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NR 602 Midterm Exam Questions and Answers
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What are presumptive signs of pregnancy? Ans: -amenorrhea
-nausea vomiting
-breast engorgement and darkening of the Ariola's
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-breast tenderness
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-fatigue
-urinary frequency
What are probable signs of pregnancy? Ans: -goodwill sign (cervical
softening)
-Chadwick sign (Bluish coloration of cervix)
-Enlarged uterus
-Positive UPT
What is Goodells sign? Ans: Cervical softening that happens around four
weeks of pregnancy
What is Chadwick sign? Ans: Bluish coloration of the vagina and cervix
at 6 to 8 weeks during pregnancy
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What are positive signs of pregnancy? Ans: -palpation of fetus by
healthcare provider
-ultrasound and visualization of fetus
-Fetal heart tones auscultated by healthcare provider
Where is the Fundus at 12 weeks gestation? Ans: At the level of the
symphysis pubis
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Where is a Fundus at 16 weeks gestation? Ans: Between symphysis pubis
and umbilicus
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Where is a Fundus at 20 weeks gestation? Ans: The same height as the
umbilicus
What is Naegele's rule? Ans: Begin on the first day of the last menstrual
period, subtract three months, add seven days, then add one year.
Breast-fed baby should receive what vitamin? Ans: Vitamin D
Pregnant patient should avoid what vaccinations? Ans: Live doses
MMR and Varicella
Patient presents to the clinic with the first day of her last menstrual period
being July 5 of 2021, when is the patients due date? Ans: April 12th 2022
Does the H&H in a pregnant patient rise or fall during pregnancy? Ans:
Fall, typical to be anemic.
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Does the WBC count and a pregnant patient rise or fall? Ans: Rise, will
be at peak during third trimester
What are the indications for prescribing combined hormonal
contraceptives (COC)? Ans: -decreases pain and frequency of sickle
cell crisis
-May treat or improve anemia
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-effective to treat acne hirsutism and other Androgen excessive states
-decreases menstrual cramps and pain with more predictable menses
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- Effective treatment for dysmenorrhea endometriosis or pre-menstrual
symptoms
What are contraindications for COC's Ans: -patients with history of VTE
-patients with history of hypertension
-patients with history of breast cancer
-breast feeding
-Prego
-smokers (soft contra)
- >35 (soft contraindication)