NURS 5333 Family 1 Pregnancy Study
Guide + Questions with Accurate
Solutions
What are nutritional requirements during pregnancy? Calories? Folic acid? Iron? etc
Calories need to be increased by about 300-kilo calories per day,0.4 milligrams per
day, some recommend more than that of folic acid, elemental iron at about 30
milligrams a day, and calcium, 1200 milligrams a day.
What is the recommended weight gain during pregnancy? Normal weight?
Overweight? Underweight?
weight gain for normal-weight females is 25 to 35 pounds, underweight is about 28
to 40 pounds, overweight with a BMI of 25 to 29.9, is about 15 to 25 pounds
What are pregnancy danger signs?
any vaginal bleeding, swelling of the face or fingers, severe or continuous headache,
dimness or blurring of vision, abdominal or epigastric pain, persistent vomiting, chills or
fever, dysuria, escape of fluid from the vagina, and marked changes in frequency or
intensity of fetal movements.
What are common complaints during pregnancy? Treatment both pharmacologic
and nonpharmacologic?
Ankle edema, tx:maintain hydration, to elevate their legs and twice a day they need to
rest for an hour with their feet higher than their heart,Backache:good body mechanics
and good stretching exercises. rest, maintain adequate diet and optimal weight, wear a
pregnancy support belt, avoid straining and lifting, use proper body mechanics,
physical therapy can help doing like I said pelvic tilt exercises and soft tissue massages,
, pillow support during sleep, elevate the feet when sitting, avoid uncomfortable
working
heights, don't wear high heeled shoes. They can apply heating pads or hot compresses
or take warm baths and consider alternative therapies such as chiropractic,
acupuncture, and acupressure. Acetaminophen...NO NSAIDS. Constipation:>fluids,
fiber and exercise.
What is hyperemesis gravidarum? Management? heart burn.
persistent intractable vomiting that leads to weight loss and electrolyte imbalance
during pregnancy.heart burn: H2 blockers are considered safe, Tums and Maalox are
considered safe, and lansoprazole has been used in pregnancy and considered safe if
a proton pump inhibitor is indicated. salties by bed. ginger.Diclegis, it's a combination
of doxylamine and pyridoxine. Antihistamines and phenothyazine anti-emetics, and
pro-motility agents
What are signs and symptoms of ectopic pregnancy? These patients need referral.
any conceptus that implants and grows outside the uterine cavity, but it's usually in the
tube. abnormal uterine bleeding and it's usually spotting and it may be dark brown to
tarry so this is your clue here for ectopic pregnancy is that spotting that's dark brown
to tarry. shoulder pain. tender adnexa with possible palpable mass, they'll have positive
cervical motion tenderness
What is Pregnancy induced HTN (PIH)? What is Pre-eclampsia, eclampsia, and
HELLP syndrome?
( previous HTN does not Count) blood pressure greater than 140/90 or a rise in
systolic pressure of greater than 30 mmHg: Preclamsia is protein in the urine @ 20
weeks w/sudden weight gain, headaches, vision issues. Eclampsia is protein in the
urine and seizures, blood pressure is consistently above 160/100. They'll have tonic-
clonic seizures. HELLP:hemolysis, elevated liver enzymes, low platelets
Guide + Questions with Accurate
Solutions
What are nutritional requirements during pregnancy? Calories? Folic acid? Iron? etc
Calories need to be increased by about 300-kilo calories per day,0.4 milligrams per
day, some recommend more than that of folic acid, elemental iron at about 30
milligrams a day, and calcium, 1200 milligrams a day.
What is the recommended weight gain during pregnancy? Normal weight?
Overweight? Underweight?
weight gain for normal-weight females is 25 to 35 pounds, underweight is about 28
to 40 pounds, overweight with a BMI of 25 to 29.9, is about 15 to 25 pounds
What are pregnancy danger signs?
any vaginal bleeding, swelling of the face or fingers, severe or continuous headache,
dimness or blurring of vision, abdominal or epigastric pain, persistent vomiting, chills or
fever, dysuria, escape of fluid from the vagina, and marked changes in frequency or
intensity of fetal movements.
What are common complaints during pregnancy? Treatment both pharmacologic
and nonpharmacologic?
Ankle edema, tx:maintain hydration, to elevate their legs and twice a day they need to
rest for an hour with their feet higher than their heart,Backache:good body mechanics
and good stretching exercises. rest, maintain adequate diet and optimal weight, wear a
pregnancy support belt, avoid straining and lifting, use proper body mechanics,
physical therapy can help doing like I said pelvic tilt exercises and soft tissue massages,
, pillow support during sleep, elevate the feet when sitting, avoid uncomfortable
working
heights, don't wear high heeled shoes. They can apply heating pads or hot compresses
or take warm baths and consider alternative therapies such as chiropractic,
acupuncture, and acupressure. Acetaminophen...NO NSAIDS. Constipation:>fluids,
fiber and exercise.
What is hyperemesis gravidarum? Management? heart burn.
persistent intractable vomiting that leads to weight loss and electrolyte imbalance
during pregnancy.heart burn: H2 blockers are considered safe, Tums and Maalox are
considered safe, and lansoprazole has been used in pregnancy and considered safe if
a proton pump inhibitor is indicated. salties by bed. ginger.Diclegis, it's a combination
of doxylamine and pyridoxine. Antihistamines and phenothyazine anti-emetics, and
pro-motility agents
What are signs and symptoms of ectopic pregnancy? These patients need referral.
any conceptus that implants and grows outside the uterine cavity, but it's usually in the
tube. abnormal uterine bleeding and it's usually spotting and it may be dark brown to
tarry so this is your clue here for ectopic pregnancy is that spotting that's dark brown
to tarry. shoulder pain. tender adnexa with possible palpable mass, they'll have positive
cervical motion tenderness
What is Pregnancy induced HTN (PIH)? What is Pre-eclampsia, eclampsia, and
HELLP syndrome?
( previous HTN does not Count) blood pressure greater than 140/90 or a rise in
systolic pressure of greater than 30 mmHg: Preclamsia is protein in the urine @ 20
weeks w/sudden weight gain, headaches, vision issues. Eclampsia is protein in the
urine and seizures, blood pressure is consistently above 160/100. They'll have tonic-
clonic seizures. HELLP:hemolysis, elevated liver enzymes, low platelets
