NURS 629 EXAMINATION TEST 2026
QUESTIONS WITH ANSWERS GRADED A+
◉ First Trimester Normal findings. Answer: breast pain, enlargement,
changes in pigmentation, constipation, excessive salivation and bad taste
in mouth, fatigue, flatulence, headache, hemorrhoids, nausea and
vomiting, urinary frequency and incontinence, varicosities of vulva and
legs.
◉ Second Trimester Normal findings. Answer: backache, dyspnea,
epistaxis, leukorrhea, ligament pain, muscle cramps in the calf, thigh, or
buttocks, PICA, syncope.
◉ Third Trimester Normal findings. Answer: Braxton-hick's
contractions, discomfort in the upper extremities, edema, heartburn,
insomnia, joint pain/ pelvic girdle pain.
◉ First Trimester Danger Signs. Answer: spotting or bleeding,
cramping, painful urination, severe vomiting and/ or diarrhea, fever
higher than 100.4F, symptoms of vaginal infection or STIs, persistent or
severe low abdominal pain, lightheadedness, dizziness, abdominal
trauma.
,◉ Second Trimester Danger Signs. Answer: regular uterine contractions
(6 or more per hour), unilateral leg or calf pain, edema, pain with
movement, redness, heat, and tenderness or coldness, numbness and
paleness to extremity, sudden gush or consistent leaking of fluid,
absence of fetal movement for more than 24 hours after quickening,
sudden weight gain, significant edema of the face and/ or hands, severe
upper abdominal pain, headache with visual changes and/ or
photophobia.
◉ Third Trimester Danger Signs. Answer: decrease in daily fetal
movement, after 37 weeks gestation, when contractions are 3-5 minutes
apart if a primipara or 5-8 minutes apart if a multipara lasting 45-60
seconds and strong in intensity or with the characteristics of true labor.
◉ What oral contraceptive can be given to breast feeding women.
Answer: Progestin-only pills
◉ What immunizations can be given during pregnancy. Answer:
Hepatitis B, inactivated influenza, Tdap at 27-36 weeks
◉ How do we screen for gestational diabetes. Answer: 50 gram oral
glucose with a blood draw 1 hour later to determine glucose levels. If the
glucose level is greater than 130-140 then a 3 hour 100 gram oral
glucose tolerance test is performed.
◉ When do we screen for gestational diabetes. Answer: 24 weeks
, ◉ What plasma glucose levels would indicate gestational diabetes.
Answer: Fasting >/= 95
1 hour >/= 180
2 hour >/= 155
3 hour > 140
◉ What is the treatment for mild pregnancy induced hypertension?
Answer: Lifestyle modification: smoking cessation, healthy diet, regular
exercise. Implement close observation
◉ Signs and symptoms of mastitis. Answer: Flu-like symptoms
including malaise, fever, and chills. Tender, hot, red, painful area, or
lump in the breast. Fever is often high, tachycardia, breast exam reveals
warmth, redness, tenderness, and swelling. Nipple may be cracked or
abraded and breast distended with milk.
◉ What is the first line therapy for mastitis. Answer: Dicloxacillin 250-
500mg every 6 hours for 10-14 days. Erythromycin 500mg every 6
hours for 10 days if PCN allergy. Tylenol as needed. Ice or warm packs.
Continue to nurse infant on both breasts but begin on unaffected side.
Increase fluid intake.
◉ What antibiotic cannot be given if an infant is nursing and less than 1
month. Answer: Sulfa
QUESTIONS WITH ANSWERS GRADED A+
◉ First Trimester Normal findings. Answer: breast pain, enlargement,
changes in pigmentation, constipation, excessive salivation and bad taste
in mouth, fatigue, flatulence, headache, hemorrhoids, nausea and
vomiting, urinary frequency and incontinence, varicosities of vulva and
legs.
◉ Second Trimester Normal findings. Answer: backache, dyspnea,
epistaxis, leukorrhea, ligament pain, muscle cramps in the calf, thigh, or
buttocks, PICA, syncope.
◉ Third Trimester Normal findings. Answer: Braxton-hick's
contractions, discomfort in the upper extremities, edema, heartburn,
insomnia, joint pain/ pelvic girdle pain.
◉ First Trimester Danger Signs. Answer: spotting or bleeding,
cramping, painful urination, severe vomiting and/ or diarrhea, fever
higher than 100.4F, symptoms of vaginal infection or STIs, persistent or
severe low abdominal pain, lightheadedness, dizziness, abdominal
trauma.
,◉ Second Trimester Danger Signs. Answer: regular uterine contractions
(6 or more per hour), unilateral leg or calf pain, edema, pain with
movement, redness, heat, and tenderness or coldness, numbness and
paleness to extremity, sudden gush or consistent leaking of fluid,
absence of fetal movement for more than 24 hours after quickening,
sudden weight gain, significant edema of the face and/ or hands, severe
upper abdominal pain, headache with visual changes and/ or
photophobia.
◉ Third Trimester Danger Signs. Answer: decrease in daily fetal
movement, after 37 weeks gestation, when contractions are 3-5 minutes
apart if a primipara or 5-8 minutes apart if a multipara lasting 45-60
seconds and strong in intensity or with the characteristics of true labor.
◉ What oral contraceptive can be given to breast feeding women.
Answer: Progestin-only pills
◉ What immunizations can be given during pregnancy. Answer:
Hepatitis B, inactivated influenza, Tdap at 27-36 weeks
◉ How do we screen for gestational diabetes. Answer: 50 gram oral
glucose with a blood draw 1 hour later to determine glucose levels. If the
glucose level is greater than 130-140 then a 3 hour 100 gram oral
glucose tolerance test is performed.
◉ When do we screen for gestational diabetes. Answer: 24 weeks
, ◉ What plasma glucose levels would indicate gestational diabetes.
Answer: Fasting >/= 95
1 hour >/= 180
2 hour >/= 155
3 hour > 140
◉ What is the treatment for mild pregnancy induced hypertension?
Answer: Lifestyle modification: smoking cessation, healthy diet, regular
exercise. Implement close observation
◉ Signs and symptoms of mastitis. Answer: Flu-like symptoms
including malaise, fever, and chills. Tender, hot, red, painful area, or
lump in the breast. Fever is often high, tachycardia, breast exam reveals
warmth, redness, tenderness, and swelling. Nipple may be cracked or
abraded and breast distended with milk.
◉ What is the first line therapy for mastitis. Answer: Dicloxacillin 250-
500mg every 6 hours for 10-14 days. Erythromycin 500mg every 6
hours for 10 days if PCN allergy. Tylenol as needed. Ice or warm packs.
Continue to nurse infant on both breasts but begin on unaffected side.
Increase fluid intake.
◉ What antibiotic cannot be given if an infant is nursing and less than 1
month. Answer: Sulfa
