Exam 1 - NR327 / NR 327 (Latest 2025) : Maternal-
Child Nursing - Chamberlain
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
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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
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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
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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)