NURS 629 EXAM 1 QUESTIONS WITH COMPLETE SOLUTIONS VERIFIED GRADED A+ LATEST UPDATE
Routine office visit times
every 4 weeks until 28 weeks
every 2 weeks until 36 weeks
every week from 36 to delivery
Biweekly after 40 weeks
First Trimester Normal findings
breast pain, enlargement, changes i...
Routine office visit times
every 4 weeks until 28 weeks
every 2 weeks until 36 weeks
every week from 36 to delivery
Biweekly after 40 weeks
First Trimester Normal findings
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
backache, dyspnea, epistaxis, leukorrhea, ligament pain, muscle cramps in the calf,
thigh, or buttocks, PICA, syncope.
Third Trimester Normal findings
Braxton-hick's contractions, discomfort in the upper extremities, edema, heartburn,
insomnia, joint pain/ pelvic girdle pain.
First Trimester Danger Signs
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
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.
Third Trimester Danger Signs
decrease in daily fetal movement, after 37 weeks gestation, when contractions are 3-5
minutes apart if a primipara or 5-8 minutes apart if a multipara lasting 45-60 seconds
and strong in intensity or with the characteristics of true labor.
What oral contraceptive can be given to breast feeding women
Progestin-only pills
What immunizations can be given during pregnancy
Hepatitis B, inactivated influenza, Tdap at 27-36 weeks
How do we screen for gestational diabetes
50 gram oral glucose with a blood draw 1 hour later to determine glucose levels. If the
glucose level is greater than 130-140 then a 3 hour 100 gram oral glucose tolerance
test is performed.
When do we screen for gestational diabetes
24 weeks
What plasma glucose levels would indicate gestational diabetes
Fasting >/= 95
1 hour >/= 180
2 hour >/= 155
3 hour > 140
What is the treatment for mild pregnancy induced hypertension?
Lifestyle modification: smoking cessation, healthy diet, regular exercise. Implement
close observation
Signs and symptoms of mastitis
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
, 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
Sulfa
When should you suspect a breast abscess
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
BP greater than 140/90 after mid-pregnancy but no proteinuria
Fundal Height at 12 weeks
Symphysis pubis
Fundal Height at 16 weeks
between symphysis pubis and umbilicus
Fundal height at 20 weeks
umbilicus and measures 20 cm
Fundal Height at 36 weeks
just below the xiphoid process and measures 36 cm
How does fundal height increase
in a linear fashion at about 1 cm per week
What is the variation in fundal height
1-2 cm. Make sure woman has emptied her bladder as this can elevate the fundus.
Positive signs of pregnancy
Auscultation of fetal heart sounds
Palpation of fetal movements
Radiologic and/or US verification of gestation
Fetal development at 4-5 weeks
gestational sac within the decidualized endometrium
Fetal development at 5.5 weeks
secondary yolk sac
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