NR 327 EXAM
NR 327 EXAM 1 QUESTIONS AND
VERIFIED SOLUTION 2025
GTPAL - G: number of pregnancies
P: number of deliveries (20 weeks)
T: delivery that occurred after 38 weeks
P: delivery before 38 week s
A: SAB or ETOP
L: Living
Nagele's rule - EDD = LMP -3months, +7 days
Concerns for pediatric patient - How is she coping?
Is FOB in the picture
How will it effect school?
Nutrition
Routine prenatal care
Presumptive signs of pregnancy - (Subjective)
Amenorrhea
N/V/ urinary frequency
Fatigue
Probable signs of pregnancy - (Objective)
+Pregnancy test
NR 327 EXAM
,NR 327 EXAM
Hegar's sign
Ballotement
Goodell's sign
Chadwick's sign
Enlarged abdomen
Palpable fetal outline
Positive signs of pregnancy - Fetal heart tones
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
PICA - craving and eating things that are not normally considered edible
-Due to imbalance of zinc/iron
Nursing interventions for nausea - Small frequent meals
BRAT diet
Position upright after meals
NR 327 EXAM
,NR 327 EXAM
Hormones that increase during pregnancy - Estrogen
Progesterone
Increased estrogen - Increased blood supply
-Nasal stuffiness
-Bloody gums
-Bloody nose
Increased progesterone - Relaxes smooth muscles
Increases need to breath
Heightened awareness
-PPP: Progesterone protects pregnancy
Nutritional needs during pregnancy - Increased:
-Folic acid
-Calcium
-Iron
-Water
-Calories
Decreased/Eliminated:
-Caffeine
-Smoking (quit)
-Drugs (quit)
-Fried foods (moderation)
-Fish-mercury
-Lunch meat - Lysteria (avoid)
NR 327 EXAM
, NR 327 EXAM
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
Iron deficiency anemia in pregnancy - Common
Low iron = baby at risk for bleeding
Smoking in pregnancy - IDPH has a program for smoking cessation
Patients must be automatically referred if a smoker
Expected weight gain in pregnancy - 4.4lbs in first trimester
1 lb/week after 13 weeks
Expected weight gain for patient with a normal BMI - 25-35lbs (11.5-16kg)
Expected weight gain for patient who is underweight - 27.5-40lbs (12.5-18kg)
Expected weight gain for a patient who is overweight - 15-25lbs (7-11.5kg)
NR 327 EXAM
NR 327 EXAM 1 QUESTIONS AND
VERIFIED SOLUTION 2025
GTPAL - G: number of pregnancies
P: number of deliveries (20 weeks)
T: delivery that occurred after 38 weeks
P: delivery before 38 week s
A: SAB or ETOP
L: Living
Nagele's rule - EDD = LMP -3months, +7 days
Concerns for pediatric patient - How is she coping?
Is FOB in the picture
How will it effect school?
Nutrition
Routine prenatal care
Presumptive signs of pregnancy - (Subjective)
Amenorrhea
N/V/ urinary frequency
Fatigue
Probable signs of pregnancy - (Objective)
+Pregnancy test
NR 327 EXAM
,NR 327 EXAM
Hegar's sign
Ballotement
Goodell's sign
Chadwick's sign
Enlarged abdomen
Palpable fetal outline
Positive signs of pregnancy - Fetal heart tones
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
PICA - craving and eating things that are not normally considered edible
-Due to imbalance of zinc/iron
Nursing interventions for nausea - Small frequent meals
BRAT diet
Position upright after meals
NR 327 EXAM
,NR 327 EXAM
Hormones that increase during pregnancy - Estrogen
Progesterone
Increased estrogen - Increased blood supply
-Nasal stuffiness
-Bloody gums
-Bloody nose
Increased progesterone - Relaxes smooth muscles
Increases need to breath
Heightened awareness
-PPP: Progesterone protects pregnancy
Nutritional needs during pregnancy - Increased:
-Folic acid
-Calcium
-Iron
-Water
-Calories
Decreased/Eliminated:
-Caffeine
-Smoking (quit)
-Drugs (quit)
-Fried foods (moderation)
-Fish-mercury
-Lunch meat - Lysteria (avoid)
NR 327 EXAM
, NR 327 EXAM
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
Iron deficiency anemia in pregnancy - Common
Low iron = baby at risk for bleeding
Smoking in pregnancy - IDPH has a program for smoking cessation
Patients must be automatically referred if a smoker
Expected weight gain in pregnancy - 4.4lbs in first trimester
1 lb/week after 13 weeks
Expected weight gain for patient with a normal BMI - 25-35lbs (11.5-16kg)
Expected weight gain for patient who is underweight - 27.5-40lbs (12.5-18kg)
Expected weight gain for a patient who is overweight - 15-25lbs (7-11.5kg)
NR 327 EXAM
