NURS 629 EXAM 3 FINAL
PREPARATION 2026 VERIFIED
SOLUTIONS INCLUDED
◉ First Trimester Normal findings.
Answer: breast pain, enlargement, changes in pigmentation,
constipation, excessive salivation and bad taste in mouth, fatigue,
flatulence, headache, hemorrhoids, nausea and vomiting, urinary
frequency and incontinence, varicosities of vulva and legs.
◉ Second Trimester Normal findings.
Answer: backache, dyspnea, epistaxis, leukorrhea, ligament pain, muscle
cramps in the calf, thigh, or buttocks, PICA, syncope.
◉ Third Trimester Normal findings.
Answer: Braxton-hick's contractions, discomfort in the upper
extremities, edema, heartburn, insomnia, joint pain/ pelvic girdle pain.
◉ First Trimester Danger Signs.
Answer: spotting or bleeding, cramping, painful urination, severe
vomiting and/ or diarrhea, fever higher than 100.4F, symptoms of
vaginal infection or STIs, persistent or severe low abdominal pain,
lightheadedness, dizziness, abdominal trauma.
◉ Second Trimester Danger Signs.
,Answer: regular uterine contractions (6 or more per hour), unilateral leg
or calf pain, edema, pain with movement, redness, heat, and tenderness
or coldness, numbness and paleness to extremity, sudden gush or
consistent leaking of fluid, absence of fetal movement for more than 24
hours after quickening, sudden weight gain, significant edema of the
face and/ or hands, severe upper abdominal pain, headache with visual
changes and/ or photophobia.
◉ Third Trimester Danger Signs.
Answer: decrease in daily fetal movement, after 37 weeks gestation,
when contractions are 3-5 minutes apart if a primipara or 5-8 minutes
apart if a multipara lasting 45-60 seconds and strong in intensity or with
the characteristics of true labor.
◉ What oral contraceptive can be given to breast feeding women.
Answer: Progestin-only pills
◉ What immunizations can be given during pregnancy.
Answer: Hepatitis B, inactivated influenza, Tdap at 27-36 weeks
◉ How do we screen for gestational diabetes.
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.
, Answer: 24 weeks
◉ What plasma glucose levels would indicate gestational diabetes.
Answer: Fasting >/= 95
1 hour >/= 180
2 hour >/= 155
3 hour > 140
◉ What is the treatment for mild pregnancy induced hypertension?.
Answer: Lifestyle modification: smoking cessation, healthy diet, regular
exercise. Implement close observation
◉ Signs and symptoms of mastitis.
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.
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.
PREPARATION 2026 VERIFIED
SOLUTIONS INCLUDED
◉ First Trimester Normal findings.
Answer: breast pain, enlargement, changes in pigmentation,
constipation, excessive salivation and bad taste in mouth, fatigue,
flatulence, headache, hemorrhoids, nausea and vomiting, urinary
frequency and incontinence, varicosities of vulva and legs.
◉ Second Trimester Normal findings.
Answer: backache, dyspnea, epistaxis, leukorrhea, ligament pain, muscle
cramps in the calf, thigh, or buttocks, PICA, syncope.
◉ Third Trimester Normal findings.
Answer: Braxton-hick's contractions, discomfort in the upper
extremities, edema, heartburn, insomnia, joint pain/ pelvic girdle pain.
◉ First Trimester Danger Signs.
Answer: spotting or bleeding, cramping, painful urination, severe
vomiting and/ or diarrhea, fever higher than 100.4F, symptoms of
vaginal infection or STIs, persistent or severe low abdominal pain,
lightheadedness, dizziness, abdominal trauma.
◉ Second Trimester Danger Signs.
,Answer: regular uterine contractions (6 or more per hour), unilateral leg
or calf pain, edema, pain with movement, redness, heat, and tenderness
or coldness, numbness and paleness to extremity, sudden gush or
consistent leaking of fluid, absence of fetal movement for more than 24
hours after quickening, sudden weight gain, significant edema of the
face and/ or hands, severe upper abdominal pain, headache with visual
changes and/ or photophobia.
◉ Third Trimester Danger Signs.
Answer: decrease in daily fetal movement, after 37 weeks gestation,
when contractions are 3-5 minutes apart if a primipara or 5-8 minutes
apart if a multipara lasting 45-60 seconds and strong in intensity or with
the characteristics of true labor.
◉ What oral contraceptive can be given to breast feeding women.
Answer: Progestin-only pills
◉ What immunizations can be given during pregnancy.
Answer: Hepatitis B, inactivated influenza, Tdap at 27-36 weeks
◉ How do we screen for gestational diabetes.
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.
, Answer: 24 weeks
◉ What plasma glucose levels would indicate gestational diabetes.
Answer: Fasting >/= 95
1 hour >/= 180
2 hour >/= 155
3 hour > 140
◉ What is the treatment for mild pregnancy induced hypertension?.
Answer: Lifestyle modification: smoking cessation, healthy diet, regular
exercise. Implement close observation
◉ Signs and symptoms of mastitis.
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.
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.
