NUR 166 Exam 1 Questions and
Answers
Probable signs of pregnancy - ANSWER-(examiners objective findings) Positive
pregnancy test, enlarge abdomen uterus, Gooddells signs, chadwick, hegars signs,
ballottement, braxtons hicks contractions
Positive signs of pregnancy - ANSWER-demonstrates fetal activity
fetal movements felt by examiner
fetal visualization on ultrasound
how does cervix change with pregnancy - ANSWER-chadwick's and goodell's sign
present
Chadwick's sign - ANSWER-Bluish purple discoloration of the cervix, vagina, and
labia during pregnancy as a result of increased vascular congestion.
Goodell's sign - ANSWER-softening of the cervix
how much does oxygen consumption increase in pregnancy - ANSWER-15%
supine hypotensive syndrome - ANSWER-Dizziness and a drop in blood pressure
caused when the mother is in a supine position and the weight of the uterus, infant,
placenta, and amniotic fluid compress the inferior vena cava, reducing return of
blood to the heart and cardiac output.
How to relieve supine hypotension - ANSWER-lay on left side to displace uterus
how is glucose metabolism affected in pregnancy - ANSWER-increased insulin
resistance
how much does a pregnant women need to increase her calorie intake? - ANSWER-
340 cal/day in second trimester
450 cal/day in third trimester
what nutrients are especially important in pregnancy - ANSWER-protein
calcium
vitamins/minerals
iron
what is DRI of iron for pregnancy - ANSWER-30 mg/day
Why is folic acid important? - ANSWER-it is essential before pregnancy and in early
weeks of pregnancy to prevent neural tube defects in the fetus. (good sources of
folic acid: dark green veggies, such as romaine lettuce, and spinach, baked beans,
black-eyed peas, citrus fruits, peanuts, and liver)
, what is DRI of folic acid for pregnancy - ANSWER-400 mcg/day
what kind of exercise is okay during pregnancy? - ANSWER-maintenance only
What vaccines are contraindicated in pregnancy? - ANSWER-MMR
VAR
Live polio
flu (intranasal)
when is tdap recommended? - ANSWER-after 29 weeks gestation
kick count - ANSWER-a daily count of fetal movements felt in 1 hour while the
mother is resting
what is abnormal kick count? - ANSWER-less than 3 kicks in 30 mins or less than 10
kicks in 1 hr
afp testing - ANSWER-Alpha-feta protein, 16 weeks of pregnancy, blood test checks
for AFP from fetal liver found in maternal blood. Lower: Downs High: twins, neural
tube defects
amniocentesis - ANSWER-A technique of prenatal diagnosis in which amniotic fluid,
obtained by aspiration from a needle inserted into the uterus, is analyzed to detect
certain genetic and congenital defects in the fetus.
when is genetic amniocentesis performed? - ANSWER-15-17 weeks gestation
Non-stress test - ANSWER-Looks at FHE with activity
- Favorable results- 2 or more FHR accelerations of 15 beats lasting 15 seconds in a
20 minute period
why do we do non-stress test (NST) - ANSWER-it tell us if the fetus is neurologically
intact and getting enough oxygen
Biophysical Profile (BPP) - ANSWER-Assessment of five variables in the fetus that
help to evaluate fetal risk: breathing movement, body movement, tone, amniotic fluid
volume, and fetal heart rate reactivity.
