NURS 629 MVU Exam 1 Latest Update Graded A+

NURS 629 MVU Exam 1 Latest Update Graded A+ How do you measure fundal height symphysis pubis to top of uterus When can you start to hear fetal heart tones? around 12 wks What is quickening? fetal movements felt by the mother When is quickening felt between 16-20 weeks Abnormal Complaints in first trimester 1st trimester: Vaginal bleeding Book: spotting, bleeding, cramping, painful urination, severe vomiting and/or diarrhea, fever 100.4, symptoms of vaginal infection or STI; persistent or severe low abdominal pain, lightheadedness or dizziness (particularly if accompanied by shoulder pain) What vaccines should be avoided during pregnancy? Live vaccines: MMR ,HPV, varicella, and live attenuated influenza vaccine What labs are drawn at first visit? CBC, RH (antibody screen) & TYPE, HIV, RPR, MMR TITER, HEP B TITER, R/O STI's, FULL UA What info is obtained at first OB visit? PMH, Fx history, Genetic hx (mom & dad) What is indicated when clu cells are seen? BV What is the treatment for BV metronidazole (Flagyl) 500mg BID x 7 days What are presumptive (subjective) signs of pregnancy? Amenorrhea, N/V, FATIGUE, urine frequency, breast changes, quickening, pigment, striae What are probable (objective) signs of pregnancy? + HCG, enlarged Abdo, fetal outline, Balloment, Braxton, Chadwick's, Goodall's, Hegar's signs What are positive signs of pregnancy? Fetal HT, U/S, fetal movement What does a bluish cervix indicate? Chadwick's sign How to use Nageles rule + 7 days - 3 mos What are signs of preeclampsia? rapid weight gain, edema to hands and face, HTN, H/A, visual changes, proteinuria, epigastric pain What is the treatment of preeclampsia? Bedrest, (nifedipine, hydralazine) if severe delivery of the fetus What does HELLP stand for? hemolysis, elevated liver enzymes, low platelets S/S of HELLP EDEMA, N/V, RUQ pain What should 'at home' plan be for preeclampsia? high protein diet, daily kick counts, wkly non-stress test & contraction monitor, monitor for hand and face edema, visual changes, B/P, epigastric pain When will you see a drop in the fundal height? at