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NR 327 Exam 1 Questions And Answers Graded A+ $13.99   Add to cart

Exam (elaborations)

NR 327 Exam 1 Questions And Answers Graded A+

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  • NR 327
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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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  • September 13, 2024
  • 39
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NR 327
  • NR 327
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lectjoseph
NR 327 Exam 1
GTPAL - 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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