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NUR 230 Review Exam 1 Questions and Answers

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NUR 230 Review Exam 1 Questions and Answers

Institution
Nurs 230
Course
Nurs 230

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NUR 230 Review exam 1


Presumptive signs of pregnancy - Answer-Amenorrhea

Fatigue

Nausea and vomiting

Breast tenderness

Urinary frequency

Quickening



Probable signs of pregnancy - Answer-Hegars sign

Goodell's sign

Chadwicks signs

Positive pregnancy test

Braxton hicks contractions or ballotment



Hegar's sign - Answer-lowering uterine segment softens



Goodell's sign - Answer-cervical softening



Chadwick's sign - Answer-bluish discolorationof vagina and cervix



Positive signs of pregnancy - Answer-Hearing fetal heart tones

,Visualization of the fetus

Palpation of fetal movements by examiner



Gravida - Answer-# of pregnancies



Para - Answer-# of pregnancies 20 weeks or >



Term - Answer-38-42 weeks



Preterm - Answer-20-37 weeks



Postterm - Answer-42 weeks or >



living - Answer-# of living children



abortion - Answer-any pregnancies that ended prior to 20 weeks (spontaneous or elective)



what's Naegle's Rule? - Answer-Method for calculating estimated due date

first day of the last menstrual period

subtract 3 from the month

add 7 to the day

adjust the year if needed



what are the cardiac changes during pregnancy - Answer-Blood volume will increase by 40-50% which
results in physiological anemia

Cardiac output increases 30-50%

, Increased risk for blood clotting due to increase in clotting factors and decreased circulation time



What are the respiratory changes during pregnancy - Answer-Increased oxygen requirements to meet
maternal and fetal needs

Ligaments of rib cage relax

Diaphragm is displaced due to enlarging uterus

Upper respiratory more vascular: congestion, epistaxis, and changes in voice



Gastrointestinal changes - Answer-Nausea and vomiting due to increase in HCG (should subside by end
of first trimester.

Hyperemesis gravidarum

Changes in taste and smell

Pytalism

Pica

Decreased tone and motility in GI tract (results in reflux and constipation)



what are the first trimester labs - Answer-Hgb and Hct (CBC)

Blood type and Rh

Antibody screen

Rubella titer (booster AFTER pregnancy)

Urinalysis

Pap smear

Screening for HIV and Hepatitis B

VDRL or RPR



First trimester discomforts - Answer-Breast enlargement, pain, tingling, tenderness

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Nurs 230
Course
Nurs 230

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