NUR 353 FINAL EXAM Questions with
Verified Correct Answers
1st trimester discomforts
Breast changes (enlargement, pain, tingling, tenderness); Urination- urgency, frequency;
Languor & malaise; fatigue; N/V- morning sickness; Ptyalism (excessive salivation);
Gingivitis and epulis; Nasal stuffiness, epistaxis; Leukorrhea; Psychosocial dynamics ( mood
swings, mixed feelings)
Morning sickness
50-75% of pregnant women
Starts between 1st and 2nd missed period and lasts until about the fourth missed period.
Can occur any time of day
Fathers may also have symptoms
2nd trimester discomforts
Pigmentation deepens, acne, oily skin; Spider nevi (angiomas); Palmar erythema; Pruritis
(noninflammatory); Palpitations; Supine hypotension; Faintness, syncope (rare)- orthostatic
hypotension; Food cravings; heartburn; constipation; Flatulence with bloating and belching;
varicose veins; Leukorrhea; headaches (to wk. 26); Carpal tunnel syndrome; periodic
numbness/tingling of fingers; round ligament pain; joint pain, backache, pelvic pressure; joint
hypermobility
3rd trimester discomforts
Shortness of breath, dyspnea; Insomnia; psychosocial responses; gingivitis & epulis; urinary
frequency and urgency return; perineal discomfort/ pressure; leg cramps; non-pitting ankle
edema;
,Infection S&S
Chills/ fever; burning upon urinating; diarrhea
Hyperemesis gravidarum S&S
Severe vomiting
Miscarriage, ectopic pregnancy S&S
Abdominal cramping; vaginal bleeding
Hypertension, preeclampsia, hyperemesis gravidarum
Persistent severe vominting
Premature rupture of membranes S&S
Sudden discharge of fluid from vagina before 37 weeks
Miscarriage, placenta previa; abruptio placentae S&S
Vaginal bleeding; severe abdominal pain
Kidney infection or kidney stones; preterm labor S&S
Severe backache or flank pain
Fetal jeopardy or intrauterine fetal death S&S
Change in fetal movement; absence of fetal movements after quickening; any unusual change
in pattern or amount
Preterm labor S&S
Uterine contractions, pressure, cramping before 37 weeks
Diagnostic testing
, 3 hour GTT
Amniocentesis or CVS (Chorionic villus sampling)
amniocentesis, nonstress test (NST), biophysical profile (BPP), and ultrasound examination
Nuchael translucency
Celphry DNA
Hypertensive conditions, preeclampsia, abruptio placentae S&S
Epigastric or abdominal pain (perceived as severe stomach ache)
Gestational Diabetes Mellitus S&S
Glycosuria
positive glucose tolerance test reaction
What is a biophysical profile?
noninvasive dynamic assessment of a fetus that is based on acute and chronic markers of fetal
disease
BPP includes AFV, FBMs, fetal movements, and fetal tone determined by ultrasound and
fetal heart rate (FHR)
1. fetal breathing movements
2. fetal movements
3. fetal tone
4. amniotic fluid index
5. non stress test (want nonreactive)
Hypertenive conditions, Preeclampsia S& S
Visual disturbances: blurring, double vision, or spots
Swelling of face or fingers and sacrum
Verified Correct Answers
1st trimester discomforts
Breast changes (enlargement, pain, tingling, tenderness); Urination- urgency, frequency;
Languor & malaise; fatigue; N/V- morning sickness; Ptyalism (excessive salivation);
Gingivitis and epulis; Nasal stuffiness, epistaxis; Leukorrhea; Psychosocial dynamics ( mood
swings, mixed feelings)
Morning sickness
50-75% of pregnant women
Starts between 1st and 2nd missed period and lasts until about the fourth missed period.
Can occur any time of day
Fathers may also have symptoms
2nd trimester discomforts
Pigmentation deepens, acne, oily skin; Spider nevi (angiomas); Palmar erythema; Pruritis
(noninflammatory); Palpitations; Supine hypotension; Faintness, syncope (rare)- orthostatic
hypotension; Food cravings; heartburn; constipation; Flatulence with bloating and belching;
varicose veins; Leukorrhea; headaches (to wk. 26); Carpal tunnel syndrome; periodic
numbness/tingling of fingers; round ligament pain; joint pain, backache, pelvic pressure; joint
hypermobility
3rd trimester discomforts
Shortness of breath, dyspnea; Insomnia; psychosocial responses; gingivitis & epulis; urinary
frequency and urgency return; perineal discomfort/ pressure; leg cramps; non-pitting ankle
edema;
,Infection S&S
Chills/ fever; burning upon urinating; diarrhea
Hyperemesis gravidarum S&S
Severe vomiting
Miscarriage, ectopic pregnancy S&S
Abdominal cramping; vaginal bleeding
Hypertension, preeclampsia, hyperemesis gravidarum
Persistent severe vominting
Premature rupture of membranes S&S
Sudden discharge of fluid from vagina before 37 weeks
Miscarriage, placenta previa; abruptio placentae S&S
Vaginal bleeding; severe abdominal pain
Kidney infection or kidney stones; preterm labor S&S
Severe backache or flank pain
Fetal jeopardy or intrauterine fetal death S&S
Change in fetal movement; absence of fetal movements after quickening; any unusual change
in pattern or amount
Preterm labor S&S
Uterine contractions, pressure, cramping before 37 weeks
Diagnostic testing
, 3 hour GTT
Amniocentesis or CVS (Chorionic villus sampling)
amniocentesis, nonstress test (NST), biophysical profile (BPP), and ultrasound examination
Nuchael translucency
Celphry DNA
Hypertensive conditions, preeclampsia, abruptio placentae S&S
Epigastric or abdominal pain (perceived as severe stomach ache)
Gestational Diabetes Mellitus S&S
Glycosuria
positive glucose tolerance test reaction
What is a biophysical profile?
noninvasive dynamic assessment of a fetus that is based on acute and chronic markers of fetal
disease
BPP includes AFV, FBMs, fetal movements, and fetal tone determined by ultrasound and
fetal heart rate (FHR)
1. fetal breathing movements
2. fetal movements
3. fetal tone
4. amniotic fluid index
5. non stress test (want nonreactive)
Hypertenive conditions, Preeclampsia S& S
Visual disturbances: blurring, double vision, or spots
Swelling of face or fingers and sacrum
