NR 327 Exam 1 Questions with 100% Correct
Answers
GTPAL
G: number of pregnancies
P: number of deliveries (20 weeks)
T: delivery that occurred after 38 weeks
P: delivery before 38 week s
A: SAB or ETOP
L: Living
Nagele's rule
EDD = LMP -3months, +7 days
Concerns for pediatric patient
How is she coping?
Is FOB in the picture
How will it effect school?
Nutrition
Routine prenatal care
Presumptive signs of pregnancy
(Subjective)
Amenorrhea
N/V/ urinary frequency
Fatigue
Probable signs of pregnancy
,(Objective)
+Pregnancy test
Hegar's sign
Ballotement
Goodell's sign
Chadwick's sign
Enlarged abdomen
Palpable fetal outline
Positive signs of pregnancy
Fetal heart tones
Fetal movement felt by examiner
Ultrasound
Ballotement
uterus will rebound when pushed
Goodell's sign
Softening of the cervix
Hegar's sign
Softening of the uterus
Chadwick's sign
Purple/blue color of the cervix
PICA
,craving and eating things that are not normally considered edible
-Due to imbalance of zinc/iron
Nursing interventions for nausea
Small frequent meals
BRAT diet
Position upright after meals
Hormones that increase during pregnancy
Estrogen
Progesterone
Increased estrogen
Increased blood supply
-Nasal stuffiness
-Bloody gums
-Bloody nose
Increased progesterone
Relaxes smooth muscles
Increases need to breath
Heightened awareness
-PPP: Progesterone protects pregnancy
Nutritional needs during pregnancy
Increased:
-Folic acid
, -Calcium
-Iron
-Water
-Calories
Decreased/Eliminated:
-Caffeine
-Smoking (quit)
-Drugs (quit)
-Fried foods (moderation)
-Fish-mercury
-Lunch meat - Lysteria (avoid)
Folic acid in pregnancy
Prevents neural tube defects
Sources for calcium
Yogurt, cheese, milk
Caffeine recommendations
200mg (2 cups) per day
Fish-mercury in pregnancy
Risk for premature, miscarriage, brain damage
Cholesterol in pregnancy
Monitor cholesterol caloric intake if risk for preeclampsia
Iron deficiency anemia in pregnancy
Answers
GTPAL
G: number of pregnancies
P: number of deliveries (20 weeks)
T: delivery that occurred after 38 weeks
P: delivery before 38 week s
A: SAB or ETOP
L: Living
Nagele's rule
EDD = LMP -3months, +7 days
Concerns for pediatric patient
How is she coping?
Is FOB in the picture
How will it effect school?
Nutrition
Routine prenatal care
Presumptive signs of pregnancy
(Subjective)
Amenorrhea
N/V/ urinary frequency
Fatigue
Probable signs of pregnancy
,(Objective)
+Pregnancy test
Hegar's sign
Ballotement
Goodell's sign
Chadwick's sign
Enlarged abdomen
Palpable fetal outline
Positive signs of pregnancy
Fetal heart tones
Fetal movement felt by examiner
Ultrasound
Ballotement
uterus will rebound when pushed
Goodell's sign
Softening of the cervix
Hegar's sign
Softening of the uterus
Chadwick's sign
Purple/blue color of the cervix
PICA
,craving and eating things that are not normally considered edible
-Due to imbalance of zinc/iron
Nursing interventions for nausea
Small frequent meals
BRAT diet
Position upright after meals
Hormones that increase during pregnancy
Estrogen
Progesterone
Increased estrogen
Increased blood supply
-Nasal stuffiness
-Bloody gums
-Bloody nose
Increased progesterone
Relaxes smooth muscles
Increases need to breath
Heightened awareness
-PPP: Progesterone protects pregnancy
Nutritional needs during pregnancy
Increased:
-Folic acid
, -Calcium
-Iron
-Water
-Calories
Decreased/Eliminated:
-Caffeine
-Smoking (quit)
-Drugs (quit)
-Fried foods (moderation)
-Fish-mercury
-Lunch meat - Lysteria (avoid)
Folic acid in pregnancy
Prevents neural tube defects
Sources for calcium
Yogurt, cheese, milk
Caffeine recommendations
200mg (2 cups) per day
Fish-mercury in pregnancy
Risk for premature, miscarriage, brain damage
Cholesterol in pregnancy
Monitor cholesterol caloric intake if risk for preeclampsia
Iron deficiency anemia in pregnancy
