NURS 629 EXAM 1 QUESTIONS AND
ANSWERS
Routine office visit times - 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 - 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 - ANSWER-backache, dyspnea, epistaxis,
leukorrhea, ligament pain, muscle cramps in the calf, thigh, or buttocks,
PICA, syncope.
Third Trimester Normal findings - ANSWER-Braxton-hick's contractions,
discomfort in the upper extremities, edema, heartburn, insomnia, joint pain/
pelvic girdle pain.
First Trimester Danger Signs - 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 - 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 - 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.
, What oral contraceptive can be given to breast feeding women - ANSWER-
Progestin-only pills
What immunizations can be given during pregnancy - ANSWER-Hepatitis B,
inactivated influenza, Tdap at 27-36 weeks
How do we screen for gestational diabetes - ANSWER-50 gram oral glucose
with a blood draw 1 hour later to determine glucose levels. If the glucose
level is greater than 130-140 then a 3 hour 100 gram oral glucose tolerance
test is performed.
When do we screen for gestational diabetes - ANSWER-24 weeks
What plasma glucose levels would indicate gestational diabetes - ANSWER-
Fasting >/= 95
1 hour >/= 180
2 hour >/= 155
3 hour > 140
What is the treatment for mild pregnancy induced hypertension? - ANSWER-
Lifestyle modification: smoking cessation, healthy diet, regular exercise.
Implement close observation
Signs and symptoms of mastitis - ANSWER-Flu-like symptoms including
malaise, fever, and chills. Tender, hot, red, painful area, or lump in the
breast. Fever is often high, tachycardia, breast exam reveals warmth,
redness, tenderness, and swelling. Nipple may be cracked or abraded and
breast distended with milk.
What is the first line therapy for mastitis - ANSWER-Dicloxacillin 250-500mg
every 6 hours for 10-14 days. Erythromycin 500mg every 6 hours for 10 days
if PCN allergy. Tylenol as needed. Ice or warm packs. Continue to nurse infant
on both breasts but begin on unaffected side. Increase fluid intake.
What antibiotic cannot be given if an infant is nursing and less than 1 month
- ANSWER-Sulfa
When should you suspect a breast abscess - ANSWER-If there is no resolution
of symptoms after several days of antibiotics. Pitting edema is possible and
fluctuation may be felt over the affected area. This usually requires both abx
and drainage. Refer to physician. Culture and sensitivity of breast milk.
ANSWERS
Routine office visit times - 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 - 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 - ANSWER-backache, dyspnea, epistaxis,
leukorrhea, ligament pain, muscle cramps in the calf, thigh, or buttocks,
PICA, syncope.
Third Trimester Normal findings - ANSWER-Braxton-hick's contractions,
discomfort in the upper extremities, edema, heartburn, insomnia, joint pain/
pelvic girdle pain.
First Trimester Danger Signs - 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 - 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 - 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.
, What oral contraceptive can be given to breast feeding women - ANSWER-
Progestin-only pills
What immunizations can be given during pregnancy - ANSWER-Hepatitis B,
inactivated influenza, Tdap at 27-36 weeks
How do we screen for gestational diabetes - ANSWER-50 gram oral glucose
with a blood draw 1 hour later to determine glucose levels. If the glucose
level is greater than 130-140 then a 3 hour 100 gram oral glucose tolerance
test is performed.
When do we screen for gestational diabetes - ANSWER-24 weeks
What plasma glucose levels would indicate gestational diabetes - ANSWER-
Fasting >/= 95
1 hour >/= 180
2 hour >/= 155
3 hour > 140
What is the treatment for mild pregnancy induced hypertension? - ANSWER-
Lifestyle modification: smoking cessation, healthy diet, regular exercise.
Implement close observation
Signs and symptoms of mastitis - ANSWER-Flu-like symptoms including
malaise, fever, and chills. Tender, hot, red, painful area, or lump in the
breast. Fever is often high, tachycardia, breast exam reveals warmth,
redness, tenderness, and swelling. Nipple may be cracked or abraded and
breast distended with milk.
What is the first line therapy for mastitis - ANSWER-Dicloxacillin 250-500mg
every 6 hours for 10-14 days. Erythromycin 500mg every 6 hours for 10 days
if PCN allergy. Tylenol as needed. Ice or warm packs. Continue to nurse infant
on both breasts but begin on unaffected side. Increase fluid intake.
What antibiotic cannot be given if an infant is nursing and less than 1 month
- ANSWER-Sulfa
When should you suspect a breast abscess - ANSWER-If there is no resolution
of symptoms after several days of antibiotics. Pitting edema is possible and
fluctuation may be felt over the affected area. This usually requires both abx
and drainage. Refer to physician. Culture and sensitivity of breast milk.
