MVU NURS 629 EXAM 1 LATEST 2024//2025 EXAM 160
REAL EXAM QUESTIONS AND CORRECT ANSWERS
|VERIFIED ANSWERS AGRADE
Routine office visit times - CORRECT ANSWER-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 - CORRECT ANSWER-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 - CORRECT ANSWER-backache, dyspnea, epistaxis, leukorrhea,
ligament pain, muscle cramps in the calf, thigh, or buttocks, PICA, syncope.
Third Trimester Normal findings - CORRECT ANSWER-Braxton-hick's contractions, discomfort in the
upper extremities, edema, heartburn, insomnia, joint pain/ pelvic girdle pain.
First Trimester Danger Signs - CORRECT ANSWER-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 - CORRECT ANSWER-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 - CORRECT ANSWER-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.
,When should antihypertensives by implemented in preeclampsia and which ones - CORRECT
ANSWERwhen BP exceeds 160/110. First line for safety in pregnancy is methyldopa, labetolol and
nifedipine may also be used as well as hydralazine. Hydralazine is commonly used for acute management
of high blood pressure related to preeclampsia but requires close observation after administration due to
unpredictable hypotensive episodes
Which antihypertensives are contraindicated in pregnancy? - CORRECT ANSWER-ACE inhibitors,
ARBs What is considered mild PIH and how should it be treated - CORRECT ANSWER-○ BP greater
than 140/90 at mid-pregnancy. Lifestyle modification. Regular exercise, Increase protein diet, Eight
glasses of water a day, Rest, document fetal activity, weekly NST
S/S of Eclampsia - CORRECT ANSWER-○ facial twitching, tonic-clonic sz, pulmonary edema, circ/renal
failure
HELLP syndrome - CORRECT ANSWER-Etiology unknown. Characterized by hemolysis, low H&H,
elevated liver enzymes, and low platelets. Thought to be a severe form of preeclampsia. RUQ pain, n/v,
edema
Subjective signs of prelabor - CORRECT ANSWER-lightening, dropping, or engagement occurs. Easier
breathing but increased pelvis pressure, cramping, low back pain, and more frequent urination.
Increasing nesting or decreased energy levels are noted. Vaginal discharge may increase and thicken.
Loss of the mucous plug and/ or bloody show. Braxton-Hicks contractions
Objective findings of prelabor - CORRECT ANSWER-Softening of the cervix, effacement, and possibly
some dilation occurs. The cervix moves more anteriorly. Descent of the presenting part into the pelvis.
Fundal measurement may decrease.
Subjective signs of active labor - CORRECT ANSWER-contractions are felt in the back, legs, or lower
abdomen and frequently are accompanied by menstrual-like or GI cramping sensations. With walking or
over time they grow longer, stronger, regular, and close together
, Objective signs of active labor - CORRECT ANSWER-Cervix dilated to 4-6 cm or greater and regular
painful contractions are present which cause progressive cervical changes.
Treatment of UTI in pregnancy - CORRECT ANSWER-Macrobid (B), Ampicillin (B), Keflex (B), Pyridium
(B),
Bactrim (C)-Do not use <13 weeks or >36 weeks
Risks of gestational diabetes - CORRECT ANSWER-Aged 35 or over, Overweight, Previous FBS 110 to
125 mg/dl, Previous gestational diabetes , Previous infant > 9 lbs., Previous unexplained stillbirth, Family
history of diabetes
Hyperemesis Gravidarum - CORRECT ANSWER-Excessive vomiting with dehydration, ketoacidosis,
electrolyte imbalance. Etiology unknown.
Treatment of hyperemesis gravidarum - CORRECT ANSWER-IVF, TPN, antiemetics, advance diet as
tolerated
Treatment of incompetent cervix - CORRECT ANSWER-Cerclage
Risk factors of ectopic pregnancy - CORRECT ANSWER-History of salpingitis, Prior ectopic pregnancy,
Assisted reproduction, Cigarette smoking, Current IUD use
Treatment of threatened spontaneous abortion - CORRECT ANSWER-Check fetus by U/S, Bedrest, no
sexual activity for 2 weeks after bleeding stops, No false reassurance
Treatment of inevitable spontaneous abortion - CORRECT ANSWER-Check by U/S for complete
versus incomplete, Analgesics for D&C, RhoGAM
Education after spontaneous abortion - CORRECT ANSWER-Bleeding, cramping X 1-2 weeks, Vaginal
rest X 1 week, check temp BID, f/u in 2 weeks
REAL EXAM QUESTIONS AND CORRECT ANSWERS
|VERIFIED ANSWERS AGRADE
Routine office visit times - CORRECT ANSWER-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 - CORRECT ANSWER-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 - CORRECT ANSWER-backache, dyspnea, epistaxis, leukorrhea,
ligament pain, muscle cramps in the calf, thigh, or buttocks, PICA, syncope.
