NURS 629 Exam 01 Study Guide.

NURS 629 Exam 01 Study Guide. Test-taking skills for NURS 629  This course pulls together content from previous courses such as pathophysiology, pharmacology, and advanced health assessment.  Use the materials provided such as content slides, text, readings, and assignments to help you study, comprehend, and apply the content.  In this course, you will think like a provider, determine how to diagnose based on history and exam findings/symptoms, come up with differential diagnoses, and determine a treatment plan, the best medication to order, lab work to order, and education to provide to the patient. o When you study, think about these questions: “How I would make this diagnosis and differentiate symptoms between disease processes? What lab work would I order? What medication would I prescribe and what education would I provide to the patient?”  When taking the test, read each question carefully, then read the answers carefully (look for patterns in the answers) to help rule out answer options. o Take your time. o Do NOT change your answer once you decide. Exam 1 Information:  Open from Day 2 at 8 a.m. until Day 3 at 7:59 a.m. CST  Proctored exam—all students should already have information regarding proctored exams.  30 questions worth 30 points  You will have 60 minutes to take this exam.  Items on the exam are from Weeks 1–3, which includes information from course recordings, assignments, readings, course text, and all other material covered.  Please note: o If you have difficulty during the exam, call toll-free: or use this direct link (this could be faster) to the Support Center. Exam Review: Remember this is merely an overview of what may be on the exam. Not everything that may be on the exam is covered here. Be sure to review guidelines for diseases and conditions and normal pregnancy care.  Risk factors for disorders during pregnancy  Presenting signs and symptoms  Diagnostic testing  Differential diagnosis  Treatment regimens utilizing updated guidelines found in your course material for common disorders and diseases seen in women’s health care Review patient education, when to report back to the clinic, what to watch out for, pharmacology, and other non-pharmacological modalities.  Think back to the case studies and how you gave your rationale using updated guidelines and diagnostic criteria. **Please refer to the Exam Outline for additional items that may be covered on the exam. **Remember that this outline is not exhaustive and that all material covered in Weeks 1–3 can be on the exam. Exam 1 Outline: Main Topics The goal of this test is to show you can identify what is normal and abnormal in your OB physical exams. Below is some of the information that you will be tested on. This list is not inclusive. You should be sure to read all study material in addition to material specific to any conditions listed here. You should know how to diagnose and treat these conditions. 1. What are the recommended office visits (interval) for a low-risk client throughout the pregnancy? ○ What is the recommended office visit interval during each trimester? 1. Up to 28 weeks – Every 4 Weeks 2. 28 to 36 weeks – Every 2 weeks 3. 36 weeks and on – Every week or more as necessary ○ What are appropriate findings for each trimester? 1. 1 st Trimester: week 1-12 1. Breast enlargement, darkening of areola, raise pink Montgomery’s tubercles, nausea, vomiting, and fatigue. Heart tones with Doppler. Positive pregnancy test. Also audible with ultrasound around 12 weeks. Chadwicks sign, Goodell’s sign. Neural tube development for the baby, rapid cell growth. Vital systems are beginning to form. 2. 2 nd Trimester: week 13-26 1. Surge in energy levels, mother will start having an enlarged abdomen from growing fetus, fetal movement, leg cramps, varicose veins, backaches, and nasal congestion. Gender and heart tones are assessed. Heart tones present around 14 weeks. 3. 3 rd Trimester: week 27-40. 1. Linea negra, pressure on lungs, bladder may be palpable, Braxton hicks contractions, back pains. Head engages into the pelvis ○ What are the normal, non-worrisome complaints during each trimester and what complaints would need to be evaluated further? 1. 1 st Trimester: 1. Increasing tenderness and size of breasts: Changes in breast or nipple size, shape, symmetry, as these s&s may indicate other condition. 2. Constipation: Should not include change in stool, fever, weight-loss, anorexia, periumbilical pain, fever, rectal bleeding, pus, or mucous. 3. Excessive salivation (ptyalism), bad taste in mouth: Refer client with dental disease. 4. Fatigue: Refer if psychosocial stress increases. Expected in 1st and 3rd trimester 5. Flatulence: Refer to a mental health care provider if symptoms of psychosocial stress are evident. 6. Headache: If headache is severe, change in vision, severe swelling of hands and feet, if painkillers don’t respond. 7. Hemorrhoids: Rectal lesions (condyloma acuminate cancerous lesion) 8. Nausea and vomiting: Weight loss, dehydration, ketonuria, and hypokalemia. 9. Urinary frequency and incontinence: Frequently repeated UTI’s 10. Varicosities of vulva and legs: Vascular disease, deep vein thrombosis, 2. 2 nd Trimester: 1. Backache: Refer if pain does not improve 2. Dyspnea: S&S of respiratory infection, PE, cardiac problems, or anemia. 3. Epistaxis: Nasal polyps and evidence of cocaine use 4. Leukorrhea: Green, watery or bloody stools, foul or fishy smelling odor, vaginal itching or discomfort, fever, flulike sx, abdominal pain, or bleeding after intercourse, dysuria or dyspareunia. 5. Ligament pain: Anorexia, flank pain, vomiting blood, low-grade fever, diarrhea, vomiting, or a tender lump in the groin that tends to worsen. 6. Muscle cramps in calf, thigh, or buttocks: Homan’s sign, no redness, tenderness, heat or swelling should be noted. 7. Pica: If eating dangerous items consult psychologist. (sign of iron deficiency). 8. Syncope: Substance abuse, sinus, hearing, or ear problems, numbness or tingling in digits around the mouth, melena, heart palpitations, SOB, anxiety/depression, nausea, vomiting. 3. 3 rd Trimester: 1. Braxton-hicks contractions: If labor is continuous, no vaginal bleeding, if contractions begin getting closer together.