NUR 629 3 OB EXAM Questions With 100% Correct Answers

NUR 629 3 OB EXAM Questions With 100% Correct Answers What are presumptive signs of pregnancy? - answerPresumptive signs of pregnancy refers to signs and symptoms that may resemble pregnancy signs and symptoms, but may in fact be caused by something else. *S/S frequently reported during pregnancy Presumptive S/S of pregnancy p. 470 - answerAmenorrhea N/V Fatigue Frequent urination Breast tenderness Chadwick's Sign Hyperpigmentation Chloasma Linea nigra Fetal movements (Quickening) What are probable signs of pregnancy? - answerProbable signs of pregnancy are signs that indicate pregnancy the majority of the time. However, there is still the chance they can be false or caused by something other than pregnancy, like presumptive signs. *S/S that are more reliable indicators of pregnancy, often noted on the physical exam or w/ lab testing Probable S/S of pregnancy - answerA positive pregnancy test - false positives for a variety of reasons, such as the urine being too diluted when the test is taken, or the instructions not being followed completely An enlarged abdomen - bloating during menstruation or a slight weight gain Goodell's sign, Hegar's sign, Braxton-Hicks contractions Uterine/Abdominal enlargement + Preg test What are positive signs of pregnancy? - answerPositive signs of pregnancy are signs that cannot, under any circumstances, be mistaken for other conditions, and are evidence that pregnancy has occurred. *S/S that provide absolute confirmation of pregnancy Positive S/S of pregnancy - answerThese signs include fetal heart sounds by a Doppler in the doctor's office, ultrasound detection of the fetus, or the movement of the fetus felt by a doctor. A positive sign of pregnancy is: Softening of the cervix. Fetal heartbeat. Enlargement of the uterus and abdomen. Mother's perception of fetal movement - answerFetal heartbeat. What is Gestational Diabetes? - answerCarbohydrate intolerance that is induced by pregnancy Screening tests for gestational diabetes: (UpToDate) - answerOne-step approach: 75-gram, 2-hr oral GTT Two-step approach: Glucose challenge test then screen positive patients onto the next step a 100- gram, 3-hour OGTT, which is the diagnostic test for GD --50-gram 1 hour glucose screen: measure plasma glucose 1 hour after consuming When to screen for GD? (UpToDate) - answerUniversal screening between 24-28 weeks of gestation Risk factors for GD per UpToDate - answer1. Personal history of impaired glucose tolerance or GD in previous pregnancy 2. Hispanic-American, AA, Native American, South or East Asian, Pacific Islander 3. FH of diabetes (First-degree relative)