NUR 684 Exam 1 || 100% Verified Answers.
The single most preventable cause of intellectual disabilities is: correct answers ETOH use
during pg
The gestational age of greatest concern for taking a drug that can cause cardiac anomalies is:
correct answers 3-8 weeks
Determining the most accurate estimated date of birth (EDB) is best achieved correct answers
Obtaining the first day of the last menstrual period
(Naegele's Rule: Subtract 3 months from first day of LMP and add 7 days, can only be used
on regular menstrual cycles).
Relief from heartburn during pregnancy may be obtained by correct answers Eating 5 or 6
small meals each day
In a review of vaccinations at an initial prenatal visit at 12 weeks gestation the patient tells
you she had the Tdap vaccination with her last pregnancy which was 2 years ago. You would
advise her she needs a: correct answers Tdap vaccination in her third trimester for every
pregnancy!
Expected findings during examination of the pregnant woman who is 10 weeks gestation
would include: correct answers Softening of the cervix
Which of the following would NOT be a normal physical examination finding during
pregnancy correct answers Mildly enlarged, nodular thyroid
During pregnancy, the thyroid has an increased workload. Two pregnancy-related hormones
—human chorionic gonadotropin (hCG) and estrogen—cause higher measured thyroid
hormone levels in your blood. During pregnancy, thyroid volume and thyroid function adapt
in a physiological way to meet the increased demands for iodine (needed to make hormones
for mom and baby) and energy It is normal for it to increase in size, but it should not be
palpable.
Which of the following is NOT a normal hormone related skin change during pregnancy?
correct answers Itching and inflammation of extremities
Which of the following immunizations may be given during pregnancy? correct answers
Hepatitis B vaccine
can also give flu, TDAP, and Covid-19
A woman with a height of 5'2" has a pre-pregnant weight of 115 lbs, BMI= 21.0, normal
weight category. Which of the following represents the most appropriate weight for her by
the end of her pregnancy? correct answers 145 lbs
*Weight gain in pregnancy
-underweight (BMI < 18.5): 28-40 lbs
-normal pre-pregnant weight (BMI 18.5-24.9): 25-35 lbs
-overweight (BMI 25-29.9): 15 to 25 lbs
, A female client presents at the clinic stating her boyfriend told her he had Chlamydia. She
had unprotected sex 5 days ago. Her LMP was 3 weeks ago. A urine pregnancy test is
negative. On examination you note that she has mucopurulent cervical discharge. Chlamydia
and Gonorrhea tests are done at this visit. The most appropriate treatment for this client is:
correct answers Azithromycin 1 Gm to be taken while in the clinic
Tx: Chlamydia is Azithromycin, Gonorrhea is ceftriaxone
Routine gestational diabetes screening is recommended at between correct answers 24 and 28
weeks gestation (6-7mos)
The screening test for group B streptococcus requires that a specimen be obtained from the:
correct answers Vaginal introitus and rectum
***How to remember: B for Bottom
Nutritional counseling for the pregnant woman should correct answers include Iron
supplements should be taken between rather than with meals
Iron is best absorbed when taken on an empty stomach, but if stomach upset occurs it can be
taken with meals.
ACOG recommended routine screening tests at the initial prenatal visit during the first
trimester include: correct answers syphilis serology
During an ultrasound examination, a 32-week pregnant woman states she is feeling dizzy and
lightheaded. She is diaphoretic and pale. The woman is most likely experiencing: correct
answers Supine hypotension
Correct information for the breastfeeding mother includes: correct answers Some cramping
and increase in lochia flow is normal during feedings
A postpartum breastfeeding client who had an uncomplicated full term vaginal delivery is in
the office today for her six weeks postpartum checkup. Expected physical examination
findings would include: correct answers Decreased vaginal rugae
A client presents with complaint of an increased vaginal discharge with bad odor and no
itching. On examination a thin white discharge is noted at the vaginal opening and adhering
to the vaginal walls. The most likely findings on wet mount examination will be: correct
answers Clue cells (BV)
If a 32-week fetus is in the head down position with its back on the woman's left side the fetal
heart tones should be heard best in what area of the woman's abdomen correct answers Lower
left quadrant
A 36 week pregnant woman calls the clinic reporting that she has noticed less fetal movement
than usual in the past 2 days. Your decision on the course of action will be based on your
knowledge that: correct answers The decrease in fetal movement she is feeling may be an
indicator of fetal hypoxia
The single most preventable cause of intellectual disabilities is: correct answers ETOH use
during pg
The gestational age of greatest concern for taking a drug that can cause cardiac anomalies is:
correct answers 3-8 weeks
Determining the most accurate estimated date of birth (EDB) is best achieved correct answers
Obtaining the first day of the last menstrual period
(Naegele's Rule: Subtract 3 months from first day of LMP and add 7 days, can only be used
on regular menstrual cycles).
