Exam (elaborations)

NR 327 Exam 1 Questions With 100% Verified Answers

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NR 327

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NR 327

NR 327 Exam 1 Questions With 100% Verified Answers GTPAL - answerG: number of pregnancies P: number of deliveries (20 weeks) T: delivery that occurred after 38 weeks P: delivery before 38 week s A: SAB or ETOP L: Living Nagele's rule - answerEDD = LMP -3months, +7 days Concerns for pediatr...

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nr 327 exam 1 questions with 100 verified answers

Institution NR 327
Course NR 327

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NR 327 Exam 1 Questions With 100%
Verified Answers

GTPAL - answer✔G: number of pregnancies
P: number of deliveries (20 weeks)
T: delivery that occurred after 38 weeks
P: delivery before 38 week s
A: SAB or ETOP
L: Living

Nagele's rule - answer✔EDD = LMP -3months, +7 days

Concerns for pediatric patient - answer✔How is she coping?
Is FOB in the picture
How will it effect school?
Nutrition
Routine prenatal care

Presumptive signs of pregnancy - answer✔(Subjective)
Amenorrhea
N/V/ urinary frequency
Fatigue

Probable signs of pregnancy - answer✔(Objective)
+Pregnancy test
Hegar's sign
Ballotement

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Goodell's sign
Chadwick's sign
Enlarged abdomen
Palpable fetal outline

Positive signs of pregnancy - answer✔Fetal heart tones
Fetal movement felt by examiner
Ultrasound

Ballotement - answer✔uterus will rebound when pushed

Goodell's sign - answer✔Softening of the cervix

Hegar's sign - answer✔Softening of the uterus

Chadwick's sign - answer✔Purple/blue color of the cervix

PICA - answer✔craving and eating things that are not normally considered edible
-Due to imbalance of zinc/iron

Nursing interventions for nausea - answer✔Small frequent meals
BRAT diet
Position upright after meals

Hormones that increase during pregnancy - answer✔Estrogen
Progesterone

Increased estrogen - answer✔Increased blood supply
-Nasal stuffiness
-Bloody gums
-Bloody nose

Increased progesterone - answer✔Relaxes smooth muscles
Increases need to breath
Heightened awareness
-PPP: Progesterone protects pregnancy

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Nutritional needs during pregnancy - answer✔Increased:
-Folic acid
-Calcium
-Iron
-Water
-Calories
Decreased/Eliminated:
-Caffeine
-Smoking (quit)
-Drugs (quit)
-Fried foods (moderation)
-Fish-mercury
-Lunch meat - Lysteria (avoid)

Folic acid in pregnancy - answer✔Prevents neural tube defects

Sources for calcium - answer✔Yogurt, cheese, milk

Caffeine recommendations - answer✔200mg (2 cups) per day

Fish-mercury in pregnancy - answer✔Risk for premature, miscarriage, brain damage

Cholesterol in pregnancy - answer✔Monitor cholesterol caloric intake if risk for preeclampsia

Iron deficiency anemia in pregnancy - answer✔Common
Low iron = baby at risk for bleeding

Smoking in pregnancy - answer✔IDPH has a program for smoking cessation
Patients must be automatically referred if a smoker

Expected weight gain in pregnancy - answer✔4.4lbs in first trimester
1 lb/week after 13 weeks

Expected weight gain for patient with a normal BMI - answer✔25-35lbs (11.5-16kg)

Expected weight gain for patient who is underweight - answer✔27.5-40lbs (12.5-18kg)

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Expected weight gain for a patient who is overweight - answer✔15-25lbs (7-11.5kg)

Expected weight gain for a patient who is obese - answer✔15lbs (7kg)

Things done at every prenatal visit - answer✔Vital signs (know baseline)
Weight
Urine sample (risk for UTI)
Fundal height
Leopolds maneuvers
FHR (fetal activity)

Leopold's maneuver - answer✔Determines fetal position

BP risk for pre-eclampsia - answer✔140/90

Fundal height - answer✔Measured between 18-32 weeks
Measured in centimeters
Symphysis pubis to top of uterus fundus
Purpose: approximates gestational age
-Correlated with GA: 18 wks = 18cm (may be +/- 2)

When to call MD - answer✔Swelling
Decreased fetal movement
Pain with urination
Fluid leaking
Headache (sign of elevated BP)
S/s of infection
Vaginal bleeding
Backache (poss labor)
Labor s/s

Fetal kick counts - answer✔Recommended 10kicks/hour

Nitrazine paper test - answer✔Inserted into cervix

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