Danger signs of pregnancy - ANSWER-gush of fluid or bleeding from vagina,
abdominal pain, abnormal kick count, persistent vomiting, epigastric pain, edema of
face and hands, severe persistent headache, blurred vision or dizziness, chills with
fever, painful urination or decreased urination
hyperemesis gravidarum - ANSWER-severe nausea and vomiting in pregnancy that
can cause severe dehydration in the mother and fetus (not the same as morning
sickness)
Gestational Diabetes Mellitus (GDM) - ANSWER-glucose intolerance first recognized
during pregnancy (can lead to type 2 later in life)
Answers
Probable signs of pregnancy - ANSWER-(examiners objective findings) Positive
pregnancy test, enlarge abdomen uterus, Gooddells signs, chadwick, hegars signs,
ballottement, braxtons hicks contractions
Positive signs of pregnancy - ANSWER-demonstrates fetal activity
fetal movements felt by examiner
fetal visualization on ultrasound
how does cervix change with pregnancy - ANSWER-chadwick's and goodell's sign
present
Chadwick's sign - ANSWER-Bluish purple discoloration of the cervix, vagina, and
labia during pregnancy as a result of increased vascular congestion.
Goodell's sign - ANSWER-softening of the cervix
how much does oxygen consumption increase in pregnancy - ANSWER-15%
supine hypotensive syndrome - ANSWER-Dizziness and a drop in blood pressure
caused when the mother is in a supine position and the weight of the uterus, infant,
placenta, and amniotic fluid compress the inferior vena cava, reducing return of
blood to the heart and cardiac output.
How to relieve supine hypotension - ANSWER-lay on left side to displace uterus
how is glucose metabolism affected in pregnancy - ANSWER-increased insulin
resistance
how much does a pregnant women need to increase her calorie intake? - ANSWER-
340 cal/day in second trimester
450 cal/day in third trimester
what nutrients are especially important in pregnancy - ANSWER-protein
calcium
vitamins/minerals
iron
what is DRI of iron for pregnancy - ANSWER-30 mg/day
Why is folic acid important? - ANSWER-it is essential before pregnancy and in early
weeks of pregnancy to prevent neural tube defects in the fetus. (good sources of
folic acid: dark green veggies, such as romaine lettuce, and spinach, baked beans,
black-eyed peas, citrus fruits, peanuts, and liver)
, what is DRI of folic acid for pregnancy - ANSWER-400 mcg/day
what kind of exercise is okay during pregnancy? - ANSWER-maintenance only
What vaccines are contraindicated in pregnancy? - ANSWER-MMR
VAR
Live polio
flu (intranasal)
when is tdap recommended? - ANSWER-after 29 weeks gestation
kick count - ANSWER-a daily count of fetal movements felt in 1 hour while the
mother is resting
what is abnormal kick count? - ANSWER-less than 3 kicks in 30 mins or less than 10
kicks in 1 hr
afp testing - ANSWER-Alpha-feta protein, 16 weeks of pregnancy, blood test checks
for AFP from fetal liver found in maternal blood. Lower: Downs High: twins, neural
tube defects
amniocentesis - ANSWER-A technique of prenatal diagnosis in which amniotic fluid,
obtained by aspiration from a needle inserted into the uterus, is analyzed to detect
certain genetic and congenital defects in the fetus.
when is genetic amniocentesis performed? - ANSWER-15-17 weeks gestation
Non-stress test - ANSWER-Looks at FHE with activity
- Favorable results- 2 or more FHR accelerations of 15 beats lasting 15 seconds in a
20 minute period
why do we do non-stress test (NST) - ANSWER-it tell us if the fetus is neurologically
intact and getting enough oxygen
Biophysical Profile (BPP) - ANSWER-Assessment of five variables in the fetus that
help to evaluate fetal risk: breathing movement, body movement, tone, amniotic fluid
volume, and fetal heart rate reactivity.
Danger signs of pregnancy - ANSWER-gush of fluid or bleeding from vagina,
abdominal pain, abnormal kick count, persistent vomiting, epigastric pain, edema of
face and hands, severe persistent headache, blurred vision or dizziness, chills with
fever, painful urination or decreased urination
hyperemesis gravidarum - ANSWER-severe nausea and vomiting in pregnancy that
can cause severe dehydration in the mother and fetus (not the same as morning
sickness)
Gestational Diabetes Mellitus (GDM) - ANSWER-glucose intolerance first recognized
during pregnancy (can lead to type 2 later in life)
