NR 327 Exam 1 Questions and Answers 100% Pass

NR 327 Exam 1 Questions and Answers 100% Pass GTPAL - G: number of pregnancies P: number of deliveries (20 weeks) T: delivery that occurred after 38 weeks P: delivery before 38 week s A: SAB or ETOP L: Living Nagele's rule - EDD = LMP -3months, +7 days Concerns for pediatric patient - How is she coping? Is FOB in the picture How will it effect school? Nutrition Routine prenatal care 2Katelyn Whitman, All Rights Reserved © 2025 Presumptive signs of pregnancy - (Subjective) Amenorrhea N/V/ urinary frequency Fatigue Probable signs of pregnancy - (Objective) +Pregnancy test Hegar's sign Ballotement Goodell's sign Chadwick's sign Enlarged abdomen Palpable fetal outline Positive signs of pregnancy - Fetal heart tones Fetal movement felt by examiner Ultrasound Ballotement - uterus will rebound when pushed 3Katelyn Whitman, All Rights Reserved © 2025 Goodell's sign - Softening of the cervix Hegar's sign - Softening of the uterus Chadwick's sign - Purple/blue color of the cervix PICA - craving and eating things that are not normally considered edible -Due to imbalance of zinc/iron Nursing interventions for nausea - Small frequent meals BRAT diet Position upright after meals Hormones that increase during pregnancy - Estrogen Progesterone Increased estrogen - Increased blood supply -Nasal stuffiness -Bloody gums -Bloody nose Increased progesterone - Relaxes smooth muscles Increases need to breath 4Katelyn Whitman, All Rights Reserved © 2025 Heightened awareness -PPP: Progesterone protects pregnancy Nutritional needs during pregnancy - Increased: -Folic acid -Calcium -Iron -Water -Calories Decreased/Eliminated: -Caffeine -Smoking (quit) -Drugs (quit) -Fried foods (moderation) -Fish-mercury -Lunch meat - Lysteria (avoid) Folic acid in pregnancy - Prevents neural tube defects 5Katelyn Whitman, All Rights Reserved © 2025 Sources for calcium - Yogurt, cheese, milk Caffeine recommendations - 200mg (2 cups) per day Fish-mercury in pregnancy - Risk for premature, miscarriage, brain damage Cholesterol in pregnancy - Monitor cholesterol caloric intake if risk for preeclampsia Iron deficiency anemia in pregnancy - Common Low iron = baby at risk for bleeding Smoking in pregnancy - IDPH has a program for smoking cessation Patients must be automatically referred if a smoker Expected weight gain in pregnancy - 4.4lbs in first trimester 1 lb/week after 13 weeks Expected weight gain for patient with a normal BMI - 25-35lbs (11.5-16kg) Expected weight gain for patient who is underweight - 27.5-40lb