MVU Nurse 629 exam 1 WITH COMPLETE SOLUTION LATEST UPDATE(A+ exam)

MVU Nurse 629 exam 1 WITH COMPLETE SOLUTION LATEST UPDATE(A+ exam) Three trimesters of pregnancy - CORRECT ANSWERS 1st: week 1-13 2nd: weeks 14-27 3rd: weeks 28 to delivery Naegeles rule of EDB - CORRECT ANSWERS First day of LMP- subtract 3 months, add 7 days and one year Ultrasound to determine EDB - CORRECT ANSWERS 1st trimester: accurate within 7 days 2nd trimester: accurate within 10-14 days The sooner a woman gets an ultrasound the better estimate we can give for weeks gestation and tracking of fetal growth and development. Prenatal visit schedule for low-risk pregnancies - CORRECT ANSWERS -Preconception visit: up to 1 yr before conception -1st prenatal visit: 6-8wks after missed menses Up to 28 weeks- every 4 weeks 28 to 36 weeks - every 2 weeks 36 weeks and on -every week or more as necessary First prenatal visit should include - CORRECT ANSWERS • Confirmation of pregnancy 1. Pregnancy test and ultrasound • History • Menstrual history (LMP) and obstetric history • Past medical history • Nutrition and habits: tobacco, alcohol, drugs • Genetic history: mom, father and 1st relative • Social history including work, abuse, coping • Current symptoms • Physical exam and labs 1. Pelvic exam and pap smear 2. Blood type and antibody screen 3. Rubella and hepatitis B titer 4. GC, RPR, HIV, Hep C 5. CBC 6. Urinalysis with culture 7. UDS (?) Prenatal visits 12-21 weeks - CORRECT ANSWERS Quad Marker screening, discuss newborn feeding options Prenatal visit 18-22 weeks - CORRECT ANSWERS Anatomy OB ultrasound Prenatal visit 24-28 weeks - CORRECT ANSWERS 1 hour glucose test, RH neg type and screen