NR 327 Exam 1 | Actual Study Questions and
verified Answers (Already Passed) | A+ Graded |
2026 Updates | 100% correct
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- craving and eating things that are not normally considered edible
-Due to imbalance of zinc/iron
Nursing interventions for nausea - ANSWER- Small frequent meals
BRAT diet
Position upright after meals
Hormones that increase during pregnancy - ANSWER- Estrogen
Progesterone
Increased estrogen - ANSWER- Increased blood supply
-Nasal stuffiness
-Bloody gums
-Bloody nose
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
Leopolds maneuvers
FHR (fetal activity)
Leopold's maneuver - ANSWER- Determines fetal position
BP risk for pre-eclampsia - ANSWER- 140/90
Fundal height - ANSWER- Measured between 18-32 weeks
Measured in centimeters
Symphysis pubis to top of uterus fundus
Purpose: approximates gestational age
-Correlated with GA: 18 wks = 18cm (may be +/- 2)
When to call MD - ANSWER- Swelling
Decreased fetal movement
Pain with urination
Fluid leaking
Headache (sign of elevated BP)
S/s of infection
Vaginal bleeding
Backache (poss labor)
Labor s/s
verified Answers (Already Passed) | A+ Graded |
2026 Updates | 100% correct
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- craving and eating things that are not normally considered edible
-Due to imbalance of zinc/iron
Nursing interventions for nausea - ANSWER- Small frequent meals
BRAT diet
Position upright after meals
Hormones that increase during pregnancy - ANSWER- Estrogen
Progesterone
Increased estrogen - ANSWER- Increased blood supply
-Nasal stuffiness
-Bloody gums
-Bloody nose
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
Leopolds maneuvers
FHR (fetal activity)
Leopold's maneuver - ANSWER- Determines fetal position
BP risk for pre-eclampsia - ANSWER- 140/90
Fundal height - ANSWER- Measured between 18-32 weeks
Measured in centimeters
Symphysis pubis to top of uterus fundus
Purpose: approximates gestational age
-Correlated with GA: 18 wks = 18cm (may be +/- 2)
When to call MD - ANSWER- Swelling
Decreased fetal movement
Pain with urination
Fluid leaking
Headache (sign of elevated BP)
S/s of infection
Vaginal bleeding
Backache (poss labor)
Labor s/s
