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NUR 106 MOD A Study Guide Exam 1 - wallace community college Questions, Answers, Rationales
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NUR 106 MOD A Study Guide Exam 1 - wallace community college Questions, Answers, Rationales
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NUR 106 MOD A Study Guide Exam 1 - wallace community collegeStudy online at https://quizlet.com/_et6ziq
1. Presumptive WHAT SYMPTOMS and WHEN START
SIGNS OF Amenorrhea (4 wks)
PREGNANCY Nausea and vomiting (4-14 wks)
Frequency of urination (6-12 wks)
Tenderness and fullness of breasts (3-4 wks)
"Quickening" (16-20 wks)
Chadwick's sign (6-12 wks)
Skin changes
Pigmentation -Linea nigra
Chloasma
Darkened nipple and areola
Vascular spiders
Striae gravidarum
Increased sweat and sebaceous gland activity
Fatigue
2. Positive SIGNS Fetal heart sounds (8-17 wks)
OF PREGNANCY Fetal movement felt by examiner
(19-22 wks)
Fetal X-ray
Ultrasound (8 - 10 wks) looking for evidence of conception
- "all products of conception"
Fetal Anatomy Ultrasound - 20 weeks
3. Naegle's Rule 1st day of LNMP
- 3 months
+ 7 days + 1 year
4. G_ T_ P_ A_ Gravida
L_(M) Term
Preterm
Abortion
Living
Multiples
5. FIRST PRENA- • Vitals signs; BP, P, R, T
TAL EXAM • Height and weight
• Fundal height and fetal heart rate
• Urine - Protein/Glucose/Ketones/Bacteria
, NUR 106 MOD A Study Guide Exam 1 - wallace community college
Study online at https://quizlet.com/_et6ziq
• Speculum exam: Visualize cervix and obtain cultures
• Pelvic measurements
• Laboratory data: Look at lab data pg 132
6. ANTEPARTAL General Hygiene
TEACHING Smoking, drugs and alcohol
Douching
Clothes
Exercise
Rest and relaxation
Employment
Travel
Teeth
Sexual relations
Immunizations and vaccines
7. DANGER SIG- Vaginal bleeding
NALS OF PREG- Swelling of face and hands
NANCY Severe continuous headache
Dimness or blurred vision
Flashes of light or dots in vision
Pain in abdomen
Persistent vomiting
Chills and fever
Sudden escape of fluid from vagina
8. NUTRITION Decreased appetite early if nausea
Needs increased quality(protein, Carbs) not quantity
Increased appetite 2nd and 3rd trimester
Pressure on stomach decreases amount of food eaten at
a time, heartburn
Should not gain more than 25 -35 lbs for woman with
normal BMI. See book for other ranges.
Extra Calories -75,000 calories for the life of pregnancy or
350-450 a day
Need extra Iron and calcium
Things to stay clear of:
, NUR 106 MOD A Study Guide Exam 1 - wallace community college
Study online at https://quizlet.com/_et6ziq
Shark - mercury
Any raw fish
Cold cut meats -listeria
Certain fruits and salad as their is high exposure to listeria
9. Presumptive false
signs of
pregnancy are a
positive
indicator of
pregnancy.
10. Elevated hCG false
levels are a posi-
tive sign of preg-
nancy
11. During the first true
few months of
pregnancy, es-
trogen stimu-
lates uterine
growth.
12. Fundal height is true
not a reliable in-
dicator of gesta-
tional weeks af-
ter 36 weeks'
gestation.
13. The influence true
of progesterone
leads to de-
creased peristal-
sis in the preg-
nant woman.
14. Nagele's rule to true
determine the ex-
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