NURS 629 MVU Exam 1 Questions With Correct Answers

How do you measure fundal height - Answer symphysis pubis to top of uterus When can you start to hear fetal heart tones? - Answer around 12 wks What is quickening? - Answer fetal movements felt by the mother When is quickening felt - Answer between 16-20 weeks Abnormal Complaints in first trimester - Answer 1st trimester: Vaginal bleeding Book: spotting, bleeding, cramping, painful urination, severe vomiting and/or diarrhea, fever > 100.4, symptoms of vaginal infection or STI; persistent or severe low abdominal pain, lightheadedness or dizziness (particularly if accompanied by shoulder pain) What vaccines should be avoided during pregnancy? - Answer Live vaccines: MMR ,HPV, varicella, and live attenuated influenza vaccine What labs are drawn at first visit? - Answer CBC, RH (antibody screen) & TYPE, HIV, RPR, MMR TITER, HEP B TITER, R/O STI's, FULL UA What info is obtained at first OB visit? - Answer PMH, Fx history, Genetic hx (mom & dad) What is indicated when clu cells are seen? - Answer BV What is the treatment for BV - Answer metronidazole (Flagyl) 500mg BID x 7 days What are presumptive (subjective) signs of pregnancy? - Answer Amenorrhea, N/V, FATIGUE, urine frequency, breast changes, quickening, pigment, striae What are probable (objective) signs of pregnancy? - Answer + HCG, enlarged Abdo, fetal outline, Balloment, Braxton, Chadwick's, Goodall's, Hegar's signs