NURS 630 EXAM 1 QUESTIONS & ANSWERS
Office visit frequency for low risk pregnancy - Answer -up to 28 weeks: f/u every 4
weeks
28-36 weeks: f/u every 2 weeks
36 weeks+: f/u every week
1st trimester findings (breast) - Answer -breast pain, enlargement, and changes in
pigmentation
Breast pain and enlargement with pigment changes are common findings in what -
Answer -1st trimester of pregnancy
Why does constipation occur in the 1st trimester - Answer -large amount of circulating
progesterone decreases GI motility
How to help breast changes in 1st trimester - Answer -wear a supportive bra and avoid
caffeine
How to help constipation in 1st trimester - Answer -bulk forming laxative or colace,
regular exercise, elevate feet when defecating, high fiber foods, increase fluid intake,
drink warm fluids
Excessive salavation (ptyalism) occurs when - Answer -in 1st trimester of pregnancy
Bad taste in mouth occurs in what trimester - Answer -1st
How to help fatigue in first trimester - Answer -supplemental iron, adequate sleep and
rest, mild exercise
How much iron should you take in 1st trimester - Answer -30mg/day if not anemia,
120mg/day if anemic for at least 6 weeks
When is nausea and vomiting most common - Answer -1st trimester
Treatment for nausea and vomiting in the first trimester - Answer -benadryl.
Dramamine, compazine, phenergan, reglan, zofran, vit b6
Avoid triggers (Certain foods)
Avoid tight clothing, acupuncture, small frequent high carb meals, sipping carbonated
drinks, eat crackers when waking up
Stay hydrated, sit up after eating, ginger
What happens to the legs in the 1st trimester - Answer -Varicosities of vulva and legs
, What to do for Varicosities of vulva and legs - Answer -· support hose and compression
stockings, lie flat and raise legs to drain veins, avoiding crossing legs, elevate the legs
as much as possible, kegals, mild exercise, warm tub baths
When will hemorrhoids be expected in pregnancy - Answer -1st trimester
Hemorrhoid remedies in 1st trimester - Answer -· OTC topical anesthetics (Preparation
H, Anusol), avoid constipation, warm or cool sitz baths with Epsom salts, tucks witch
hazel pads, ice packs or cool compresses, Kegel exercises
Urinary frequency and incontinence mostly seen when in pregnancy - Answer -1st
trimester
Urinary frequency and incontinence remedies - Answer -resting and sleeping in the
lateral recumbent position, kegals, adequate water intake, decrease water intake 2-3
hours before bed
Breast pain, hemorrhoids, flatulence, n/v, urinary frequency, constipation, fatigue,
headaches, varicosities are findings for - Answer -1st trimester
What trimester do you see headaches - Answer -1st
How to help headaches in 1st trimester - Answer -usually tension, Tylenol, avoid stress,
smoking, blinking lights, sleeping late, neck and shoulder massage, regular balanced
diet, stay hydrated
· Fever
· Vaginal discharge that is large amount, odor, with irritation/itching
· Vaginal bleeding
· Palpitations
· Breathlessness at rest
· Swelling of upper extremities or face
· Oliguria
Decreased or absent fetal movement - Answer -Concerning Symptoms During
Pregnancy
Worrisome symptoms in the 1st trimester - Answer -heavy bleeding
Worrisome symptoms in the 3rd trimester - Answer -headache, blurred vision
Pica seen in what trimester - Answer -2nd
Why does syncope occur in 2nd trimester - Answer -expansion of blood volume and
pooling of blood in the lower extremities -
Office visit frequency for low risk pregnancy - Answer -up to 28 weeks: f/u every 4
weeks
28-36 weeks: f/u every 2 weeks
36 weeks+: f/u every week
1st trimester findings (breast) - Answer -breast pain, enlargement, and changes in
pigmentation
Breast pain and enlargement with pigment changes are common findings in what -
Answer -1st trimester of pregnancy
Why does constipation occur in the 1st trimester - Answer -large amount of circulating
progesterone decreases GI motility
How to help breast changes in 1st trimester - Answer -wear a supportive bra and avoid
caffeine
How to help constipation in 1st trimester - Answer -bulk forming laxative or colace,
regular exercise, elevate feet when defecating, high fiber foods, increase fluid intake,
drink warm fluids
Excessive salavation (ptyalism) occurs when - Answer -in 1st trimester of pregnancy
Bad taste in mouth occurs in what trimester - Answer -1st
How to help fatigue in first trimester - Answer -supplemental iron, adequate sleep and
rest, mild exercise
How much iron should you take in 1st trimester - Answer -30mg/day if not anemia,
120mg/day if anemic for at least 6 weeks
When is nausea and vomiting most common - Answer -1st trimester
Treatment for nausea and vomiting in the first trimester - Answer -benadryl.
Dramamine, compazine, phenergan, reglan, zofran, vit b6
Avoid triggers (Certain foods)
Avoid tight clothing, acupuncture, small frequent high carb meals, sipping carbonated
drinks, eat crackers when waking up
Stay hydrated, sit up after eating, ginger
What happens to the legs in the 1st trimester - Answer -Varicosities of vulva and legs
, What to do for Varicosities of vulva and legs - Answer -· support hose and compression
stockings, lie flat and raise legs to drain veins, avoiding crossing legs, elevate the legs
as much as possible, kegals, mild exercise, warm tub baths
When will hemorrhoids be expected in pregnancy - Answer -1st trimester
Hemorrhoid remedies in 1st trimester - Answer -· OTC topical anesthetics (Preparation
H, Anusol), avoid constipation, warm or cool sitz baths with Epsom salts, tucks witch
hazel pads, ice packs or cool compresses, Kegel exercises
Urinary frequency and incontinence mostly seen when in pregnancy - Answer -1st
trimester
Urinary frequency and incontinence remedies - Answer -resting and sleeping in the
lateral recumbent position, kegals, adequate water intake, decrease water intake 2-3
hours before bed
Breast pain, hemorrhoids, flatulence, n/v, urinary frequency, constipation, fatigue,
headaches, varicosities are findings for - Answer -1st trimester
What trimester do you see headaches - Answer -1st
How to help headaches in 1st trimester - Answer -usually tension, Tylenol, avoid stress,
smoking, blinking lights, sleeping late, neck and shoulder massage, regular balanced
diet, stay hydrated
· Fever
· Vaginal discharge that is large amount, odor, with irritation/itching
· Vaginal bleeding
· Palpitations
· Breathlessness at rest
· Swelling of upper extremities or face
· Oliguria
Decreased or absent fetal movement - Answer -Concerning Symptoms During
Pregnancy
Worrisome symptoms in the 1st trimester - Answer -heavy bleeding
Worrisome symptoms in the 3rd trimester - Answer -headache, blurred vision
Pica seen in what trimester - Answer -2nd
Why does syncope occur in 2nd trimester - Answer -expansion of blood volume and
pooling of blood in the lower extremities -
