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NURS 630 Test 1 questions with correct answers.
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NURS 630 Test 1 questions with correct answers.
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NURS 630 Test 1 questions with correct answersWhat is the recommended office visit interval during each trimester in a
low risk pregnancy? Correct Answer-Up to 28 weeks - every 4 weeks
28-36 weeks - every 2 weeks
36 weeks and more - every week or more as necessary
What are the appropriate findings in the first trimester? Correct Answer-
Breast pain, enlargement, changes in pigment. Constipation. Excessive
salivation, fatigue, flatulence, headaches, N/V, hemorrhoids, urinary
frequency, varicosities of vulva and legs
What are the appropriate findings in the second trimester? Correct
Answer-Backache, dyspnea, epitaxis, leukorrhea, ligament pain, muscle
cramps, pica, syncope
What are the appropriate findings in the third trimester? Correct
Answer-Braxton-Hicks contractions, discomfort in upper extremities,
edema, heartburn, insomnia, joint pain/ache
What are common symptoms during pregnancy? Correct Answer-N/V,
heartburn, constipation, hemorrhoids, leg cramps, urinary frequency,
back ache, lower leg swelling, dyspnea in 3rd trimester, leukorrhea
What are concerning symptoms during pregnancy? Correct Answer-
fever, vaginal discharge that is large amount, odor, irritation, vaginal
bleeding, palpitations, breathlessness at rest, swelling up upper
extremities or face, oliguria, decreased or absent fetal movement
,What are some worrisome complaints? Correct Answer-1st trimester:
heavy bleeding
3rd trimester: headache, blurred vision
What OCP can be given to breastfeeding women? Correct Answer-Oral
contraceptive after 6 weeks - progestin only.
Diaphragm, IUD/intradermal, Depo Provera
What immunizations can be given in pregnancy? Correct Answer-No
live vaccines like MMR or varicella
How to screen for gestational DM Correct Answer-At 24-28 weeks
gestation: 1 hour glucose testing (non-fasting)
If above 130-140 then 3-hour glucose testing (fasting)
How to prevent pregnancy induced hypertension Correct Answer-
Prevention is key - regular exercise, increase protein diet, 8 glasses of
water per day, rest
How to treat PIH or chronic HTN during pregnancy Correct Answer-
Labetolol, nifedipine, or methyldopa (only severe PIH, systolic BP >
180, diastolic > 110). Close monitoring, kick counts, NST, weekly OB
visits
, What are the s/s of mastitis? Correct Answer-Usually unilateral, chills,
fever, malaise, local tenderness with swelling, pain, lump
What are the s/s of gestational HTN? Correct Answer-Headache, visual
disturbances, facial, ankle and finger edema, or severe heartburn with
abdominal pain
What should the fundal height be at various prenatal visits? Correct
Answer-10 weeks - uterus baseball sized, FHT via doppler between 10-
12 weeks
12 weeks - uterus is softball sized, fundus is rising above symphysis
pubis, palpable at the time
16 weeks - halfway between symphysis pubis and umbilicis, quickening
first noted, about 18-20 weeks with 1st pregnancy
20-36 weeks - uterus increases 1cm in size weekly, uterine fundus at
umbilicus
Term - fundal height drops r/t fetal head engagement into pelvis, vertex
position in 95% of pregnancy by 36 weeks
What are the presumptive/subjective signs of pregnancy? Correct
Answer-Amenorrhea, N/V, excessive fatigue, urinary frequency, breast
changes, quickening, enlarged abdomen
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