4/4/25, 6:03 NR 327 Exam 1 |
PM
NR 327 EXAM 1 QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED
Terms in this set (285)
G: number of pregnancies
P: number of deliveries (20 weeks)
T: delivery that occurred after 38 weeks
GTPAL
P: delivery before 38 week s
A: SAB or ETOP
L: Living
Nagele's rule EDD = LMP -3months, +7 days
How is she coping?
Is FOB in the picture
Concerns for pediatric patient How will it effect school?
Nutrition
Routine prenatal care
(Subjective)
Amenorrhea
Presumptive signs of pregnancy
N/V/ urinary frequency
Fatigue
(Objective)
+Pregnancy test
Hegar's sign
Ballotement
Probable signs of pregnancy
Goodell's sign
Chadwick's sign
Enlarged abdomen
Palpable fetal
outline
Fetal heart tones
Positive signs of pregnancy Fetal movement felt by examiner
Ultrasound
Ballotement uterus will rebound when pushed
Goodell's sign Softening of the cervix
Hegar's sign Softening of the uterus
Chadwick's sign Purple/blue color of the cervix
craving and eating things that are not normally considered edible
PICA
-Due to imbalance of zinc/iron
Small frequent meals
Nursing interventions for nausea BRAT diet
Position upright after meals
Hormones that increase during Estrogen
pregnancy Progesterone
Increased blood supply
-Nasal stuffiness
Increased estrogen
-Bloody gums
-Bloody nose
Relaxes smooth muscles
Increases need to breath
Increased progesterone
Heightened awareness
-PPP: Progesterone protects pregnancy
1/
7
, 4/4/25, 6:03 NR 327 Exam 1 |
PM
Increased:
-Folic acid
-Calcium
-Iron
-Water
-Calories
Nutritional needs during pregnancy Decreased/Eliminated:
-Caffeine
-Smoking (quit)
-Drugs (quit)
-Fried foods (moderation)
-Fish-mercury
-Lunch meat - Lysteria (avoid)
Folic acid in pregnancy Prevents neural tube defects
Sources for calcium Yogurt, cheese, milk
Caffeine recommendations 200mg (2 cups) per day
Fish-mercury in pregnancy Risk for premature, miscarriage, brain damage
Cholesterol in pregnancy Monitor cholesterol caloric intake if risk for preeclampsia
Common
Iron deficiency anemia in pregnancy
Low iron = baby at risk for bleeding
IDPH has a program for smoking cessation
Smoking in pregnancy
Patients must be automatically referred if a smoker
4.4lbs in first trimester
Expected weight gain in pregnancy
1 lb/week after 13 weeks
Expected weight gain for patient with a 25-35lbs (11.5-16kg)
normal BMI
Expected weight gain for patient who is 27.5-40lbs (12.5-18kg)
underweight
Expected weight gain for a patient who is 15-25lbs (7-11.5kg)
overweight
Expected weight gain for a patient who is 15lbs (7kg)
obese
Vital signs (know baseline)
Weight
Urine sample (risk for UTI)
Things done at every prenatal visit
Fundal height
Leopolds maneuvers
FHR (fetal activity)
Leopold's maneuver Determines fetal position
BP risk for pre-eclampsia 140/90
Measured between 18-32 weeks
Measured in centimeters
Fundal height Symphysis pubis to top of uterus
fundus Purpose: approximates
gestational age
-Correlated with GA: 18 wks = 18cm (may be +/- 2)
2/
7
PM
NR 327 EXAM 1 QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED
Terms in this set (285)
G: number of pregnancies
P: number of deliveries (20 weeks)
T: delivery that occurred after 38 weeks
GTPAL
P: delivery before 38 week s
A: SAB or ETOP
L: Living
Nagele's rule EDD = LMP -3months, +7 days
How is she coping?
Is FOB in the picture
Concerns for pediatric patient How will it effect school?
Nutrition
Routine prenatal care
(Subjective)
Amenorrhea
Presumptive signs of pregnancy
N/V/ urinary frequency
Fatigue
(Objective)
+Pregnancy test
Hegar's sign
Ballotement
Probable signs of pregnancy
Goodell's sign
Chadwick's sign
Enlarged abdomen
Palpable fetal
outline
Fetal heart tones
Positive signs of pregnancy Fetal movement felt by examiner
Ultrasound
Ballotement uterus will rebound when pushed
Goodell's sign Softening of the cervix
Hegar's sign Softening of the uterus
Chadwick's sign Purple/blue color of the cervix
craving and eating things that are not normally considered edible
PICA
-Due to imbalance of zinc/iron
Small frequent meals
Nursing interventions for nausea BRAT diet
Position upright after meals
Hormones that increase during Estrogen
pregnancy Progesterone
Increased blood supply
-Nasal stuffiness
Increased estrogen
-Bloody gums
-Bloody nose
Relaxes smooth muscles
Increases need to breath
Increased progesterone
Heightened awareness
-PPP: Progesterone protects pregnancy
1/
7
, 4/4/25, 6:03 NR 327 Exam 1 |
PM
Increased:
-Folic acid
-Calcium
-Iron
-Water
-Calories
Nutritional needs during pregnancy Decreased/Eliminated:
-Caffeine
-Smoking (quit)
-Drugs (quit)
-Fried foods (moderation)
-Fish-mercury
-Lunch meat - Lysteria (avoid)
Folic acid in pregnancy Prevents neural tube defects
Sources for calcium Yogurt, cheese, milk
Caffeine recommendations 200mg (2 cups) per day
Fish-mercury in pregnancy Risk for premature, miscarriage, brain damage
Cholesterol in pregnancy Monitor cholesterol caloric intake if risk for preeclampsia
Common
Iron deficiency anemia in pregnancy
Low iron = baby at risk for bleeding
IDPH has a program for smoking cessation
Smoking in pregnancy
Patients must be automatically referred if a smoker
4.4lbs in first trimester
Expected weight gain in pregnancy
1 lb/week after 13 weeks
Expected weight gain for patient with a 25-35lbs (11.5-16kg)
normal BMI
Expected weight gain for patient who is 27.5-40lbs (12.5-18kg)
underweight
Expected weight gain for a patient who is 15-25lbs (7-11.5kg)
overweight
Expected weight gain for a patient who is 15lbs (7kg)
obese
Vital signs (know baseline)
Weight
Urine sample (risk for UTI)
Things done at every prenatal visit
Fundal height
Leopolds maneuvers
FHR (fetal activity)
Leopold's maneuver Determines fetal position
BP risk for pre-eclampsia 140/90
Measured between 18-32 weeks
Measured in centimeters
Fundal height Symphysis pubis to top of uterus
fundus Purpose: approximates
gestational age
-Correlated with GA: 18 wks = 18cm (may be +/- 2)
2/
7