Relief from heartburn during pregnancy may be obtained by correct answers Eating 5 or 6
small meals each day
In a review of vaccinations at an initial prenatal visit at 12 weeks gestation the patient tells
you she had the Tdap vaccination with her last pregnancy which was 2 years ago. You would
advise her she needs a: correct answers Tdap vaccination in her third trimester for every
pregnancy!
Expected findings during examination of the pregnant woman who is 10 weeks gestation
would include: correct answers Softening of the cervix
Which of the following would NOT be a normal physical examination finding during
pregnancy correct answers Mildly enlarged, nodular thyroid
During pregnancy, the thyroid has an increased workload. Two pregnancy-related hormones
—human chorionic gonadotropin (hCG) and estrogen—cause higher measured thyroid
hormone levels in your blood. During pregnancy, thyroid volume and thyroid function adapt
in a physiological way to meet the increased demands for iodine (needed to make hormones
for mom and baby) and energy It is normal for it to increase in size, but it should not be
palpable.
Which of the following is NOT a normal hormone related skin change during pregnancy?
correct answers Itching and inflammation of extremities
Which of the following immunizations may be given during pregnancy? correct answers
Hepatitis B vaccine
can also give flu, TDAP, and Covid-19
A woman with a height of 5'2" has a pre-pregnant weight of 115 lbs, BMI= 21.0, normal
weight category. Which of the following represents the most appropriate weight for her by
the end of her pregnancy? correct answers 145 lbs
*Weight gain in pregnancy
-underweight (BMI < 18.5): 28-40 lbs
-normal pre-pregnant weight (BMI 18.5-24.9): 25-35 lbs
-overweight (BMI 25-29.9): 15 to 25 lbs
, A female client presents at the clinic stating her boyfriend told her he had Chlamydia. She
had unprotected sex 5 days ago. Her LMP was 3 weeks ago. A urine pregnancy test is
negative. On examination you note that she has mucopurulent cervical discharge. Chlamydia
and Gonorrhea tests are done at this visit. The most appropriate treatment for this client is:
correct answers Azithromycin 1 Gm to be taken while in the clinic
Tx: Chlamydia is Azithromycin, Gonorrhea is ceftriaxone
Routine gestational diabetes screening is recommended at between correct answers 24 and 28
weeks gestation (6-7mos)
The screening test for group B streptococcus requires that a specimen be obtained from the:
correct answers Vaginal introitus and rectum
***How to remember: B for Bottom
Nutritional counseling for the pregnant woman should correct answers include Iron
supplements should be taken between rather than with meals
Iron is best absorbed when taken on an empty stomach, but if stomach upset occurs it can be
taken with meals.
ACOG recommended routine screening tests at the initial prenatal visit during the first
trimester include: correct answers syphilis serology
During an ultrasound examination, a 32-week pregnant woman states she is feeling dizzy and
lightheaded. She is diaphoretic and pale. The woman is most likely experiencing: correct
answers Supine hypotension
Correct information for the breastfeeding mother includes: correct answers Some cramping
and increase in lochia flow is normal during feedings
A postpartum breastfeeding client who had an uncomplicated full term vaginal delivery is in
the office today for her six weeks postpartum checkup. Expected physical examination
findings would include: correct answers Decreased vaginal rugae
A client presents with complaint of an increased vaginal discharge with bad odor and no
itching. On examination a thin white discharge is noted at the vaginal opening and adhering
to the vaginal walls. The most likely findings on wet mount examination will be: correct
answers Clue cells (BV)
If a 32-week fetus is in the head down position with its back on the woman's left side the fetal
heart tones should be heard best in what area of the woman's abdomen correct answers Lower
left quadrant
A 36 week pregnant woman calls the clinic reporting that she has noticed less fetal movement
than usual in the past 2 days. Your decision on the course of action will be based on your
knowledge that: correct answers The decrease in fetal movement she is feeling may be an
indicator of fetal hypoxia
