NUR254 ACTUAL TEST QUESTIONS WITH
COMPLETE SOLUTION VERIFIED PRACTICE
RESOURCE
●● Probable signs of pregnancy
Answer: EXAMINER OBJECTIVE FINDING
-Hegar's sign
-Goodell's sign
-Chadwick's sign
-Positive pregnancy test
-Braxton hicks contractions
-Ballotment
●● Hegar's sign
Answer: softening of the lower uterine segment
●● Goodell's sign
Answer: softening of the cervix
●● Chadwick's sign
Answer: Bluish-purple coloration of the vaginal mucosa and cervix
,●● ballotment
Answer: Rebounding of the fetus against the examiner's finger on
palpation. When the examiner taps the cervix, the fetus floats upward in
the amniotic fluid.
●● Positive signs of pregnancy
Answer: -hearing fetal heart sounds
-Visualization of the fetus
-feeling of fetal movement by examiner
●● Gravida
Answer: total number of pregnancies
●● Para
Answer: number of pregnancies 20 weeks or >
●● Term
Answer: 37-40+ weeks (posterm 42+ weeks)
●● Preterm
Answer: 20-36 6/7 weeks
,●● Abortion
Answer: prior to 20 weeks
●● Living
Answer: Number of living children
●● Naegle's rule - estimate due date
Answer: LMP - 3 months + 7 days
●● Fetal Assessment
Answer: -10-12 weeks: Fetal heart rate ( 110-160)
-20 weeks: Uterine height (symphysis pubis to the top of the fundus in
cm should equal gestational age +/-2)
-20 weeks: Fetal movement (once mother feels fetal movement, should
feel fetal movement every day increasingly)
●● Cardiac changes in pregnancy
Answer: -Increased blood volume (40-50%)
***results in physiological anemia
-Increased cardiac output (30-50%)
***increased HR (10-20bpm)
, -Blood pressure stays the same or slightly decreases
-Increased clotting factors
-Decreased venous return
●● Respiratory changes in pregnancy
Answer: -Increased incidence of nasal congestion, voice change, and
epistaxis due to increased vascular
-Increased O2 needs due to increased metabolic rate
***Increased respiratory rate
***Increased body temp
-Ligaments of the rib cage relax due to relaxin
-Diaphragm is displaced by the growing uterus
●● gastrointestinal changes in pregnacy
Answer: -GI system slows down (due to progesterone)
***constipation & heartburn
COMPLETE SOLUTION VERIFIED PRACTICE
RESOURCE
●● Probable signs of pregnancy
Answer: EXAMINER OBJECTIVE FINDING
-Hegar's sign
-Goodell's sign
-Chadwick's sign
-Positive pregnancy test
-Braxton hicks contractions
-Ballotment
●● Hegar's sign
Answer: softening of the lower uterine segment
●● Goodell's sign
Answer: softening of the cervix
●● Chadwick's sign
Answer: Bluish-purple coloration of the vaginal mucosa and cervix
,●● ballotment
Answer: Rebounding of the fetus against the examiner's finger on
palpation. When the examiner taps the cervix, the fetus floats upward in
the amniotic fluid.
●● Positive signs of pregnancy
Answer: -hearing fetal heart sounds
-Visualization of the fetus
-feeling of fetal movement by examiner
●● Gravida
Answer: total number of pregnancies
●● Para
Answer: number of pregnancies 20 weeks or >
●● Term
Answer: 37-40+ weeks (posterm 42+ weeks)
●● Preterm
Answer: 20-36 6/7 weeks
,●● Abortion
Answer: prior to 20 weeks
●● Living
Answer: Number of living children
●● Naegle's rule - estimate due date
Answer: LMP - 3 months + 7 days
●● Fetal Assessment
Answer: -10-12 weeks: Fetal heart rate ( 110-160)
-20 weeks: Uterine height (symphysis pubis to the top of the fundus in
cm should equal gestational age +/-2)
-20 weeks: Fetal movement (once mother feels fetal movement, should
feel fetal movement every day increasingly)
●● Cardiac changes in pregnancy
Answer: -Increased blood volume (40-50%)
***results in physiological anemia
-Increased cardiac output (30-50%)
***increased HR (10-20bpm)
, -Blood pressure stays the same or slightly decreases
-Increased clotting factors
-Decreased venous return
●● Respiratory changes in pregnancy
Answer: -Increased incidence of nasal congestion, voice change, and
epistaxis due to increased vascular
-Increased O2 needs due to increased metabolic rate
***Increased respiratory rate
***Increased body temp
-Ligaments of the rib cage relax due to relaxin
-Diaphragm is displaced by the growing uterus
●● gastrointestinal changes in pregnacy
Answer: -GI system slows down (due to progesterone)
***constipation & heartburn
