NUR 254 Exam 2 | Real Exam Questions
and Answers | Verified Accurate
‣ Signs of pregnancy: Presumptive (Subjective) -✓✓- breast tenderness, amenorrhea,
fatigue
‣ Signs of pregnancy: Probable -✓✓- pregnancy test, hegar, ballotments, goodell sign,
Chadwick
‣ Signs of pregnancy: Positive -✓✓- heart beat, visualization, palpating movement
‣ Palmar erythema (PUPPS) -✓✓itchy hands/ feet abnormal
- topical steroid
‣ Linea Nigra -✓✓a dark line appearing on the abdomen and extending from the pubis
toward the umbilicus
‣ striae gravidarum -✓✓stretch marks
‣ Cardiac output -✓✓increases by 30-50%
-Bp should stay about the same (highest when sitting)
- HR increases 15-20
- murmurs can be present
‣ Muskuloskeletal -✓✓- increased risk of falls
- back pain
- relaxed to prepare for birth
‣ Neurological -✓✓- postural hypotension
- headache
- carpal tunnel syndrome
‣ GI -✓✓PICA
- GERD
- heartburn
- gums bleeding (soft tooth brush)
‣ Endocrine -✓✓-Estrogen/ progesterone
- oxytocin (stimulate labor)
‣ Naegeles rule -✓✓-subtract 3 months from the LMP then add 7 days and 1 year
, ‣ Trimesters -✓✓First: 1-13 weeks
Second: 14-26 weeks
Third: 27-40 weeks
‣ Initial visit -✓✓- confirm pregnancy
- surgical hx (breast implants, abd surgery)
- Hx of smoking
- Hx drug use
- use of herbal medications
- family hx
- mental health screening (PPD)
- partner violence
‣ Respiratory system -✓✓-SOB
‣ renal system -✓✓-UTI (dilated vessels)
- empty bladder, hygiene, water
‣ PICA -✓✓- monitor iron (H&H)
‣ Labs -✓✓Hemoglobin: >11
Hematocrit: >33
GBS: 35-37 weeks
1 HR GTT: 24-28 weeks (not fasting) (>130)
3 Hr GTT: (fasting)
‣ RH factor -✓✓- mom is negative
- given 26-30 weeks of pregnancy
- 72 hrs after birth if baby has positive blood type
‣ Food sources with Folate -✓✓- liver, chicken, turkey
- lamb, beef, veal
- legumes, green leafy veggies, oranges
‣ Fluids -✓✓- Should have 8-10 glasses per day (2.3L)
- water, milk, and decaf tea
**pre term labor**
‣ Foods with iron -✓✓- liver, meat, whole grains, dark green veggies, dried fruits
‣ Foods with calcium -✓✓- milk, cheese, yogurt, sardines, fish w/ bones
‣ Physical activity -✓✓- nothing new
- adequate amount fluids
and Answers | Verified Accurate
‣ Signs of pregnancy: Presumptive (Subjective) -✓✓- breast tenderness, amenorrhea,
fatigue
‣ Signs of pregnancy: Probable -✓✓- pregnancy test, hegar, ballotments, goodell sign,
Chadwick
‣ Signs of pregnancy: Positive -✓✓- heart beat, visualization, palpating movement
‣ Palmar erythema (PUPPS) -✓✓itchy hands/ feet abnormal
- topical steroid
‣ Linea Nigra -✓✓a dark line appearing on the abdomen and extending from the pubis
toward the umbilicus
‣ striae gravidarum -✓✓stretch marks
‣ Cardiac output -✓✓increases by 30-50%
-Bp should stay about the same (highest when sitting)
- HR increases 15-20
- murmurs can be present
‣ Muskuloskeletal -✓✓- increased risk of falls
- back pain
- relaxed to prepare for birth
‣ Neurological -✓✓- postural hypotension
- headache
- carpal tunnel syndrome
‣ GI -✓✓PICA
- GERD
- heartburn
- gums bleeding (soft tooth brush)
‣ Endocrine -✓✓-Estrogen/ progesterone
- oxytocin (stimulate labor)
‣ Naegeles rule -✓✓-subtract 3 months from the LMP then add 7 days and 1 year
, ‣ Trimesters -✓✓First: 1-13 weeks
Second: 14-26 weeks
Third: 27-40 weeks
‣ Initial visit -✓✓- confirm pregnancy
- surgical hx (breast implants, abd surgery)
- Hx of smoking
- Hx drug use
- use of herbal medications
- family hx
- mental health screening (PPD)
- partner violence
‣ Respiratory system -✓✓-SOB
‣ renal system -✓✓-UTI (dilated vessels)
- empty bladder, hygiene, water
‣ PICA -✓✓- monitor iron (H&H)
‣ Labs -✓✓Hemoglobin: >11
Hematocrit: >33
GBS: 35-37 weeks
1 HR GTT: 24-28 weeks (not fasting) (>130)
3 Hr GTT: (fasting)
‣ RH factor -✓✓- mom is negative
- given 26-30 weeks of pregnancy
- 72 hrs after birth if baby has positive blood type
‣ Food sources with Folate -✓✓- liver, chicken, turkey
- lamb, beef, veal
- legumes, green leafy veggies, oranges
‣ Fluids -✓✓- Should have 8-10 glasses per day (2.3L)
- water, milk, and decaf tea
**pre term labor**
‣ Foods with iron -✓✓- liver, meat, whole grains, dark green veggies, dried fruits
‣ Foods with calcium -✓✓- milk, cheese, yogurt, sardines, fish w/ bones
‣ Physical activity -✓✓- nothing new
- adequate amount fluids
