NURS 629 Exam 1
What oral contraceptive can be given to breast feeding women - CORRECT
ANSWER-Progestin-only pills
What immunizations can be given during pregnancy - CORRECT ANSWER-
Hepatitis B, inactivated influenza, Tdap at 27-36 weeks
How do we screen for gestational diabetes - CORRECT ANSWER-50 gram oral
glucose with a blood draw 1 hour later to determine glucose levels. If the glucose
level is greater than 130-140 then a 3 hour 100 gram oral glucose tolerance test is
performed.
When do we screen for gestational diabetes - CORRECT ANSWER-24 weeks
What plasma glucose levels would indicate gestational diabetes - CORRECT
ANSWER-Fasting >/= 95
1 hour >/= 180
2 hour >/= 155
3 hour > 140
What is the treatment for mild pregnancy induced hypertension? - CORRECT
ANSWER-Lifestyle modification: smoking cessation, healthy diet, regular
exercise. Implement close observation
Signs and symptoms of mastitis - CORRECT ANSWER-Flu-like symptoms
including malaise, fever, and chills. Tender, hot, red, painful area, or lump in the
breast. Fever is often high, tachycardia, breast exam reveals warmth, redness,
tenderness, and swelling. Nipple may be cracked or abraded and breast
distended with milk.
What is the first line therapy for mastitis - CORRECT ANSWER-Dicloxacillin 250-
500mg every 6 hours for 10-14 days. Erythromycin 500mg every 6 hours for 10
days if PCN allergy. Tylenol as needed. Ice or warm packs. Continue to nurse
infant on both breasts but begin on unaffected side. Increase fluid intake.
What antibiotic cannot be given if an infant is nursing and less than 1 month -
CORRECT ANSWER-Sulfa
When should you suspect a breast abscess - CORRECT ANSWER-If there is no
resolution of symptoms after several days of antibiotics. Pitting edema is
possible and fluctuation may be felt over the affected area. This usually requires
both abx and drainage. Refer to physician. Culture and sensitivity of breast milk.
, S/S of gestational hypertension - CORRECT ANSWER-BP greater than 140/90
after mid-pregnancy but no proteinuria
Fundal Height at 12 weeks - CORRECT ANSWER-Symphysis pubis
Fundal Height at 16 weeks - CORRECT ANSWER-between symphysis pubis and
umbilicus
Fundal height at 20 weeks - CORRECT ANSWER-umbilicus and measures 20 cm
Fundal Height at 36 weeks - CORRECT ANSWER-just below the xiphoid process
and measures 36 cm
How does fundal height increase - CORRECT ANSWER-in a linear fashion at
about 1 cm per week
What is the variation in fundal height - CORRECT ANSWER-1-2 cm. Make sure
woman has emptied her bladder as this can elevate the fundus.
Positive signs of pregnancy - CORRECT ANSWER-Auscultation of fetal heart
sounds
Palpation of fetal movements
Radiologic and/or US verification of gestation
Fetal development at 4-5 weeks - CORRECT ANSWER-gestational sac within the
decidualized endometrium
Fetal development at 5.5 weeks - CORRECT ANSWER-secondary yolk sac
fetal development at 6 weeks - CORRECT ANSWER-Visible embryo and heart
motion
fetal development at 7-8 weeks - CORRECT ANSWER-fetal limbs are identifiable
and fetal head is proportionately larger than the body
fetal development at 9-12 weeks - CORRECT ANSWER-fetal movement, the
stomach, bladder, umbilical cord, and spine can be seen
fetal development at 11-14 weeks - CORRECT ANSWER-most normal fetal
anatomic features can be identifiable by sonography
fetal development at 13-16 weeks - CORRECT ANSWER-External sex organs are
formed. The outer ear begins to develop. The fetus can swallow and hear. The
neck is formed. Kidneys are functioning and begin to produce urine.
What oral contraceptive can be given to breast feeding women - CORRECT
ANSWER-Progestin-only pills
What immunizations can be given during pregnancy - CORRECT ANSWER-
Hepatitis B, inactivated influenza, Tdap at 27-36 weeks
How do we screen for gestational diabetes - CORRECT ANSWER-50 gram oral
glucose with a blood draw 1 hour later to determine glucose levels. If the glucose
level is greater than 130-140 then a 3 hour 100 gram oral glucose tolerance test is
performed.
When do we screen for gestational diabetes - CORRECT ANSWER-24 weeks
What plasma glucose levels would indicate gestational diabetes - CORRECT
ANSWER-Fasting >/= 95
1 hour >/= 180
2 hour >/= 155
3 hour > 140
What is the treatment for mild pregnancy induced hypertension? - CORRECT
ANSWER-Lifestyle modification: smoking cessation, healthy diet, regular
exercise. Implement close observation
Signs and symptoms of mastitis - CORRECT ANSWER-Flu-like symptoms
including malaise, fever, and chills. Tender, hot, red, painful area, or lump in the
breast. Fever is often high, tachycardia, breast exam reveals warmth, redness,
tenderness, and swelling. Nipple may be cracked or abraded and breast
distended with milk.
What is the first line therapy for mastitis - CORRECT ANSWER-Dicloxacillin 250-
500mg every 6 hours for 10-14 days. Erythromycin 500mg every 6 hours for 10
days if PCN allergy. Tylenol as needed. Ice or warm packs. Continue to nurse
infant on both breasts but begin on unaffected side. Increase fluid intake.
What antibiotic cannot be given if an infant is nursing and less than 1 month -
CORRECT ANSWER-Sulfa
When should you suspect a breast abscess - CORRECT ANSWER-If there is no
resolution of symptoms after several days of antibiotics. Pitting edema is
possible and fluctuation may be felt over the affected area. This usually requires
both abx and drainage. Refer to physician. Culture and sensitivity of breast milk.
, S/S of gestational hypertension - CORRECT ANSWER-BP greater than 140/90
after mid-pregnancy but no proteinuria
Fundal Height at 12 weeks - CORRECT ANSWER-Symphysis pubis
Fundal Height at 16 weeks - CORRECT ANSWER-between symphysis pubis and
umbilicus
Fundal height at 20 weeks - CORRECT ANSWER-umbilicus and measures 20 cm
Fundal Height at 36 weeks - CORRECT ANSWER-just below the xiphoid process
and measures 36 cm
How does fundal height increase - CORRECT ANSWER-in a linear fashion at
about 1 cm per week
What is the variation in fundal height - CORRECT ANSWER-1-2 cm. Make sure
woman has emptied her bladder as this can elevate the fundus.
Positive signs of pregnancy - CORRECT ANSWER-Auscultation of fetal heart
sounds
Palpation of fetal movements
Radiologic and/or US verification of gestation
Fetal development at 4-5 weeks - CORRECT ANSWER-gestational sac within the
decidualized endometrium
Fetal development at 5.5 weeks - CORRECT ANSWER-secondary yolk sac
fetal development at 6 weeks - CORRECT ANSWER-Visible embryo and heart
motion
fetal development at 7-8 weeks - CORRECT ANSWER-fetal limbs are identifiable
and fetal head is proportionately larger than the body
fetal development at 9-12 weeks - CORRECT ANSWER-fetal movement, the
stomach, bladder, umbilical cord, and spine can be seen
fetal development at 11-14 weeks - CORRECT ANSWER-most normal fetal
anatomic features can be identifiable by sonography
fetal development at 13-16 weeks - CORRECT ANSWER-External sex organs are
formed. The outer ear begins to develop. The fetus can swallow and hear. The
neck is formed. Kidneys are functioning and begin to produce urine.
