1. GTPAL 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
2. Nagele's rule EDD = LMP -3months, +7 days
3. Concerns for pe- How is she coping?
diatric patient Is FOB in the picture
How will it ettect school?
Nutrition
Routine prenatal care
4. Presumptive (Subjective)
signs of Amenorrhea
pregnancy N/V/ urinary frequency
Fatigue
5. Probable signs of (Objective)
pregnancy +Pregnancy test
Hegar's sign
Ballotement
Goodell's sign
Chadwick's sign
Enlarged abdomen
Palpable fetal outline
6. Positive signs of Fetal heart tones
pregnancy Fetal movement felt by examiner
Ultrasound
, NR 327 Exam 1 Test Questions with Answers Rated A
7. Ballotement uterus will rebound when pushed
8. Goodell's sign Softening of the cervix
9. Hegar's sign Softening of the uterus
10. Chadwick's sign Purple/blue color of the cervix
11. PICA craving and eating things that are not normally considered edible
-Due to imbalance of zinc/iron
12. Nursing inter- Small frequent meals
ventions for nau- BRAT diet
sea Position upright after meals
13. Hormones that Estrogen
increase during Progesterone
pregnancy
14. Increased estro- Increased blood supply
gen -Nasal stuflness
-Bloody gums
-Bloody nose
15. Increased prog- Relaxes smooth muscles
esterone Increases need to breath
Heightened awareness
-PPP: Progesterone protects pregnancy
16. Nutritional needs Increased:
during pregnan- -Folic acid
cy -Calcium
-Iron
-Water
, NR 327 Exam 1 Test Questions with Answers Rated A
-Calories
Decreased/Eliminated:
-Catteine
-Smoking (quit)
-Drugs (quit)
-Fried foods (moderation)
-Fish-mercury
-Lunch meat - Lysteria (avoid)
17. Folic acid in preg- Prevents neural tube defects
nancy
18. Sources for calci- Yogurt, cheese, milk
um
19. Caffeine recom- 200mg (2 cups) per day
mendations
20. Fish-mercury in Risk for premature, miscarriage, brain damage
pregnancy
21. Cholesterol in Monitor cholesterol caloric intake if risk for preeclampsia
pregnancy
22. Iron deficiency Common
anemia in preg- Low iron = baby at risk for bleeding
nancy
23. Smoking in preg- IDPH has a program for smoking cessation
nancy Patients must be automatically referred if a smoker
24. Expected weight 4.4lbs in first trimester
gain in pregnan- 1 lb/week after 13 weeks
cy
, NR 327 Exam 1 Test Questions with Answers Rated A
25. Expected weight 25-35lbs (11.5-16kg)
gain for patient
with a normal
BMI
26. Expected weight 27.5-40lbs (12.5-18kg)
gain for patient
who is under-
weight
27. Expected weight 15-25lbs (7-11.5kg)
gain for a pa-
tient who is over-
weight
28. Expected weight 15lbs (7kg)
gain for a patient
who is obese
29. Things done at Vital signs (know baseline)
every prenatal Weight
visit Urine sample (risk for UTI)
Fundal height
Leopolds maneuvers
FHR (fetal activity)
30. Leopold's ma- Determines fetal position
neuver
31. BP risk for 140/90
pre-eclampsia
32. Fundal height