NUR 629 3 OB EXAM Questions With 100% Correct
Answers Graded A+
What are presumptive signs of pregnancy?
Presumptive signs of pregnancy refers to signs and symptoms that may resemble
pregnancy signs and symptoms, but may in fact be caused by something else.
*S/S frequently reported during pregnancy
Presumptive S/S of pregnancy p. 470
Amenorrhea
N/V
Fatigue
Frequent urination
Breast tenderness
Chadwick's Sign
Hyperpigmentation
Chloasma
Linea nigra
Fetal movements (Quickening)
What are probable signs of pregnancy?
Probable signs of pregnancy are signs that indicate pregnancy the majority of the time.
However, there is still the chance they can be false or caused by something other than
pregnancy, like presumptive signs.
*S/S that are more reliable indicators of pregnancy, often noted on the physical exam or
w/ lab testing
Probable S/S of pregnancy
A positive pregnancy test - false positives for a variety of reasons, such as the urine
being too diluted when the test is taken, or the instructions not being followed
completely
An enlarged abdomen - bloating during menstruation or a slight weight gain
Goodell's sign, Hegar's sign, Braxton-Hicks contractions
Uterine/Abdominal enlargement
+ Preg test
What are positive signs of pregnancy?
Positive signs of pregnancy are signs that cannot, under any circumstances, be
mistaken for other conditions, and are evidence that pregnancy has occurred.
*S/S that provide absolute confirmation of pregnancy
Positive S/S of pregnancy
These signs include fetal heart sounds by a Doppler in the doctor's office, ultrasound
detection of the fetus, or the movement of the fetus felt by a doctor.
A positive sign of pregnancy is:
Softening of the cervix.
, Fetal heartbeat.
Enlargement of the uterus and abdomen.
Mother's perception of fetal movement
Fetal heartbeat.
What is Gestational Diabetes?
Carbohydrate intolerance that is induced by pregnancy
Screening tests for gestational diabetes: (UpToDate)
One-step approach: 75-gram, 2-hr oral GTT
Two-step approach: Glucose challenge test then screen positive patients onto the next
step a 100-gram, 3-hour OGTT, which is the diagnostic test for GD
--50-gram 1 hour glucose screen: measure plasma glucose 1 hour after consuming
When to screen for GD? (UpToDate)
Universal screening between 24-28 weeks of gestation
Risk factors for GD per UpToDate
1. Personal history of impaired glucose tolerance or GD in previous pregnancy
2. Hispanic-American, AA, Native American, South or East Asian, Pacific Islander
3. FH of diabetes (First-degree relative)
4. Pre-pregnancy BMI >30, excessive weight gain during 18-24 weeks, significant
weight gain in early adulthood or btw pregnancies
5. Maternal age >25 years
6. Previous unexplained perinatal loss or birth of a malformed infant
7. Glycosuria at the first prenatal visit
8. Metabolic syndrome, PCOS, current use of glucocorticoids, HTN
9. Multiple gestation
What are normal glucose values per the book?
Normal values: fasting <110; 2-hour plasma glucose <140
What is impaired glucose tolerance per the book?
Fasting >110 and <126; 2-hour plasma glucose >140 and <200 after 75g
What are diabetic values per the book?
plasma glucose >200 and symptoms of polydipsia, polyphagia, and unexplained weight
loss
fasting >126 on 2 occasions
2-hour plasma glucose >200 after 75g
Confirming the results by repeated testing on a subsequent day is recommended
According to the book, what is PIH?
PIH is now called gestational hypertension according to our book.
BP>140/90 w/o proteinuria after 20 weeks of gestation and a return of BP to normal
postpartum
PIH treatment (per uptodate)
If PIH is mild, it can be treated at home. If you have been diagnosed with PIH and your
doctor recommends home treatment, you will need to maintain a quiet, restful
environment with limited activity or bed rest on your left side. It is important that you
follow the diet and fluid intake guidelines from your health care provider and maintain
Answers Graded A+
What are presumptive signs of pregnancy?
