NUR 612 UPDATED END OF COURSE QUESTIONS AND
SOLUTIONS GUARANTEE A+
✔✔positives = greater rates of success for women with high progesterone at trigger,
endometriosis, PCOS, Asian and AA ancestry, safer in OHSS-vulnerable pts,
genetically test embryos; negatives = little long term data, risk for pre-eclampsia and
larger babies - ✔✔frozen cycle transfer
✔✔fertilization occurs in vivo instead of in vitro; oocyte and sperm are both placed
directly into the fallopian tube via laparoscopy so that fertilization can occur; must have
at least one patent - ✔✔Gamete intrafallopian transfer (GIFT)
✔✔ovaries are hyper-stimulated and the ova are removed then fertilized in vitro, like
IVF; the zygotes are placed in the fallopian tubes laparoscopy the day after fertilization -
✔✔zygote intrafallopian transfer (ZIFT)
✔✔softening of the lower uterine segment - ✔✔Hegar's sign
✔✔fundus located at level of symphysis pubis - ✔✔by 12 weeks gestation
✔✔fundus located at level of umbilicus - ✔✔by 20 weeks gestation
✔✔softened cervix - ✔✔Goodwell's sign
✔✔cervix takes on bluish hue during pregnancy - ✔✔Chadwick's sign
✔✔displaced upward and to the left - ✔✔Heart during pregnancy
✔✔palpable, mild enlargement can occur early in first trimester. TSH levels decrease
initially, but return to normal by birth - ✔✔Thyroid in pregnancy
✔✔How to determine the due date of the baby; 1st day of last period + 9 months + 7
days - ✔✔Nagle's Rule
✔✔Fetal heart tones normal range - ✔✔120-160 bpm
✔✔can result in mental retardation, hearing loss, and cerebral palsy - ✔✔Congenital
CMV
✔✔can result in hepatosplenomegaly, thrombocytopenia, hepatitis, and anemia in the
newborn - ✔✔Newborn CMV
, ✔✔symptoms include mild rash ("slapped cheek") and painful swollen joints;
complications include transient aplastic crisis, hydrops fetalis, congenital anemia, pure
red cell aplasia, persistent anemia - ✔✔Fifth Disease (Parvovirus B19)
✔✔maternal symptoms include fever, malaise, upper respiratory symptoms, and
maculopapular rash; should be screened for immunity at first prenatal visit - ✔✔Rubella
✔✔most common cause of neonatal sepsis and meningitis in the United States;
newborn infections can occur up to 12 weeks; pregnant women should be screened
with vaginal cultures between 25 and 37 weeks - ✔✔Group B Streptococcus (GBS)
✔✔high risk factors include: gestation <37 weeks, premature rupture of membranes for
>18 hours, maternal temp of 100.4 or higher, positive nucleic acid amplification test -
✔✔Group B strep high risk factors
✔✔characterized by a foul smelling vaginal discharge that is profuse, frothy, and green;
treatment in pregnancy = Metronidazole 2 gm PO, lactating mother = Metronidazole 400
mg TID x7 days - ✔✔Trichomoniasis
✔✔if contracted prior to 28 weeks, the newborn is at risk for developing - ✔✔Syphilis
✔✔symptoms = severe pelvic/abdominal pain and unexplained vaginal bleeding along
with cervical motion tenderness, uterus not enlarged, and adnexal mass and tenderness
- ✔✔ectopic pregnancy
✔✔risk factors include age <20 or >40, history of, living in Asia, South Pacific, or
Mexico; symptoms = vaginal bleeding, abd tenderness, severe N/V persisting after 12
weeks gestation, extreme fatigue, pelvic pain, coughing, SOB, hemoptysis, and weight
loss; AVOID PREGNANCY FOR 6-12 MONTHS*** - ✔✔gestational trophoblastic
disease (molar pregnancy)
✔✔ultrasound will reveal snowstorm pattern, lack of fetal parts, and lack of fetal
movement - ✔✔gestational trophoblastic disease (molar pregnancy)
✔✔birth that occurs between 20 0/7 weeks and 36 6/7 weeks - ✔✔preterm birth
✔✔onset of regular contractions resulting in cervical change between 20 and 37
completed weeks of gestation - ✔✔preterm labor
✔✔all women should be screen between 24 and 28 weeks; if greater than 130-140,
should undergo 3 hour GTT - ✔✔gestational diabetes
