NURS 629 MVU exam 1 (Answered)
How do you measure fundal height
symphysis pubis to top of uterus
When can you start to hear fetal heart tones?
around 12 wks
What is quickening?
fetal movements felt by the mother
When is quickening felt
between 16-20 weeks
Abnormal Complaints in first trimester
1st trimester: Vaginal bleeding
Book: spotting, bleeding, cramping, painful urination, severe vomiting and/or diarrhea,
fever > 100.4, symptoms of vaginal infection or STI; persistent or severe low abdominal
pain, lightheadedness or dizziness (particularly if accompanied by shoulder pain)
What vaccines should be avoided during pregnancy?
Live vaccines: MMR ,HPV, varicella, and live attenuated influenza vaccine
What labs are drawn at first visit?
CBC, RH (antibody screen) & TYPE, HIV, RPR, MMR TITER, HEP B TITER, R/O STI's,
FULL UA
What info is obtained at first OB visit?
PMH, Fx history, Genetic hx (mom & dad)
What is indicated when clu cells are seen?
BV
What is the treatment for BV
metronidazole (Flagyl) 500mg BID x 7 days
What are presumptive (subjective) signs of pregnancy?
Amenorrhea, N/V, FATIGUE, urine frequency, breast changes, quickening, pigment,
striae
What are probable (objective) signs of pregnancy?
+ HCG, enlarged Abdo, fetal outline, Balloment, Braxton, Chadwick's, Goodall's,
Hegar's signs
What are positive signs of pregnancy?
Fetal HT, U/S, fetal movement
What does a bluish cervix indicate?
Chadwick's sign
How to use Nageles rule
+ 7 days - 3 mos
What are signs of preeclampsia?
rapid weight gain, edema to hands and face, HTN, H/A, visual changes, proteinuria,
epigastric pain
What is the treatment of preeclampsia?
Bedrest, (nifedipine, hydralazine) if severe delivery of the fetus
What does HELLP stand for?
How do you measure fundal height
symphysis pubis to top of uterus
When can you start to hear fetal heart tones?
around 12 wks
What is quickening?
fetal movements felt by the mother
When is quickening felt
between 16-20 weeks
Abnormal Complaints in first trimester
1st trimester: Vaginal bleeding
Book: spotting, bleeding, cramping, painful urination, severe vomiting and/or diarrhea,
fever > 100.4, symptoms of vaginal infection or STI; persistent or severe low abdominal
pain, lightheadedness or dizziness (particularly if accompanied by shoulder pain)
What vaccines should be avoided during pregnancy?
Live vaccines: MMR ,HPV, varicella, and live attenuated influenza vaccine
What labs are drawn at first visit?
CBC, RH (antibody screen) & TYPE, HIV, RPR, MMR TITER, HEP B TITER, R/O STI's,
FULL UA
What info is obtained at first OB visit?
PMH, Fx history, Genetic hx (mom & dad)
What is indicated when clu cells are seen?
BV
What is the treatment for BV
metronidazole (Flagyl) 500mg BID x 7 days
What are presumptive (subjective) signs of pregnancy?
Amenorrhea, N/V, FATIGUE, urine frequency, breast changes, quickening, pigment,
striae
What are probable (objective) signs of pregnancy?
+ HCG, enlarged Abdo, fetal outline, Balloment, Braxton, Chadwick's, Goodall's,
Hegar's signs
What are positive signs of pregnancy?
Fetal HT, U/S, fetal movement
What does a bluish cervix indicate?
Chadwick's sign
How to use Nageles rule
+ 7 days - 3 mos
What are signs of preeclampsia?
rapid weight gain, edema to hands and face, HTN, H/A, visual changes, proteinuria,
epigastric pain
What is the treatment of preeclampsia?
Bedrest, (nifedipine, hydralazine) if severe delivery of the fetus
What does HELLP stand for?