Third Trimester Normal findings - CORRECT ANSWER-Braxton-hick's contractions, discomfort in the
upper extremities, edema, heartburn, insomnia, joint pain/ pelvic girdle pain.
First Trimester Danger Signs - CORRECT ANSWER-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 - CORRECT ANSWER-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 - CORRECT ANSWER-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.
,When should antihypertensives by implemented in preeclampsia and which ones - CORRECT
ANSWERwhen BP exceeds 160/110. First line for safety in pregnancy is methyldopa, labetolol and
nifedipine may also be used as well as hydralazine. Hydralazine is commonly used for acute management
of high blood pressure related to preeclampsia but requires close observation after administration due to
unpredictable hypotensive episodes
Which antihypertensives are contraindicated in pregnancy? - CORRECT ANSWER-ACE inhibitors,
ARBs What is considered mild PIH and how should it be treated - CORRECT ANSWER-○ BP greater
than 140/90 at mid-pregnancy. Lifestyle modification. Regular exercise, Increase protein diet, Eight
glasses of water a day, Rest, document fetal activity, weekly NST
S/S of Eclampsia - CORRECT ANSWER-○ facial twitching, tonic-clonic sz, pulmonary edema, circ/renal
failure
HELLP syndrome - CORRECT ANSWER-Etiology unknown. Characterized by hemolysis, low H&H,
elevated liver enzymes, and low platelets. Thought to be a severe form of preeclampsia. RUQ pain, n/v,
edema
Subjective signs of prelabor - CORRECT ANSWER-lightening, dropping, or engagement occurs. Easier
breathing but increased pelvis pressure, cramping, low back pain, and more frequent urination.
Increasing nesting or decreased energy levels are noted. Vaginal discharge may increase and thicken.
Loss of the mucous plug and/ or bloody show. Braxton-Hicks contractions
Objective findings of prelabor - CORRECT ANSWER-Softening of the cervix, effacement, and possibly
some dilation occurs. The cervix moves more anteriorly. Descent of the presenting part into the pelvis.
Fundal measurement may decrease.
Subjective signs of active labor - CORRECT ANSWER-contractions are felt in the back, legs, or lower
abdomen and frequently are accompanied by menstrual-like or GI cramping sensations. With walking or
over time they grow longer, stronger, regular, and close together
, Objective signs of active labor - CORRECT ANSWER-Cervix dilated to 4-6 cm or greater and regular
painful contractions are present which cause progressive cervical changes.
Treatment of UTI in pregnancy - CORRECT ANSWER-Macrobid (B), Ampicillin (B), Keflex (B), Pyridium
(B),
Bactrim (C)-Do not use <13 weeks or >36 weeks
Risks of gestational diabetes - CORRECT ANSWER-Aged 35 or over, Overweight, Previous FBS 110 to
125 mg/dl, Previous gestational diabetes , Previous infant > 9 lbs., Previous unexplained stillbirth, Family
history of diabetes
Hyperemesis Gravidarum - CORRECT ANSWER-Excessive vomiting with dehydration, ketoacidosis,
electrolyte imbalance. Etiology unknown.
Treatment of hyperemesis gravidarum - CORRECT ANSWER-IVF, TPN, antiemetics, advance diet as
tolerated
Treatment of incompetent cervix - CORRECT ANSWER-Cerclage
Risk factors of ectopic pregnancy - CORRECT ANSWER-History of salpingitis, Prior ectopic pregnancy,
Assisted reproduction, Cigarette smoking, Current IUD use
Treatment of threatened spontaneous abortion - CORRECT ANSWER-Check fetus by U/S, Bedrest, no
sexual activity for 2 weeks after bleeding stops, No false reassurance
Treatment of inevitable spontaneous abortion - CORRECT ANSWER-Check by U/S for complete
versus incomplete, Analgesics for D&C, RhoGAM
Education after spontaneous abortion - CORRECT ANSWER-Bleeding, cramping X 1-2 weeks, Vaginal
rest X 1 week, check temp BID, f/u in 2 weeks
