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NUR 1600 ( LATEST 2024 / 2025 ) TEST 4 CH.4 | PASSED | A+ RATED GUIDE | NEW FULL EXAM
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NUR 1600 ( LATEST 2024 / 2025 ) TEST 4 CH.4 | PASSED | A+ RATED GUIDE | NEW FULL EXAM
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NUR 1600 Test 4 Ch.41. Pre-pregnacy care checkup
Answer
The first step in planning a healthy pregnancy. The goal is to find things that could affect your
pregnancy. You will discuss diet, lifestyle, medications, medical and family history, and past
pregnancies.
2. Weight before and during pregnancy
Answer
You should try to reach a healthy weight before you get pregnant. Excess weight during
pregnancy can cause high blood pressure, preeclampsia, preterm birth, gestational diabetes, or
birth defects.
150 minutes of moderate physical activity each week, along with muscle-strength- ening
activities on 2 days or more a week.
3. What vitamins should you take during pregnancy?
Answer
Daily prenatal vitamins that contain 400 micrograms of folic acid each day. Folic acid helps
prevent major birth defects of the baby's brain and spine. 27 mg of iron per day
4. Why is it important to stop using substances before getting pregnant?
Answer
Use of tobacco, alcohol, marijuana, illegal drugs, and prescription drugs taken for a nonmedical
reason could cause birth defects, low birth weight, preterm birth, or stillbirth.
Things in the environment such as lead, mercury, and certain pesticides can cause harmful
effects on a fetus.
5. Up to date vaccination for pregnancy
Answer
Flu vaccine and whopping cough (Tdap) are recommended
6. Healthy People 2030 goals for the pregnant patient and newborn
,Answer
Increase the proportion of women who get screened for postpartum depression
Reduce the rate of fetal deaths at 20 or more weeks of gestation Reduce preterm births
Increase the proportion of pregnant women who receive early and adequate prena- tal care
Increase the proportion of women who had a healthy weight before pregnancy
7. Risk factors for the pregnant patient
Answer
Maternal characteristics
Under 16 or over 35 years of age, marital status
single, less than 5ft. tall, weigh less than 100lb or more than 200lbs, poverty, low education
level, or lives at a high altitude
Maternal habits
Alcohol consumption, illicit drug use, no early prenatal care, smoking, high-risk
sexual behaviors, and poor diet
Obstetric history
previous birth to infant weighing less than 2500 g, previous birth to infant weighing more than
4000 g, previous pregnancy ending in perinatal death, more than two previous spontaneous
abortions, birth to infant with congenital or perinatal disease, or birth to infant with
isoimmunization or ABO incompatibility
Current Medical Problems
Chronic illnesses, including diabetes mellitus, thyroid disorder, heart disease, hy- pertension,
pulmonary disease, renal failure, anemia, sickle cell disease, sexually transmitted disease, or
infectious diseases.
Problems with Current Pregnancy
, Bleeding, pregnancy-induced hypertension, eclampsia, preeclampsia, fetal position breech,
transverse at term, polyhydramnios, multiple fetus, post-maturity, premature rupture of
membranes, weight gain that is inadequate or excessive
8. Signs and symptoms of pregnancy at various stages
Answer
Presumptive
breast fullness, amenorrhea, nausea, vomiting, frequent urination, quickening.
Probable
Chadwick sign (blue color to cervix), goodell sign (softening of cervix), hegar sign (softening of
lower uterine segment), positive pregnancy test, ballottement
Positive signs
visualization of fetus by ultrasound, auscultation of fetal heart tones, palpation of fetal
movements, observable fetal movements
9. Describe abnormal findings of the pregnancy examination
Answer
Preexisting hy- pertension, pregnancy induced hypertension, excessive edema, facial edema,
blurred vision, nipple thickening, mass, numbness, weakness, carpal tunnel syn- drome,
hyperreflexia, absence of palpable fetal movement after 22 weeks, greater than 2 cm discrepancy
of fundal height and gestational age
10. Healthy Newborn Assessment
Answer
milia, erthema toxicum, congenital dermal melanocytosis, cafe-au-lait spot, telangiectasis,
lanugo, seborrheic dermatitis, asymmetrical head, easy respiration, acrocyanosis, capillary refill
less than 1 sec, visible pulsations, equal arm and leg length and movement, infantile reflexes
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