NURS 629 Exam 1 Questions And Answers
Routine office visit times
every 4 weeks until 28 weeks
every 2 weeks until 36 weeks
every week from 36 to delivery
Biweekly after 40 weeks
First Trimester Normal findings
breast pain, enlargement, changes in pigmentation, constipation, excessive sa...
NURS 629 Exam 1 Questions And Answers
Routine office visit times
every 4 weeks until 28 weeks
every 2 weeks until 36 weeks
every week from 36 to delivery
Biweekly after 40 weeks
First Trimester Normal findings
breast pain, enlargement, changes in pigmentation, constipation, excessive salivation and bad taste in
mouth, fatigue, flatulence, headache, hemorrhoids, nausea and vomiting, urinary frequency and
incontinence, varicosities of vulva and legs.
Second Trimester Normal findings
backache, dyspnea, epistaxis, leukorrhea, ligament pain, muscle cramps in the calf, thigh, or buttocks,
PICA, syncope.
Third Trimester Normal findings
Braxton-hick's contractions, discomfort in the upper extremities, edema, heartburn, insomnia, joint
pain/ pelvic girdle pain.
First Trimester Danger Signs
spotting or bleeding, cramping, painful urination, severe vomiting and/ or diarrhea, fever higher than
100.4F, symptoms of vaginal infection or STIs, persistent or severe low abdominal pain,
lightheadedness, dizziness, abdominal trauma.
Second Trimester Danger Signs
regular uterine contractions (6 or more per hour), unilateral leg or calf pain, edema, pain with
movement, redness, heat, and tenderness or coldness, numbness and paleness to extremity, sudden
gush or consistent leaking of fluid, absence of fetal movement for more than 24 hours after
quickening, sudden weight gain, significant edema of the face and/ or hands, severe upper abdominal
pain, headache with visual changes and/ or photophobia.
Third Trimester Danger Signs
decrease in daily fetal movement, after 37 weeks gestation, when contractions are 3-5 minutes apart
if a primipara or 5-8 minutes apart if a multipara lasting 45-60 seconds and strong in intensity or with
the characteristics of true labor.
What oral contraceptive can be given to breast feeding women
Progestin-only pills
What immunizations can be given during pregnancy
Hepatitis B, inactivated influenza, Tdap at 27-36 weeks
How do we screen for gestational diabetes
50 gram oral glucose with a blood draw 1 hour later to determine glucose levels. If the glucose level is
greater than 130-140 then a 3 hour 100 gram oral glucose tolerance test is performed.
, When do we screen for gestational diabetes
24 weeks
What is the treatment for mild pregnancy induced hypertension?
Lifestyle modification: smoking cessation, healthy diet, regular exercise. Implement close observation
Signs and symptoms of mastitis
Flu-like symptoms including malaise, fever, and chills. Tender, hot, red, painful area, or lump in the
breast. Fever is often high, tachycardia, breast exam reveals warmth, redness, tenderness, and
swelling. Nipple may be cracked or abraded and breast distended with milk.
What is the first line therapy for mastitis
Dicloxacillin 250-500mg every 6 hours for 10-14 days. Erythromycin 500mg every 6 hours for 10 days
if PCN allergy. Tylenol as needed. Ice or warm packs. Continue to nurse infant on both breasts but
begin on unaffected side. Increase fluid intake.
What antibiotic cannot be given if an infant is nursing and less than 1 month
Sulfa
When should you suspect a breast abscess
If there is no resolution of symptoms after several days of antibiotics. Pitting edema is possible and
fluctuation may be felt over the affected area. This usually requires both abx and drainage. Refer to
physician. Culture and sensitivity of breast milk.
S/S of gestational hypertension
BP greater than 140/90 after mid-pregnancy but no proteinuria
Fundal Height at 12 weeks
Symphysis pubis
Fundal Height at 16 weeks
between symphysis pubis and umbilicus
Fundal height at 20 weeks
umbilicus and measures 20 cm
Fundal Height at 36 weeks
just below the xiphoid process and measures 36 cm
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