NUR 106 MOD A Study Guide Exam 1 - Wallace Community College Questions With
Answers.
Presumptive SIGNS OF PREGNANCY - ANSWER- WHAT SYMPTOMS and WHEN START
Amenorrhea (4 wks)
Nausea and vomiting (4-14 wks)
Frequency of urination (6-12 wks)
Tenderness and fullness of breasts (3-4 wks)
"Quickening" (16-20 wks)
Chadwick's sign (6-12 wks)
Skin changes Pigmentation -
Linea nigra
Chloasma
Darkened nipple and areola Vascular
spiders
Striae gravidarum
Increased sweat and sebaceous gland activity Fatigue
Positive SIGNS OF PREGNANCY - ANSWER- Fetal heart sounds (8-17 wks) Fetal
movement felt by examiner
(19-22 wks) Fetal
X-ray
Ultrasound (8 - 10 wks) looking for evidence of conception - "all products of conception"
Fetal Anatomy Ultrasound - 20 weeks
Naegle's Rule - ANSWER- 1st day of LNMP
- 3 months
+ 7 days + 1 year
G_ T_ P_ A_ L_(M) - ANSWER- Gravida
Term
Preterm
Abortion
Living
Multiples
FIRST PRENATAL EXAM - ANSWER- • Vitals signs; BP, P, R, T
• Height and weight
• Fundal height and fetal heart rate
• Urine - Protein/Glucose/Ketones/Bacteria
• Speculum exam: Visualize cervix and obtain cultures
• Pelvic measurements
• Laboratory data: Look at lab data pg 132
,ANTEPARTAL TEACHING - ANSWER- General Hygiene Smoking, drugs
and alcohol
Douching
Clothes
Exercise
Rest and relaxation Employment
Travel
Teeth
Sexual relations Immunizations
and vaccines
DANGER SIGNALS OF PREGNANCY - ANSWER- Vaginal bleeding
Swelling of face and hands Severe
continuous headache Dimness or
blurred vision Flashes of light or
dots in vision Pain in abdomen
Persistent vomiting
Chills and fever
Sudden escape of fluid from vagina
NUTRITION - ANSWER- Decreased appetite early if nausea Needs
increased quality(protein, Carbs) not quantity Increased appetite
2nd and 3rd trimester
Pressure on stomach decreases amount of food eaten at a time, heartburn
Should not gain more than 25 -35 lbs for woman with normal BMI. See book for other ranges.
Extra Calories -75,000 calories for the life of pregnancy or 350-450 a day Need extra
Iron and calcium
Things to stay clear of:
Shark - mercury Any
raw fish
Cold cut meats -listeria
Certain fruits and salad as their is high exposure to listeria
Presumptive signs of pregnancy are a positive indicator of pregnancy. - ANSWER- false
Elevated hCG levels are a positive sign of pregnancy - ANSWER- false
, During the first few months of pregnancy, estrogen stimulates uterine growth. -
ANSWER- true
Fundal height is not a reliable indicator of gestational weeks after 36 weeks' gestation. -
ANSWER- true
The influence of progesterone leads to decreased peristalsis in the pregnant woman.
- ANSWER- true
Nagele's rule to determine the expected date of birth is inaccurate for women with irregular
menstrual cycles. - ANSWER- true
At 12 weeks' gestation, the uterine fundus can be palpated at the umbilicus. -
ANSWER- false
The optimal time for alpha-fetoprotein (AFP) screening is 16 to 18 weeks of
gestation. - ANSWER- true
A contraction stress test is commonly performed in place of a biophysical profile. -
ANSWER- false
Increased vaginal discharge during the first trimester is a normal finding. - ANSWER- true
Progesterone - ANSWER- Acts on endometrium by relaxing uterine muscle - prevents
expulsion of blastocyst from uterus
Relaxes smooth muscles elsewhere
Slows emptying of stomach regurgitation, heartburn, constipation, nausea &
vomiting.
CNS influence listless, sleepy in early preg.
May be responsible for fat stores of mother in preg.
Thought to be necessary for breast development.
Estrogen - ANSWER- Growth and function of uterus in pregnancy. Work
with progesterone to cause breast development
Prepares genital tract for sperm migration secretions of cervix and vagina change from thick
to thin and watery (easier for sperm to travel)
**Important in birth control and infertility treatment.
Relaxes pelvic ligaments so the sacroiliac joints become limber and symphysis pubis
becomes elastic.
Babies develop how? - ANSWER- Cephalocaudal: head to toe
Central to peripheral: trunk to extremities
Answers.
