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NURS 629 MVU EXAM 1 QUESTIONS
AND ANSWERS
1. How do you measure fundal height
ANS symphysis pubis to top of uterus
2. When can you start to hear fetal heart tones?
ANS around 12 wks
3. What is quickening?
ANS fetal movements felt by the mother
4. When is quickening felt
ANS between 16-20 weeks
5. Abnormal Complaints in first trimester
ANS 1st trimester Vaginal bleeding Book ANS spotting, bleeding, cramping, painful urination, severe vomiting and/or di- arrhea, fever > 100.4, symptoms of vaginal infection or STI; persistent or severe low abdominal pain, lightheadedness or dizziness (particularly if accompanied by shoulder pain)
6. What vaccines should be avoided during pregnancy?
ANS Live vaccines
MMR
,HPV, varicella, and live attenuated influenza vaccine
7. What labs are drawn at first visit?
ANS CBC, RH (antibody screen) & TYPE, HIV, RPR, MMR TITER, HEP B TITER, R/O STI's, FULL UA
8. What info is obtained at first OB visit?
ANS PMH, Fx history, Genetic hx (mom & dad)
9. What is indicated when clu cells are seen?
ANS BV
10. What is the treatment for BV
ANS metronidazole (Flagyl) 500mg BID x 7 days
11. What are presumptive (subjective) signs of pregnancy?
ANS Amenorrhea, N/V, FATIGUE, urine frequency, breast changes, quickening, pigment, striae
12. What are probable (objective) signs of pregnancy?
ANS + HCG, enlarged Abdo, fetal outline, Balloment, Braxton, Chadwick's, Goodall's, Hegar's signs
13. What are positive signs of pregnancy?
ANS Fetal HT, U/S, fetal movement
14. What does a bluish cervix indicate?
ANS Chadwick's sign
15. How to use Nageles rule
ANS + 7 days - 3 mos
16. What are signs of preeclampsia?
20. What should 'at home' plan be for preeclampsia?
ANS high protein diet, daily kick counts, wkly non-stress test & contraction monitor, monitor for hand and face edema, visual changes, B/P, epigastric pain
21. When will you see a drop in the fundal height?
ANS at 36 weeks as the head drops into canal
22. When is subinvolution suspected
ANS when lochia turns bright red with clots
23. How would you treat subinvolution?
ANS Methergine 0.2mg PO TID for up to a week
24. what education should be given with a subinvolution?
ANS if filling pad in an hour or lemon size clots go to ED, if fever culture discharge
25. Clinical presentation of mastitis?
ANS unilateral breast red, painful, warm to touch usually clogged milk duct
26. What education do you give with mastatitis
ANS Continue to BF, Pump if breast are still hard after feeding, warm compress
27. What B/C is used if still breastfeeding?
ANS Progesterone only
28. When and how to screen for 1 hr GTT
ANS between 24-28 wks, no need to fast, if over 140 then 3 hr GTT is needed
29. How is gestational diabetes diagnosed?
ANS if the 1 hr gtt is >180 auto dx; if 3 hr gtt is 95 fasting, >180 @ 1hr, >153 @ 2
hr, >140 @ 3 hr
30. What is considered a good kick count?
ANS 10 or more movements in 2 hrs
31. What are normal PAP guidelines?
ANS 1st at age 21 regardless of sexual activity Q 3 yrs until 29 Q 5 yrs 30-
32. What can be used to treat nausea in pregnancy
ANS zofran 4 mg up to 3 times a day, can cause Extrapyramidal symptoms (EPS) inform provider
33. What to educate on with N/V
ANS keep a list of associated factors (food/activity), rest when nauseated, avoid stress & triggers (smells/sights), avoid tight clothing, meditation/relaxation techniques
34. What is the treatment for trichomoniasis
ANS metronidazole (Flagyl) 2g, sin- gle-dose, notify partner, no sex for 7 days after treatment, educate on using condoms
35. How to treat vaginal candidiasis
ANS Miconazole (monostat) cream or vaginal suppository QHS x 7 days
