10/15/24, 9:05 NURS 629 MVU exam 1 - NURS 629 MVU
PM exam 1
NURS 629 MVU exam 1,2,3 and 4
combined latest 2023 with complete
solution
How do you measure fundal height Answer- symphysis pubis to top of
uterus When can you start to hear fetal heart tones? Answer- around
12 wks
What is quickening? Answer- fetal movements felt by the
mother When is quickening felt Answer- between 16-20
weeks
Abnormal Complaints in first trimester Answer- 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? Answer- Live vaccines:
MMR
,HPV, varicella, and live attenuated influenza vaccine
What labs are drawn at first visit? Answer- 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? Answer- PMH, Fx history, Genetic hx
(mom & dad)
What is indicated when clu cells are seen? Answer- BV
What is the treatment for BV Answer- metronidazole (Flagyl) 500mg BID x 7 days
What are presumptive (subjective) signs of pregnancy? Answer-
Amenorrhea, N/V, FATIGUE, urine frequency, breast changes, quickening,
pigment, striae
What are probable (objective) signs of pregnancy? Answer- + HCG,
enlarged Abdo, fetal outline, Balloment, Braxton, Chadwick's, Goodall's,
Hegar's signs
What are positive signs of pregnancy? Answer- Fetal HT, U/S, fetal
movement What does a bluish cervix indicate? Answer- Chadwick's
sign
How to use Nageles rule Answer- + 7 days - 3 mos
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,10/15/24, 9:05 NURS 629 MVU exam 1 - NURS 629 MVU
PM exam 1
What are signs of preeclampsia? Answer- rapid weight gain, edema to hands
and face, HTN, H/A, visual changes, proteinuria, epigastric pain
What is the treatment of preeclampsia? Answer- Bedrest, (nifedipine,
hydralazine) if severe delivery of the fetus
What does HELLP stand for? Answer- hemolysis, elevated liver enzymes,
low platelets S/S of HELLP Answer- EDEMA, N/V, RUQ pain
What should 'at home' plan be for preeclampsia? Answer- high protein diet, daily
kick
counts, wkly non-stress test & contraction monitor, monitor for hand and
face edema, visual changes, B/P, epigastric pain
When will you see a drop in the fundal height? Answer- at 36 weeks as the
head drops into canal
When is subinvolution suspected Answer- when lochia turns bright red with clots
How would you treat subinvolution? Answer- Methergine 0.2mg PO TID for
up to a week
what education should be given with a subinvolution? Answer- if filling pad
in an hour or lemon size clots go to ED, if fever culture discharge
Clinical presentation of mastitis? Answer- unilateral breast red, painful, warm
to touch usually clogged milk duct
What education do you give with mastatitis Answer- Continue to BF, Pump if
breast are still hard after feeding, warm compress
What B/C is used if still breastfeeding? Answer- Progesterone only
When and how to screen for 1 hr GTT Answer- between 24-28 wks, no need
to fast, if over 140 then 3 hr GTT is needed
How is gestational diabetes diagnosed? Answer- if the 1 hr gtt is >180 auto
dx; if 3 hr gtt is 95 fasting, >180 @ 1hr, >153 @ 2 hr, >140 @ 3 hr
What is considered a good kick count? Answer- 10 or more movements in 2 hrs
What are normal PAP guidelines? Answer- 1st at age 21 regardless of
sexual activity Q 3 yrs until 29
Q 5 yrs 30-65
about:bl 2/
, 10/15/24, 9:05 NURS 629 MVU exam 1 - NURS 629 MVU
PM exam 1
about:bl 3/
PM exam 1
NURS 629 MVU exam 1,2,3 and 4
combined latest 2023 with complete
solution
How do you measure fundal height Answer- symphysis pubis to top of
uterus When can you start to hear fetal heart tones? Answer- around
12 wks
What is quickening? Answer- fetal movements felt by the
mother When is quickening felt Answer- between 16-20
weeks
Abnormal Complaints in first trimester Answer- 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? Answer- Live vaccines:
MMR
,HPV, varicella, and live attenuated influenza vaccine
What labs are drawn at first visit? Answer- 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? Answer- PMH, Fx history, Genetic hx
(mom & dad)
What is indicated when clu cells are seen? Answer- BV
What is the treatment for BV Answer- metronidazole (Flagyl) 500mg BID x 7 days
What are presumptive (subjective) signs of pregnancy? Answer-
Amenorrhea, N/V, FATIGUE, urine frequency, breast changes, quickening,
pigment, striae
What are probable (objective) signs of pregnancy? Answer- + HCG,
enlarged Abdo, fetal outline, Balloment, Braxton, Chadwick's, Goodall's,
Hegar's signs
What are positive signs of pregnancy? Answer- Fetal HT, U/S, fetal
movement What does a bluish cervix indicate? Answer- Chadwick's
sign
How to use Nageles rule Answer- + 7 days - 3 mos
about:bl 1/
,10/15/24, 9:05 NURS 629 MVU exam 1 - NURS 629 MVU
PM exam 1
What are signs of preeclampsia? Answer- rapid weight gain, edema to hands
and face, HTN, H/A, visual changes, proteinuria, epigastric pain
What is the treatment of preeclampsia? Answer- Bedrest, (nifedipine,
hydralazine) if severe delivery of the fetus
What does HELLP stand for? Answer- hemolysis, elevated liver enzymes,
low platelets S/S of HELLP Answer- EDEMA, N/V, RUQ pain
What should 'at home' plan be for preeclampsia? Answer- high protein diet, daily
kick
counts, wkly non-stress test & contraction monitor, monitor for hand and
face edema, visual changes, B/P, epigastric pain
When will you see a drop in the fundal height? Answer- at 36 weeks as the
head drops into canal
When is subinvolution suspected Answer- when lochia turns bright red with clots
How would you treat subinvolution? Answer- Methergine 0.2mg PO TID for
up to a week
what education should be given with a subinvolution? Answer- if filling pad
in an hour or lemon size clots go to ED, if fever culture discharge
Clinical presentation of mastitis? Answer- unilateral breast red, painful, warm
to touch usually clogged milk duct
What education do you give with mastatitis Answer- Continue to BF, Pump if
breast are still hard after feeding, warm compress
What B/C is used if still breastfeeding? Answer- Progesterone only
When and how to screen for 1 hr GTT Answer- between 24-28 wks, no need
to fast, if over 140 then 3 hr GTT is needed
How is gestational diabetes diagnosed? Answer- if the 1 hr gtt is >180 auto
dx; if 3 hr gtt is 95 fasting, >180 @ 1hr, >153 @ 2 hr, >140 @ 3 hr
What is considered a good kick count? Answer- 10 or more movements in 2 hrs
What are normal PAP guidelines? Answer- 1st at age 21 regardless of
sexual activity Q 3 yrs until 29
Q 5 yrs 30-65
about:bl 2/
, 10/15/24, 9:05 NURS 629 MVU exam 1 - NURS 629 MVU
PM exam 1
about:bl 3/