Presumptive SIGNS OF PREGNANCY - ANSWER- WHAT SYMPTOMS and WHEN START
Amenorrhea (4 wks)
Nausea and vomiting (4-14 wks)
Frequency of urination (6-12 wks)
Tenderness and fullness of breasts (3-4 wks)
"Quickening" (16-20 wks)
Chadwick's sign (6-12 wks)
Skin changes Pigmentation -
Linea nigra
Chloasma
Darkened nipple and areola Vascular
spiders
Striae gravidarum
Increased sweat and sebaceous gland activity Fatigue
Positive SIGNS OF PREGNANCY - ANSWER- Fetal heart sounds (8-17 wks) Fetal
movement felt by examiner
(19-22 wks) Fetal
X-ray
Ultrasound (8 - 10 wks) looking for evidence of conception - "all products of conception"
Fetal Anatomy Ultrasound - 20 weeks
Naegle's Rule - ANSWER- 1st day of LNMP
- 3 months
+ 7 days + 1 year
G_ T_ P_ A_ L_(M) - ANSWER- Gravida
Term
Preterm
Abortion
Living
Multiples
FIRST PRENATAL EXAM - ANSWER- • Vitals signs; BP, P, R, T
• Height and weight
• Fundal height and fetal heart rate
• Urine - Protein/Glucose/Ketones/Bacteria
• Speculum exam: Visualize cervix and obtain cultures
• Pelvic measurements
• Laboratory data: Look at lab data pg 132
,ANTEPARTAL TEACHING - ANSWER- General Hygiene Smoking, drugs
and alcohol
Douching
Clothes
Exercise
Rest and relaxation Employment
Travel
Teeth
Sexual relations Immunizations
and vaccines
DANGER SIGNALS OF PREGNANCY - ANSWER- Vaginal bleeding
Swelling of face and hands Severe
continuous headache Dimness or
blurred vision Flashes of light or
dots in vision Pain in abdomen
Persistent vomiting
Chills and fever
Sudden escape of fluid from vagina
NUTRITION - ANSWER- Decreased appetite early if nausea Needs
increased quality(protein, Carbs) not quantity Increased appetite
2nd and 3rd trimester
Pressure on stomach decreases amount of food eaten at a time, heartburn
Should not gain more than 25 -35 lbs for woman with normal BMI. See book for other ranges.
Extra Calories -75,000 calories for the life of pregnancy or 350-450 a day Need extra
Iron and calcium
Things to stay clear of:
Shark - mercury Any
raw fish
Cold cut meats -listeria
Certain fruits and salad as their is high exposure to listeria
Presumptive signs of pregnancy are a positive indicator of pregnancy. - ANSWER- false
Elevated hCG levels are a positive sign of pregnancy - ANSWER- false
, During the first few months of pregnancy, estrogen stimulates uterine growth. -
ANSWER- true
Fundal height is not a reliable indicator of gestational weeks after 36 weeks' gestation. -
ANSWER- true
The influence of progesterone leads to decreased peristalsis in the pregnant woman.
- ANSWER- true
Nagele's rule to determine the expected date of birth is inaccurate for women with irregular
menstrual cycles. - ANSWER- true
At 12 weeks' gestation, the uterine fundus can be palpated at the umbilicus. -
ANSWER- false
The optimal time for alpha-fetoprotein (AFP) screening is 16 to 18 weeks of
gestation. - ANSWER- true
A contraction stress test is commonly performed in place of a biophysical profile. -
ANSWER- false
Increased vaginal discharge during the first trimester is a normal finding. - ANSWER- true
Progesterone - ANSWER- Acts on endometrium by relaxing uterine muscle - prevents
expulsion of blastocyst from uterus
Relaxes smooth muscles elsewhere
Slows emptying of stomach regurgitation, heartburn, constipation, nausea &
vomiting.
CNS influence listless, sleepy in early preg.
May be responsible for fat stores of mother in preg.
Thought to be necessary for breast development.
Estrogen - ANSWER- Growth and function of uterus in pregnancy. Work
with progesterone to cause breast development
Prepares genital tract for sperm migration secretions of cervix and vagina change from thick
to thin and watery (easier for sperm to travel)
**Important in birth control and infertility treatment.
Relaxes pelvic ligaments so the sacroiliac joints become limber and symphysis pubis
becomes elastic.
Babies develop how? - ANSWER- Cephalocaudal: head to toe
Central to peripheral: trunk to extremities
