Nursing 320 Final Exam Complete Questions
and Correct Answers (Already Scored A+) |
New Update 2025
Nagele's Rule - ANSWER a. Used for estimating date of birth
b. LMP -3 months + 7 days
pregnancy terminology - ANSWER a. Gravidity (G): # of pregnancies
b. Parity (P): # of births after 20 weeks gestation
GTPAL
i. T-term (38 weeks)
ii. P-preterm (<38 weeks)
iii. A-abortions (spontaneous [miscarriage] or elective)
iv. L-living children
presumptive signs of pregnancy - ANSWER Amenorrhea, nausea and i.
vomiting, excessive fatigue, urinary frequency, breast changes (tenderness),
quickening (feeling baby move), cravings, hormone imbalance, stress, viral
infection, lack of sleep, UTI, PMS, fibrocystic changes, intestinal upset/gas
probably signs of pregnancy - ANSWER Goodell's sign-softening of cervix,
increased vasculature
Chadwick's sign-bluish color to cervix, increased vasculature
,Hegar's sign-softening of isthmus (above the cervix), sort of folds in on itself
Enlargement of the abdomen
positive signs of pregnancy - ANSWER i. Presence of fetal heart beat (12
weeks)
ii. Fetal movements palpated (20 weeks)
iii. Ultrasound detection
fundal height - ANSWER a. Used to assess fetal growth
b. Week 12, 20, 36
c. Between weeks 24-34 measurement correlates with gestation
fetal monitoring - ANSWER a. Ultrasound transducer-external
b. Fetal scalp electrode
i. Internal, invasive, requires ROM
relaxin - ANSWER a. Hormone that relaxes pelvic area
b. Effects
i. Relaxed pelvic muscles, "waddle"
cholasma - ANSWER a. "mask of pregnancy"
b. Tan or dark skin discoloration on face
, Rh - ANSWER RhoGam
i. IM injection given to Rh- mother
ii. Prevents anti-Rh antibody formation
iii. Given at 28 weeks gestation
iv. Also given after delivery of Rh+ baby or after abortion
Blood tests
i. Direct Coombs-presence of anti-Rh antibodies in NEWBORN blood
ii. Indirect Coombs-presence of anti-Rh antibodies in MATERNAL blood
nutrition during pregnancy - ANSWER a. Weight gain during pregnancy: 25-55
lb
i. First trimester: 2-5 lb total
ii. 2nd and 3rd trimester:1lb per week
b. Calories-increase 300 kcal/day during 2nd and 3rd trimesters
c. Carbs
d. Protein-amino acids for fetal development, dairy and meat sources
e. Fat-no more than 30% of calories, better absorbed during pregnancy
f. Calcium-1000 mg/day (milk, cheese, yogurt, sardines, tofu, collard greens)
g. Iron
i. Build fetal stores, increase RBCs (liver, meats, legumes)
ii. Supplementation
iii. Nursing implications: iodine, sodium, zinc, magnesium (trace minerals)
and Correct Answers (Already Scored A+) |
New Update 2025
Nagele's Rule - ANSWER a. Used for estimating date of birth
b. LMP -3 months + 7 days
pregnancy terminology - ANSWER a. Gravidity (G): # of pregnancies
b. Parity (P): # of births after 20 weeks gestation
GTPAL
i. T-term (38 weeks)
ii. P-preterm (<38 weeks)
iii. A-abortions (spontaneous [miscarriage] or elective)
iv. L-living children
presumptive signs of pregnancy - ANSWER Amenorrhea, nausea and i.
vomiting, excessive fatigue, urinary frequency, breast changes (tenderness),
quickening (feeling baby move), cravings, hormone imbalance, stress, viral
infection, lack of sleep, UTI, PMS, fibrocystic changes, intestinal upset/gas
probably signs of pregnancy - ANSWER Goodell's sign-softening of cervix,
increased vasculature
Chadwick's sign-bluish color to cervix, increased vasculature
,Hegar's sign-softening of isthmus (above the cervix), sort of folds in on itself
Enlargement of the abdomen
positive signs of pregnancy - ANSWER i. Presence of fetal heart beat (12
weeks)
ii. Fetal movements palpated (20 weeks)
iii. Ultrasound detection
fundal height - ANSWER a. Used to assess fetal growth
b. Week 12, 20, 36
c. Between weeks 24-34 measurement correlates with gestation
fetal monitoring - ANSWER a. Ultrasound transducer-external
b. Fetal scalp electrode
i. Internal, invasive, requires ROM
relaxin - ANSWER a. Hormone that relaxes pelvic area
b. Effects
i. Relaxed pelvic muscles, "waddle"
cholasma - ANSWER a. "mask of pregnancy"
b. Tan or dark skin discoloration on face
, Rh - ANSWER RhoGam
i. IM injection given to Rh- mother
ii. Prevents anti-Rh antibody formation
iii. Given at 28 weeks gestation
iv. Also given after delivery of Rh+ baby or after abortion
Blood tests
i. Direct Coombs-presence of anti-Rh antibodies in NEWBORN blood
ii. Indirect Coombs-presence of anti-Rh antibodies in MATERNAL blood
nutrition during pregnancy - ANSWER a. Weight gain during pregnancy: 25-55
lb
i. First trimester: 2-5 lb total
ii. 2nd and 3rd trimester:1lb per week
b. Calories-increase 300 kcal/day during 2nd and 3rd trimesters
c. Carbs
d. Protein-amino acids for fetal development, dairy and meat sources
e. Fat-no more than 30% of calories, better absorbed during pregnancy
f. Calcium-1000 mg/day (milk, cheese, yogurt, sardines, tofu, collard greens)
g. Iron
i. Build fetal stores, increase RBCs (liver, meats, legumes)
ii. Supplementation
iii. Nursing implications: iodine, sodium, zinc, magnesium (trace minerals)
