NURS 630 Test 1 exam with correct |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answers
What is the recommended office visit interval during each trimester in a low risk pregnancy? -
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correct answersUp to 28 weeks - every 4 weeks |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
28-36 weeks - every 2 weeks |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
36 weeks and more - every week or more as necessary
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
What are the appropriate findings in the first trimester? - correct answersBreast pain,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
enlargement, changes in pigment. Constipation. Excessive salivation, fatigue, flatulence, |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
headaches, N/V, hemorrhoids, urinary frequency, varicosities of vulva and legs |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
What are the appropriate findings in the second trimester? - correct answersBackache,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
dyspnea, epitaxis, leukorrhea, ligament pain, muscle cramps, pica, syncope
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
What are the appropriate findings in the third trimester? - correct answersBraxton-Hicks
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
contractions, discomfort in upper extremities, edema, heartburn, insomnia, joint pain/ache |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
What are common symptoms during pregnancy? - correct answersN/V, heartburn,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
constipation, hemorrhoids, leg cramps, urinary frequency, back ache, lower leg swelling, |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
dyspnea in 3rd trimester, leukorrhea |||\\\ |||\\\ |||\\\ |||\\\
What are concerning symptoms during pregnancy? - correct answersfever, vaginal discharge
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
that is large amount, odor, irritation, vaginal bleeding, palpitations, breathlessness at rest,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
swelling up upper extremities or face, oliguria, decreased or absent fetal movement
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
What are some worrisome complaints? - correct answers1st trimester: heavy bleeding
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
3rd trimester: headache, blurred vision
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, What OCP can be given to breastfeeding women? - correct answersOral contraceptive after 6
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
weeks - progestin only. |||\\\ |||\\\ |||\\\
Diaphragm, IUD/intradermal, Depo Provera |||\\\ |||\\\ |||\\\
What immunizations can be given in pregnancy? - correct answersNo live vaccines like MMR or
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
varicella
|||\\\
How to screen for gestational DM - correct answersAt 24-28 weeks gestation: 1 hour glucose
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
testing (non-fasting) |||\\\
If above 130-140 then 3-hour glucose testing (fasting)
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
How to prevent pregnancy induced hypertension - correct answersPrevention is key - regular
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
exercise, increase protein diet, 8 glasses of water per day, rest |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
How to treat PIH or chronic HTN during pregnancy - correct answersLabetolol, nifedipine, or
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
methyldopa (only severe PIH, systolic BP > 180, diastolic > 110). Close monitoring, kick counts, |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
NST, weekly OB visits |||\\\ |||\\\ |||\\\
What are the s/s of mastitis? - correct answersUsually unilateral, chills, fever, malaise, local
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
tenderness with swelling, pain, lump |||\\\ |||\\\ |||\\\ |||\\\
What are the s/s of gestational HTN? - correct answersHeadache, visual disturbances, facial,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
ankle and finger edema, or severe heartburn with abdominal pain
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What should the fundal height be at various prenatal visits? - correct answers10 weeks -
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
uterus baseball sized, FHT via doppler between 10-12 weeks
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
12 weeks - uterus is softball sized, fundus is rising above symphysis pubis, palpable at the time
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
answers
What is the recommended office visit interval during each trimester in a low risk pregnancy? -
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
correct answersUp to 28 weeks - every 4 weeks |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
28-36 weeks - every 2 weeks |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
36 weeks and more - every week or more as necessary
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
What are the appropriate findings in the first trimester? - correct answersBreast pain,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
enlargement, changes in pigment. Constipation. Excessive salivation, fatigue, flatulence, |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
headaches, N/V, hemorrhoids, urinary frequency, varicosities of vulva and legs |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
What are the appropriate findings in the second trimester? - correct answersBackache,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
dyspnea, epitaxis, leukorrhea, ligament pain, muscle cramps, pica, syncope
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
What are the appropriate findings in the third trimester? - correct answersBraxton-Hicks
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
contractions, discomfort in upper extremities, edema, heartburn, insomnia, joint pain/ache |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
What are common symptoms during pregnancy? - correct answersN/V, heartburn,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
constipation, hemorrhoids, leg cramps, urinary frequency, back ache, lower leg swelling, |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
dyspnea in 3rd trimester, leukorrhea |||\\\ |||\\\ |||\\\ |||\\\
What are concerning symptoms during pregnancy? - correct answersfever, vaginal discharge
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
that is large amount, odor, irritation, vaginal bleeding, palpitations, breathlessness at rest,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
swelling up upper extremities or face, oliguria, decreased or absent fetal movement
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
What are some worrisome complaints? - correct answers1st trimester: heavy bleeding
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
3rd trimester: headache, blurred vision
|||\\\ |||\\\ |||\\\ |||\\\
, What OCP can be given to breastfeeding women? - correct answersOral contraceptive after 6
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
weeks - progestin only. |||\\\ |||\\\ |||\\\
Diaphragm, IUD/intradermal, Depo Provera |||\\\ |||\\\ |||\\\
What immunizations can be given in pregnancy? - correct answersNo live vaccines like MMR or
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
varicella
|||\\\
How to screen for gestational DM - correct answersAt 24-28 weeks gestation: 1 hour glucose
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
testing (non-fasting) |||\\\
If above 130-140 then 3-hour glucose testing (fasting)
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
How to prevent pregnancy induced hypertension - correct answersPrevention is key - regular
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
exercise, increase protein diet, 8 glasses of water per day, rest |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
How to treat PIH or chronic HTN during pregnancy - correct answersLabetolol, nifedipine, or
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
methyldopa (only severe PIH, systolic BP > 180, diastolic > 110). Close monitoring, kick counts, |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
NST, weekly OB visits |||\\\ |||\\\ |||\\\
What are the s/s of mastitis? - correct answersUsually unilateral, chills, fever, malaise, local
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
tenderness with swelling, pain, lump |||\\\ |||\\\ |||\\\ |||\\\
What are the s/s of gestational HTN? - correct answersHeadache, visual disturbances, facial,
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
ankle and finger edema, or severe heartburn with abdominal pain
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
What should the fundal height be at various prenatal visits? - correct answers10 weeks -
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
uterus baseball sized, FHT via doppler between 10-12 weeks
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
12 weeks - uterus is softball sized, fundus is rising above symphysis pubis, palpable at the time
|||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\ |||\\\
