MVU NURS 629 EXAM 1-4 | QUESTIONS AND ANSWERS | VERIFIED
ANSWERS | LATEST EXAM
EXAM 1
How do you measure fundal height - CORRECT ANSWER - symphysis pubis
to top of uterus
When can you start to hear fetal heart tones? - CORRECT ANSWER - around
12 wks
What is quickening? - CORRECT ANSWER - fetal movements felt by the
mother
When is quickening felt - CORRECT ANSWER - between 16-20 weeks
Abnormal Complaints in first trimester - CORRECT ANSWER - 1st trimester:
Vaginal bleeding
Book: spotting, bleeding, cramping, painful urination, severe vomiting and/or
diarrhea, fever > 100.4, symptoms of vaginal infection or STI; persistent or
severe low abdominal pain, lightheadedness or dizziness (particularly if
accompanied by shoulder pain)
What vaccines should be avoided during pregnancy? - CORRECT ANSWER -
Live vaccines: MMR ,HPV, varicella, and live attenuated influenza vaccine
What labs are drawn at first visit? - CORRECT ANSWER - CBC, RH
(antibody screen) & TYPE, HIV, RPR, MMR TITER, HEP B TITER, R/O
STI's, FULL UA
,What info is obtained at first OB visit? - CORRECT ANSWER - PMH, Fx
history, Genetic hx (mom & dad)
What is indicated when clu cells are seen? - CORRECT ANSWER - BV
What is the treatment for BV - CORRECT ANSWER - metronidazole (Flagyl)
500mg BID x 7 days
What are presumptive (subjective) signs of pregnancy? - CORRECT
ANSWER - Amenorrhea, N/V, FATIGUE, urine frequency, breast changes,
quickening, pigment, striae
What are probable (objective) signs of pregnancy? - CORRECT ANSWER - +
HCG, enlarged Abdo, fetal outline, Balloment, Braxton, Chadwick's, Goodall's,
Hegar's signs
What are positive signs of pregnancy? - CORRECT ANSWER - Fetal HT,
U/S, fetal movement
What does a bluish cervix indicate? - CORRECT ANSWER - Chadwick's sign
How to use Nageles rule - CORRECT ANSWER - + 7 days - 3 mos
What are signs of preeclampsia? - CORRECT ANSWER - rapid weight gain,
edema to hands and face, HTN, H/A, visual changes, proteinuria, epigastric pain
What is the treatment of preeclampsia? - CORRECT ANSWER - Bedrest,
(nifedipine, hydralazine) if severe delivery of the fetus
What does HELLP stand for? - CORRECT ANSWER - hemolysis, elevated
liver enzymes, low platelets
,S/S of HELLP - CORRECT ANSWER - EDEMA, N/V, RUQ pain
What should 'at home' plan be for preeclampsia? - CORRECT ANSWER -
high protein diet, daily kick counts, wkly non-stress test & contraction monitor,
monitor for hand and face edema, visual changes, B/P, epigastric pain
When will you see a drop in the fundal height? - CORRECT ANSWER - at 36
weeks as the head drops into canal
When is subinvolution suspected - CORRECT ANSWER - when lochia turns
bright red with clots
How would you treat subinvolution? - CORRECT ANSWER - Methergine
0.2mg PO TID for up to a week
what education should be given with a subinvolution? - CORRECT ANSWER
- if filling pad in an hour or lemon size clots go to ED, if fever culture discharge
Clinical presentation of mastitis? - CORRECT ANSWER - unilateral breast
red, painful, warm to touch usually clogged milk duct
What education do you give with mastatitis - CORRECT ANSWER -
Continue to BF, Pump if breast are still hard after feeding, warm compress
What B/C is used if still breastfeeding? - CORRECT ANSWER - Progesterone
only
When and how to screen for 1 hr GTT - CORRECT ANSWER - between 24-
28 wks, no need to fast, if over 140 then 3 hr GTT is needed
, How is gestational diabetes diagnosed? - CORRECT ANSWER - if the 1 hr gtt
is >180 auto dx; if 3 hr gtt is 95 fasting, >180 @ 1hr, >153 @ 2 hr, >140 @ 3 hr
What is considered a good kick count? - CORRECT ANSWER - 10 or more
movements in 2 hrs
What are normal PAP guidelines? - CORRECT ANSWER - 1st at age 21
regardless of sexual activity
Q 3 yrs until 29
Q 5 yrs 30-65
What can be used to treat nausea in pregnancy - CORRECT ANSWER -
zofran 4 mg up to 3 times a day, can cause Extrapyramidal symptoms (EPS)
inform provider
What to educate on with N/V - CORRECT ANSWER - keep a list of
associated factors (food/activity), rest when nauseated, avoid stress & triggers
(smells/sights), avoid tight clothing, meditation/relaxation techniques
What is the treatment for trichomoniasis - CORRECT ANSWER -
metronidazole (Flagyl) 2g, single-dose, notify partner, no sex for 7 days after
treatment, educate on using condoms
How to treat vaginal candidiasis - CORRECT ANSWER - Miconazole
(monostat) cream or vaginal suppository QHS x 7 days
3 danger signs to report to provider - CORRECT ANSWER - bleeding, severe
cramping/abdo pain, painful urination
What to educate on intercourse during pregnancy - CORRECT ANSWER -
generally safe, but some contraindications are threatened miscarriage
