NUR 2440 Final Exam Questions with Verified
Answers
Naegel's rule for determining due date Ans✔✔ -- 1st day of last
menstrual period, subtract 3 months, add 7 days, add 1 year
- OR 1st day of last menstrual period, add 7 days, add 9 months
GTPAL Ans✔✔ -Gravida: pregnancies
Term: full term ending at >37 weeks
Preterm: >20 but <37 weeks
Abortions: ending before 20 weeks
Living: currently living
ultrasonography: first trimester Ans✔✔ -confirm pregnancy, viability,
gestational age, rule out ectopic pregnancy, multiple gestation detection,
visualization during chorionic villus sampling
detect maternal abnormalities
Should hear heartbeat by 8 weeks
Ultrasonography: second trimester Ans✔✔ -establish confirm date
confirm viability
detect polyhydramnios, oligohydramnios
,detect congenital anomalies
detect IUGR
confirm placenta placement
visualization during amniocentesis
Ultrasonography: third trimester Ans✔✔ -confirm gestational age
confirm viability
detect macrosomia
detect congenital anomalies
detect IUGR
determine fetal position
placenta previa or abruptio placentae
visualization during amniocentesis
external version
biophysical profile
amniotic fluid volume
detect placental maturity
At what point in the positive pregnancy is there visualization of fetus via
real time ultrasound, fetal heart rate tones via ultrasound? Ans✔✔ -5-6
weeks gestation
At what point in the positive pregnancy is there fetal heartbeat detected
via doppler? Ans✔✔ -8-17 weeks gestation
,At what point in the positive pregnancy can fetal movement be palpated?
Ans✔✔ -19-22 weeks gestation
What prenatal labs and diagnostic tests are conducted? Ans✔✔ -GBS
positive/negative
ABO incompatibilities
STD/HIV testing
HcG testing
What sort of pregnancy involves the implantation of a fertilized egg
outside of the uterus? Ans✔✔ -Ectopic pregnancy
*Increased risk of future ectopic pregnancies
*Rupture is a medical emergency
Cullen's sign Ans✔✔ -ecchymosis in umbilical area, seen with
pancreatitis or ectopic pregnancy
What signs and symptoms are present in an ectopic pregnancy? Ans✔✔ -
Severe abdominal pain, fullness, and tenderness
, Dark red or brown vaginal bleeding
Referred shoulder pain related to diaphragmatic irritation
Possible signs of shock
Cullen's sign- ecchymotic, blueness around umbilicus
Perinatal fetal assessments Ans✔✔ -Kick counts (10 kicks in 2 hours)
Ultrasound (organs, face, spina bifida, birth defects, abnormalities)
Amniocentesis (genetic issues detected)
NST (non-stress test; monitor baby's heart rate when the baby moves; 2
accelerations in 20 minutes; orange juice wakes the baby)
Stress test (contractions induced, baby's reaction to contractions
monitored)
Biophysical profile (breathing movements, gross movements, fine fetal
tone, amniotic fluid volume, heart rate)
Answers
Naegel's rule for determining due date Ans✔✔ -- 1st day of last
menstrual period, subtract 3 months, add 7 days, add 1 year
- OR 1st day of last menstrual period, add 7 days, add 9 months
GTPAL Ans✔✔ -Gravida: pregnancies
Term: full term ending at >37 weeks
Preterm: >20 but <37 weeks
Abortions: ending before 20 weeks
Living: currently living
ultrasonography: first trimester Ans✔✔ -confirm pregnancy, viability,
gestational age, rule out ectopic pregnancy, multiple gestation detection,
visualization during chorionic villus sampling
detect maternal abnormalities
Should hear heartbeat by 8 weeks
Ultrasonography: second trimester Ans✔✔ -establish confirm date
confirm viability
detect polyhydramnios, oligohydramnios
,detect congenital anomalies
detect IUGR
confirm placenta placement
visualization during amniocentesis
Ultrasonography: third trimester Ans✔✔ -confirm gestational age
confirm viability
detect macrosomia
detect congenital anomalies
detect IUGR
determine fetal position
placenta previa or abruptio placentae
visualization during amniocentesis
external version
biophysical profile
amniotic fluid volume
detect placental maturity
At what point in the positive pregnancy is there visualization of fetus via
real time ultrasound, fetal heart rate tones via ultrasound? Ans✔✔ -5-6
weeks gestation
At what point in the positive pregnancy is there fetal heartbeat detected
via doppler? Ans✔✔ -8-17 weeks gestation
,At what point in the positive pregnancy can fetal movement be palpated?
Ans✔✔ -19-22 weeks gestation
What prenatal labs and diagnostic tests are conducted? Ans✔✔ -GBS
positive/negative
ABO incompatibilities
STD/HIV testing
HcG testing
What sort of pregnancy involves the implantation of a fertilized egg
outside of the uterus? Ans✔✔ -Ectopic pregnancy
*Increased risk of future ectopic pregnancies
*Rupture is a medical emergency
Cullen's sign Ans✔✔ -ecchymosis in umbilical area, seen with
pancreatitis or ectopic pregnancy
What signs and symptoms are present in an ectopic pregnancy? Ans✔✔ -
Severe abdominal pain, fullness, and tenderness
, Dark red or brown vaginal bleeding
Referred shoulder pain related to diaphragmatic irritation
Possible signs of shock
Cullen's sign- ecchymotic, blueness around umbilicus
Perinatal fetal assessments Ans✔✔ -Kick counts (10 kicks in 2 hours)
Ultrasound (organs, face, spina bifida, birth defects, abnormalities)
Amniocentesis (genetic issues detected)
NST (non-stress test; monitor baby's heart rate when the baby moves; 2
accelerations in 20 minutes; orange juice wakes the baby)
Stress test (contractions induced, baby's reaction to contractions
monitored)
Biophysical profile (breathing movements, gross movements, fine fetal
tone, amniotic fluid volume, heart rate)
