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NUR 106 MOD A Study Guide Exam 1 - wallace community college Questions With Correct Answers
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NUR 106 MOD A Study Guide Exam 1 - wallace community college Questions With Correct Answers
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NUR 106 MOD A Study Guide Exam 1 -wallace community college Questions
With Correct Answers
Presumptive SIGNS OF PREGNANCY - 3 3 3 3
3correct answer...✔✔WHAT SYMPTOMS and WHEN START
3 3 3 3 3
Amenorrhea (4 wks) 3 3
Nausea and vomiting (4-14 wks) 3 3 3 3 3
Frequency of urination (6-12 wks) 3 3 3 3 3
Tenderness and fullness of breasts (3-4 wks) 3 3 3 3 3 3
"Quickening" (16-20 wks) 3 3
Chadwick's sign (6-12 wks) 3 3 3
Skin changes 3
Pigmentation -Linea nigra 3 3
3Chloasma
3Darkened nipple and areola 3 3 3
Vascular spiders 3
Striae gravidarum 3
Increased sweat and sebaceous gland activity 3 3 3 3 3
Fatigue
Positive SIGNS OF PREGNANCY - correct answer...✔✔Fetal heart sounds (8-17 wks)
3 3 3 3 3 3 3 3 3 3
Fetal movement felt by examiner
3 3 3 3
(19-22 wks)
3 3
Fetal X-ray 3
Ultrasound (8 - 10 wks) looking for evidence of conception - "all products of conception"
3 3 3 3 3 3 3 3 3 3 3 3 3 3
Fetal Anatomy Ultrasound - 20 weeks
3 3 3 3 3
Naegle's Rule - correct answer...✔✔1st day of LNMP
3 3 3 3 3 3 3
- 3 months
3 3 3
+ 7 days + 1 year
3 3 3 3 3 3
G_ T_ P_ A_ L_(M) - correct answer...✔✔Gravida
3 3 3 3 3 3 3
Term
Preterm
Abortion
Living
Multiples
FIRST PRENATAL EXAM - correct answer...✔✔• Vitals signs; BP, P, R, T
3 3 3 3 3 3 3 3 3 3 3
• Height and weight
3 3 3
• Fundal height and fetal heart rate
3 3 3 3 3 3
• Urine - Protein/Glucose/Ketones/Bacteria
3 3 3
AGRADESOLUTIONS
,• Speculum exam: Visualize cervix and obtain cultures
3 3 3 3 3 3 3
• Pelvic measurements
3 3
• Laboratory data: Look at lab data pg 132
3 3 3 3 3 3 3 3
ANTEPARTAL TEACHING - correct answer...✔✔General Hygiene 3 3 3 3 3
Smoking, drugs and alcohol 3 3 3
Douching
Clothes
Exercise
Rest and relaxation
3 3
Employment
Travel
Teeth
Sexual relations 3
Immunizations and vaccines 3 3
DANGER SIGNALS OF PREGNANCY - correct answer...✔✔Vaginal bleeding
3 3 3 3 3 3 3
Swelling of face and hands 3 3 3 3
Severe continuous headache 3 3
Dimness or blurred vision 3 3 3
Flashes of light or dots in vision
3 3 3 3 3 3
Pain in abdomen
3 3
Persistent vomiting 3
Chills and fever3 3
Sudden escape of fluid from vagina
3 3 3 3 3
NUTRITION - correct answer...✔✔Decreased appetite early if nausea
3 3 3 3 3 3 3
Needs increased quality(protein, Carbs) not quantity
3 3 3 3 3
Increased appetite 2nd and 3rd trimester 3 3 3 3 3
Pressure on stomach decreases amount of food eaten at a time, heartburn
3 3 3 3 3 3 3 3 3 3 3
Should not gain more than 25 -
3 3 3 3 3 3
35 lbs for woman with normal BMI. See book for other ranges.
3 3 3 3 3 3 3 3 3 3 3
Extra Calories -75,000 calories for the life of pregnancy or 350-450 a day
3 3 3 3 3 3 3 3 3 3 3 3
Need extra Iron and calcium
3 3 3 3
Things to stay clear of:3 3 3 3
Shark - mercury 3 3
Any raw fish
3 3
Cold cut meats -listeria
3 3 3
Certain fruits and salad as their is high exposure to listeria
3 3 3 3 3 3 3 3 3 3
Presumptive signs of pregnancy are a positive indicator of pregnancy. - correct answer...
3 3 3 3 3 3 3 3 3 3 3 3
✔✔false
Elevated hCG levels are a positive sign of pregnancy - correct answer...✔✔false
3 3 3 3 3 3 3 3 3 3 3
AGRADESOLUTIONS
, During the first few months of pregnancy, estrogen stimulates uterine growth. -
3 3 3 3 3 3 3 3 3 3 3
correct answer...✔✔true
3 3
Fundal height is not a reliable indicator of gestational weeks after 36 weeks' gestation. -
3 3 3 3 3 3 3 3 3 3 3 3 3 3
correct answer...✔✔true
3 3
The influence of progesterone leads to decreased peristalsis in the pregnant woman. -
3 3 3 3 3 3 3 3 3 3 3 3
correct answer...✔✔true
3 3
Nagele's rule to determine the expected date of birth is inaccurate for women with irregular
3 3 3 3 3 3 3 3 3 3 3 3 3 3 3
menstrual cycles. - correct answer...✔✔true 3 3 3 3
At 12 weeks' gestation, the uterine fundus can be palpated at the umbilicus. -
3 3 3 3 3 3 3 3 3 3 3 3 3
correct answer...✔✔false
3 3
The optimal time for alpha-fetoprotein (AFP) screening is 16 to 18 weeks of gestation. -
3 3 3 3 3 3 3 3 3 3 3 3 3 3
correct answer...✔✔true
3 3
A contraction stress test is commonly performed in place of a biophysical profile. -
3 3 3 3 3 3 3 3 3 3 3 3 3
correct answer...✔✔false
3 3
Increased vaginal discharge during the first trimester is a normal finding. - correct answer...
3 3 3 3 3 3 3 3 3 3 3 3 3
✔✔true
Progesterone - correct answer...✔✔Acts on endometrium by relaxing uterine muscle -
3 3 3 3 3 3 3 3 3 3
prevents expulsion of blastocyst from uterus
3 3 3 3 3 3
Relaxes smooth muscles elsewhere 3 3 3
Slows emptying of stomach regurgitation, heartburn, constipation, nausea & vomiting.
3 3 3 3 3 3 3 3 3
CNS influence listless, sleepy in early preg.
3 3 3 3 3 3
May be responsible for fat stores of mother in preg.
3 3 3 3 3 3 3 3 3
Thought to be necessary for breast development.
3 3 3 3 3 3
Estrogen - correct answer...✔✔Growth and function of uterus in pregnancy.
3 3 3 3 3 3 3 3 3
Work with progesterone to cause breast development
3 3 3 3 3 3
Prepares genital tract for sperm migration secretions of cervix and vagina change from thic
3 3 3 3 3 3 3 3 3 3 3 3 3
k to thin and watery (easier for sperm to travel)
3 3 3 3 3 3 3 3 3 3
**Important in birth control and infertility treatment.
3 3 3 3 3 3 3
Relaxes pelvic ligaments so the sacroiliac joints become limber and symphysis pubis beco
3 3 3 3 3 3 3 3 3 3 3 3
mes elastic. 3
Babies develop how? - correct answer...✔✔Cephalocaudal: head to toe
3 3 3 3 3 3 3 3 3
Central to peripheral: trunk to extremities
3 3 3 3 3
AGRADESOLUTIONS
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