NUR 221 SCRIPTED EXAMS QUESTIONS AND
ANSWERS SET A+
✔✔second trimester abortion - ✔✔-Dilation and evacuation or dilation and curettage
-Cervical preparation with prostaglandins
-Emotional considerations medications such as misoprostol and mifepristone
✔✔mastitis - ✔✔inflammation of the breast; most commonly occurs in women who are
breastfeeding and are engorged, incomplete emptying of the breast, infection of the
breast. influenza type symptoms; fever, chills, malaise, body aches. common risk
factors include; stress, fatigue, maternal illness, sick family members, poor nutrition. TX.
antibiotics for 10-14 days, continue breastfeeding to relieve engorgement use warm
compress to help express milk.
✔✔two vaccines needed in pregnancy - ✔✔TDAP, influenza, hep B
✔✔First prenatal visit - ✔✔complete maternal head to toe physical assessment
vital signs including FHTs
complete lab work including STD/HIV labs
complete family history
assessment of potential neonatal risk factors
assessment of maternal education needs for pregnancy
assessment of cultural needs for pregnancy care and delivery
measure the size of the abdomen:
-pubic bone to fundus
-# of cm correlates with # of weeks
, ✔✔education at first prenatal visit - ✔✔family, health, social, IPV, experiential and
occupational (see if she is exposed to teratogens), nutrition, head to toe assessment,
transvaginal ultrasound,
✔✔diagnostic tests at first prenatal visit - ✔✔sti testing, blood typing and rh type, hep b
screen or titer, rubella titer
✔✔-gravida - ✔✔number of pregnancies including current
✔✔para - ✔✔number of pregnancies past 20 weeks (not current)
✔✔GTPAL - ✔✔gravida, term births, preterm births, abortions, living children
✔✔Inevitable abortion - ✔✔bleeding and cramping with cervical dilation but no passage
of tissue d&c often performed
✔✔incomplete abortion - ✔✔heavy bleeding,, mild to severe cramping, with cervical
dilation without expulsion of all of the products of conception may require d&c
✔✔complete abortion - ✔✔slight bleeding,, mild cramping,, cervix closes after all
products of conception are expelled
✔✔missed abortion - ✔✔no bleeding,, no cramps, no dilation and the products of
conception are no longer viable but are retained in the uterus. can evacuate on its own
if it does not hemorrhage can occur, tx. d&c or misoprostol given orally or vaginally
✔✔septic abortion - ✔✔malodorus bleeding,, varying cramps, varying passage of
tissue, dilation is usual. A life-threatening emergency in which the uterus
becomes infected following any type of abortion.
✔✔cervical cerclage - ✔✔A surgical procedure in which the cervix is sewn closed during
pregnancy
✔✔Probable signs of pregnancy - ✔✔blood and urine tests, Chadwick's sign, Goodell's
sign, Hegar's sign, Braxton hicks contractions
✔✔Presumptive signs of pregnancy - ✔✔changes that might make a woman think she
is pregnant. such as amenorrhea, fatigue, nausea, vomiting, polyuria, breast
changes(darkened areolae, enlarged Montgomery glands), quickening(slight fluttering
movements of the fetus felt by the women, usually between 16-20 wks of gestation).
✔✔Positive signs of pregnancy - ✔✔xray, ultrasound, auscultation of fetal HR on
doppler 10 weeks, examiner (not the mother) palpates fetal movement
ANSWERS SET A+
✔✔second trimester abortion - ✔✔-Dilation and evacuation or dilation and curettage
-Cervical preparation with prostaglandins
-Emotional considerations medications such as misoprostol and mifepristone
✔✔mastitis - ✔✔inflammation of the breast; most commonly occurs in women who are
breastfeeding and are engorged, incomplete emptying of the breast, infection of the
breast. influenza type symptoms; fever, chills, malaise, body aches. common risk
factors include; stress, fatigue, maternal illness, sick family members, poor nutrition. TX.
antibiotics for 10-14 days, continue breastfeeding to relieve engorgement use warm
compress to help express milk.
✔✔two vaccines needed in pregnancy - ✔✔TDAP, influenza, hep B
✔✔First prenatal visit - ✔✔complete maternal head to toe physical assessment
vital signs including FHTs
complete lab work including STD/HIV labs
complete family history
assessment of potential neonatal risk factors
assessment of maternal education needs for pregnancy
assessment of cultural needs for pregnancy care and delivery
measure the size of the abdomen:
-pubic bone to fundus
-# of cm correlates with # of weeks
, ✔✔education at first prenatal visit - ✔✔family, health, social, IPV, experiential and
occupational (see if she is exposed to teratogens), nutrition, head to toe assessment,
transvaginal ultrasound,
✔✔diagnostic tests at first prenatal visit - ✔✔sti testing, blood typing and rh type, hep b
screen or titer, rubella titer
✔✔-gravida - ✔✔number of pregnancies including current
✔✔para - ✔✔number of pregnancies past 20 weeks (not current)
✔✔GTPAL - ✔✔gravida, term births, preterm births, abortions, living children
✔✔Inevitable abortion - ✔✔bleeding and cramping with cervical dilation but no passage
of tissue d&c often performed
✔✔incomplete abortion - ✔✔heavy bleeding,, mild to severe cramping, with cervical
dilation without expulsion of all of the products of conception may require d&c
✔✔complete abortion - ✔✔slight bleeding,, mild cramping,, cervix closes after all
products of conception are expelled
✔✔missed abortion - ✔✔no bleeding,, no cramps, no dilation and the products of
conception are no longer viable but are retained in the uterus. can evacuate on its own
if it does not hemorrhage can occur, tx. d&c or misoprostol given orally or vaginally
✔✔septic abortion - ✔✔malodorus bleeding,, varying cramps, varying passage of
tissue, dilation is usual. A life-threatening emergency in which the uterus
becomes infected following any type of abortion.
✔✔cervical cerclage - ✔✔A surgical procedure in which the cervix is sewn closed during
pregnancy
✔✔Probable signs of pregnancy - ✔✔blood and urine tests, Chadwick's sign, Goodell's
sign, Hegar's sign, Braxton hicks contractions
✔✔Presumptive signs of pregnancy - ✔✔changes that might make a woman think she
is pregnant. such as amenorrhea, fatigue, nausea, vomiting, polyuria, breast
changes(darkened areolae, enlarged Montgomery glands), quickening(slight fluttering
movements of the fetus felt by the women, usually between 16-20 wks of gestation).
✔✔Positive signs of pregnancy - ✔✔xray, ultrasound, auscultation of fetal HR on
doppler 10 weeks, examiner (not the mother) palpates fetal movement
