NM702: COMMON DISCOMFORTS EXAM QUESTIONS AND
ANSWERS WITH COMPLETE SOLUTIONS GRADED A++
Urinary Frequency: Cause
As your uterus grows it may press on your bladder causing you to feel bladder fullness
and the urge to go
Urinary Frequency: HPI/what would rule in normal concern of pregnancy?
No pain/bleeding on urination, no supra-pubic pain, no vaginal changes (odor, burning,
itching), no fever/cough/chest pain
Urinary Frequency: Chart review
No hx of kidney problems, No recurrent UTI problems, no hx of recurrent vaginal infx no
STDs.
Urinary Frequency: No objective data needed rationale
Consistent with pregnancy norms. No pain or distress. No new vaginal sx, no blood in
urine.
Urinary Frequency: Tx/Relief strategies
Avoid bladder irritants (caffeine, carbonated beverages), Avoid overfull bladder.
Nausea/Vomiting: Cause
Hormonal changes, slowed stomach & intestinal emptying and genetic factors can
contribute to n/v. Also can be from lower fasting glucose levels. Most common medical
condition in pregnancy.
Nausea/Vomiting: HPI/what would rule in normal concern of pregnancy?
, Began early in first trimester, minimal/moderate interference on daily activities, no signs
of dehydration, appropriate weight gain. BP normal, no weight loss.
Nausea/Vomiting: Chart review
Family hx, no stomach problems/past surgeries/masses.
Nausea/Vomiting: No objective data needed rationale
Consistent with pregnancy norms. Not hyperemesis. No s/s of dehydration (dry mouth,
eyes, dark urine, dizzy) No weight loss. Can continue to work/do most normal activities.
No inability to keep food down for >24hrs.
Nausea/Vomiting: Tx/Relief strategies
Small frequent meals Q2-3hrs
Increase rest
Sip clear/carbonated or sour liquids
Separate ingesting liquids from solid foods
Sip small amounts of fluids throughout day
Change prenatal vitamin to folic acid only until nausea resolves
Suck on popsicles throughout day
Decrease dietary fat
Avoid strong smelling or highly spiced foods
Increase protein intake
Increase intake of bland foods
Eat something right before bed and before rising (crackers next to bed)
Brush teeth in between meals, not right after
Eat whatever seems appealing
ANSWERS WITH COMPLETE SOLUTIONS GRADED A++
Urinary Frequency: Cause
As your uterus grows it may press on your bladder causing you to feel bladder fullness
and the urge to go
Urinary Frequency: HPI/what would rule in normal concern of pregnancy?
No pain/bleeding on urination, no supra-pubic pain, no vaginal changes (odor, burning,
itching), no fever/cough/chest pain
Urinary Frequency: Chart review
No hx of kidney problems, No recurrent UTI problems, no hx of recurrent vaginal infx no
STDs.
Urinary Frequency: No objective data needed rationale
Consistent with pregnancy norms. No pain or distress. No new vaginal sx, no blood in
urine.
Urinary Frequency: Tx/Relief strategies
Avoid bladder irritants (caffeine, carbonated beverages), Avoid overfull bladder.
Nausea/Vomiting: Cause
Hormonal changes, slowed stomach & intestinal emptying and genetic factors can
contribute to n/v. Also can be from lower fasting glucose levels. Most common medical
condition in pregnancy.
Nausea/Vomiting: HPI/what would rule in normal concern of pregnancy?
, Began early in first trimester, minimal/moderate interference on daily activities, no signs
of dehydration, appropriate weight gain. BP normal, no weight loss.
Nausea/Vomiting: Chart review
Family hx, no stomach problems/past surgeries/masses.
Nausea/Vomiting: No objective data needed rationale
Consistent with pregnancy norms. Not hyperemesis. No s/s of dehydration (dry mouth,
eyes, dark urine, dizzy) No weight loss. Can continue to work/do most normal activities.
No inability to keep food down for >24hrs.
Nausea/Vomiting: Tx/Relief strategies
Small frequent meals Q2-3hrs
Increase rest
Sip clear/carbonated or sour liquids
Separate ingesting liquids from solid foods
Sip small amounts of fluids throughout day
Change prenatal vitamin to folic acid only until nausea resolves
Suck on popsicles throughout day
Decrease dietary fat
Avoid strong smelling or highly spiced foods
Increase protein intake
Increase intake of bland foods
Eat something right before bed and before rising (crackers next to bed)
Brush teeth in between meals, not right after
Eat whatever seems appealing
