NURS 629 EXAM 4 EXAM SCRIPT TESTED
QUESTIONS WITH VERIFIED ANSWERS
PRACTICE SOLUTION GRADED A+
⩥ How to improve muscle cramps.
Answer: wear low-heeled, supportive footwear, stretch, walking,
exercise, adequate hydration, magnesium supplements.
⩥ How to improve pica.
Answer: patient can eat ice, educate that nonfood substances can he
harmful to mother and baby. Diet high in iron with iron supplements
⩥ How to improve syncope.
Answer: rest in the lateral recumbent position, change position
gradually, hold onto something while rising, lower the head below the
level of the heart if feeling faint, apply compression stockings before
getting out of bed and perform leg pumping exercises, eat frequent small
meals throughout the day, maintain adequate protein intake
⩥ How to improve Braxton-Hicks contractions.
Answer: empty bladder frequently, stay well hydrated, resting in lateral
recumbent position, walking, light exercise, Lamaze breathing,
relaxation techniques.
,⩥ How to improve discomfort in the upper extremities.
Answer: wearing a wrist splint especially at HS, raise hands above the
head and pump fists, put the hands at the side of the head and shake,
wear a well supporting bra, avoid slumping.
⩥ How to improve edema.
Answer: lie in lateral recumbent position for 1-2 hours twice daily and
sleep in this position, avoid long periods of sitting or standing, regular
aerobic exercise, maternity support pantyhose or abdominal support
band, do not curl hands under pillow at night, use of wrist supports,
drink 8-10 glasses of fluid daily.
⩥ How to improve heartburn.
Answer: Antacids then H2 receptor blockers, then PPI if needed. H2
receptor blocker including famotidine, nizatidine (B). Do not lie down
for 2 hours after eating, elevate head of bed 6 inches for sleeping, stop
smoking, avoid hot, spicy, fatty, gas-forming, and acidic foods, eat
small, frequent meals. Sipping water, milk, hot tea, or a TBS of heavy
cream, yogurt, or half-and-half or chewing gum may help
⩥ How to improve insomnia.
Answer: establish a regular sleep time, exercise, do not exercise 2 hours
before sleep, relaxation techniques, sleep hygiene, avoid caffeine after
midday and heavy meals at end of the day. Warm milk. Encourage
higher fiber intake earlier in the day, avoid high sugar diets.
, ⩥ How to improve joint pain/ pelvic girdle pain.
Answer: Acetaminophen as above. Avoid excessive walking, high-
heeled shoes, jarring movements, high impact activities. Apply heating
pad, warm moist heat, cold pack, reclining on the opposite side,
maintaining good posture, place pillows between the thighs and
underneath her abdomen to support and align the back while sleeping.
⩥ When is maternal serum alpha fetoprotein elevated.
Answer: elevated if neural tube or ventral wall defects are present
⩥ When is the routine anatomy scan.
Answer: 18-22 weeks
⩥ When is Rhogam administered.
Answer: 28 weeks
⩥ When is the GBS swab completed.
Answer: 34-36 weeks
⩥ When are Leopold's maneuvers done.
Answer: 36-40 weeks
⩥ How can we prevent neural tube defects.
QUESTIONS WITH VERIFIED ANSWERS
PRACTICE SOLUTION GRADED A+
⩥ How to improve muscle cramps.
Answer: wear low-heeled, supportive footwear, stretch, walking,
exercise, adequate hydration, magnesium supplements.
⩥ How to improve pica.
Answer: patient can eat ice, educate that nonfood substances can he
harmful to mother and baby. Diet high in iron with iron supplements
⩥ How to improve syncope.
Answer: rest in the lateral recumbent position, change position
gradually, hold onto something while rising, lower the head below the
level of the heart if feeling faint, apply compression stockings before
getting out of bed and perform leg pumping exercises, eat frequent small
meals throughout the day, maintain adequate protein intake
⩥ How to improve Braxton-Hicks contractions.
Answer: empty bladder frequently, stay well hydrated, resting in lateral
recumbent position, walking, light exercise, Lamaze breathing,
relaxation techniques.
,⩥ How to improve discomfort in the upper extremities.
Answer: wearing a wrist splint especially at HS, raise hands above the
head and pump fists, put the hands at the side of the head and shake,
wear a well supporting bra, avoid slumping.
⩥ How to improve edema.
Answer: lie in lateral recumbent position for 1-2 hours twice daily and
sleep in this position, avoid long periods of sitting or standing, regular
aerobic exercise, maternity support pantyhose or abdominal support
band, do not curl hands under pillow at night, use of wrist supports,
drink 8-10 glasses of fluid daily.
⩥ How to improve heartburn.
Answer: Antacids then H2 receptor blockers, then PPI if needed. H2
receptor blocker including famotidine, nizatidine (B). Do not lie down
for 2 hours after eating, elevate head of bed 6 inches for sleeping, stop
smoking, avoid hot, spicy, fatty, gas-forming, and acidic foods, eat
small, frequent meals. Sipping water, milk, hot tea, or a TBS of heavy
cream, yogurt, or half-and-half or chewing gum may help
⩥ How to improve insomnia.
Answer: establish a regular sleep time, exercise, do not exercise 2 hours
before sleep, relaxation techniques, sleep hygiene, avoid caffeine after
midday and heavy meals at end of the day. Warm milk. Encourage
higher fiber intake earlier in the day, avoid high sugar diets.
, ⩥ How to improve joint pain/ pelvic girdle pain.
Answer: Acetaminophen as above. Avoid excessive walking, high-
heeled shoes, jarring movements, high impact activities. Apply heating
pad, warm moist heat, cold pack, reclining on the opposite side,
maintaining good posture, place pillows between the thighs and
underneath her abdomen to support and align the back while sleeping.
⩥ When is maternal serum alpha fetoprotein elevated.
Answer: elevated if neural tube or ventral wall defects are present
⩥ When is the routine anatomy scan.
Answer: 18-22 weeks
⩥ When is Rhogam administered.
Answer: 28 weeks
⩥ When is the GBS swab completed.
Answer: 34-36 weeks
⩥ When are Leopold's maneuvers done.
Answer: 36-40 weeks
⩥ How can we prevent neural tube defects.
