MVU NURSE 629 EXAM II | Practice | Solved|

MVU NURSE 629 EXAM 1
 Three trimesters of pregnancy
 1st: week 1-13
 2nd: weeks 14-27
 3rd: weeks 28 to delivery




 Naegeles rule of EDB
 First day of LMP- subtract 3 months, add 7 days and one year




 Ultrasound to determine EDB
 1st trimester: accurate within 7 days
 2nd trimester: accurate within 10-14 days
 The sooner a woman gets an ultrasound the better estimate we can give for weeks
gestation and tracking of fetal growth and development.




 Prenatal visit schedule for low-risk pregnancies
 -Preconception visit: up to 1 yr before conception
 -1st prenatal visit: 6-8wks after missed menses
 Up to 28 weeks- every 4 weeks
 28 to 36 weeks - every 2 weeks
 36 weeks and on -every week or more as necessary




 First prenatal visit should include
· Confirmation of pregnancy
 Pregnancy test and ultrasound

, · History
· Menstrual history (LMP) and obstetric history
· Past medical history
· Nutrition and habits: tobacco, alcohol, drugs
· Genetic history: mom, father and 1st relative
· Social history including work, abuse, coping
· Current symptoms



· Physical exam and labs
· Pelvic exam and pap smear
 Blood type and antibody screen
 Rubella and hepatitis B titer
 GC, RPR, HIV, Hep C
 CBC
 Urinalysis with culture
 UDS (?)




 Prenatal visits 12-21 weeks
 Quad Marker screening, discuss newborn feeding options




 Prenatal visit 18-22 weeks
 Anatomy OB ultrasound




 Prenatal visit 24-28 weeks
 1 hour glucose test, RH neg type and screen

,  Prenatal visit 28-34 weeks
 RhoGam administration, STI testing if indicated, review newborn feeding discussion, administer
Tdap, preterm labor assessment and education at each visit




 Prenatal visit 34-36 weeks
 Group B strep swab, review s/s of labor and review labor plan




 Prenatal visit 36-40+ weeks
 fetal position assessment, cervical exam, review s/s of false labor vs true contractions




 Quad screening
 Test performed at 16-18 weeks. Tests levels of Inhibin A, MSAFP, unconjugated estriol, and HCG. Has
increased accuracy in screening for DS for women under 35.




 1st trimester typical symptoms
· Breast pain, enlargement, and changes in pigmentation: wear a supportive bra, avoid
caffeine use



· Constipation: large amount of circulating progesterone cause decreased GI motility - use
bulk-forming laxatives or Colace, exercise regularly, elevate feet on a stool while defecating
to prevent straining, high fiber foods, increase fluids, drink warm fluids