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NR 327 Maternal Child Exam 1 Study Guide.
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NR 327 Maternal Child Exam 1 Study Guide.
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NR327 MATERNAL CHILD EXAM 1 STUDY GUIDE COMPLETED100% APPROVED 2023,vsu
Please note that not everything on the exam will be on the study guide. This is
to be used as a guide to assist with studying. You are responsible to know all of the
topics that are covered in the textbook. This study guide will serve as a tool to
narrow down the otherwise broad topics and areas of study. I hope this helps!
Happy studying.
• Rubella titer and immunity (when vaccine is needed)
o If they are non-immune, we have to give her the MMR within 72 hrs of
delivery. Because the MMR is a live virus, we should educate patients
that they should not attempt to get pregnant from one to three months.
• Nutritional needs to reduce the risk of neural tube defects (folic acid)
• Quickening (when to experience)
o Weeks 13 to 16
• First trimester and exercise
• Yields positive benefits and should consist of 30 min of moderate
exercise (walking or swimming) daily if not medically or obstetrically
contraindicated.
■ Avoid the use of hot tubs or saunas.
■ Consume at least 2 to 3 L of water each day from food and
beveragesources.
• Expectations in the first trimester
o
• Leopold maneuvers (locate where to auscultate FHT’s)
o consist of performing external palpations of the maternal uterus
through the abdominal wall to determine the following: Number of
fetuses Presenting part, fetal lie, and fetal attitude.
o Heard over the fetal back
• Probable, presumptive, positive signs of pregnancy
-Presumptive Signs: (changes felt by the women, signs but not prof)
, ▪ Morning Sickness, Amenorrhea, Change in breast,
Fatigue,
- Probable Signs: (observed by nurse and
Lack of Energy, are more
Urinary reliable signs)
Frequency and Quickening
▪ Uterine enlargement, Hegar’s Sign, Goodwell’s Sign (softening
of the cervix), Braxton Hicks Contractions (painless
contractions), Positive pregnancy test, Chadwick’s sign (bluish
discoloration of the vaginal wall), outlining of the fetal body
- Positive Signs:
▪ Fetal Heart Rate: Normal 120 – 160 bpm, fetal movement by
20 weeks, fetal outline via ultrasound
• Fundal height measurements and palpate
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