Nursing 328 exam 1 Questions With
Complete Solutions
GTPAL correct answer: Gravida (pregnancies) Term (> or =37
weeks) P < 37 wks and above 20 wks. Abortion, Living children
Nagele's rule correct answer: [first day of LMP - 3 mths ] + 7
days + 1 year
When can an ultrasound detect a fetal heart beat??
Breathing??
gestational sac?
Bipariteal diameter? correct answer: Fetal heart rate=6-7 wks
Gestational sac= 5-6 wks
breathing- 10-11 weeks
biparietal diameter- 12-13 weeks
Fundal height?
12 w 20w 36 w 40 w correct answer: 12w= pubic sym. 20w=
umbilicis 36=xiphoid 40=lightening
when can you hear first feel fetal movement? correct answer:
Multipara 16 weeks Prima=22 w
Hemoglobin level at first prenatal correct answer: 12-16g/dL
CBC
Hematocrite
RBC
,WBC correct answer: Hematacrit- 38-47
RBC-- 4.2-5.4 microl/dl
wbc= 5,000-12,000
When do breasts start producing colostrum? correct answer: 12
wks gestation.
tell me about prenatal visits. how often do i need to see Dr.
correct answer: first 28 weeks every 4wks/ every month
28-36 weeks= every 2 weeks
37+ =every week
MMS AKA Quad test. What 4 things are you looking at and
what are they normally?
What kind of test is it? correct answer: Its a blood test that looks
at...
AFP
> Low AFP= Downs
> High AFP=neural tube, mult. gestation, high GA
HCG
Esterol
inhibin A (inhibits FSH)
Low estriol & high hCG - Down syndrome
What is coomb's test? correct answer: Coombs and looks at Rh.
done on rH negative moms to make sure they are not making
antibodies
What does a nitrazine test tell you?
Yellow? Blue? correct answer: Yellow= membranes have not
ruptured
, Blue/green= membranes have ruptured
What are the dosage issues during pregnancy?? correct answer:
Increased renal blood flow
increased hepatic motility
decreased GI motility
placenta can transfer drugs to the fetus
What drugs should be avoided in pregnancy? correct answer:
Really all of them... but especially live vaccines, most psych.
meds, heparin, propagandins, asprin, Acutane (acne med)
FDA categories? correct answer: FDA Pregnancy Categories:
A: Remote risk of fetal harm confirmed by controlled studies in
human
B: Slightly more risk than A
C: Animal study show risk but no controlled study in women
D: Proven risk confirmed in women, but benefit outweighs risk
X: (Contraindicated) Risk of fetal harm confirmed by controlled
studies in human
What defines uterine hyperstimulation? correct answer:
Contraction lasting 2 mins or more
6 or more UCs in 10 mins
UCs of normal duration every 1 min
Pitocin (oxytocin) when is it used? correct answer: Mainly for
Induction of labor
Induction of abortion
Control of postpartum hemorrhage
Complete Solutions
GTPAL correct answer: Gravida (pregnancies) Term (> or =37
weeks) P < 37 wks and above 20 wks. Abortion, Living children
Nagele's rule correct answer: [first day of LMP - 3 mths ] + 7
days + 1 year
When can an ultrasound detect a fetal heart beat??
Breathing??
gestational sac?
Bipariteal diameter? correct answer: Fetal heart rate=6-7 wks
Gestational sac= 5-6 wks
breathing- 10-11 weeks
biparietal diameter- 12-13 weeks
Fundal height?
12 w 20w 36 w 40 w correct answer: 12w= pubic sym. 20w=
umbilicis 36=xiphoid 40=lightening
when can you hear first feel fetal movement? correct answer:
Multipara 16 weeks Prima=22 w
Hemoglobin level at first prenatal correct answer: 12-16g/dL
CBC
Hematocrite
RBC
,WBC correct answer: Hematacrit- 38-47
RBC-- 4.2-5.4 microl/dl
wbc= 5,000-12,000
When do breasts start producing colostrum? correct answer: 12
wks gestation.
tell me about prenatal visits. how often do i need to see Dr.
correct answer: first 28 weeks every 4wks/ every month
28-36 weeks= every 2 weeks
37+ =every week
MMS AKA Quad test. What 4 things are you looking at and
what are they normally?
What kind of test is it? correct answer: Its a blood test that looks
at...
AFP
> Low AFP= Downs
> High AFP=neural tube, mult. gestation, high GA
HCG
Esterol
inhibin A (inhibits FSH)
Low estriol & high hCG - Down syndrome
What is coomb's test? correct answer: Coombs and looks at Rh.
done on rH negative moms to make sure they are not making
antibodies
What does a nitrazine test tell you?
Yellow? Blue? correct answer: Yellow= membranes have not
ruptured
, Blue/green= membranes have ruptured
What are the dosage issues during pregnancy?? correct answer:
Increased renal blood flow
increased hepatic motility
decreased GI motility
placenta can transfer drugs to the fetus
What drugs should be avoided in pregnancy? correct answer:
Really all of them... but especially live vaccines, most psych.
meds, heparin, propagandins, asprin, Acutane (acne med)
FDA categories? correct answer: FDA Pregnancy Categories:
A: Remote risk of fetal harm confirmed by controlled studies in
human
B: Slightly more risk than A
C: Animal study show risk but no controlled study in women
D: Proven risk confirmed in women, but benefit outweighs risk
X: (Contraindicated) Risk of fetal harm confirmed by controlled
studies in human
What defines uterine hyperstimulation? correct answer:
Contraction lasting 2 mins or more
6 or more UCs in 10 mins
UCs of normal duration every 1 min
Pitocin (oxytocin) when is it used? correct answer: Mainly for
Induction of labor
Induction of abortion
Control of postpartum hemorrhage
