MARYVILLE NURS 629 MVU EXAM 1 100% Correct Answers Verified Latest 2024 Version

How do you measure fundal height - symphysis pubis to top of uterus When can you start to hear fetal heart tones? - around 12 wks What is quickening? - fetal movements felt by the mother When is quickening felt - between 16-20 weeks Abnormal Complaints in first trimester - 1st trimester: Vaginal bleeding Book: spotting, bleeding, cramping, painful urination, severe vomiting and/or diarrhea, fever 100.4, symptoms of vaginal infection or STI; persistent or severe low abdominal pain, lightheadedness or dizziness (particularly if accompanied by shoulder pain) What vaccines should be avoided during pregnancy? - Live vaccines: MMR ,HPV, varicella, and live attenuated influenza vaccine 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 What info is obtained at first OB visit? - PMH, Fx history, Genetic hx (mom & dad) What is indicated when clu cells are seen? - BV What is the treatment for BV - metronidazole (Flagyl) 500mg BID x 7 daysWhat are presumptive (subjective) signs of pregnancy? - Amenorrhea, N/V, FATIGUE, urine frequency, breast changes, quickening, pigment, striae What are probable (objective) signs of pregnancy? - + HCG, enlarged Abdo, fetal outline, Balloment, Braxton, Chadwick's, Goodall's, Hegar's signs What are positive signs of pregnancy? - Fetal HT, U/S, fetal movement What does a bluish cervix indicate? - Chadwick's sign How to use Nageles rule - + 7 days - 3 mos What are signs of preeclampsia? - rapid weight gain, edema to hands and face, HTN, H/A, visual changes, proteinuria, epigastric pain What is the treatment of preeclampsia? - Bedrest, (nifedipine, hydralazine) if severe delivery of the fetus What does HELLP stand for? - hemolysis, elevated liver enzymes, low platelets S/S of HELLP - EDEMA, N/V, RUQ pain What should 'at home' plan be for preeclampsia? - high protein diet, daily kick counts, wkly nonstress test & contraction monitor, monitor for hand and face edema, visual changes, B/P, epigastric pain When will you see a drop in the fundal height? - at 36 weeks as the head drops into canal When is subinvolution suspected - when lochia turns bright red with clots