NURS 630 Test 1 UPDATED ACTUAL
Questions and CORRECT Answers
What is the recommended office visit interval during each trimester in a low risk pregnancy? -
CORRECT ANSWER - Up to 28 weeks - every 4 weeks
28-36 weeks - every 2 weeks
36 weeks and more - every week or more as necessary
What are the appropriate findings in the first trimester? - CORRECT ANSWER - Breast pain,
enlargement, changes in pigment. Constipation. Excessive salivation, fatigue, flatulence, headaches, N/V,
hemorrhoids, urinary frequency, varicosities of vulva and legs
What are the appropriate findings in the second trimester? - CORRECT ANSWER - Backache,
dyspnea, epitaxis, leukorrhea, ligament pain, muscle cramps, pica, syncope
What are the appropriate findings in the third trimester? - CORRECT ANSWER - Braxton-Hicks
contractions, discomfort in upper extremities, edema, heartburn, insomnia, joint pain/ache
What are common symptoms during pregnancy? - CORRECT ANSWER - N/V, heartburn,
constipation, hemorrhoids, leg cramps, urinary frequency, back ache, lower leg swelling, dyspnea in 3rd
trimester, leukorrhea
What are concerning symptoms during pregnancy? - CORRECT ANSWER - fever, vaginal
discharge that is large amount, odor, irritation, vaginal bleeding, palpitations, breathlessness at rest,
swelling up upper extremities or face, oliguria, decreased or absent fetal movement
What are some worrisome complaints? - CORRECT ANSWER - 1st trimester: heavy bleeding
3rd trimester: headache, blurred vision
What OCP can be given to breastfeeding women? - CORRECT ANSWER - Oral contraceptive
after 6 weeks - progestin only.
Diaphragm, IUD/intradermal, Depo Provera
, What immunizations can be given in pregnancy? - CORRECT ANSWER - No live vaccines like
MMR or varicella
How to screen for gestational DM - CORRECT ANSWER - At 24-28 weeks gestation: 1 hour
glucose testing (non-fasting)
If above 130-140 then 3-hour glucose testing (fasting)
How to prevent pregnancy induced hypertension - CORRECT ANSWER - Prevention is key -
regular exercise, increase protein diet, 8 glasses of water per day, rest
How to treat PIH or chronic HTN during pregnancy - CORRECT ANSWER - Labetolol,
nifedipine, or methyldopa (only severe PIH, systolic BP > 180, diastolic > 110). Close monitoring, kick
counts, NST, weekly OB visits
What are the s/s of mastitis? - CORRECT ANSWER - Usually unilateral, chills, fever, malaise,
local tenderness with swelling, pain, lump
What are the s/s of gestational HTN? - CORRECT ANSWER - Headache, visual disturbances,
facial, ankle and finger edema, or severe heartburn with abdominal pain
What should the fundal height be at various prenatal visits? - CORRECT ANSWER - 10 weeks -
uterus baseball sized, FHT via doppler between 10-12 weeks
12 weeks - uterus is softball sized, fundus is rising above symphysis pubis, palpable at the time
16 weeks - halfway between symphysis pubis and umbilicis, quickening first noted, about 18-20 weeks
with 1st pregnancy
20-36 weeks - uterus increases 1cm in size weekly, uterine fundus at umbilicus
Term - fundal height drops r/t fetal head engagement into pelvis, vertex position in 95% of pregnancy by
36 weeks
Questions and CORRECT Answers
What is the recommended office visit interval during each trimester in a low risk pregnancy? -
CORRECT ANSWER - Up to 28 weeks - every 4 weeks
28-36 weeks - every 2 weeks
36 weeks and more - every week or more as necessary
What are the appropriate findings in the first trimester? - CORRECT ANSWER - Breast pain,
enlargement, changes in pigment. Constipation. Excessive salivation, fatigue, flatulence, headaches, N/V,
hemorrhoids, urinary frequency, varicosities of vulva and legs
What are the appropriate findings in the second trimester? - CORRECT ANSWER - Backache,
dyspnea, epitaxis, leukorrhea, ligament pain, muscle cramps, pica, syncope
What are the appropriate findings in the third trimester? - CORRECT ANSWER - Braxton-Hicks
contractions, discomfort in upper extremities, edema, heartburn, insomnia, joint pain/ache
What are common symptoms during pregnancy? - CORRECT ANSWER - N/V, heartburn,
constipation, hemorrhoids, leg cramps, urinary frequency, back ache, lower leg swelling, dyspnea in 3rd
trimester, leukorrhea
What are concerning symptoms during pregnancy? - CORRECT ANSWER - fever, vaginal
discharge that is large amount, odor, irritation, vaginal bleeding, palpitations, breathlessness at rest,
swelling up upper extremities or face, oliguria, decreased or absent fetal movement
What are some worrisome complaints? - CORRECT ANSWER - 1st trimester: heavy bleeding
3rd trimester: headache, blurred vision
What OCP can be given to breastfeeding women? - CORRECT ANSWER - Oral contraceptive
after 6 weeks - progestin only.
Diaphragm, IUD/intradermal, Depo Provera
, What immunizations can be given in pregnancy? - CORRECT ANSWER - No live vaccines like
MMR or varicella
How to screen for gestational DM - CORRECT ANSWER - At 24-28 weeks gestation: 1 hour
glucose testing (non-fasting)
If above 130-140 then 3-hour glucose testing (fasting)
How to prevent pregnancy induced hypertension - CORRECT ANSWER - Prevention is key -
regular exercise, increase protein diet, 8 glasses of water per day, rest
How to treat PIH or chronic HTN during pregnancy - CORRECT ANSWER - Labetolol,
nifedipine, or methyldopa (only severe PIH, systolic BP > 180, diastolic > 110). Close monitoring, kick
counts, NST, weekly OB visits
What are the s/s of mastitis? - CORRECT ANSWER - Usually unilateral, chills, fever, malaise,
local tenderness with swelling, pain, lump
What are the s/s of gestational HTN? - CORRECT ANSWER - Headache, visual disturbances,
facial, ankle and finger edema, or severe heartburn with abdominal pain
What should the fundal height be at various prenatal visits? - CORRECT ANSWER - 10 weeks -
uterus baseball sized, FHT via doppler between 10-12 weeks
12 weeks - uterus is softball sized, fundus is rising above symphysis pubis, palpable at the time
16 weeks - halfway between symphysis pubis and umbilicis, quickening first noted, about 18-20 weeks
with 1st pregnancy
20-36 weeks - uterus increases 1cm in size weekly, uterine fundus at umbilicus
Term - fundal height drops r/t fetal head engagement into pelvis, vertex position in 95% of pregnancy by
36 weeks
