NR 327 PREGNANCY MANAGEMENT EXAM 1 2025/2026 WITH 100% ACCURATE ANSWERS
GTPAL - (ANSWER)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 - (ANSWER)EDD = LMP -3months, +7 days
Concerns for pediatric patient - (ANSWER)How is she coping?
Is FOB in the picture
How will it effect school?
Nutrition
Routine prenatal care
Presumptive signs of pregnancy - (ANSWER)(Subjective)
Amenorrhea
N/V/ urinary frequency
Fatigue
Probable signs of pregnancy - (ANSWER)(Objective)
+Pregnancy test
Hegar's sign
Ballotement
Goodell's sign
Chadwick's sign
Enlarged abdomen
,NR 327 PREGNANCY MANAGEMENT EXAM 1 2025/2026 WITH 100% ACCURATE ANSWERS
Palpable fetal outline
Positive signs of pregnancy - (ANSWER)Fetal heart tones
Fetal movement felt by examiner
Ultrasound
Ballotement - (ANSWER)uterus will rebound when pushed
Goodell's sign - (ANSWER)Softening of the cervix
Hegar's sign - (ANSWER)Softening of the uterus
Chadwick's sign - (ANSWER)Purple/blue color of the cervix
PICA - (ANSWER)craving and eating things that are not normally considered edible
-Due to imbalance of zinc/iron
Nursing interventions for nausea - (ANSWER)Small frequent meals
BRAT diet
Position upright after meals
Hormones that increase during pregnancy - (ANSWER)Estrogen
Progesterone
Increased estrogen - (ANSWER)Increased blood supply
-Nasal stuffiness
-Bloody gums
,NR 327 PREGNANCY MANAGEMENT EXAM 1 2025/2026 WITH 100% ACCURATE ANSWERS
-Bloody nose
Increased progesterone - (ANSWER)Relaxes smooth muscles
Increases need to breath
Heightened awareness
-PPP: Progesterone protects pregnancy
Nutritional needs during pregnancy - (ANSWER)Increased:
-Folic acid
-Calcium
-Iron
-Water
-Calories
Decreased/Eliminated:
-Caffeine
-Smoking (quit)
-Drugs (quit)
-Fried foods (moderation)
-Fish-mercury
-Lunch meat - Lysteria (avoid)
Folic acid in pregnancy - (ANSWER)Prevents neural tube defects
Sources for calcium - (ANSWER)Yogurt, cheese, milk
Caffeine recommendations - (ANSWER)200mg (2 cups) per day
, NR 327 PREGNANCY MANAGEMENT EXAM 1 2025/2026 WITH 100% ACCURATE ANSWERS
Fish-mercury in pregnancy - (ANSWER)Risk for premature, miscarriage, brain damage
Cholesterol in pregnancy - (ANSWER)Monitor cholesterol caloric intake if risk for preeclampsia
Iron deficiency anemia in pregnancy - (ANSWER)Common
Low iron = baby at risk for bleeding
Smoking in pregnancy - (ANSWER)IDPH has a program for smoking cessation
Patients must be automatically referred if a smoker
Expected weight gain in pregnancy - (ANSWER)4.4lbs in first trimester
1 lb/week after 13 weeks
Expected weight gain for patient with a normal BMI - (ANSWER)25-35lbs (11.5-16kg)
Expected weight gain for patient who is underweight - (ANSWER)27.5-40lbs (12.5-18kg)
Expected weight gain for a patient who is overweight - (ANSWER)15-25lbs (7-11.5kg)
Expected weight gain for a patient who is obese - (ANSWER)15lbs (7kg)
Things done at every prenatal visit - (ANSWER)Vital signs (know baseline)
Weight
Urine sample (risk for UTI)
Fundal height
Leopolds maneuvers
FHR (fetal activity)
GTPAL - (ANSWER)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 - (ANSWER)EDD = LMP -3months, +7 days
Concerns for pediatric patient - (ANSWER)How is she coping?
Is FOB in the picture
How will it effect school?
Nutrition
Routine prenatal care
Presumptive signs of pregnancy - (ANSWER)(Subjective)
Amenorrhea
N/V/ urinary frequency
Fatigue
Probable signs of pregnancy - (ANSWER)(Objective)
+Pregnancy test
Hegar's sign
Ballotement
Goodell's sign
Chadwick's sign
Enlarged abdomen
,NR 327 PREGNANCY MANAGEMENT EXAM 1 2025/2026 WITH 100% ACCURATE ANSWERS
Palpable fetal outline
Positive signs of pregnancy - (ANSWER)Fetal heart tones
Fetal movement felt by examiner
Ultrasound
Ballotement - (ANSWER)uterus will rebound when pushed
Goodell's sign - (ANSWER)Softening of the cervix
Hegar's sign - (ANSWER)Softening of the uterus
Chadwick's sign - (ANSWER)Purple/blue color of the cervix
PICA - (ANSWER)craving and eating things that are not normally considered edible
-Due to imbalance of zinc/iron
Nursing interventions for nausea - (ANSWER)Small frequent meals
BRAT diet
Position upright after meals
Hormones that increase during pregnancy - (ANSWER)Estrogen
Progesterone
Increased estrogen - (ANSWER)Increased blood supply
-Nasal stuffiness
-Bloody gums
,NR 327 PREGNANCY MANAGEMENT EXAM 1 2025/2026 WITH 100% ACCURATE ANSWERS
-Bloody nose
Increased progesterone - (ANSWER)Relaxes smooth muscles
Increases need to breath
Heightened awareness
-PPP: Progesterone protects pregnancy
Nutritional needs during pregnancy - (ANSWER)Increased:
-Folic acid
-Calcium
-Iron
-Water
-Calories
Decreased/Eliminated:
-Caffeine
-Smoking (quit)
-Drugs (quit)
-Fried foods (moderation)
-Fish-mercury
-Lunch meat - Lysteria (avoid)
Folic acid in pregnancy - (ANSWER)Prevents neural tube defects
Sources for calcium - (ANSWER)Yogurt, cheese, milk
Caffeine recommendations - (ANSWER)200mg (2 cups) per day
, NR 327 PREGNANCY MANAGEMENT EXAM 1 2025/2026 WITH 100% ACCURATE ANSWERS
Fish-mercury in pregnancy - (ANSWER)Risk for premature, miscarriage, brain damage
Cholesterol in pregnancy - (ANSWER)Monitor cholesterol caloric intake if risk for preeclampsia
Iron deficiency anemia in pregnancy - (ANSWER)Common
Low iron = baby at risk for bleeding
Smoking in pregnancy - (ANSWER)IDPH has a program for smoking cessation
Patients must be automatically referred if a smoker
Expected weight gain in pregnancy - (ANSWER)4.4lbs in first trimester
1 lb/week after 13 weeks
Expected weight gain for patient with a normal BMI - (ANSWER)25-35lbs (11.5-16kg)
Expected weight gain for patient who is underweight - (ANSWER)27.5-40lbs (12.5-18kg)
Expected weight gain for a patient who is overweight - (ANSWER)15-25lbs (7-11.5kg)
Expected weight gain for a patient who is obese - (ANSWER)15lbs (7kg)
Things done at every prenatal visit - (ANSWER)Vital signs (know baseline)
Weight
Urine sample (risk for UTI)
Fundal height
Leopolds maneuvers
FHR (fetal activity)
