NURS 629 OB Exam 1 Study Guide | Questions With Answers | Latest Updated (2023/2024)

NURS 629 OB Exam 1 Study Guide | Questions With Answers | Latest Updated (2023/2024). How do you measure fundal height? a. The distance from the pubic bone to the top of the uterus. b. The measurement in centimeters from the top of your pubic bone to the top of your uterus (the fundus) should be about the same as the number of weeks you are pregnant, with an allowance of up to 2 cm either way. c. For example, if you are 26 weeks' pregnant, you should measure between 24 and 28 cm. 2. What is Leopold’s maneuver? a. Should be performed weekly after 35 weeks to determine fetal presentation and position. b. Outline the uterus and determine which part is at the fundus. c. Using the palms of hands, palpate the sides of abdomen for fetal presentation. i. Back will feel smooth d. Capture the lower portion of the maternal abdomen just above the symphysis pubis between the thumb and fingers with dominant hand. e. Check for mobility because if its mobile it’s not engaged in pelvis yet. 3. Where do you dopple FHT? a. Low pelvic region. b. Move towards umbilicus as fetus grows. 4. When can you hear FHT on doppler? a. 10-12 weeks, but better at 12 weeks. 5. When is quickening felt? a. Quickening is fetal movement. b. Felt between 16-20 weeks. 6. What are abnormal complaints in 1st trimester of pregnancy? a. Vaginal bleeding b. Cramping c. Painful urination d. Severe vomiting/diarrhea e. Fever over 100.4 f. Symptoms of vaginal infection or STI g. Persistent or severe low abdominal pain h. Lightheadedness/dizziness 7. What prenatal labs will you obtain with first visit? a. CBC b. ABO blood group/RH factor/antibody screen (T&S) c. Rubella titer d. VDRL/RPR (syphilis screen) e. Hep B surface antigen f. UA and culture g. Gonorrhea/Chlamydia screen h. HIV antibody testing 8. What does it mean when there are clu cells present?