MVU NURS 629 EXAM 1 LATEST EXAM 160 REAL EXAM QUESTIONS AND CORRECT ANSWERS |VERIFIED ANSWERS AGRADE

MVU NURS 629 EXAM 1 LATEST EXAM 160 REAL EXAM QUESTIONS AND CORRECT ANSWERS |VERIFIED ANSWERS AGRADE What are probable (objective) signs of pregnancy? - ANSWER- Hegar's sign goodells sign, chadwicks sign, ballottement, + pregnancy test, Braxton hicks fetal outline felt by examiner Presumptive (subjective) signs of pregnancy - ANSWER- amenorrhea (absence of menses) N/V excessive fatigue urinary frequency breast tenderness and skin changes quickening- mothers perception of fetal movement Positive (diagnostic) signs of pregnancy - ANSWER- Fetal Heartbeat Fetal Movement (felt by an examiner) Visualization of Fetus (ultrasound) 12 week fundal height - ANSWER- the fundus should be at the level of the symphysis pubis Naegele's Rule - ANSWER- add 7 days to LMP, subtract 3 months, add 1 year s/s of preeclampsia - ANSWER- HA, hyperreflexia, visual changes, irritability, RUQ pain, edema, proteinuria, HIGH BP Goodell's sign - ANSWER- softening of the cervix Chadwick's sign - ANSWER- Bluish-purple coloring vaginal mucosa and cervix Hegar's sign - ANSWER- softening of the lower uterine segment How do you measure fundal height? - ANSWER- -top of the pubic bone to the top of the uterus (fundus) cm= # of wks until 36 wks how often do you see your OB? - ANSWER- 0-28wk=4wks 28-36wks=2wks 36wks=every week placent previa vs abruption - ANSWER- abruption=detaches from uterus previa=placenta covers the cervix What vaccines are contraindicated in pregnancy? - ANSWER- MMR Varicella Live vaccines s/s mastitis - ANSWER- - -unilateral, warm, swollen -chills -body aches (flu-like s/s) Tx for mastitis? - ANSWER- abx? continue BF warm showers/compress Tx for morning sickness - ANSWER- *pyridoxine (vit b6)* *doxylamine* (unisom) antihistamine(unisom, Benadryl) antiemetics *(promethazine)* morning sickness education - ANSWER- small, frequent meals. crackers, ginger When is quickening felt? - ANSWER- 16-20 weeks When can you hear fetal heart tones? - ANSWER- 10-12 wks education for PIH - ANSWER- increase protein, kick counts, weekly NST, monitor for edema and s/s of pre-e GDM risks - ANSWER- neonatal hypoglycemia, microsomia Meds to avoid during pregnancy - ANSWER- NSAIDs, pepto, levaquin (certain abx), tetracyclines Labs at initial prenatal visit - ANSWER- CBC, hep B, RPR, Hcg, G/C, Rh factor, rubella, hep c, HIV. UA Pap smear guidelines - ANSWER- ages 21-29 pap every 3 years ages 30-65 cotesting every 5 years (if 2 normal paps) or pap alone every 3 65 none unless cervical/uterine cancer Tx for UTI in pregnant women? - ANSWER- Macrobid, reflex, ampicillin (bactrim only 13-36wk) concerning s/s in pregnancy - ANSWER- vag bleeding, visual changes, decreased FM, palpitations, SOB