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NR 327 Exam 1 With Complete Solution Latest Update
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NR 327 Exam 1 With Complete Solution LatestUpdate 2024-2025
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
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 crave and ingest things not normally considered edible
-Related to imbalance of zinc/iron
Nursing interventions for nausea -Answer Small frequent meals
BRAT diet
Position upright after meals
Hormones increased in pregnancy -Answer Estrogen
Progesterone
Effects of increased estrogen -Answer Increased blood supply
,-Nasal stuffiness
-Bloody gums
-Bloody nose
Effects of increased progesterone -Answer Relaxes smooth muscles
Increases need to breath
Heightened awareness
-PPP: Progesterone protects pregnancy
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)
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
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