NU2011 Exam 3 Guide With
Complete Solution
Changes that occur in pregnancy (3) - ANSWER 1. Presumptive changes:
amenorrhea, breast tenderness, nausea, vomiting, increased urinary
frequency
2. Probable signs: enlarged uterus
3. Positive signs: fetal heartbeat.
History questions to ask when pregnant (10) - ANSWER 1. are you taking
vitamins? folic acid, multivitamin
2. # of pregnancies
3. # of live births
4. # of still borns
5. # of miscarraiges
6. Smoking/alcohol
7. # of living kids
8. home environment
9. Healthcare providers
10. Medications
Physical Exams during pregnancy
,1. first 28 weeks
2. last 12 weeks
*types of tests - ANSWER first 28 weeks: q 3-4 week visits
last 12 weeks: q 1-2 weeks.
*ultrsounds, fetal heart beats, blood glucose levels, weight, BP, fluid
retention, edema, position of fetus (Leopolds maneuvers)
Changes in pregnancy (8) - ANSWER 1. vitals: HR and erspiratory slight
increase
2. weight: gain 15-40 lbs
3. Lumbar lordosis: curve in spine due to joint softening due to progesterone.
4. skin: Choloama: pregnancy mask, striae gracidarnum and linea nigra: line
down middle of abdomen
5. Hair: small loss in scalp
6.Breast changes: increase size, presence of colostrum (thick yellow fluid
from nipple).
7. Musculoskeletal: widening pelvis and waddling gait.
8. Elimination: constipation and urinary increases.
Fundal height - ANSWER measure from symphysis pubus from top of
fundus- should increase 1 cm per week.
34 wk=34cm
Leopold's Maneuver: what to look for in each step (4) - ANSWER determines
, how the baby is oriented within the mother.
1. find head
2. arms, legs and spine to find how baby is laying
3. determines what fetal part is laying above the lower abdomen
4. locate the fetus's brow
Fetal heart sounds: normal fetal heart rate - ANSWER 1. identify the fetal
position, use fetal heart sounds to confirm your findings
2. Count heart rate for 15 seconds and multiply by 4
*should be 120-160 BPM
Pregnancy Screening Recommendations (5) - ANSWER 1.
hematocrit/hemoglobin
2. Hep B antigen
3. Rubella
4. STD
5. RH type
Gordon definition of Stress - ANSWER depiction of general coping ability and
the individual's ability to effectively manage stress.
- ability to process life crisis
- Resist Disruptive factors
- Conflict resolution
- Stress management
Complete Solution
Changes that occur in pregnancy (3) - ANSWER 1. Presumptive changes:
amenorrhea, breast tenderness, nausea, vomiting, increased urinary
frequency
2. Probable signs: enlarged uterus
3. Positive signs: fetal heartbeat.
History questions to ask when pregnant (10) - ANSWER 1. are you taking
vitamins? folic acid, multivitamin
2. # of pregnancies
3. # of live births
4. # of still borns
5. # of miscarraiges
6. Smoking/alcohol
7. # of living kids
8. home environment
9. Healthcare providers
10. Medications
Physical Exams during pregnancy
,1. first 28 weeks
2. last 12 weeks
*types of tests - ANSWER first 28 weeks: q 3-4 week visits
last 12 weeks: q 1-2 weeks.
*ultrsounds, fetal heart beats, blood glucose levels, weight, BP, fluid
retention, edema, position of fetus (Leopolds maneuvers)
Changes in pregnancy (8) - ANSWER 1. vitals: HR and erspiratory slight
increase
2. weight: gain 15-40 lbs
3. Lumbar lordosis: curve in spine due to joint softening due to progesterone.
4. skin: Choloama: pregnancy mask, striae gracidarnum and linea nigra: line
down middle of abdomen
5. Hair: small loss in scalp
6.Breast changes: increase size, presence of colostrum (thick yellow fluid
from nipple).
7. Musculoskeletal: widening pelvis and waddling gait.
8. Elimination: constipation and urinary increases.
Fundal height - ANSWER measure from symphysis pubus from top of
fundus- should increase 1 cm per week.
34 wk=34cm
Leopold's Maneuver: what to look for in each step (4) - ANSWER determines
, how the baby is oriented within the mother.
1. find head
2. arms, legs and spine to find how baby is laying
3. determines what fetal part is laying above the lower abdomen
4. locate the fetus's brow
Fetal heart sounds: normal fetal heart rate - ANSWER 1. identify the fetal
position, use fetal heart sounds to confirm your findings
2. Count heart rate for 15 seconds and multiply by 4
*should be 120-160 BPM
Pregnancy Screening Recommendations (5) - ANSWER 1.
hematocrit/hemoglobin
2. Hep B antigen
3. Rubella
4. STD
5. RH type
Gordon definition of Stress - ANSWER depiction of general coping ability and
the individual's ability to effectively manage stress.
- ability to process life crisis
- Resist Disruptive factors
- Conflict resolution
- Stress management
