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NUR445: EXAM #1 QUESTIONS AND DETAILED 100%
CORRECT ANSWERS
hyperemesis gravidarum
severe morning sickness
occurs in first 20 weeks of pregnancy (rising hCG levels)
manifestations can continue throughout pregnancy
nursing intervention: suggest crackers/toast before getting out of bed
increased risk: client with hx of migraines, twin pregnancy
contradictions to contraceptive use
Oral Contraceptives:
poor memory for compliance
cigarette smoker
diabetes
thrombophlebitis varicosities
liver disease
IUD:
valvular heart disease
retroflexed or ierregular shaped uterus (also contradicted with diaphragms)
**undiagnosed vaginal bleeding contradiction for all forms of birth control
abstinence
only method of contraception that offers 100% protection against pregnancy
failure rate: 85%
advantages: acceptable to all religious groups, no cost
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disadvantages: requires high motivation and periods of abstinence
assessing patient for contraception
vital signs
pregnancy test
Pap smears, STI screening (only has necessary
OB hx. (including STIs, past pregnancies, abortions, failure of previous methods,
compliance hx)
subjective assessment of patient's desires, needs, feelings, and understanding of
conception (ex: patient who is breastfeeding should use progesterone-only bc)
sexual practices (frequency, number of partners, feelings about sex, body image)
IUD
most reliable form
advantages: no memory or motivation needed
disadvantages: cramping, irregular bleeding, expulsion possible, risk of
strokes/thromboembolism increases with smoking
nonhormonal contraception
fertility awareness
Billing's method: natural family planning, should avoid sex when cervical mucose
becomes thin and flexible
BBT: body temp rises a full Fahrenheit degree at the time of ovulation (best
combined with a calendar method, so they abstain for a few days before ovulation
as well)
depoprovera
The birth control shot; lasts 3 months
good for clients who may have trouble remembering the pill
surgical methods of contraception
These methods permanently prevent conception through surgical manipulation of
the reproductive organs
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vasectomy: educate patient that secondary methods of prevention are required for
the first few months until HCP ensures the ducts are clear of viable sperm
tubal ligation: educate patient that fallopian tubes are blocked, scare tissue may
build up, resulting in irreversibility
stages of fetal development
Conception Process/Sequential Process:
gamete formation (ovum/egg)
ovulation--fertilization in fallopian tube near ovary (zygote)
implantation, takes 8-10 days (embryo)
becomes fetus w/ heartbeat at 8-10 weeks
zygote
fertilized egg
genetric infor exchanged and chromosomes paired
rapid cell division/differentiation
embryo
development of organ systems
external features
hCG levels rise
baby referred to as embryo from implantation until 5-8 weeks
fetus
growth
further refinement of organs
encouraging placental circulation and perfusion
Uterine perfusion and placental circulation are most efficient when the
pregnant person lies on their left side, as this position lifts the uterus away
from the inferior vena cava, preventing blood from becoming trapped in the
lower extremities.
NUR445: EXAM #1 QUESTIONS AND DETAILED 100%
CORRECT ANSWERS
hyperemesis gravidarum
severe morning sickness
occurs in first 20 weeks of pregnancy (rising hCG levels)
manifestations can continue throughout pregnancy
nursing intervention: suggest crackers/toast before getting out of bed
increased risk: client with hx of migraines, twin pregnancy
contradictions to contraceptive use
Oral Contraceptives:
poor memory for compliance
cigarette smoker
diabetes
thrombophlebitis varicosities
liver disease
IUD:
valvular heart disease
retroflexed or ierregular shaped uterus (also contradicted with diaphragms)
**undiagnosed vaginal bleeding contradiction for all forms of birth control
abstinence
only method of contraception that offers 100% protection against pregnancy
failure rate: 85%
advantages: acceptable to all religious groups, no cost
,2|Page
disadvantages: requires high motivation and periods of abstinence
assessing patient for contraception
vital signs
pregnancy test
Pap smears, STI screening (only has necessary
OB hx. (including STIs, past pregnancies, abortions, failure of previous methods,
compliance hx)
subjective assessment of patient's desires, needs, feelings, and understanding of
conception (ex: patient who is breastfeeding should use progesterone-only bc)
sexual practices (frequency, number of partners, feelings about sex, body image)
IUD
most reliable form
advantages: no memory or motivation needed
disadvantages: cramping, irregular bleeding, expulsion possible, risk of
strokes/thromboembolism increases with smoking
nonhormonal contraception
fertility awareness
Billing's method: natural family planning, should avoid sex when cervical mucose
becomes thin and flexible
BBT: body temp rises a full Fahrenheit degree at the time of ovulation (best
combined with a calendar method, so they abstain for a few days before ovulation
as well)
depoprovera
The birth control shot; lasts 3 months
good for clients who may have trouble remembering the pill
surgical methods of contraception
These methods permanently prevent conception through surgical manipulation of
the reproductive organs
, 3|Page
vasectomy: educate patient that secondary methods of prevention are required for
the first few months until HCP ensures the ducts are clear of viable sperm
tubal ligation: educate patient that fallopian tubes are blocked, scare tissue may
build up, resulting in irreversibility
stages of fetal development
Conception Process/Sequential Process:
gamete formation (ovum/egg)
ovulation--fertilization in fallopian tube near ovary (zygote)
implantation, takes 8-10 days (embryo)
becomes fetus w/ heartbeat at 8-10 weeks
zygote
fertilized egg
genetric infor exchanged and chromosomes paired
rapid cell division/differentiation
embryo
development of organ systems
external features
hCG levels rise
baby referred to as embryo from implantation until 5-8 weeks
fetus
growth
further refinement of organs
encouraging placental circulation and perfusion
Uterine perfusion and placental circulation are most efficient when the
pregnant person lies on their left side, as this position lifts the uterus away
from the inferior vena cava, preventing blood from becoming trapped in the
lower extremities.
