NR 602 MIDTERM EXAM (LATEST 2024) PRIMARY CARE OF THE
CHILDBEARING AND CHILDBEARING FAMILY PRACTICUM
CHAMBERLAIN COLLEGE OF NURSING
What are presumptive signs of pregnancy? - CORRECT
ANSWER>>>>-amenorrhea
-nausea vomiting
-breast engorgement and darkening of the Ariola's
-breast tenderness
-fatigue
-urinary frequency
What are probable signs of pregnancy? - CORRECT
ANSWER>>>>-goodwill sign (cervical softening)
-Chadwick sign (Bluish coloration of cervix)
-Enlarged uterus
-Positive UPT
What is Goodells sign? - CORRECT ANSWER>>>>Cervical
softening that happens around four weeks of pregnancy
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What is Chadwick sign? - CORRECT ANSWER>>>>Bluish
coloration of the vagina and cervix at 6 to 8 weeks during
pregnancy
What are positive signs of pregnancy? - CORRECT
ANSWER>>>>-palpation of fetus by healthcare provider
-ultrasound and visualization of fetus
-Fetal heart tones auscultated by healthcare provider
Where is the Fundus at 12 weeks gestation? - CORRECT
ANSWER>>>>At the level of the symphysis pubis
Where is a Fundus at 16 weeks gestation? - CORRECT
ANSWER>>>>Between symphysis pubis and umbilicus
Where is a Fundus at 20 weeks gestation? - CORRECT
ANSWER>>>>The same height as the umbilicus
What is Naegele's rule? - CORRECT ANSWER>>>>Begin on the
first day of the last menstrual period, subtract three months,
add seven days, then add one year.
Breast-fed baby should receive what vitamin? - CORRECT
ANSWER>>>>Vitamin D
Pregnant patient should avoid what vaccinations? - CORRECT
ANSWER>>>>Live doses
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MMR and Varicella
Patient presents to the clinic with the first day of her last
menstrual period being July 5 of 2021, when is the patients due
date? - CORRECT ANSWER>>>>April 12th 2022
Does the H&H in a pregnant patient rise or fall during
pregnancy? - CORRECT ANSWER>>>>Fall, typical to be anemic.
Does the WBC count and a pregnant patient rise or fall? -
CORRECT ANSWER>>>>Rise, will be at peak during third
trimester
What are the indications for prescribing combined hormonal
contraceptives (COC)? - CORRECT ANSWER>>>>-decreases pain
and frequency of sickle cell crisis
-May treat or improve anemia
-effective to treat acne hirsutism and other Androgen excessive
states
-decreases menstrual cramps and pain with more predictable
menses
- Effective treatment for dysmenorrhea endometriosis or pre-
menstrual symptoms
What are contraindications for COC's - CORRECT ANSWER>>>>-
patients with history of VTE
-patients with history of hypertension
-patients with history of breast cancer
-breast feeding
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