NURS 630 Test 1 Questions With 100% Verified Answers Pass Guaranteed.

What is the recommended office visit interval during each trimester in a low risk pregnancy? - correct answers 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 answers 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 answers Backache, dyspnea, epitaxis, leukorrhea, ligament pain, muscle cramps, pica, syncope What are the appropriate findings in the third trimester? - correct answers Braxton-Hicks contractions, discomfort in upper extremities, edema, heartburn, insomnia, joint pain/ache What are common symptoms during pregnancy? - correct answers 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 answers 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 answers 1st trimester: heavy bleeding 3rd trimester: headache, blurred vision What OCP can be given to breastfeeding women? - correct answers Oral contraceptive after 6 weeks - progestin only. Diaphragm, IUD/intradermal, Depo Provera What immunizations can be given in pregnancy? - correct answers No live vaccines like MMR or varicella How to screen for gestational DM - correct answers 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 answers 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 answers 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 answers Usually unilateral, chills, fever, malaise, local tenderness with swelling, pain, lump What are the s/s of gestational HTN? - correct answers 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 answers 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 What are the presumptive/subjective signs of pregnancy? - correct answers Amenorrhea, N/V, excessive fatigue, urinary frequency, breast changes, quickening, enlarged abdomen What are the probable/objective signs of pregnancy? - correct answers Positive pregnancy test, Hegar's sign, Chadwick's sign, Goodell's sign, Ballottement, Fetal outline What are the positive/diagnostic indicators of pregnancy? - correct answers Fetal heart tones, fetal movements, fetal sonography What happens during weeks 1-8 of pregnancy? - correct answers Placenta begins to form, the brain and spinal cord begin to form. The tissues that begin to form the heart begin to beat. The heartbeat can be detected with ultrasound at about 6 weeks of pregnancy. Buds for limbs appear with paddle-like hands and feet. The eyes, nose, ears begin to develop. Eyelids form but remain closed. The genitals begin to develop. By the end of the eighth week, all major organs and body systems have begun to develop. What happens during weeks 13-16 during pregnancy? - correct answers Arms and legs can flex. External sex organs are formed. The outer ear begins to develop. The fetus can swallow and hear. The neck is formed. Kidneys are functioning and begin to produce urine. What happens during weeks 9-12 during pregnancy? - correct answers Buds for future teeth appear. Fingers and toes start to form. Soft nails begin to form. Bones and muscles begin to grow. The intestines begin to form. The backbone is soft and can flex. The skin is thin and transparent. The hands are more developed than the feet. The arms are longer than the legs. What happens during weeks 17-20 during pregnancy? - correct answers The sucking reflex develops. If the hand floats to the mouth, the fetus may suck his or her thumb. The skin is wrinkled and the body is covered with a waxy coating (vernix) and fine hair (lanugo). The fetus sleeps and wakes regularly. Nails grow to the tips of the fingers. The gallbladder begins producing bile, which is needed to digest nutrients. In female fetuses, the eggs have formed in the ovaries. In male fetuses, the testes have begun to descend. It may be possible to tell the sex of the fetus on an ultrasound exam. What happens during weeks 21-24 of pregnancy? - correct answers The fetus may hiccup. The brain is rapidly developing. Tear ducts are developing. Finger and toe prints can be seen. The lungs are fully formed but not yet ready to function outside of the uterus. What happens during weeks 25-28 of pregnancy? - correct answers The eyes can open and close and sense changes in light. The fetus kicks and stretches. The fetus can make grasping motions and responds to sound. Lung cells begin to make a substance that will enable breathing. What happens during weeks 29-32 of pregnancy? - correct answers With its major development finished, the fetus gains weight very quickly. Bones harden, but the skull remains soft and flexible for delivery. The different regions of the brain continue to form. Hair on the head starts to grow. Lanugo begins to disappear. What happens during weeks 33-36 of pregnancy? - correct answers The fetus usually turns into a head-down position for birth. The brain continues to develop. The skin is less wrinkled. The lungs are maturing and getting ready to function outside of the uterus. Sleeping patterns develop. What happens during weeks 37-40 of pregnancy? - correct answers The fetus drops lower into the pelvis. More fat accumulates, especially around the elbows, knees, and shoulders. The fetus gains about half a pound per week during this last month of pregnancy. What is the pre-embryotic or ovum stage? - correct answers Conception to day 14 What is the embryo stage? - correct answers Day 15 to week 8 What is the fetal stage? - correct answers 9 weeks til term When does the heart start beating? - correct answers Week 6 Week 8 milestones - correct answers Brain activity, fetus moves in response to touch, is 1 inch long Week 10-12 milestones - correct answers Heartbeat with doppler, respiratory movements, moves extremities and sucks thumbs, 4 inches long Week 16 milestones - correct answers sucking response begins, sex identifiable, quickening, placenta fully formed Week 20 milestones - correct answers Fingernails, swallows fluid, hearing begins to develop, 8-12 inches long, 0.5-1 lb Week 24 milestones - correct answers skin is red, wrinkled, lanugo, responds to light and and sound, viable Week 28 milestones - correct answers 15 inches long, 3 lb, lecithin forming on alveolar surfaces, lungs taking practice breaths, fetus can perceive light, senses are functional, brown fat formed Week 32 milestones - correct answers lungs may be immature until 34-35 weeks, 18 inches long, 5 lb Weeks 30-40 milestones - correct answers increase in subcutaneous fat and weight Weeks 38-40 milestones - correct answers full term by 38-40 weeks gestation, gain .5/lb per week. 19-21 inches long What to tell patients to do about N/V in pregnancy? - correct answers Benadryl, dramamine, compazine, phenergan, zofran, reglan. Avoid triggers. Rest. Avoid stress. Avoid tight clothing. Small frequent meals, high carbs, sipping carbonated drinks, avoid spicy and fatty foods, sit upright after eating. Adequate hydration, Vitamin B6, ginger