Exam (elaborations)
NUR 353 FINAL EXAM
- Course
- Institution
NUR 353 FINAL EXAM ...
[Show more]
Content preview
NUR 353 FINAL EXAM 2024-2025Where does fertilization occur? - ANSWER Ampulla of the Fallopian tube
Describe the menstral cycle? - ANSWER
normal weight gain during pregnancy - ANSWER underweight: 28-40 lbs
normal: 25-35 lbs
overweight: 15-25 lbs
obese: 11-20 lbs
Goodell sign - ANSWER softening of the cervical tip
Chadwick's sign - ANSWER violet-bluish color of the vaginal mucosa and cervix
Hegar sign - ANSWER softening and compression of the lower uterine segment
ballottment - ANSWER passive movement of the unengaged fetus
cardiovascular changes in pregnancy - ANSWER cardiac output increases 30-50%
blood volume increases 30-45%
HR increases 10-15 bpm
more clotting factors
slight cardiac hypertrophy
murmurs more common
,respiratory changes - ANSWER maternal oxygen needs increase
increased tidal volume
increased oxygen consumption
diaphragm elevates, total lung capacity decreases in the third trimester
renal changes - ANSWER filtration rate increases because of pregnancy hormones,
increased blood volume, and increased metabolic demands
pressure on bladder
reproductive changes - ANSWER thickening of vaginal mucosa, chadwick's sign,
leukorrhea
breast tenderness, colostrum and discharge, increased pigmentation
enlarged montgomery's glands
uterus increases in size and changes shape and position, hegar's sign
Naegele's rule - ANSWER Way of determining gestational age: determine first day of
LMP, count 3 months back, add 7 days
Parity - ANSWER number of pregnancies that reach 20 weeks- born alive, stillborn, or
abortion
Gravita - ANSWER Number of pregnancies
placenta structure - ANSWER
placenta structure -Mom's blood goes through endometrial artery to intervillous space,
through the umbilical vein to the baby
Baby's blood goes through umbilical arteries to intervillous space, through the
endometrial vein to mom
,when is the placenta fully functional? - ANSWER 7-10 weeks
Structures of female reproductive system - ANSWER
1st trimester discomforts - ANSWER Breast changes (enlargement, pain, tingling,
tenderness); Urination- urgency, frequency; Languor & malaise; fatigue; N/V- morning
sickness; Ptyalism (excessive salivation); Gingivitis and epulis; Nasal stuffiness,
epistaxis; Leukorrhea; Psychosocial dynamics ( mood swings, mixed feelings)
Morning sickness - ANSWER 50-75% of pregnant women
Starts between 1st and 2nd missed period and lasts until about the fourth missed
period.
Can occur any time of day
Fathers may also have symptoms
2nd trimester discomforts - ANSWER Pigmentation deepens, acne, oily skin; Spider nevi
(angiomas); Palmar erythema; Pruritis (noninflammatory); Palpitations; Supine
hypotension; Faintness, syncope (rare)- orthostatic hypotension; Food cravings;
heartburn; constipation; Flatulence with bloating and belching; varicose veins;
Leukorrhea; headaches (to wk. 26); Carpal tunnel syndrome; periodic
numbness/tingling of fingers; round ligament pain; joint pain, backache, pelvic pressure;
joint hypermobility
3rd trimester discomforts- ANSWER Shortness of breath, dyspnea; Sleeplessness;
psychosocial responses; gingivitis & epulis; urinary frequency and urgency return;
perineal discomfort/ pressure; leg cramps; non-pitting ankle edema;
Infection S&S - ANSWER Chills/ fever; burning upon urinating; diarrhea
Hyperemesis gravidarum S&S - ANSWER Severe vomiting
Miscarriage, ectopic pregnancy S&S - ANSWER Abdominal cramping; vaginal bleeding
, Hypertension, preeclampsia, hyperemesis gravidarum - ANSWER Persistent severe
vominting
Premature rupture of membranes S&S ABRUPT discharge of fluid from vagina before 37
weeks
Miscarriage, placenta previa; abruptio placentae S&S Vaginal bleeding; severe
abdominal pain
Kidney infection or kidney stones; preterm labor S&S Severe backache or flank pain
Fetal jeopardy or intrauterine fetal death S&S Change in fetal movement; absence of
fetal movements after quickening; any unusual change in pattern or amount
Preterm labor S&S - ANSWER Uterine contractions, pressure, cramping before 37
weeks
Diagnostic testing - ANSWER 3 hour GTT
Amniocentesis or CVS (Chorionic villus sampling)
amniocentesis, nonstress test (NST), biophysical profile (BPP), and ultrasound
examination
Nuchael translucency
Celphry DNA
Hypertensive conditions, preeclampsia, abruptio placentae S&S - ANSWER Epigastric
or abdominal pain (perceived as severe stomach ache)
Gestational Diabetes Mellitus S&S - ANSWER Glycosuria
positive glucose tolerance test reaction
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Chrisyuis. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $11.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79223 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now