NURS 629 MARYVILLE EXAM 1
QUESTIONS AND VERIFIED ANSWERS;
100% CORRECT; GRADE A
1 hour GTT - correct answer- 1° GTT (24-28 weeks)
drink 50g glucose,
if 1° BS > 130-140 + and they need a 3 hour test
12 weeks pregnant - correct answer- uterus size of a
softball, felt above symphysis pubis, palpable at this time
16 weeks pregnant - correct answer- uterus half way b/t
symphysis pubis and umbilicus, quickening maybe noted
2nd trimester ultrasound indications - correct answer-
Establish or confirm EDD
Confirm viability
Detect polyhydramnios or oligohydramnios
Visualization during amnio
3 hour GTT - correct answer- 3° GTT
,• high carb diet X 2 days, then NPO after MN
• FBS, then drink 100g glucose,
•Fasting, 1°, 2°, 3° BS
Gestational Diabetes is diagnosed with FBS > 95 or with two of
the following BS results:
1°> 180, 2°> 155, 3°> 140
3-Month Oral Pill - correct answer- •Combination
estrogen/progestin
•Take 11 weeks of active pills, 1 week of sugar pills
-Cycle every 3 months
-Same missed pill scheduling
-Same risk profile
-Benefit of decreased cycles
•Good for women who have dysmenorrhea or menorrhagia
3rd trimester ultrasound indications - correct answer-
Confirm EDD
Confirm Viability
Detect macrosomia
Detect congenital anomaly
,Detect UGR
Visualization during amnio
Biophysical profile
Amniotic fluid volume assessment
Doppler Flow studies
Abruptio Placenta risk factors - correct answer- HTN, DN,
poor nutrition cocaine or tobacco use, blunt trauma
Abruptio Placenta S&S - correct answer- •Sudden onset
of intense pain with or without bleeding
•Hard, boardlike abdomen
•Decreased FHR and movement
•Possible shock
American Academy of Pediatrics and Academy of Breastfeeding
Medicine, recommend exclusive breastfeeding - correct
answer- till 6 months of life
Amniotic Fluid Volume (AFI) - correct answer-
•Measures the largest pocket of fluid
, •5-19 cm is normal
•Low AFI is associated with anomalies, IUGR, fetal distress, post-
term pregnancy
•High AFI is associated with anomalies, DM
•Weekly measurement
Anatomy scan - correct answer- 18-22 weeks
baby blues - correct answer- blues are mild and self-
limiting symptoms occurring within a couple days of delivery,
peak over the following few days, and then resolve within two
weeks of onset.
Benefits of Breastfeeding for Infant - correct answer-
•Maternal antibodies present, especially in colostrum so
provides immunity
•Decreases incidence and/or severity of diarrhea, respiratory
infections, otitis media, meningitis, botulism, UTI, NEC, and
obesity
•Possible protective effect against SIDS, Type 1 DM,
Crohn's, ulcerative colitis, lymphoma/leukemia, allergic
diseases
QUESTIONS AND VERIFIED ANSWERS;
100% CORRECT; GRADE A
1 hour GTT - correct answer- 1° GTT (24-28 weeks)
drink 50g glucose,
if 1° BS > 130-140 + and they need a 3 hour test
12 weeks pregnant - correct answer- uterus size of a
softball, felt above symphysis pubis, palpable at this time
16 weeks pregnant - correct answer- uterus half way b/t
symphysis pubis and umbilicus, quickening maybe noted
2nd trimester ultrasound indications - correct answer-
Establish or confirm EDD
Confirm viability
Detect polyhydramnios or oligohydramnios
Visualization during amnio
3 hour GTT - correct answer- 3° GTT
,• high carb diet X 2 days, then NPO after MN
• FBS, then drink 100g glucose,
•Fasting, 1°, 2°, 3° BS
Gestational Diabetes is diagnosed with FBS > 95 or with two of
the following BS results:
1°> 180, 2°> 155, 3°> 140
3-Month Oral Pill - correct answer- •Combination
estrogen/progestin
•Take 11 weeks of active pills, 1 week of sugar pills
-Cycle every 3 months
-Same missed pill scheduling
-Same risk profile
-Benefit of decreased cycles
•Good for women who have dysmenorrhea or menorrhagia
3rd trimester ultrasound indications - correct answer-
Confirm EDD
Confirm Viability
Detect macrosomia
Detect congenital anomaly
,Detect UGR
Visualization during amnio
Biophysical profile
Amniotic fluid volume assessment
Doppler Flow studies
Abruptio Placenta risk factors - correct answer- HTN, DN,
poor nutrition cocaine or tobacco use, blunt trauma
Abruptio Placenta S&S - correct answer- •Sudden onset
of intense pain with or without bleeding
•Hard, boardlike abdomen
•Decreased FHR and movement
•Possible shock
American Academy of Pediatrics and Academy of Breastfeeding
Medicine, recommend exclusive breastfeeding - correct
answer- till 6 months of life
Amniotic Fluid Volume (AFI) - correct answer-
•Measures the largest pocket of fluid
, •5-19 cm is normal
•Low AFI is associated with anomalies, IUGR, fetal distress, post-
term pregnancy
•High AFI is associated with anomalies, DM
•Weekly measurement
Anatomy scan - correct answer- 18-22 weeks
baby blues - correct answer- blues are mild and self-
limiting symptoms occurring within a couple days of delivery,
peak over the following few days, and then resolve within two
weeks of onset.
Benefits of Breastfeeding for Infant - correct answer-
•Maternal antibodies present, especially in colostrum so
provides immunity
•Decreases incidence and/or severity of diarrhea, respiratory
infections, otitis media, meningitis, botulism, UTI, NEC, and
obesity
•Possible protective effect against SIDS, Type 1 DM,
Crohn's, ulcerative colitis, lymphoma/leukemia, allergic
diseases
