NR 327 PREGNANCY
MANAGEMENT EXAM 1
2025/2026 WITH 100%
ACCURATE ANSWERS
GTPAL - ✔✔ANSWER✔✔-G: number of pregnancies
P: number of deliveries (20 weeks)
T: delivery that occurred after 38 weeks
P: delivery before 38 week s
A: SAB or ETOP
L: Living
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
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
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
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)
-Fried foods (moderation)
-Fish-mercury
-Lunch meat - Lysteria (avoid)
Folic acid in pregnancy - ✔✔ANSWER✔✔-Prevents neural
tube defects
Sources for calcium - ✔✔ANSWER✔✔-Yogurt, cheese, milk
Caffeine recommendations - ✔✔ANSWER✔✔-200mg (2 cups)
per day
, Fish-mercury in pregnancy - ✔✔ANSWER✔✔-Risk for
premature, miscarriage, brain damage
Cholesterol in pregnancy - ✔✔ANSWER✔✔-Monitor
cholesterol caloric intake if risk for preeclampsia
Iron deficiency anemia in pregnancy - ✔✔ANSWER✔✔-
Common
Low iron = baby at risk for bleeding
Smoking in pregnancy - ✔✔ANSWER✔✔-IDPH has a program
for smoking cessation
Patients must be automatically referred if a smoker
Expected weight gain in pregnancy - ✔✔ANSWER✔✔-4.4lbs in
first trimester
1 lb/week after 13 weeks
Expected weight gain for patient with a normal BMI -
✔✔ANSWER✔✔-25-35lbs (11.5-16kg)
Expected weight gain for patient who is underweight -
✔✔ANSWER✔✔-27.5-40lbs (12.5-18kg)
Expected weight gain for a patient who is overweight -
✔✔ANSWER✔✔-15-25lbs (7-11.5kg)
Expected weight gain for a patient who is obese -
✔✔ANSWER✔✔-15lbs (7kg)
Things done at every prenatal visit - ✔✔ANSWER✔✔-Vital
signs (know baseline)
Weight
Urine sample (risk for UTI)
Fundal height
Leopolds maneuvers
MANAGEMENT EXAM 1
2025/2026 WITH 100%
ACCURATE ANSWERS
GTPAL - ✔✔ANSWER✔✔-G: number of pregnancies
P: number of deliveries (20 weeks)
T: delivery that occurred after 38 weeks
P: delivery before 38 week s
A: SAB or ETOP
L: Living
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
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
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
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)
-Fried foods (moderation)
-Fish-mercury
-Lunch meat - Lysteria (avoid)
Folic acid in pregnancy - ✔✔ANSWER✔✔-Prevents neural
tube defects
Sources for calcium - ✔✔ANSWER✔✔-Yogurt, cheese, milk
Caffeine recommendations - ✔✔ANSWER✔✔-200mg (2 cups)
per day
, Fish-mercury in pregnancy - ✔✔ANSWER✔✔-Risk for
premature, miscarriage, brain damage
Cholesterol in pregnancy - ✔✔ANSWER✔✔-Monitor
cholesterol caloric intake if risk for preeclampsia
Iron deficiency anemia in pregnancy - ✔✔ANSWER✔✔-
Common
Low iron = baby at risk for bleeding
Smoking in pregnancy - ✔✔ANSWER✔✔-IDPH has a program
for smoking cessation
Patients must be automatically referred if a smoker
Expected weight gain in pregnancy - ✔✔ANSWER✔✔-4.4lbs in
first trimester
1 lb/week after 13 weeks
Expected weight gain for patient with a normal BMI -
✔✔ANSWER✔✔-25-35lbs (11.5-16kg)
Expected weight gain for patient who is underweight -
✔✔ANSWER✔✔-27.5-40lbs (12.5-18kg)
Expected weight gain for a patient who is overweight -
✔✔ANSWER✔✔-15-25lbs (7-11.5kg)
Expected weight gain for a patient who is obese -
✔✔ANSWER✔✔-15lbs (7kg)
Things done at every prenatal visit - ✔✔ANSWER✔✔-Vital
signs (know baseline)
Weight
Urine sample (risk for UTI)
Fundal height
Leopolds maneuvers
