OB NCLEX Exam #1 TOP Questions and answers, 100% Accurate, rated A
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OB NCLEX
OB NCLEX Exam #1 TOP Questions and answers, 100% Accurate, rated A
In a routine pregnancy, how often are prenatal doctor visits made? - -every 4 wks for 28wks, every 2 wks during 28-36 wks, every wk from 36-41qks, twice weekly after that
What things are done during the initial prenatal visi...
how often are prenatal doctor visits made every 4 wks for 28wks
every 2 wks during 28 36 wks
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OB NCLEX Exam #1 TOP Questions and
answers, 100% Accurate, rated A
In a routine pregnancy, how often are prenatal doctor visits made? - ✔✔-every 4 wks for 28wks, every 2
wks during 28-36 wks, every wk from 36-41qks, twice weekly after that
What things are done during the initial prenatal visit? - ✔✔-done at 8 weeks gestation; determine EDD;
obtain hx; risk assessment; vital signs/weight/urinalysis; physical exam; FHR assessment (doppler); and
labs
What are things done during the ongoing prenatal visits? - ✔✔-vs, weight, urinalysis; fundal height
measurement (>20wks); Leopold's Maneuver (>34 weeks); FHT; fetal activity (daily kick counts >28
weeks); signs of labor; ultrasound screening; glucose screening; cervical checks (during last month of
gestation)
What items should be included in health promotion education? - ✔✔-avoiding OTC and RX meds unless
obstetrician has knowledge of this; avoid alcohol and tobacco use; avoid substance abuse; flu
vaccination is encouraged; tx current infections; genetic testing/counseling; avoid use of hot tubes;
moderate exercise; consuming 2-3L of water/day;
Presumptive signs of pregnancy - ✔✔-changes that make the woman suspect she is pregnanct;
subjective information; amenorrhea, fatigue, n&v, urinary frequency, breast changes, fetal movements
felt by the woman, uterine enlargment, linea nigra, chloasma, striae gravidarum
Probable signs of pregnancy - ✔✔-changes that make the examiner suspect a woman is pregnant (signs
can be caused by other physiological factors); abdominal enlargment, cervical changes, Braxton hick's
contractions, positive pregnancy test, fetal outline felt by examiner
Positive signs of pregnancy - ✔✔-signs that can only be explained by pregnancy; fetal heart sounds,
visualization of fetus by ultrasound, fetal movement palpated by an experienced examiner
Hegar's sign - ✔✔-softening and compressibility of lower uterus
,Chadwick's sign - ✔✔-deepened bluish color of vaginal mucosa
Goodell's sign - ✔✔-softening of cervical tip
Ballottement - ✔✔-rebound of unengaged fetus
Nagele's rule - ✔✔-way to calculate estimated due date; first day of LMP, subtract 3 months, then add 7
days
McDonald's method - ✔✔-way to calculate estimated gestational age; after 20 wks, measure fundal
height and # of centimeters should correlate with # of weeks of gestation
gravidity - ✔✔-number of pregnancies
Nulligravida - ✔✔-a woman who has never been pregnant
Primigravida - ✔✔-a woman in her first pregnancy
Multigravida - ✔✔-a woman who has been pregnant more than once
Parity - ✔✔-number of pregnancies in which the fetus reached viable age (20 wks)
Nullipara - ✔✔-no pregnancies in which fetus reached viable age
Primipara - ✔✔-one pregnancy in which fetus reached viable age
Multipara - ✔✔-more than one pregnancy in which the fetus reached viable age
, What does GTPAL stand for when using the 5 stage system? - ✔✔-Gravida (# of pregnancies); Term(> 38
wks); Preterm(<38 weeks); Abortion; Living
Chloasma - ✔✔-mask of pregnancy
Linea nigra - ✔✔-dark line of pigmentation from the umbilicus to the pubic area
Striae gravidam - ✔✔-stretch marks mostly found on abdomen and thighs
How should a nurse evaluate a client's nutritional choices? - ✔✔-Have the client keep a food journal;
calculate amount of calories in each food eaten; have the client fill out questionnaires; monitor weight
during visits; lab work
What is the recommended increase of calories per day in the second trimester? - ✔✔-340
What is the recommended increase of calories per day in the third trimester? - ✔✔-452
How many mcg of folic acid should be taken during pregnancy and lactation? - ✔✔-600 and 500
What are some supplements that should be taken during pregnancy? - ✔✔-calcium and iron
What can be used to help manage constipation associated with taking iron supplements? - ✔✔-stool
softeners
How many liters of fluid are recommended during pregnancy? - ✔✔-2-3
Caffeine should be limited to how many mg/day? - ✔✔-300
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