NSG504 Exam 1 questions and answers

NSG504 Exam 1 questions and answers |\ |\ |\ |\ |\




Initial fasting glucose test/glucose screen
|\ |\ |\ |\




(normal value and next step if not normal) - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



✔✔The initial screen should be <140 mg/dL; if it is 140 or higher,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



a three hour glucose tolerance test will be administered
|\ |\ |\ |\ |\ |\ |\ |\ |\




3 hour glucose tolerance test and when to diagnose gestational
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\



diabetes - CORRECT ANSWERS ✔✔- Prior to drinking glucose
|\ |\ |\ |\ |\ |\ |\ |\ |\



solution, normal fasting blood glucose should be <95 mg/dL
|\ |\ |\ |\ |\ |\ |\ |\




- 1 hour after drinking glucose solution, normal blood glucose
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\



should be <180 mg/dL |\ |\ |\




- 2 hours after drinking glucose solution, normal blood glucose
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\



should be <155 mg/dL |\ |\ |\




- 3 hours after drinking glucose solution, normal blood glucose
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\



should be <140 mg/dL |\ |\ |\




^if any 2/4 are above normal limits, mom will be diagnoses with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



gestational diabetes |\




what is done during the initial prenatal visit - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\



✔✔- Social and demographic info
|\ |\ |\ |\ |\




- Menstrual history
|\ |\

,- Past OB history
|\ |\ |\




- Current pregnancy history (medications taken, alcohol/cig/drug
|\ |\ |\ |\ |\ |\ |\



use, radiation exposure, vaginal bleeding, N/V/weight loss,
|\ |\ |\ |\ |\ |\ |\



infections, exposure to toxins) |\ |\ |\




- Medical/surgical history (including immunizations)
|\ |\ |\ |\




- Genetic history (AMA/APA, congenital abnormalities,
|\ |\ |\ |\ |\ |\



chromosomal abnormalities, inherited diseases, consanguinity) |\ |\ |\ |\




- Physical exam
|\ |\




-->vital signs, height, weight |\ |\ |\




- Head to toe physical assessment
|\ |\ |\ |\ |\




--> attention to thyroid, heart and lung sounds, reproductive
|\ |\ |\ |\ |\ |\ |\ |\ |\



organs, fetal heart rate (~9-15 weeks), fundal height (after 20
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\



weeks)


What are the laboratory components of the first prenatal visit? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



CORRECT ANSWERS ✔✔Labs |\ |\




-- Blood and Rh type
|\ |\ |\ |\




-- CBC (Hgb, Hct, platelets)
|\ |\ |\ |\




-- Antibody screen
|\ |\




-- Rubella titer
|\ |\




-- Syphilis (RPR, VDRL)
|\ |\ |\




-- HIV counseling/testing
|\ |\




-- Hepatitis B surface antigen
|\ |\ |\ |\

,Urine culture and/or screen
|\ |\ |\




Pelvic exam/tests |\




-- GC/Chlamydia
|\




-- Pap smear (cancer screening)
|\ |\ |\ |\




Evaluations performed at gestational age of 14-20 weeks -
|\ |\ |\ |\ |\ |\ |\ |\ |\



CORRECT ANSWERS ✔✔- Maternal serum alpha-fetoprotein or
|\ |\ |\ |\ |\ |\ |\



multiple marker screen |\ |\




- Special genetic testing (amniocentesis or chorionic villus
|\ |\ |\ |\ |\ |\ |\ |\



sampling)


Evaluations performed at gestational age of 24-28 weeks -
|\ |\ |\ |\ |\ |\ |\ |\ |\



CORRECT ANSWERS ✔✔- Hemoglobin and hematocrit
|\ |\ |\ |\ |\




- Glucose screen for gestational diabetes
|\ |\ |\ |\ |\




- Rh antibody screen and Rh immune globulin administration if Rh
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\



(D)--negative
|\




Evaluations performed at gestational age of 32-36 weeks -
|\ |\ |\ |\ |\ |\ |\ |\ |\



CORRECT ANSWERS ✔✔- Serologic test for syphilis (risk-based,
|\ |\ |\ |\ |\ |\ |\ |\



IL-state law) |\




- Gonorrhea/Chlamydia screening (risk-based)
|\ |\ |\




- Hemoglobin or hematocrit
|\ |\ |\

, - Group B streptococcus culture
|\ |\ |\ |\




What is done it every prenatal visit? - CORRECT ANSWERS ✔✔-
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



Vital signs (especially BP)
|\ |\ |\




- Urine testing for glucose and protein
|\ |\ |\ |\ |\ |\




- Assess for perceived fetal movement
|\ |\ |\ |\ |\




- Monitor weight gain
|\ |\ |\




- Fetal heart tones
|\ |\ |\




- Fundal height
|\ |\




- Presentation
|\




Which vaccines can you give to pregnant women? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\



ANSWERS ✔✔Influenza and TDAP |\ |\ |\




Development and function of the umbilical cord - CORRECT |\ |\ |\ |\ |\ |\ |\ |\ |\



ANSWERS ✔✔The umbilical cord develops (from the amnion. It
|\ |\ |\ |\ |\ |\ |\ |\ |\



provides a pathway from the chorionic villi to the embryo
|\ |\ |\ |\ |\ |\ |\ |\ |\




It protects the vessels (two arteries and one vein) that connect
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\



the fetus to the placenta.
|\ |\ |\ |\




Function of amniotic fluid - CORRECT ANSWERS ✔✔Amniotic
|\ |\ |\ |\ |\ |\ |\ |\



fluid cushions baby, helps with temperature regulation, keeps baby
|\ |\ |\ |\ |\ |\ |\ |\