nr-327-exam-1-comprehensive-review-notes-weeks-1-2-insights.pdf

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NR 327 Exam #1 Review


Maternal-Child Nursing (Chamberlain University)

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1



NR 327 Exam 1 Review
Week 1- Ch 1, 2 & 8
 Typical Labs for a first prenatal visit
o Urinalysis, Type/screen, Rh Factor, CBC, Rubella, titer, HCG
 Most desirable pelvic shape
o Gynecoid
 Round
 Most ideal for labor
 Anthropoid
 Functions of placenta
o Deliver nutrition
 Rubella vaccine pregnant patient
o If the mom gets the vaccine must wait one month before coming pregnant
o If the mom needs to get the vaccine she must wait until after she delivers the baby
(rubella is a live virus)
 Reasons for frequent urination in pregnancy
o Blood flowing increases the function of the kidney
o Baby-sitting directly on the bladder
 Fetal heartbeat distinguishable by:
o 6 weeks
 Fetal lungs functionally mature by:
o 34 weeks
o Betamethasone

Week 2 - Ch 5, 6, 7 & 9
 Naegle’s Rule
o Due Date
o Ex: LMP June 15, 2020 | March 15, 2020 | add 7 days | + year
 - 3 mo + 7 days + year
EDD: March 22, 2021
 GP/GTPAL
o G - Gravidity
o T – Term (37 – 40 weeks gestation)
o P – Preterm Births (21 -37 weeks gestation)
o A – Abortion or Miscarriage (< 20 weeks)
o L – Living Children (All children count individually {twins, trips, quads count
individually}
 Nulli = none
 Primi = First
 Multi = Multiple