.g., posterior or anterior). If the cervix is open to any degree, the presenting fetal part, fetal position, station, and
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