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NR 327 Exam 1 Questions with 100 Correct Answers

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NR 327 Exam 1 Questions with 100% Correct Answers GTPAL Nagele's rule Concerns for pediatric patient Presumptive signs of pregnancy Probable signs of pregnancy Positive signs of pregnancy Ballotement Goodell's sign Hegar's sign Chadwick's sign PICA Nursing interventions for nausea Hor...

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  • April 4, 2024
  • 43
  • 2023/2024
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NR 327 Exam 1 Questions with 100% Correct
Answers

1). Gtpal

 Ans: G: number of pregnancies
P: number of deliveries (20 weeks)
T: delivery that occurred after 38 weeks
P: delivery before 38 week s
A: SAB or ETOP
L: Living


2). Nagele's rule

 Ans: EDD = LMP -3months, +7 days


3). Concerns for pediatric patient

 Ans: How is she coping?
Is FOB in the picture
How will it effect school?
Nutrition
Routine prenatal care


4). Presumptive signs of pregnancy

 Ans: (Subjective)
Amenorrhea
N/V/ urinary frequency
Fatigue


5). Probable signs of pregnancy

 Ans: (Objective)
+Pregnancy test
Hegar's sign
Ballotement
Goodell's sign
Chadwick's sign



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, Enlarged abdomen
Palpable fetal outline


6). Positive signs of pregnancy

 Ans: Fetal heart tones
Fetal movement felt by examiner
Ultrasound


7). Ballotement

 Ans: uterus will rebound when pushed


8). Goodell's sign

 Ans: Softening of the cervix


9). Hegar's sign

 Ans: Softening of the uterus


10). Chadwick's sign

 Ans: Purple/blue color of the cervix


11). Pica

 Ans: craving and eating things that are not normally considered edible
-Due to imbalance of zinc/iron


12). Nursing interventions for nausea

 Ans: Small frequent meals
BRAT diet
Position upright after meals


13). Hormones that increase during pregnancy

 Ans: Estrogen
Progesterone




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, 14). Increased estrogen

 Ans: Increased blood supply
-Nasal stuffiness
-Bloody gums
-Bloody nose


15). Increased progesterone

 Ans: Relaxes smooth muscles
Increases need to breath
Heightened awareness
-PPP: Progesterone protects pregnancy


16). Nutritional needs during pregnancy

 Ans: Increased:
-Folic acid
-Calcium
-Iron
-Water
-Calories
Decreased/Eliminated:
-Caffeine
-Smoking (quit)
-Drugs (quit)
-Fried foods (moderation)
-Fish-mercury
-Lunch meat - Lysteria (avoid)


17). Folic acid in pregnancy

 Ans: Prevents neural tube defects


18). Sources for calcium

 Ans: Yogurt, cheese, milk


19). Caffeine recommendations

 Ans: 200mg (2 cups) per day




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, 20). Fish-mercury in pregnancy

 Ans: Risk for premature, miscarriage, brain damage


21). Cholesterol in pregnancy

 Ans: Monitor cholesterol caloric intake if risk for preeclampsia


22). Iron deficiency anemia in pregnancy

 Ans: Common
Low iron = baby at risk for bleeding


23). Smoking in pregnancy

 Ans: IDPH has a program for smoking cessation
Patients must be automatically referred if a smoker


24). Expected weight gain in pregnancy

 Ans: 4.4lbs in first trimester
1 lb/week after 13 weeks


25). Expected weight gain for patient with a normal bmi

 Ans: 25-35lbs (11.5-16kg)


26). Expected weight gain for patient who is underweight

 Ans: 27.5-40lbs (12.5-18kg)


27). Expected weight gain for a patient who is overweight

 Ans: 15-25lbs (7-11.5kg)


28). Expected weight gain for a patient who is obese

 Ans: 15lbs (7kg)


29). Things done at every prenatal visit



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