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NR 327 Exam 1 Questions And Answers Graded A+
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NR 327 Exam 1 Questions And Answers Graded A+ NR 327 Exam 1 Questions And Answers Graded A+ NR 327 Exam 1 Questions And Answers Graded A+
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NR 327 Exam 1GTPAL - ANS G: number of pregnancies
P: number of deliveries (20 weeks)
T: delivery that occurred after 38 weeks
P: delivery before 38 week s
A: SAB or ETOP
L: Living
Nagele's rule - ANS EDD = LMP -3months, +7 days
Concerns for pediatric patient - ANS How is she coping?
Is FOB in the picture
How will it effect school?
Nutrition
Routine prenatal care
Presumptive signs of pregnancy - ANS (Subjective)
Amenorrhea
N/V/ urinary frequency
Fatigue
Probable signs of pregnancy - ANS (Objective)
+Pregnancy test
Hegar's sign
Ballotement
Goodell's sign
Chadwick's sign
Enlarged abdomen
Palpable fetal outline
,Positive signs of pregnancy - ANS Fetal heart tones
Fetal movement felt by examiner
Ultrasound
Ballotement - ANS uterus will rebound when pushed
Goodell's sign - ANS Softening of the cervix
Hegar's sign - ANS Softening of the uterus
Chadwick's sign - ANS Purple/blue color of the cervix
PICA - ANS craving and eating things that are not normally considered edible
-Due to imbalance of zinc/iron
Nursing interventions for nausea - ANS Small frequent meals
BRAT diet
Position upright after meals
Hormones that increase during pregnancy - ANS Estrogen
Progesterone
Increased estrogen - ANS Increased blood supply
-Nasal stuffiness
-Bloody gums
-Bloody nose
Increased progesterone - ANS Relaxes smooth muscles
Increases need to breath
Heightened awareness
-PPP: Progesterone protects pregnancy
,Nutritional needs during pregnancy - ANS Increased:
-Folic acid
-Calcium
-Iron
-Water
-Calories
Decreased/Eliminated:
-Caffeine
-Smoking (quit)
-Drugs (quit)
-Fried foods (moderation)
-Fish-mercury
-Lunch meat - Lysteria (avoid)
Folic acid in pregnancy - ANS Prevents neural tube defects
Sources for calcium - ANS Yogurt, cheese, milk
Caffeine recommendations - ANS 200mg (2 cups) per day
Fish-mercury in pregnancy - ANS Risk for premature, miscarriage, brain damage
Cholesterol in pregnancy - ANS Monitor cholesterol caloric intake if risk for preeclampsia
Iron deficiency anemia in pregnancy - ANS Common
Low iron = baby at risk for bleeding
Smoking in pregnancy - ANS IDPH has a program for smoking cessation
Patients must be automatically referred if a smoker
, Expected weight gain in pregnancy - ANS 4.4lbs in first trimester
1 lb/week after 13 weeks
Expected weight gain for patient with a normal BMI - ANS 25-35lbs (11.5-16kg)
Expected weight gain for patient who is underweight - ANS 27.5-40lbs (12.5-18kg)
Expected weight gain for a patient who is overweight - ANS 15-25lbs (7-11.5kg)
Expected weight gain for a patient who is obese - ANS 15lbs (7kg)
Things done at every prenatal visit - ANS Vital signs (know baseline)
Weight
Urine sample (risk for UTI)
Fundal height
Leopolds maneuvers
FHR (fetal activity)
Leopold's maneuver - ANS Determines fetal position
BP risk for pre-eclampsia - ANS 140/90
Fundal height - ANS Measured between 18-32 weeks
Measured in centimeters
Symphysis pubis to top of uterus fundus
Purpose: approximates gestational age
-Correlated with GA: 18 wks = 18cm (may be +/- 2)
When to call MD - ANS Swelling
Decreased fetal movement
Pain with urination
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