ANSWERS | LATEST EXAM
EXAM 1
How do you measure fundal height - CORRECT ANSWER - symphysis pubis
to top of uterus
When can you start to hear fetal heart tones? - CORRECT ANSWER - around
12 wks
What is quickening? - CORRECT ANSWER - fetal movements felt by the
mother
When is quickening felt - CORRECT ANSWER - between 16-20 weeks
Abnormal Complaints in first trimester - CORRECT ANSWER - 1st trimester:
Vaginal bleeding
Book: spotting, bleeding, cramping, painful urination, severe vomiting and/or
diarrhea, fever > 100.4, symptoms of vaginal infection or STI; persistent or
severe low abdominal pain, lightheadedness or dizziness (particularly if
accompanied by shoulder pain)
What vaccines should be avoided during pregnancy? - CORRECT ANSWER -
Live vaccines: MMR ,HPV, varicella, and live attenuated influenza vaccine
What labs are drawn at first visit? - CORRECT ANSWER - CBC, RH
(antibody screen) & TYPE, HIV, RPR, MMR TITER, HEP B TITER, R/O
STI's, FULL UA
,What info is obtained at first OB visit? - CORRECT ANSWER - PMH, Fx
history, Genetic hx (mom & dad)
What is indicated when clu cells are seen? - CORRECT ANSWER - BV
What is the treatment for BV - CORRECT ANSWER - metronidazole (Flagyl)
500mg BID x 7 days
What are presumptive (subjective) signs of pregnancy? - CORRECT
ANSWER - Amenorrhea, N/V, FATIGUE, urine frequency, breast changes,
quickening, pigment, striae
What are probable (objective) signs of pregnancy? - CORRECT ANSWER - +
HCG, enlarged Abdo, fetal outline, Balloment, Braxton, Chadwick's, Goodall's,
Hegar's signs
What are positive signs of pregnancy? - CORRECT ANSWER - Fetal HT,
U/S, fetal movement
What does a bluish cervix indicate? - CORRECT ANSWER - Chadwick's sign
How to use Nageles rule - CORRECT ANSWER - + 7 days - 3 mos
What are signs of preeclampsia? - CORRECT ANSWER - rapid weight gain,
edema to hands and face, HTN, H/A, visual changes, proteinuria, epigastric pain
What is the treatment of preeclampsia? - CORRECT ANSWER - Bedrest,
(nifedipine, hydralazine) if severe delivery of the fetus
What does HELLP stand for? - CORRECT ANSWER - hemolysis, elevated
liver enzymes, low platelets
,S/S of HELLP - CORRECT ANSWER - EDEMA, N/V, RUQ pain
What should 'at home' plan be for preeclampsia? - CORRECT ANSWER -
high protein diet, daily kick counts, wkly non-stress test & contraction monitor,
monitor for hand and face edema, visual changes, B/P, epigastric pain
When will you see a drop in the fundal height? - CORRECT ANSWER - at 36
weeks as the head drops into canal
When is subinvolution suspected - CORRECT ANSWER - when lochia turns
bright red with clots
How would you treat subinvolution? - CORRECT ANSWER - Methergine
0.2mg PO TID for up to a week
what education should be given with a subinvolution? - CORRECT ANSWER
- if filling pad in an hour or lemon size clots go to ED, if fever culture discharge
Clinical presentation of mastitis? - CORRECT ANSWER - unilateral breast
red, painful, warm to touch usually clogged milk duct
What education do you give with mastatitis - CORRECT ANSWER -
Continue to BF, Pump if breast are still hard after feeding, warm compress
What B/C is used if still breastfeeding? - CORRECT ANSWER - Progesterone
only
When and how to screen for 1 hr GTT - CORRECT ANSWER - between 24-
28 wks, no need to fast, if over 140 then 3 hr GTT is needed
, How is gestational diabetes diagnosed? - CORRECT ANSWER - if the 1 hr gtt
is >180 auto dx; if 3 hr gtt is 95 fasting, >180 @ 1hr, >153 @ 2 hr, >140 @ 3 hr
What is considered a good kick count? - CORRECT ANSWER - 10 or more
movements in 2 hrs
What are normal PAP guidelines? - CORRECT ANSWER - 1st at age 21
regardless of sexual activity
Q 3 yrs until 29
Q 5 yrs 30-65
What can be used to treat nausea in pregnancy - CORRECT ANSWER -
zofran 4 mg up to 3 times a day, can cause Extrapyramidal symptoms (EPS)
inform provider
What to educate on with N/V - CORRECT ANSWER - keep a list of
associated factors (food/activity), rest when nauseated, avoid stress & triggers
(smells/sights), avoid tight clothing, meditation/relaxation techniques
What is the treatment for trichomoniasis - CORRECT ANSWER -
metronidazole (Flagyl) 2g, single-dose, notify partner, no sex for 7 days after
treatment, educate on using condoms
How to treat vaginal candidiasis - CORRECT ANSWER - Miconazole
(monostat) cream or vaginal suppository QHS x 7 days
3 danger signs to report to provider - CORRECT ANSWER - bleeding, severe
cramping/abdo pain, painful urination
What to educate on intercourse during pregnancy - CORRECT ANSWER -
generally safe, but some contraindications are threatened miscarriage
