NURS 629 Exam 1.pdf file:///C:/Users/HP/Desktop/New%20folder%20CONVERT/NURS%
NURS 629 Exam 1
1. Routine office visit times
ANS every 4 weeks until 28 weeksevery 2 weeks until 36 weeks
every week from 36 to delivery
Biweekly after 40 weeks
2. FirstTrimester Normal findings
ANS breast pain, enlargement, changes in pigmen-tation, constipation, excessive salivation and
bad taste in mouth, fatigue, flatulence,headache, hemorrhoids, nausea and vomiting, urinary
frequency and incontinence,varicosities of vulva and legs.
3. Second Trimester Normal findings
ANS backache, dyspnea, epistaxis, leukorrhea,ligament pain, muscle cramps in the calf, thigh,
or buttocks, PICA, syncope.
4. Third Trimester Normal findings
ANS Braxton-hick's contractions, discomfort in theupper extremities, edema, heartburn,
insomnia, joint pain/ pelvic girdle pain.
5. First Trimester Danger Signs
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,NURS 629 Exam 1.pdf file:///C:/Users/HP/Desktop/New%20folder%20CONVERT/NURS%
ANS spotting or bleeding, cramping, painful urination,severe vomiting and/ or diarrhea, fever
higher than 100.4F, symptoms of vaginal infection or STIs, persistent or severe low abdominal
pain, lightheadedness, dizzi- ness, abdominal trauma.
6. Second Trimester Danger Signs
ANS regular uterine contractions (6 or more per hour), unilateral leg or calf pain, edema, pain
with movement, redness, heat, and tenderness or coldness, numbness and paleness to
extremity, sudden gush or consistent leaking of fluid, absence of fetal movement for more than
24 hours afterquickening, sudden weight gain, significant edema of the face and/ or hands, severe
upper abdominal pain, headache with visual changes and/ or photophobia.
7. ThirdTrimester Danger Signs
ANS decrease in daily fetal movement, after 37 weeksgestation, when contractions are 3-5
minutes apart if a primipara or 5-8 minutes apart if a multipara lasting 45-60 seconds and
strong in intensity or with the characteristics of true labor.
8. What oral contraceptive can be given to breast feeding women
ANS Prog-estin-only pills
9. What immunizations can be given during pregnancy
ANS Hepatitis B, inactivatedinfluenza, Tdap at 27-36 weeks
10. How do we screen for gestational diabetes
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,NURS 629 Exam 1.pdf file:///C:/Users/HP/Desktop/New%20folder%20CONVERT/NURS%
ANS 50 gram oral glucose with a blooddraw 1 hour later to determine glucose levels. If the
glucose level is greater than 130-140 then a 3 hour 100 gram oral glucose tolerance test is
performed.
11. When do we screen for gestational diabetes
ANS 24 weeks
12. What plasma glucose levels would indicate gestational diabetes
ANS Fasting
>/= 95
1 hour >/= 180
2 hour >/= 155
3 hour > 140
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,NURS 629 Exam 1.pdf file:///C:/Users/HP/Desktop/New%20folder%20CONVERT/NURS%
13. What is the treatment for mild pregnancy induced hypertension?
ANS Lifestylemodification
smoking cessation, healthy diet, regular exercise. Implement close observation
14. Signs and symptoms of mastitis
ANS Flu-like symptoms including malaise, fever,and chills. Tender, hot, red, painful area, or
lump in the breast. Fever is often high, tachycardia, breast exam reveals warmth, redness,
tenderness, and swelling.Nipplemay be cracked or abraded and breast distended with milk.
15. What is the first line therapy for mastitis
ANS Dicloxacillin 250-500mg every 6 hours for 10-14 days. Erythromycin 500mg every 6 hours
for 10 days if PCN allergy.Tylenol as needed. Ice or warm packs. Continue to nurse infant on both
breasts butbegin on unaffected side. Increase fluid intake.
16. What antibiotic cannot be given if an infant is nursing and less than 1month
ANS Sulfa
17. When should you suspect a breast abscess
ANS If there is no resolution of symptoms after several days of antibiotics. Pitting edema is
possible and fluctuationmay be felt over the affected area.This usually requires both abx and
drainage.Referto physician. Culture and sensitivity of breast milk.
