FIRST PUBLISH OCTOBER 2024
NU2011 Exam 3 Study Guide with
Complete Solutions
Changes that occur in pregnancy (3) - Ans:✔✔-1. Presumptive changes: amenorrhea, breast tenderness,
nausea, vomiting, increased urinary frequency
2. Probable signs: enlarged uterus
3. Positive signs: fetal heartbeat.
History questions to ask when pregnant (10) - Ans:✔✔-1. are you taking vitamins? folic acid,
multivitamin
2. # of pregnancies
3. # of live births
4. # of still borns
5. # of miscarraiges
6. Smoking/alcohol
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7. # of living kids
8. home environment
9. Healthcare providers
10. Medications
Physical Exams during pregnancy
1. first 28 weeks
2. last 12 weeks
*types of tests - Ans:✔✔-first 28 weeks: q 3-4 week visits
last 12 weeks: q 1-2 weeks.
*ultrsounds, fetal heart beats, blood glucose levels, weight, BP, fluid retention, edema, position of fetus
(Leopolds maneuvers)
Changes in pregnancy (8) - Ans:✔✔-1. vitals: HR and erspiratory slight increase
2. weight: gain 15-40 lbs
3. Lumbar lordosis: curve in spine due to joint softening due to progesterone.
4. skin: Choloama: pregnancy mask, striae gracidarnum and linea nigra: line down middle of abdomen
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5. Hair: small loss in scalp
6.Breast changes: increase size, presence of colostrum (thick yellow fluid from nipple).
7. Musculoskeletal: widening pelvis and waddling gait.
8. Elimination: constipation and urinary increases.
Fundal height - Ans:✔✔-measure from symphysis pubus from top of fundus- should increase 1 cm per
week.
34 wk=34cm
Leopold's Maneuver: what to look for in each step (4) - Ans:✔✔-determines how the baby is oriented
within the mother.
1. find head
2. arms, legs and spine to find how baby is laying
3. determines what fetal part is laying above the lower abdomen
4. locate the fetus's brow
Fetal heart sounds: normal fetal heart rate - Ans:✔✔-1. identify the fetal position, use fetal heart sounds
to confirm your findings
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2. Count heart rate for 15 seconds and multiply by 4
*should be 120-160 BPM
Pregnancy Screening Recommendations (5) - Ans:✔✔-1. hematocrit/hemoglobin
2. Hep B antigen
3. Rubella
4. STD
5. RH type
Gordon definition of Stress - Ans:✔✔-depiction of general coping ability and the individual's ability to
effectively manage stress.
- ability to process life crisis
- Resist Disruptive factors
- Conflict resolution
- Stress management
- accessibility to resources
characteristics of stress
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