Nur 254 Exam 1 | Newest Updated Actual | Verified Answers And Complete Exam Prep

NUR 254 EXAM 1 | NEWEST UPDATED ACTUAL |
VERIFIED ANSWERS AND COMPLETE EXAM PREP
• Presumtive signs of pregnancy -✓✓ANSWER: SUBJECTIVE
-Nausea/vomiting
-amenorrhea
-breast changes
-fatigue
-urinary frequency
-quickening (fetal movement)

• Probable signs of pregnancy -✓✓ANSWER: EXAMINER OBJECTIVE FINDING
-Hegar's sign
-Goodell's sign
-Chadwick's sign
-Positive pregnancy test
-Braxton hicks contractions
-Ballotment

• nonstress test -✓✓ANSWER: A method for evaluating fetal status during the
antepartum period by observing the response of the fetal heart rate to fetal movement.

accelerations should be 15x15 at 36wks

• Cerclage -✓✓ANSWER: suturing of the cervix to prevent it from dilating prematurely
during pregnancy, thus decreasing the chance of a spontaneous abortion or premature
birth

• Estrogen -✓✓ANSWER: - Responsible for enlargement ofuterus, breasts, and genitals
- supports melanocyte-stimulating hormone in hyperpigmentation of skin
- vasular changes
- alters sodium and water retention

• Progesterone -✓✓ANSWER: - inhibits uterine contractility
- promotes the development of secretory ducts for lactation
- Reduced smooth muscle tone (inc. risk for heartburn, constipation, UTI)

• Human chorionicsomatomammotropi -✓✓ANSWER: - produced by placenta
- Affects glucose and protein metabolism
- Decreases maternal metabolism of glucose
- increases resistance to insulin

• Relaxin -✓✓ANSWER: - softens cervix (goodells sign)
- causes connective tissues of symphysis pubis to be more moveable

,- inhibits uterine activity

• Oxytocin -✓✓ANSWER: - produced by posterior pituitary
- stimulates uterine contractions
- stimulates milk ejection

• Eclampsia -✓✓ANSWER: Tonic clonic Seizure with pre-eclampsia

• Ectopic pregnancy -✓✓ANSWER: Pregnancy that is located outside of the uterus

• S/S of ectopic pregnancy -✓✓ANSWER: three classic signs and symptoms before
rupture: abdominal pain, delayed menses, abnormal vaginal bleeding.

• Methotrexate -✓✓ANSWER: - dissolves ectopic (tubal) pregnancies by destroying
cells
- urine and stool could contain toxic levels of drug for up to 7 days. double flush toilet
-

• What to avoid on methotrexate -✓✓ANSWER: - folic acid
- "gas forming" foods
- sun
avoid sex unti beta-hCG levels are undetectable
- Do not take any analgesics stronger than Tylenol (they will mask symptoms of tubal
rupture)

• Antidote for Magnesium Toxicity -✓✓ANSWER: calcium gluconate

• gestational diabetes diagnosis criteria -✓✓ANSWER: Failed 1hr OGTT, and met 2 or
more of the criteria in the 3hr OGTT

• Magnesium sulfate -✓✓ANSWER: Medication used for prevention of seizures and
neonatal neuroprotection

• S/S of DIC -✓✓ANSWER: - signs of thrombosis
- bleeding from at least 3 unrelated sites
- epitaxis
- hypotension
- tachycardia

• Interventions for DIC -✓✓ANSWER: Monitor for bleeding and signs of shock
insert foley- watch I&O and renal function
Oxygen, volume replacement, blood therapy, possible heparin

• Disseminated Intravascular Coagulation (DIC) -✓✓ANSWER: - Activation of
coagulation which is widespread and can lead to excessive clotting and hemorrhage

, It is never a primary diagnosis, most often triggered by placental abruption

• Preterm labor -✓✓ANSWER: The progressive dilation of the cervix prior to 36wks of
pregnancy and after 20 weeks gestation.

• Pre-eclampsia diagnosis criteria -✓✓ANSWER: BP greater than 140/90 2x greater
than 4 hours apart, often with proteinuria.

• molar pregnancy -✓✓ANSWER: also known as gestational trophoblastic disease;
abnormal proliferation of trophoblastic cells in the first trimester

not a viable pregnancy
-dark brown discharge
-cannot become pregnant within one year and have frequent checks for cancer

Presents often with a "snowstorm" pattern

• 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