Presumptive signs of pregnancy refers to signs and symptoms that may resemble
pregnancy signs and symptoms, but may in fact be caused by something else.
*S/S frequently reported during pregnancy
Presumptive S/S of pregnancy p. 470
Amenorrhea
N/V
Fatigue
Frequent urination
Breast tenderness
Chadwick's Sign
Hyperpigmentation
Chloasma
Linea nigra
Fetal movements (Quickening)
What are probable signs of pregnancy?
Probable signs of pregnancy are signs that indicate pregnancy the majority of the time.
However, there is still the chance they can be false or caused by something other than
pregnancy, like presumptive signs.
*S/S that are more reliable indicators of pregnancy, often noted on the physical exam or
w/ lab testing
Probable S/S of pregnancy
A positive pregnancy test - false positives for a variety of reasons, such as the urine
being too diluted when the test is taken, or the instructions not being followed
completely
An enlarged abdomen - bloating during menstruation or a slight weight gain
Goodell's sign, Hegar's sign, Braxton-Hicks contractions
Uterine/Abdominal enlargement
+ Preg test
What are positive signs of pregnancy?
Positive signs of pregnancy are signs that cannot, under any circumstances, be
mistaken for other conditions, and are evidence that pregnancy has occurred.
*S/S that provide absolute confirmation of pregnancy
Positive S/S of pregnancy
These signs include fetal heart sounds by a Doppler in the doctor's office, ultrasound
detection of the fetus, or the movement of the fetus felt by a doctor.
A positive sign of pregnancy is:
Softening of the cervix.
, Fetal heartbeat.
Enlargement of the uterus and abdomen.
Mother's perception of fetal movement
Fetal heartbeat.
What is Gestational Diabetes?
Carbohydrate intolerance that is induced by pregnancy
Screening tests for gestational diabetes: (UpToDate)
One-step approach: 75-gram, 2-hr oral GTT
Two-step approach: Glucose challenge test then screen positive patients onto the next
step a 100-gram, 3-hour OGTT, which is the diagnostic test for GD
--50-gram 1 hour glucose screen: measure plasma glucose 1 hour after consuming
When to screen for GD? (UpToDate)
Universal screening between 24-28 weeks of gestation
Risk factors for GD per UpToDate
1. Personal history of impaired glucose tolerance or GD in previous pregnancy
2. Hispanic-American, AA, Native American, South or East Asian, Pacific Islander
3. FH of diabetes (First-degree relative)
4. Pre-pregnancy BMI >30, excessive weight gain during 18-24 weeks, significant
weight gain in early adulthood or btw pregnancies
5. Maternal age >25 years
6. Previous unexplained perinatal loss or birth of a malformed infant
7. Glycosuria at the first prenatal visit
8. Metabolic syndrome, PCOS, current use of glucocorticoids, HTN
9. Multiple gestation
What are normal glucose values per the book?
Normal values: fasting <110; 2-hour plasma glucose <140
What is impaired glucose tolerance per the book?
Fasting >110 and <126; 2-hour plasma glucose >140 and <200 after 75g
What are diabetic values per the book?
plasma glucose >200 and symptoms of polydipsia, polyphagia, and unexplained weight
loss
fasting >126 on 2 occasions
2-hour plasma glucose >200 after 75g
Confirming the results by repeated testing on a subsequent day is recommended
According to the book, what is PIH?
PIH is now called gestational hypertension according to our book.
BP>140/90 w/o proteinuria after 20 weeks of gestation and a return of BP to normal
postpartum
PIH treatment (per uptodate)
If PIH is mild, it can be treated at home. If you have been diagnosed with PIH and your
doctor recommends home treatment, you will need to maintain a quiet, restful
environment with limited activity or bed rest on your left side. It is important that you
follow the diet and fluid intake guidelines from your health care provider and maintain
