NUR 2038 EXAM 2 PRACTICE QUESTIONS WITH COMPLETE SOLUTIONS.
presumptive signs of pregnancy - (ANSWER)amenorrhea, nausea, breast tenderness, urinary frequency,
quickening, fatigue
probable sign of pregnancy - (ANSWER)uterine enlargement, Hegar's sign (softening of lower uterus),
Goodell's sign (softening of cervix), Chadwicks sign (blueish discoloration), braxton hicks, positive
pregnancy test
positive signs of pregnancy - (ANSWER)fetal heart sounds, visualization of the fetus on ultrasound, fetal
movement palpated by examiner.
GTPAL - (ANSWER)Gravida:# of pregnancies including current
Term: babies born at term
Preterm: babies born preterm
Abortions/miscarriages
Living
Naegele's Rule - (ANSWER)add 7 days to LMP, subtract 3 months, add 1 year
Discomforts of pregnancy - (ANSWER)N/V, syncope, urinary frequency/urgency, increased vaginal
discharge, SOB, fatigue, heartburn, edema, varicose veins, hemorrhoids, leg cramps, back pain,
constipation
antepartum diagnostic tests - (ANSWER)-H&H: may decrease due to increase plasma volume
-Rh factor/blood type and cross
-ultrasound
-genetic testing
-amniocentesis (rule out genetic disorders, risk for infection)
Gestational Diabetes - (ANSWER)If mom has fasting glucose >126 or random higher than 200, she's
suspected for gestational diabetes
, NUR 2038 EXAM 2 PRACTICE QUESTIONS WITH COMPLETE SOLUTIONS.
Glucose tolerance test (50g glucose): after 1 hour >140 , after 3 hours >130-140=positive
Impact of STIs on fetus/newborn - (ANSWER)-Chlamydia & Gonorrhea: eye infections; blindness
-Trichomoniasis: premature ROM and infection
-Syphilis: deafness, congenital abnormalities, death
-HSV: neonatal infections, encephalopathy, death
-HPV: transmission to newborn
Placenta Previa - (ANSWER)placenta forms in lower portion of uterus and blocks birth canal; can require
C-section for delivery
Signs: painless, bright red vaginal bleeding, vital signs and FHR normal
Interventions: assess for blessing, no vaginal exams (makes bleeding worse), have o2 on hand
Placental abruption - (ANSWER)premature separation of the placenta
Signs: PAINFUL dark red vaginal bleeding; fetal distress, shock
Interventions: immediate delivery, continuous fetal monitoring, oxygen for mom
Abortion - (ANSWER)Loss of pregnancy before 20 weeks
Fetal death - (ANSWER)Loss of pregnancy past 20 weeks
hyperemesis gravidarum - (ANSWER)Intractable N/V --> Dehydration & electrolyte disturbance
Interventions: Supportive, small frequent meals, antiemetic meds, IV fluids
presumptive signs of pregnancy - (ANSWER)amenorrhea, nausea, breast tenderness, urinary frequency,
quickening, fatigue
probable sign of pregnancy - (ANSWER)uterine enlargement, Hegar's sign (softening of lower uterus),
Goodell's sign (softening of cervix), Chadwicks sign (blueish discoloration), braxton hicks, positive
pregnancy test
positive signs of pregnancy - (ANSWER)fetal heart sounds, visualization of the fetus on ultrasound, fetal
movement palpated by examiner.
GTPAL - (ANSWER)Gravida:# of pregnancies including current
Term: babies born at term
Preterm: babies born preterm
Abortions/miscarriages
Living
Naegele's Rule - (ANSWER)add 7 days to LMP, subtract 3 months, add 1 year
Discomforts of pregnancy - (ANSWER)N/V, syncope, urinary frequency/urgency, increased vaginal
discharge, SOB, fatigue, heartburn, edema, varicose veins, hemorrhoids, leg cramps, back pain,
constipation
antepartum diagnostic tests - (ANSWER)-H&H: may decrease due to increase plasma volume
-Rh factor/blood type and cross
-ultrasound
-genetic testing
-amniocentesis (rule out genetic disorders, risk for infection)
Gestational Diabetes - (ANSWER)If mom has fasting glucose >126 or random higher than 200, she's
suspected for gestational diabetes
, NUR 2038 EXAM 2 PRACTICE QUESTIONS WITH COMPLETE SOLUTIONS.
Glucose tolerance test (50g glucose): after 1 hour >140 , after 3 hours >130-140=positive
Impact of STIs on fetus/newborn - (ANSWER)-Chlamydia & Gonorrhea: eye infections; blindness
-Trichomoniasis: premature ROM and infection
-Syphilis: deafness, congenital abnormalities, death
-HSV: neonatal infections, encephalopathy, death
-HPV: transmission to newborn
Placenta Previa - (ANSWER)placenta forms in lower portion of uterus and blocks birth canal; can require
C-section for delivery
Signs: painless, bright red vaginal bleeding, vital signs and FHR normal
Interventions: assess for blessing, no vaginal exams (makes bleeding worse), have o2 on hand
Placental abruption - (ANSWER)premature separation of the placenta
Signs: PAINFUL dark red vaginal bleeding; fetal distress, shock
Interventions: immediate delivery, continuous fetal monitoring, oxygen for mom
Abortion - (ANSWER)Loss of pregnancy before 20 weeks
Fetal death - (ANSWER)Loss of pregnancy past 20 weeks
hyperemesis gravidarum - (ANSWER)Intractable N/V --> Dehydration & electrolyte disturbance
Interventions: Supportive, small frequent meals, antiemetic meds, IV fluids
