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NURS 629 Exam 1
Routine office visit times - ANS-every 4 weeks until 28 weeks
every 2 weeks until 36 weeks
every week from 36 to delivery
Biweekly after 40 weeks
First Trimester Normal findings - ANS-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 - ANS-backache, dyspnea, epistaxis, leukorrhea,
ligament pain, muscle cramps in the calf, thigh, or buttocks, PICA, syncope.
Third Trimester Normal findings - ANS-Braxton-hick's contractions, discomfort in the
upper extremities, edema, heartburn, insomnia, joint pain/ pelvic girdle pain.
First Trimester Danger Signs - ANS-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 - ANS-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 - ANS-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 - ANS-Progestin-only
pills
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NURS 629 Exam 1.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
629 Exam 1.pdfNURS 629 Exam 1.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@
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NURS 629 Exam 1.pdfNURS 629 Exam 1.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!
What immunizations can be given during pregnancy - ANS-Hepatitis B, inactivated
influenza, Tdap at 27-36 weeks
How do we screen for gestational diabetes - ANS-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 - ANS-24 weeks
What plasma glucose levels would indicate gestational diabetes - ANS-Fasting >/= 95
1 hour >/= 180
2 hour >/= 155
3 hour > 140
What is the treatment for mild pregnancy induced hypertension? - ANS-Lifestyle
modification: smoking cessation, healthy diet, regular exercise. Implement close
observation
Signs and symptoms of mastitis - ANS-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 - ANS-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 -
ANS-Sulfa
When should you suspect a breast abscess - ANS-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 - ANS-BP greater than 140/90 after mid-pregnancy but
no proteinuria
Fundal Height at 12 weeks - ANS-Symphysis pubis
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NURS 629 Exam 1.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
629 Exam 1.pdfNURS 629 Exam 1.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@
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NURS 629 Exam 1.pdfNURS 629 Exam 1.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!
NURS 629 Exam 1
Routine office visit times - ANS-every 4 weeks until 28 weeks
every 2 weeks until 36 weeks
every week from 36 to delivery
Biweekly after 40 weeks
First Trimester Normal findings - ANS-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 - ANS-backache, dyspnea, epistaxis, leukorrhea,
ligament pain, muscle cramps in the calf, thigh, or buttocks, PICA, syncope.
Third Trimester Normal findings - ANS-Braxton-hick's contractions, discomfort in the
upper extremities, edema, heartburn, insomnia, joint pain/ pelvic girdle pain.
First Trimester Danger Signs - ANS-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 - ANS-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 - ANS-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 - ANS-Progestin-only
pills
@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$@
!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!NURS
NURS 629 Exam 1.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!
629 Exam 1.pdfNURS 629 Exam 1.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@
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NURS 629 Exam 1.pdfNURS 629 Exam 1.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@@!!!!!!!!!!!!!!!!
What immunizations can be given during pregnancy - ANS-Hepatitis B, inactivated
influenza, Tdap at 27-36 weeks
How do we screen for gestational diabetes - ANS-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 - ANS-24 weeks
What plasma glucose levels would indicate gestational diabetes - ANS-Fasting >/= 95
1 hour >/= 180
2 hour >/= 155
3 hour > 140
What is the treatment for mild pregnancy induced hypertension? - ANS-Lifestyle
modification: smoking cessation, healthy diet, regular exercise. Implement close
observation
Signs and symptoms of mastitis - ANS-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 - ANS-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 -
ANS-Sulfa
When should you suspect a breast abscess - ANS-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 - ANS-BP greater than 140/90 after mid-pregnancy but
no proteinuria
Fundal Height at 12 weeks - ANS-Symphysis pubis
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629 Exam 1.pdfNURS 629 Exam 1.pdf@@@@@@@@@@@@@@@@@@@@@@@@@@@
