NURS 629 MVU exam 1
1. How do you measure fundal height: symphysis pubis to top of uterus
2. When can you start to hear fetal heart tones?: around 12 wks
3. What is quickening?: fetal movements felt by the mother
4. When is quickening felt: between 16-20 weeks
5. Abnormal Complaints in first trimester: 1st trimester: Vaginal bleeding
Book: spotting, bleeding, cramping, painful urination, severe vomiting
and/or di- arrhea, fever > 100.4, symptoms of vaginal infection or STI;
persistent or severe low abdominal pain, lightheadedness or dizziness
(particularly if accompanied by shoulder pain)
6. What vaccines should be avoided during pregnancy?: Live vaccines:
MMR
,HPV, varicella, and live attenuated influenza vaccine
7. What labs are drawn at first visit?: CBC, RH (antibody screen) & TYPE,
HIV, RPR, MMR TITER, HEP B TITER, R/O STI's, FULL UA
8. What info is obtained at first OB visit?: PMH, Fx history, Genetic hx
(mom & dad)
9. What is indicated when clu cells are seen?: BV
10.What is the treatment for BV: metronidazole (Flagyl) 500mg BID x 7
days
11.What are presumptive (subjective) signs of pregnancy?: Amenorrhea,
1/
, N/V, FATIGUE, urine frequency, breast changes, quickening, pigment,
striae
12.What are probable (objective) signs of pregnancy?: + HCG, enlarged
Abdo, fetal outline, Balloment, Braxton, Chadwick's, Goodall's, Hegar's
signs
13.What are positive signs of pregnancy?: Fetal HT, U/S, fetal movement
14.What does a bluish cervix indicate?: Chadwick's sign
15.How to use Nageles rule: + 7 days - 3 mos
16.What are signs of preeclampsia?: rapid weight gain, edema to
hands and face, HTN, H/A, visual changes, proteinuria, epigastric
pain
17.What is the treatment of preeclampsia?: Bedrest, (nifedipine,
hydralazine) if severe delivery of the fetus
18.What does HELLP stand for?: hemolysis, elevated liver
enzymes, low platelets
19.S/S of HELLP: EDEMA, N/V, RUQ pain
2/
1. How do you measure fundal height: symphysis pubis to top of uterus
2. When can you start to hear fetal heart tones?: around 12 wks
3. What is quickening?: fetal movements felt by the mother
4. When is quickening felt: between 16-20 weeks
5. Abnormal Complaints in first trimester: 1st trimester: Vaginal bleeding
Book: spotting, bleeding, cramping, painful urination, severe vomiting
and/or di- arrhea, fever > 100.4, symptoms of vaginal infection or STI;
persistent or severe low abdominal pain, lightheadedness or dizziness
(particularly if accompanied by shoulder pain)
6. What vaccines should be avoided during pregnancy?: Live vaccines:
MMR
,HPV, varicella, and live attenuated influenza vaccine
7. What labs are drawn at first visit?: CBC, RH (antibody screen) & TYPE,
HIV, RPR, MMR TITER, HEP B TITER, R/O STI's, FULL UA
8. What info is obtained at first OB visit?: PMH, Fx history, Genetic hx
(mom & dad)
9. What is indicated when clu cells are seen?: BV
10.What is the treatment for BV: metronidazole (Flagyl) 500mg BID x 7
days
11.What are presumptive (subjective) signs of pregnancy?: Amenorrhea,
1/
, N/V, FATIGUE, urine frequency, breast changes, quickening, pigment,
striae
12.What are probable (objective) signs of pregnancy?: + HCG, enlarged
Abdo, fetal outline, Balloment, Braxton, Chadwick's, Goodall's, Hegar's
signs
13.What are positive signs of pregnancy?: Fetal HT, U/S, fetal movement
14.What does a bluish cervix indicate?: Chadwick's sign
15.How to use Nageles rule: + 7 days - 3 mos
16.What are signs of preeclampsia?: rapid weight gain, edema to
hands and face, HTN, H/A, visual changes, proteinuria, epigastric
pain
17.What is the treatment of preeclampsia?: Bedrest, (nifedipine,
hydralazine) if severe delivery of the fetus
18.What does HELLP stand for?: hemolysis, elevated liver
enzymes, low platelets
19.S/S of HELLP: EDEMA, N/V, RUQ pain
2/
