NUR 254 EXAM 1 SCRIPT COMPLETE
ANSWERS GRADED A+
◉ Vagina & Perineal Changes
Answer: Mucosa thicken, rugae pronounced
Increase discharge, acidic environment
Superficial muscle-vaginal opening back past rectum, deeper
muscle across perineum
Cervix, vaginal abdominal tissue never return to prepregnant
status
◉ Monitoring changes of pregnancy vaginal ultrasound
Answer: Empty bladder
Early pregnancy surveillance
Possible preterm labor measures
◉ Gastrointestinal changes
Answer: Decreased GI motility (N/V, Constipation, hemorrhoids,
delayed gallbladder emptying)
Increased vascularity of gums & saliva
Heartburn
Hiatal Hernia
,◉ Renal Changes
Answer: Ureters relax, bladder displacement, increased size
Decreased bladder tone, glucose clearance, BUN, Creatinine, Uric
acid
◉ Cardiovascular changes
Answer: Slight hypertrophy
Pulse increase, palpitations
Increased blood volume
Increases cardiac output
Thrombosis risk
◉ Respiratory changes
Answer: Increased oxygen consumption
Nasal & sinus congestion
SOB
◉ Musculoskeletal changes
Answer: -Lordosis
-Diastasis recti abdominis
◉ Neurological Changes
Answer: Sensory
Carpal tunnel
, Tension Headaches
Syncope
Muscle Cramps
◉ Identification of risk factors
Answer: Social, cultural, genetic, nutritional, stress, mental health,
substance use & abuse, risky sexual practices
◉ Adolescents
Answer: Higher risk for anemia, preeclampsia, preterm birth
◉ Pregnancy over 35 years old
Answer: Preexisting conditions
Lower birth weight, chromosomal abnormalities, preterm labor,
gestational diabetes, preeclampsia, vaginal bleeding
◉ Care Management Goals
Answer: Promote health
Provide resources
◉ Testing pregnancy
Answer: HIV
Hepatitis B
Drug screening
ANSWERS GRADED A+
◉ Vagina & Perineal Changes
Answer: Mucosa thicken, rugae pronounced
Increase discharge, acidic environment
Superficial muscle-vaginal opening back past rectum, deeper
muscle across perineum
Cervix, vaginal abdominal tissue never return to prepregnant
status
◉ Monitoring changes of pregnancy vaginal ultrasound
Answer: Empty bladder
Early pregnancy surveillance
Possible preterm labor measures
◉ Gastrointestinal changes
Answer: Decreased GI motility (N/V, Constipation, hemorrhoids,
delayed gallbladder emptying)
Increased vascularity of gums & saliva
Heartburn
Hiatal Hernia
,◉ Renal Changes
Answer: Ureters relax, bladder displacement, increased size
Decreased bladder tone, glucose clearance, BUN, Creatinine, Uric
acid
◉ Cardiovascular changes
Answer: Slight hypertrophy
Pulse increase, palpitations
Increased blood volume
Increases cardiac output
Thrombosis risk
◉ Respiratory changes
Answer: Increased oxygen consumption
Nasal & sinus congestion
SOB
◉ Musculoskeletal changes
Answer: -Lordosis
-Diastasis recti abdominis
◉ Neurological Changes
Answer: Sensory
Carpal tunnel
, Tension Headaches
Syncope
Muscle Cramps
◉ Identification of risk factors
Answer: Social, cultural, genetic, nutritional, stress, mental health,
substance use & abuse, risky sexual practices
◉ Adolescents
Answer: Higher risk for anemia, preeclampsia, preterm birth
◉ Pregnancy over 35 years old
Answer: Preexisting conditions
Lower birth weight, chromosomal abnormalities, preterm labor,
gestational diabetes, preeclampsia, vaginal bleeding
◉ Care Management Goals
Answer: Promote health
Provide resources
◉ Testing pregnancy
Answer: HIV
Hepatitis B
Drug screening
