NUR 318 Exam 1 Questions With Complete Solutions
What is the nurse's role in genetic counseling?
- Identify families in need of genetic counseling
- Make referrals to specialists
- Provide information about genetics
- Provide emotional support
Nurse responsibilities in genetic counseling?
- Gather information about family history of congenital
anomalies
- Schedule genetic testing
- Explain the purposes, risks/benefits of all screening and
diagnostic tests
- Answer questions and address concerns
- Discuss costs, benefits, and risks of using health insurance, and
potential risks of discrimination
- Recognize ethical, legal, and social issues
- Safeguard privacy and confidentiality
- Monitor emotional reactions after receiving information
- Provide emotional support
- Refer to appropriate support groups
How long is pregnancy?
- 9 months
- 10 lunar months of 28 days
- 40 weeks or 280 days total
First trimester
,1-13 weeks
second trimester
14-26 weeks
third trimester
27-40 weeks
What are the three categories of pregnancy symptoms?
1. Presumptive
2. Probable
3. Positive
Presumptive signs of pregnancy (subjective)
- Amenorrhea (4 weeks)
- Fatigue (12 weeks)
- Breast tenderness (3-4 weeks)
- Nausea and vomiting (4-14 weeks)
- Urinary frequency (6-12 weeks)
- Hyperpigmentation of skin (16 weeks)
- Fetal movements (quickening) (16-20 weeks)
- Uterine enlargement (7-12 weeks)
- Breast enlargement (6 weeks)
Probable signs of pregnancy (objective)
- Braxton Hicks contractions (16-28 weeks)
- Abdominal uterine enlargement (14 weeks)
- Positive pregnancy test (4-12 weeks)
- Ballottement (16-28 weeks)
- Hegar's sign (6-12 weeks)
,- Chadwick's (6-8 weeks) sign
- Goodell's sign (5 weeks)
Ballottement
a sharp upward pushing against the uterine wall with a finger
inserted into the vagina for diagnosing pregnancy by feeling the
return impact of the displaced fetus
Hegar's Sign (6-12 weeks)
softening of the lower uterine segment or isthmus
Chadwick's sign (6-8 weeks)
Bluish-purple coloration of the vaginal mucosa and cervix
Goodell's sign (5 weeks)
softening of the cervix
pregnancy test
hCG uses Enzyme-linked ummosorbent assay (ELISA) testing,
the most popular method of testing for pregnancy
how early can hCG be detected?
7-10 days after conception
Positive signs of pregnancy
- ultrasound verification of embryo or fetus (4-6 weeks)
- fetal movement felt by experienced clinician (20 weeks)
- Auscultation of fetal heart tones via Doppler (10-12 weeks)
ultrasonography
, A noninvasive technique involving the formation of a two-
dimensional image used for the examination and measurement
of internal body structures and the detection of bodily
abnormalities
ultrasound in first trimester
used to confirm pregnancy, FHR, date
ultrasound in second semester (18-20 weeks)
used to determine congenital malformation, exclude multifetal
pregnancies, verify dates and growth, and determine gender
ultrasound in third trimester
used to look at fetal size, growth, and placental position
date of last menstrual period
LMP
estimated/expected date of birth
EDB
estimated/expected date of delivery
EDD
Naegele's rule
helps us determine EDB/EDD
How to use Naegele's rule
1. Use first day of LMP
2. Subtract 3 months
3. Add 7 days
What is the nurse's role in genetic counseling?
- Identify families in need of genetic counseling
- Make referrals to specialists
- Provide information about genetics
- Provide emotional support
Nurse responsibilities in genetic counseling?
- Gather information about family history of congenital
anomalies
- Schedule genetic testing
- Explain the purposes, risks/benefits of all screening and
diagnostic tests
- Answer questions and address concerns
- Discuss costs, benefits, and risks of using health insurance, and
potential risks of discrimination
- Recognize ethical, legal, and social issues
- Safeguard privacy and confidentiality
- Monitor emotional reactions after receiving information
- Provide emotional support
- Refer to appropriate support groups
How long is pregnancy?
- 9 months
- 10 lunar months of 28 days
- 40 weeks or 280 days total
First trimester
,1-13 weeks
second trimester
14-26 weeks
third trimester
27-40 weeks
What are the three categories of pregnancy symptoms?
1. Presumptive
2. Probable
3. Positive
Presumptive signs of pregnancy (subjective)
- Amenorrhea (4 weeks)
- Fatigue (12 weeks)
- Breast tenderness (3-4 weeks)
- Nausea and vomiting (4-14 weeks)
- Urinary frequency (6-12 weeks)
- Hyperpigmentation of skin (16 weeks)
- Fetal movements (quickening) (16-20 weeks)
- Uterine enlargement (7-12 weeks)
- Breast enlargement (6 weeks)
Probable signs of pregnancy (objective)
- Braxton Hicks contractions (16-28 weeks)
- Abdominal uterine enlargement (14 weeks)
- Positive pregnancy test (4-12 weeks)
- Ballottement (16-28 weeks)
- Hegar's sign (6-12 weeks)
,- Chadwick's (6-8 weeks) sign
- Goodell's sign (5 weeks)
Ballottement
a sharp upward pushing against the uterine wall with a finger
inserted into the vagina for diagnosing pregnancy by feeling the
return impact of the displaced fetus
Hegar's Sign (6-12 weeks)
softening of the lower uterine segment or isthmus
Chadwick's sign (6-8 weeks)
Bluish-purple coloration of the vaginal mucosa and cervix
Goodell's sign (5 weeks)
softening of the cervix
pregnancy test
hCG uses Enzyme-linked ummosorbent assay (ELISA) testing,
the most popular method of testing for pregnancy
how early can hCG be detected?
7-10 days after conception
Positive signs of pregnancy
- ultrasound verification of embryo or fetus (4-6 weeks)
- fetal movement felt by experienced clinician (20 weeks)
- Auscultation of fetal heart tones via Doppler (10-12 weeks)
ultrasonography
, A noninvasive technique involving the formation of a two-
dimensional image used for the examination and measurement
of internal body structures and the detection of bodily
abnormalities
ultrasound in first trimester
used to confirm pregnancy, FHR, date
ultrasound in second semester (18-20 weeks)
used to determine congenital malformation, exclude multifetal
pregnancies, verify dates and growth, and determine gender
ultrasound in third trimester
used to look at fetal size, growth, and placental position
date of last menstrual period
LMP
estimated/expected date of birth
EDB
estimated/expected date of delivery
EDD
Naegele's rule
helps us determine EDB/EDD
How to use Naegele's rule
1. Use first day of LMP
2. Subtract 3 months
3. Add 7 days
