Exam 1: NUR230/ NUR 230 (Latest 2023/ 2024) The Childbearing/Child Caring Family Exam 1| Questions and Verified Answers| 100% Correct- Galen

Exam 1: NUR230/ NUR 230 (Latest 2023/ 2024) The Childbearing/Child Caring Family Exam 1| Questions and Verified Answers| 100% Correct- Galen Q: respiratory changes in pregnancy Answer: •Upper respiratory more vascular: conges- tion, epistaxis (nose bleeds), changes in voice Q: gastrointestinal changes in pregnancy Answer: •Nausea and vomiting (‘ HCG) should subside by end of first trimester •Hyperemesis gravidarum- (intractable vomit) •Changes in taste and smell ptyalism (too much saliva) Pica (abnormal cravings) •“ tone and motility in GI tract (reflux, constipation) Q: first trimester labs #12 Answer: Antibody screen Blood type and Rh Gonorrhea/Chlamydia Hgb and Hct (CBC) Offer Sickle Cell Offer Cystic Fibrosis Pap Smear Rubella titer (may offer booster after pregnancy) Screening for HIV Screening for Hepatitis B Syphilis (VDRL or RPR) urinalysis Q: first trimester discomforts Answer: •Nausea and vomiting (morning sickness) •Fatigue •Ptyalism (excessive salivation) •Gingivitis and epulis (gum hypertrophy, bleeding) nasal stuffiness •Breast enlargement, pain, tingling, tenderness •Urgency and frequency of urination •Leukorrhea (clear or light-colored mucus) Q: Second Trimester Discomforts Answer: Acne, pigmentation changes Palmar erythema Pruritus Palpitations Supine hypotension (vena cava syndrome) Faintness, syncope Heartburn Constipation, flatulence Headaches Carpal tunnel syndrome Periodic numbness, tingling of fingers. Round ligament pain Joint pain, backache, pelvic pressure Q: third trimester discomforts Answer: •Shortness of breath and dyspnea •Insomnia •Mood swings, increased anxiety •Urinary frequency and urgency return •Perineal discomfort and pressure •Leg cramps •Ankle edema Q: Third Trimester Labs Answer: 1 hour glucose tolerance test, if elevated 3-hour glucose tolerance test Group B Strep vaginal/rectal swab Q: Second and Third Trimester Complications Answer: Persistent severe vomiting (HY- PEREMISIS) Decrease in or absence of fetal movement Uterine contractions Sudden discharge of fluid from vagina Vaginal bleeding; severe abdominal pain Chills, fever, burning on urination, diarrhea Severe backache or flank pain Symptoms of preeclampsia Q: what occurs in 20% of pregnant women Answer: anemia Q: anemia values during pregnancy Answer: -Hgb 11 -Hct 33