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Exam (elaborations)

NR 327 Exam 1 questions with answers

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NR 327 Exam 1 questions with answers

GTPAL - CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔EDD = LMP -3months, +7 days



Concerns for pediatric patient - CORRECT ANSWERS ✔✔How is she coping?

Is FOB in the picture

How will it effect school?

Nutrition

Routine prenatal care



Presumptive signs of pregnancy - CORRECT ANSWERS ✔✔(Subjective)

Amenorrhea

N/V/ urinary frequency

Fatigue

,Probable signs of pregnancy - CORRECT ANSWERS ✔✔(Objective)

+Pregnancy test

Hegar's sign

Ballotement

Goodell's sign

Chadwick's sign

Enlarged abdomen

Palpable fetal outline



Positive signs of pregnancy - CORRECT ANSWERS ✔✔Fetal heart tones

Fetal movement felt by examiner

Ultrasound



Ballotement - CORRECT ANSWERS ✔✔uterus will rebound when pushed



Goodell's sign - CORRECT ANSWERS ✔✔Softening of the cervix



Hegar's sign - CORRECT ANSWERS ✔✔Softening of the uterus



Chadwick's sign - CORRECT ANSWERS ✔✔Purple/blue color of the cervix



PICA - CORRECT ANSWERS ✔✔craving and eating things that are not
normally considered edible

,-Due to imbalance of zinc/iron



Nursing interventions for nausea - CORRECT ANSWERS ✔✔Small frequent
meals

BRAT diet

Position upright after meals



Hormones that increase during pregnancy - CORRECT ANSWERS
✔✔Estrogen

Progesterone



Increased estrogen - CORRECT ANSWERS ✔✔Increased blood supply

-Nasal stuffiness

-Bloody gums

-Bloody nose



Increased progesterone - CORRECT ANSWERS ✔✔Relaxes smooth muscles

Increases need to breath

Heightened awareness

-PPP: Progesterone protects pregnancy



Nutritional needs during pregnancy - CORRECT ANSWERS ✔✔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 - CORRECT ANSWERS ✔✔Prevents neural tube
defects



Sources for calcium - CORRECT ANSWERS ✔✔Yogurt, cheese, milk



Caffeine recommendations - CORRECT ANSWERS ✔✔200mg (2 cups) per
day



Fish-mercury in pregnancy - CORRECT ANSWERS ✔✔Risk for premature,
miscarriage, brain damage



Cholesterol in pregnancy - CORRECT ANSWERS ✔✔Monitor cholesterol
caloric intake if risk for preeclampsia

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