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Nurp 531 Exam 3 Questions and Answers Latest Update

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Nurp 531 Exam 3 Questions and Answers Latest Update

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  • October 28, 2024
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  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
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Solution 2024/2025
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Nurp 531 Exam 3 Questions and Answers
Latest Update 2024-2025

placenta function, lifespan ANS✔✔ -function: material barrier that transports
nutrients, antibodies, and O2 to the fetus while transferring waste from
fetus to mother; produces and secretes hormones

-lifespan: 34 weeks; this is why late term babies are dangerous

*protect fetus from viruses and pathogens*



function of HPL (human placental lactogen) in pregnancy ANS✔✔ -secreted
by placenta in second week of pregnancy, rises throughout pregnancy

-function: metabolism (breakdown fat, glucose re-uptake so baby gets
some, insulin resistance), prep mammary glands for lactation



function of progesterone in pregnancy ANS✔✔ -steady rise throughout
pregnancy

-function: relaxes things; allows for increased blood volume, prevents
contraction of uterus

-abrupt withdrawal at labor causing contractions



relationship of progesterone with contractions ANS✔✔ since progesterone
RELAXES things, lack of progesterone will cause contraction



form of estrogen in pregnancy ANS✔✔ estriol

, Solution 2024/2025
Pepper
function of estrogen in pregnancy ANS✔✔ -steady rise throughout
pregnancy

-promotes growth and blood flow of uterus, prepares breasts for lactation,
increases sensitivity to oxytocin to allow for labor (involved in timing)



function of relaxin in pregnancy ANS✔✔ -helps w/ implantation and growth
of placenta

-inhibits uterine contraction during pregnancy (relaxes it)

-helps facilitate birth (softens ligaments which widens pelvis)



function of oxytocin in pregnancy ANS✔✔ -promotes dilation of cervix to
facilitate labor

-prepares for breastfeeding and bonding



function of HCG in pregnancy ANS✔✔ -released by developing embryo

-increase progesterone levels



HCG expected values ANS✔✔ -should double every 48-72hrs at beginning of
pregnancy

-peak at 12 weeks



what causes N/V in pregnancy ANS✔✔ -HCG levels, prenatal vitamins



when does organogenesis occur ANS✔✔ by 10 weeks



positive HCG test: blood vs. urine ANS✔✔ -blood: 10 days after conception

, Solution 2024/2025
Pepper
-urine: 14 days after conception



when to take a urine pregnancy test ANS✔✔ *one* day after first missed
period (not earlier!! could lead to false negative)



presumptive signs of pregnancy ANS✔✔ -subjective signs that pt reports,
could be caused from something else

-*amenorrhea*, nausea, mood swings, fatigue, etc



probable signs of pregnancy ANS✔✔ -objective signs that can be noted on
exam

-breast and skin changes, uterine enlargement, hegars sign, goodells sign,
Chadwicks sign, *positive pregnancy test* (only 97% accurate)



Hegar's sign ANS✔✔ softening of lower uterus



Goodell's sign ANS✔✔ softening of lower cervix



Chadwick's sign ANS✔✔ blue tint on cervix d/t increased blood flow



positive signs of pregnancy ANS✔✔ -definitive and unmistakeable

-pregnancy visualized by ultrasound

-audible fetal heart tones

-fetal movement felt by provider

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