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NURS 629 Exam 1
1. Routine office visit times
ANS every 4 weeks until 28 weeksevery 2 weeks until 36 weeks
every week from 36 to delivery
Biweekly after 40 weeks
2. FirstTrimester Normal findings
ANS breast pain, enlargement, changes in pigmen-tation, constipation, excessive salivation and
bad taste in mouth, fatigue, flatulence,headache, hemorrhoids, nausea and vomiting, urinary
frequency and incontinence,varicosities of vulva and legs.
3. Second Trimester Normal findings
ANS backache, dyspnea, epistaxis, leukorrhea,ligament pain, muscle cramps in the calf, thigh,
or buttocks, PICA, syncope.
4. Third Trimester Normal findings
ANS Braxton-hick's contractions, discomfort in theupper extremities, edema, heartburn,
insomnia, joint pain/ pelvic girdle pain.
5. First Trimester Danger Signs
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,NURS 629 Exam 1.pdf file:///C:/Users/HP/Desktop/New%20folder%20CONVERT/NURS%
ANS spotting or bleeding, cramping, painful urination,severe vomiting and/ or diarrhea, fever
higher than 100.4F, symptoms of vaginal infection or STIs, persistent or severe low abdominal
pain, lightheadedness, dizzi- ness, abdominal trauma.
6. Second Trimester Danger Signs
ANS regular uterine contractions (6 or more per hour), unilateral leg or calf pain, edema, pain
with movement, redness, heat, and tenderness or coldness, numbness and paleness to
extremity, sudden gush or consistent leaking of fluid, absence of fetal movement for more than
24 hours afterquickening, sudden weight gain, significant edema of the face and/ or hands, severe
upper abdominal pain, headache with visual changes and/ or photophobia.
7. ThirdTrimester Danger Signs
ANS decrease in daily fetal movement, after 37 weeksgestation, when contractions are 3-5
minutes apart if a primipara or 5-8 minutes apart if a multipara lasting 45-60 seconds and
strong in intensity or with the characteristics of true labor.
8. What oral contraceptive can be given to breast feeding women
ANS Prog-estin-only pills
9. What immunizations can be given during pregnancy
ANS Hepatitis B, inactivatedinfluenza, Tdap at 27-36 weeks
10. How do we screen for gestational diabetes
2 of 33 7/25/2024, 1:45
,NURS 629 Exam 1.pdf file:///C:/Users/HP/Desktop/New%20folder%20CONVERT/NURS%
ANS 50 gram oral glucose with a blooddraw 1 hour later to determine glucose levels. If the
glucose level is greater than 130-140 then a 3 hour 100 gram oral glucose tolerance test is
performed.
11. When do we screen for gestational diabetes
ANS 24 weeks
12. What plasma glucose levels would indicate gestational diabetes
ANS Fasting
>/= 95
1 hour >/= 180
2 hour >/= 155
3 hour > 140
3 of 33 7/25/2024, 1:45
,NURS 629 Exam 1.pdf file:///C:/Users/HP/Desktop/New%20folder%20CONVERT/NURS%
13. What is the treatment for mild pregnancy induced hypertension?
ANS Lifestylemodification
smoking cessation, healthy diet, regular exercise. Implement close observation
14. Signs and symptoms of mastitis
ANS Flu-like symptoms including malaise, fever,and chills. Tender, hot, red, painful area, or
lump in the breast. Fever is often high, tachycardia, breast exam reveals warmth, redness,
tenderness, and swelling.Nipplemay be cracked or abraded and breast distended with milk.
15. What is the first line therapy for mastitis
ANS Dicloxacillin 250-500mg every 6 hours for 10-14 days. Erythromycin 500mg every 6 hours
for 10 days if PCN allergy.Tylenol as needed. Ice or warm packs. Continue to nurse infant on both
breasts butbegin on unaffected side. Increase fluid intake.
16. What antibiotic cannot be given if an infant is nursing and less than 1month
ANS Sulfa
17. When should you suspect a breast abscess
ANS If there is no resolution of symptoms after several days of antibiotics. Pitting edema is
possible and fluctuationmay be felt over the affected area.This usually requires both abx and
drainage.Referto physician. Culture and sensitivity of breast milk.
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