SOLUTIONS GUARANTEE A+
✔✔positives = greater rates of success for women with high progesterone at trigger,
endometriosis, PCOS, Asian and AA ancestry, safer in OHSS-vulnerable pts,
genetically test embryos; negatives = little long term data, risk for pre-eclampsia and
larger babies - ✔✔frozen cycle transfer
✔✔fertilization occurs in vivo instead of in vitro; oocyte and sperm are both placed
directly into the fallopian tube via laparoscopy so that fertilization can occur; must have
at least one patent - ✔✔Gamete intrafallopian transfer (GIFT)
✔✔ovaries are hyper-stimulated and the ova are removed then fertilized in vitro, like
IVF; the zygotes are placed in the fallopian tubes laparoscopy the day after fertilization -
✔✔zygote intrafallopian transfer (ZIFT)
✔✔softening of the lower uterine segment - ✔✔Hegar's sign
✔✔fundus located at level of symphysis pubis - ✔✔by 12 weeks gestation
✔✔fundus located at level of umbilicus - ✔✔by 20 weeks gestation
✔✔softened cervix - ✔✔Goodwell's sign
✔✔cervix takes on bluish hue during pregnancy - ✔✔Chadwick's sign
✔✔displaced upward and to the left - ✔✔Heart during pregnancy
✔✔palpable, mild enlargement can occur early in first trimester. TSH levels decrease
initially, but return to normal by birth - ✔✔Thyroid in pregnancy
✔✔How to determine the due date of the baby; 1st day of last period + 9 months + 7
days - ✔✔Nagle's Rule
✔✔Fetal heart tones normal range - ✔✔120-160 bpm
✔✔can result in mental retardation, hearing loss, and cerebral palsy - ✔✔Congenital
CMV
✔✔can result in hepatosplenomegaly, thrombocytopenia, hepatitis, and anemia in the
newborn - ✔✔Newborn CMV
, ✔✔symptoms include mild rash ("slapped cheek") and painful swollen joints;
complications include transient aplastic crisis, hydrops fetalis, congenital anemia, pure
red cell aplasia, persistent anemia - ✔✔Fifth Disease (Parvovirus B19)
✔✔maternal symptoms include fever, malaise, upper respiratory symptoms, and
maculopapular rash; should be screened for immunity at first prenatal visit - ✔✔Rubella
✔✔most common cause of neonatal sepsis and meningitis in the United States;
newborn infections can occur up to 12 weeks; pregnant women should be screened
with vaginal cultures between 25 and 37 weeks - ✔✔Group B Streptococcus (GBS)
✔✔high risk factors include: gestation <37 weeks, premature rupture of membranes for
>18 hours, maternal temp of 100.4 or higher, positive nucleic acid amplification test -
✔✔Group B strep high risk factors
✔✔characterized by a foul smelling vaginal discharge that is profuse, frothy, and green;
treatment in pregnancy = Metronidazole 2 gm PO, lactating mother = Metronidazole 400
mg TID x7 days - ✔✔Trichomoniasis
✔✔if contracted prior to 28 weeks, the newborn is at risk for developing - ✔✔Syphilis
✔✔symptoms = severe pelvic/abdominal pain and unexplained vaginal bleeding along
with cervical motion tenderness, uterus not enlarged, and adnexal mass and tenderness
- ✔✔ectopic pregnancy
✔✔risk factors include age <20 or >40, history of, living in Asia, South Pacific, or
Mexico; symptoms = vaginal bleeding, abd tenderness, severe N/V persisting after 12
weeks gestation, extreme fatigue, pelvic pain, coughing, SOB, hemoptysis, and weight
loss; AVOID PREGNANCY FOR 6-12 MONTHS*** - ✔✔gestational trophoblastic
disease (molar pregnancy)
✔✔ultrasound will reveal snowstorm pattern, lack of fetal parts, and lack of fetal
movement - ✔✔gestational trophoblastic disease (molar pregnancy)
✔✔birth that occurs between 20 0/7 weeks and 36 6/7 weeks - ✔✔preterm birth
✔✔onset of regular contractions resulting in cervical change between 20 and 37
completed weeks of gestation - ✔✔preterm labor
✔✔all women should be screen between 24 and 28 weeks; if greater than 130-140,
should undergo 3 hour GTT - ✔✔gestational diabetes
