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NURS 629 Exam 1 with verified answers

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Uploaded on
January 21, 2025
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Written in
2024/2025
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NURS 629 Exam 1 with verified answers

Routine office visit times - ....🔰VERIFIED ANSWERS.... ✔✔every 4 weeks
until 28 weeks
every 2 weeks until 36 weeks
every week from 36 to delivery
Biweekly after 40 weeks


First Trimester Normal findings - ....🔰VERIFIED ANSWERS.... ✔✔breast
pain, enlargement, changes in pigmentation, constipation, excessive salivation
and bad taste in mouth, fatigue, flatulence, headache, hemorrhoids, nausea
and vomiting, urinary frequency and incontinence, varicosities of vulva and
legs.


Second Trimester Normal findings - ....🔰VERIFIED ANSWERS....
✔✔backache, dyspnea, epistaxis, leukorrhea, ligament pain, muscle cramps in
the calf, thigh, or buttocks, PICA, syncope.


Third Trimester Normal findings - ....🔰VERIFIED ANSWERS.... ✔✔Braxton-
hick's contractions, discomfort in the upper extremities, edema, heartburn,
insomnia, joint pain/ pelvic girdle pain.


First Trimester Danger Signs - ....🔰VERIFIED ANSWERS.... ✔✔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, dizziness, abdominal trauma.

,Second Trimester Danger Signs - ....🔰VERIFIED ANSWERS.... ✔✔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 after quickening, sudden weight gain,
significant edema of the face and/ or hands, severe upper abdominal pain,
headache with visual changes and/ or photophobia.


Third Trimester Danger Signs - ....🔰VERIFIED ANSWERS.... ✔✔decrease in
daily fetal movement, after 37 weeks gestation, 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.


What oral contraceptive can be given to breast feeding women - ....🔰
VERIFIED ANSWERS.... ✔✔Progestin-only pills


What immunizations can be given during pregnancy - ....🔰VERIFIED
ANSWERS.... ✔✔Hepatitis B, inactivated influenza, Tdap at 27-36 weeks


How do we screen for gestational diabetes - ....🔰VERIFIED ANSWERS....
✔✔50 gram oral glucose with a blood draw 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.


When do we screen for gestational diabetes - ....🔰VERIFIED ANSWERS....
✔✔24 weeks


What plasma glucose levels would indicate gestational diabetes - ....🔰
VERIFIED ANSWERS.... ✔✔Fasting >/= 95

, 1 hour >/= 180
2 hour >/= 155
3 hour > 140


What is the treatment for mild pregnancy induced hypertension? - ....🔰
VERIFIED ANSWERS.... ✔✔Lifestyle modification: smoking cessation,
healthy diet, regular exercise. Implement close observation


Signs and symptoms of mastitis - ....🔰VERIFIED ANSWERS.... ✔✔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. Nipple may be cracked or abraded
and breast distended with milk.


What is the first line therapy for mastitis - ....🔰VERIFIED ANSWERS....
✔✔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 but begin on unaffected side. Increase
fluid intake.


What antibiotic cannot be given if an infant is nursing and less than 1 month
- ....🔰VERIFIED ANSWERS.... ✔✔Sulfa


When should you suspect a breast abscess - ....🔰VERIFIED ANSWERS....
✔✔If there is no resolution of symptoms after several days of antibiotics.
Pitting edema is possible and fluctuation may be felt over the affected area.
This usually requires both abx and drainage. Refer to physician. Culture and
sensitivity of breast milk.

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