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NURS 629 Exam 1-(OBGYN) Questions and Answers
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NURS 629 Exam 1-(OBGYN) Questions and Answers
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NURS 629 Exam 1-(OBGYN) Questions and AnswersWhat is the treatment for mild pregnancy induced hypertension? Correct Ans-Lifestyle
modification: smoking cessation, healthy diet, regular exercise. Implement close observation
Signs and symptoms of mastitis Correct Ans-Flu-like symptoms including malaise, fever,
and chills. Tender, hot, red, painful area, or lump in the breast. Fever is often high,
tachycardia, breast exam reveals warmth, redness, tenderness, and swelling. Nipple may be
cracked or abraded and breast distended with milk.
What is the first line therapy for mastitis Correct Ans-Dicloxacillin 250-500mg every 6
hours for 10-14 days. Erythromycin 500mg every 6 hours for 10 days if PCN allergy. Tylenol as
needed. Ice or warm packs. Continue to nurse infant on both breasts but begin on unaffected
side. Increase fluid intake.
What antibiotic cannot be given if an infant is nursing and less than 1 month Correct Ans-
Sulfa
When should you suspect a breast abscess Correct Ans-If there is no resolution of
symptoms after several days of antibiotics. Pitting edema is possible and fluctuation may be
felt over the affected area. This usually requires both abx and drainage. Refer to physician.
Culture and sensitivity of breast milk.
S/S of gestational hypertension Correct Ans-BP greater than 140/90 after mid-pregnancy
but no proteinuria
, NURS 629 Exam 1-(OBGYN) Questions and Answers
Fundal Height at 12 weeks Correct Ans-Symphysis pubis
Fundal Height at 16 weeks Correct Ans-between symphysis pubis and umbilicus
Fundal height at 20 weeks Correct Ans-umbilicus and measures 20 cm
Fundal Height at 36 weeks Correct Ans-just below the xiphoid process and measures 36 cm
How does fundal height increase Correct Ans-in a linear fashion at about 1 cm per week
What is the variation in fundal height Correct Ans-1-2 cm. Make sure woman has emptied
her bladder as this can elevate the fundus.
Positive signs of pregnancy Correct Ans-Auscultation of fetal heart sounds
Palpation of fetal movements
Radiologic and/or US verification of gestation
Routine office visit times Correct Ans-every 4 weeks until 28 weeks
every 2 weeks until 36 weeks
every week from 36 to delivery
, NURS 629 Exam 1-(OBGYN) Questions and Answers
Biweekly after 40 weeks
First Trimester Normal findings Correct Ans-breast pain, enlargement, changes in
pigmentation, constipation, excessive salivation and bad taste in mouth, fatigue, flatulence,
headache, hemorrhoids, nausea and vomiting, urinary frequency and incontinence,
varicosities of vulva and legs.
Second Trimester Normal findings Correct Ans-backache, dyspnea, epistaxis, leukorrhea,
ligament pain, muscle cramps in the calf, thigh, or buttocks, PICA, syncope.
Third Trimester Normal findings Correct Ans-Braxton-hick's contractions, discomfort in the
upper extremities, edema, heartburn, insomnia, joint pain/ pelvic girdle pain.
First Trimester Danger Signs Correct Ans-spotting or bleeding, cramping, painful urination,
severe vomiting and/ or diarrhea, fever higher than 100.4F, symptoms of vaginal infection or
STIs, persistent or severe low abdominal pain, lightheadedness, dizziness, abdominal trauma.
Second Trimester Danger Signs Correct Ans-regular uterine contractions (6 or more per
hour), unilateral leg or calf pain, edema, pain with movement, redness, heat, and tenderness
or coldness, numbness and paleness to extremity, sudden gush or consistent leaking of fluid,
absence of fetal movement for more than 24 hours after quickening, sudden weight gain,
significant edema of the face and/ or hands, severe upper abdominal pain, headache with
visual changes and/ or photophobia.
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