NURN 218 EXAM 1 QUESTIONS AND
ANSWERS
lactose intolerance - Answer-may need to take calcium and vitamin D supplement
PICA - Answer-the persistent ingestion of non food substances such as clay, laundry
starch, freezer frost or dirt. may be accompanied by iron deficiency anemia
food to avoid in pregnancy - Answer-undercooked raw fish, undercooked/raw meat,
Organ meat, limit caffeine to less than 200mg per day, unwashed produce,
unpasteurized milk, soft cheese, feta, quest blanco
Recommended weight gain during pregnancy - Answer-first trimester: 3-5 lbs
remainder of pregnancy: 1lb per week
total weight gain for a woman with normal BMI 25-30LBS
underweight woman- gain 28-40lbs
overweight woman-gain 15-25lbs
obese woman-15-20lbs
Twin pregnancy- gain 35-45lbs
Child risk for adolescent pregnancy - Answer-IUGR, Premature, anemia, higher
mortality rate, preeclampsia, eclampsia, STD, smoking, drug abuse
Early prenatal care is the most critical factor
Complementary and Alternative medication - Answer-Nurse should inquire the use of
CAM during initial prenatal visit
Labs/Diagnostics - Answer-hemoglobin 11.3-13, hematocrit 32-42, platelets 150,000,
quadruplet screen @15-20 weeks, glucose screen @24-28 weeks
group b strep @35-37 weeks
nuchal translucency - Answer-performed at 11-13 weeks gestation, screens for
chromosomal abnormalities, scans clear area on the back of neck. Fetuses with certain
genetic disorders may have excess fluid on the back of their necks
Non-stress test - Answer-Used in third trimester to determine intactness of fetal ins.
Reactive : 2 or more fetal access within 20 min
non reactive- lacks access x 40 min needs further eval
amniocentesis - Answer-Analyzes amniotic fluid(genetic testing, fetal lung maturity)
done at 15-20 weeks gestation
Risk-infection, bleeding injury to placenta or fetus, contractions
, Nursing considerations during amniocentesis - Answer-Void before procedures, FHR
and maternal vs, Rhogram if mom RH negative, light activity for 24 hours
Biophysical profile - Answer-done with ultrasound
A combination of factors to determine fetal well-being based on 5 fetal variables
8-10 fetal well being
6 possible fetal asphyxia
4 probable fetal asphyxia
3-2 poor fetal well-being and immediate delivery of the fetus
chronic villus sampling - Answer-8-12 weeks an ultrasound trancervical approach. a
small catheter is inserted vaginally and through the cervix. placental tissue is extracted.
provides chromosomal studies of fetal cells, similar amniocentesis. Advantage is it can
be done earlier in pregnancy
Percutaneous umbilical blood sampling - Answer-similar to amniocentesis except fetal
blood instead of amniotic fluid is removed. Identify disorders such as thrombocytopenia
or infections
Gestational maternal serum alpha fetoprotein - Answer-Done between 15 and 20 weeks
At how many weeks is a pregnant women screened for gestational diabetes - Answer-
between 24 and 28 weeks
what happens to a women who is Rho (D) negative at 28 weeks - Answer-the woman is
screened for antibodies, given anti D immune globulin (RhoGam)
When do you screen for Group beta strep - Answer-after 35 weeks and before the end
of 37 weeks. positive GBS indicate the need for antibiotics for women during labor and
close aberration of the newborn for 48 hours after birth
Warning signs to report during pregnancy - Answer-leakage of fluid from vagina, gush of
fluid less than 37 weeks, less fetal movement, vaginal bleeding, greenish vaginal
discharge, flu symptoms, s&s of hyper or hypo glycemic, abdominal pain, persistent
vomiting, elevated temperature, dysuria, severe headaches, blurred vision, edema,
sudden weight gain in one week, epigastric pain
common complaints of pregnancy - Answer-anxiety, nasal stuffiness and epistaxis,
nausea/vomiting, feeling faint, frequent urination, increased vaginal discharge, increase
salivation, low back pain with prolonged standing, standing of breath, heartburn,
backaches, leg cramps
Teaching about self care during pregnancy - Answer-balanced diet, prenatal vitamins,
dental care, exercise, breast care, loose and comfortable clothing
