NUR 220 OB/peds OB exam 2 HGTC
UPDATED Actual Exam Questions and
CORRECT Answers
Preconception Care - CORRECT ANSWER✔✔- Nutrition: Avoid swordfish, oysters= b/c of
mercury, < 300 mg of caffeine a day, avoid raw eggs, listeriosis
add 300 cal a day
Special needs=
lactose intolerant=lactose free products
vegetarians=monitor protein, iron and calcium intake, take B12
Supplements: Folic acid (400-800 mcg) a day, Iron supplement=take with orange juice and
eat foods high in fiber
Risk factors: smoking=decreases blood supply/O2 to fetus, alcohol= newborn finding=thin
upper lip cocaine=woman fetus tachycardia and HTN from vasoconstriction, Heroine=s/s of
withdrawal, hypertonicity, excessive sneezing, tremors
folic acid=helps prevent fetal neural tube defects
Obesity
OTC teratogens
Older women > 35y0 =r/o spontaneous abortion
substance abuse=Low birth weight
Kegel Exercises= strengthen pelvic floor
PICA - CORRECT ANSWER✔✔- Craving and eating non food items
-no nutritional value
-ice, laundry starch, clay/soil, chalk
can cause harm
, -iron def, nutritional/ electro imbalance, poss. poisonous, chronic constipation
Prenatal Visits - CORRECT ANSWER✔✔- -ev 4 weeks until 28 weeks
-ev 2 weeks 29-36 weeks
-weekly 37-until birth
S/S of pregnancy
Presumptive: fatigue, breast tenderness, N/V, amenorrhea, urine frequency, uterine
enlargement
Probable: Braxton hicks, pos. test, abdominal enlargement, ballottement, chadwicks, hegars,
goodells, HCG
Positive: ultrasound verification, clinician feels movement, heart beat heard with Doppler
Goal of preceonception/conception care: ID and modify biomedical, social, behavioral risks
to a womens health/pregnancy outcome thru prevention and management
-recommended weight gain 25-35lbs unless already obese
-lower back pain=lordosis= good body mechanics, good posture, pelvic rock or tilt, girdle,
Tylenol, heat and ice
-Avoid diuretics, eat 3 x a day, and exercise
-toxoplasmosis= from cat litter, so do not scoop the poop
Prevent infection=HANDWASHING
Chadwick sign - CORRECT ANSWER✔✔- 6-8 weeks
blueish/purple vag mucosa and cervix
Goodells sign - CORRECT ANSWER✔✔- 5 weeks
softening of cervix
Hegars sign - CORRECT ANSWER✔✔- 6-12 weeks