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NR 327 Exam 1 Practice Test | Questions and Answers complete Solutions | 2026/27 Updates | 100% correct

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NR 327 Exam 1 Practice Test | Questions and Answers complete Solutions | 2026/27 Updates | 100% correct

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NR 327 Exam 1 Practice Test | Questions
and Answers complete Solutions | 2026/27
Updates | 100% correct
GTPAL - ANSWER- -G: number of pregnancies

P: number of deliveries (20 weeks)

T: delivery that occurred after 38 weeks

P: delivery before 38 week s

A: SAB or ETOP

L: Living



Nagele's rule - ANSWER- -EDD = LMP -3months, +7 days



Concerns for pediatric patient - ANSWER- -How is she coping?

Is FOB in the picture

How will it effect school?

Nutrition

Routine prenatal care



Presumptive signs of pregnancy - ANSWER- -(Subjective)

Amenorrhea

N/V/ urinary frequency

Fatigue



Probable signs of pregnancy - ANSWER- -(Objective)

,+Pregnancy test

Hegar's sign

Ballotement

Goodell's sign

Chadwick's sign

Enlarged abdomen

Palpable fetal outline



Positive signs of pregnancy - ANSWER- -Fetal heart tones

Fetal movement felt by examiner

Ultrasound



Ballotement - ANSWER- -uterus will rebound when pushed



Goodell's sign - ANSWER- -Softening of the cervix



Hegar's sign - ANSWER- -Softening of the uterus

Chadwick's sign - ANSWER- -Purple/blue color of the cervix

PICA - ANSWER- -craving and eating things that are not normally considered edible

-Due to imbalance of zinc/iron

Nursing interventions for nausea - ANSWER- -Small frequent meals

BRAT diet

Position upright after meals

Hormones that increase during pregnancy - ANSWER- -Estrogen

Progesterone

,Increased estrogen - ANSWER- -Increased blood supply

-Nasal stuffiness

-Bloody gums

-Bloody nose

Increased progesterone - ANSWER- -Relaxes smooth muscles

Increases need to breath

Heightened awareness

-PPP: Progesterone protects pregnancy

Nutritional needs during pregnancy - ANSWER- -Increased:

-Folic acid

-Calcium

-Iron

-Water

-Calories

Decreased/Eliminated:

-Caffeine

-Smoking (quit)

-Drugs (quit)

-Fried foods (moderation)

-Fish-mercury

-Lunch meat - Lysteria (avoid)

Folic acid in pregnancy - ANSWER- -Prevents neural tube defects

Sources for calcium - ANSWER- -Yogurt, cheese, milk

Caffeine recommendations - ANSWER- -200mg (2 cups) per day

Fish-mercury in pregnancy - ANSWER- -Risk for premature, miscarriage, brain damage

, Cholesterol in pregnancy - ANSWER- -Monitor cholesterol caloric intake if risk for
preeclampsia

Iron deficiency anemia in pregnancy - ANSWER- -Common

Low iron = baby at risk for bleeding

Smoking in pregnancy - ANSWER- -IDPH has a program for smoking cessation

Patients must be automatically referred if a smoker

Expected weight gain in pregnancy - ANSWER- -4.4lbs in first trimester

1 lb/week after 13 weeks

Expected weight gain for patient with a normal BMI - ANSWER- -25-35lbs (11.5-16kg)

Expected weight gain for patient who is underweight - ANSWER- -27.5-40lbs (12.5-18kg)

Expected weight gain for a patient who is overweight - ANSWER- -15-25lbs (7-11.5kg)

Expected weight gain for a patient who is obese - ANSWER- -15lbs (7kg)

Things done at every prenatal visit - ANSWER- -Vital signs (know baseline)

Weight

Urine sample (risk for UTI)

Fundal height

Leopolds maneuvers

FHR (fetal activity)

Leopold's maneuver - ANSWER- -Determines fetal position

BP risk for pre-eclampsia - ANSWER- -140/90

Fundal height - ANSWER- -Measured between 18-32 weeks

Measured in centimeters

Symphysis pubis to top of uterus fundus

Purpose: approximates gestational age

-Correlated with GA: 18 wks = 18cm (may be +/- 2)

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