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NUR 207/208
Unit 1 test
| Question | Answer |
|---|---|
| Multigravida | A woman who has been pregnant regardless of duration |
| Gravida | Any pregnancy regardless of duration |
| Elderly gravida | a woman who is 35nyrs or older who is pregnant for the 1st time. |
| Characteristics of 1st trimester pregnancy | mood swings tired bloated nausea 4.4lb weight gain |
| How is iron administered | IV or Oral. Should not be given with milk. Can given with citrus |
| Where does fertilization take place? | In the fallopian tube near the ovary. |
| How to calculate Nagele's rule. | 1st day of last menstrual period count back 3 months add 7 days update the year (if applicable) |
| Beverages to stay away from when pregnant | Caffeinated drinks Alcohol Energy drinks( Monster, Red Bull) |
| What is completed during a pre natal check up? | Vital signs CBC A1C HCG Blood Type Pelvis measurements |
| Blood test used to confirm pregnancy? | HCG |
| Prenatal emergencies | Ectopic Pregnancy Placenta Previa Placentae Abrutio |
| What are probable signs of pregnancy? | Goodell Sign Chadwick Sign Hegar Sign McDonald sign Abdominal enlargement Braxton Hicks Fetal outline Abdominal Striae Positive pregnancy test |
| Travel during pregnancy | Up to 36 weeks |
| Weight gain during pregnancy by trimester | 1st trimester-Up to 4.4lbs 2-3 trimester 1-2 lbs. per week for the rest of the pregnancy |
| How can the TPAL scale help with future pregnancies? | This can be used to determine how prenatal care is handled for a patient. |
| Biophysical profile scores | 8-10 normal 6-suspicious <4 abnormal |
| What is Hyperemesis gravidarum? | Excessive nausea and vomiting |
| Complications of Hyperemesis gravidarum | Excessive nausea and vomiting can interfere with maternal food and fluid intake. Dehydration Low birth weight reduction of blood, O2 and nutrients to the fetus. |
| Ectopic pregnancy signs and symptoms: | lower abdominal pain Hypovolemic shock vaginal bleeding shoulder pain |
| When can the Rubella vaccine be given? | 3 months before pregnancy After the birth of the baby |
| Functions of the Amniotic Fluid: | Maintains temperature Prevents the sac from adhering to the fetal skin Allows fetal movement Acts as a cushion to protect the fetus Regulates body temp of the fetus |
| Placenta Previa symptoms | Painless bleeding |
| Signs that need to be reported to the MD during a prenatal checks | Elevated BP Bleeding Abdomen pain Changes in fetal movement |
| First sign of puberty in a girl | Breast development |
| Role of testosterone | increase one's muscle mass and strength promotes growth "growth spurts" affects hair distribution enlargement of vocal cords "Voice deepens" Enhances production of RBC |
| How is the gender of the baby determined? | X or Y chromosome from the father |
| What are positive signs of pregnancy? | Audible fetal heart beat Fetal movement US of the fetus |
| Normal fetal heart rate | 110-160 |
| What does FSH do? | Stimulates follicle maturation |
| First sign of fluid retention | Sudden weight gain |
| What situation causes RH incompatibility? | (-) mom (+) baby |
| What is abruptio placentae? | Premature separation of the placenta |
| Signs and symptoms of abruptio placentae? | painful bleeding lower abdomen pain shoulder pain |
| Factors that decrease sperm production | heat-avoid hot tubs/saunas alcohol smoking |
| Purpose of contraction stress test | Measures the fetal HR after the mother's uterus is stimulated to contact. Used to identify a fetus' risk of hypoxic injury or death. |
| What is gestational hypertension? | BP of 140/90 Happens after 20 weeks of gestation Preeclampsia Eclampsia |
| What is supine hypertension? | Compression of Vena Cava when laying on your back while pregnant. Pregnant women are advised to lie on the left side to relive the compression |
| Position to prevent placental damage when the patient has placenta previa: | Lying on the Left side |
| Foods high in calcium | Broccoli Legumes Green leafy vegies |
| What is the Ductus Venous? | diverts blood away from the liver as it returns from the placenta. |
| How does blood circulate from the placenta? | AVA Artery-vein-artery |
| What is the kick count? | amount of kicks from the fetus in an hour 10-15 kicks an hour is normal |
| What is the role of the placenta? | Transport of nutrients, O2, vitamins, amino acids, fatty acids and water from the maternal blood supply to the fetus. |
| what signs if preeclampsia and eclampsia should be reported to the MD? | decreased urine output blurred vision increased BP headaches seizures |
| What are Leopold maneuvers? | This is when the physician attempts to turn the fetus before delivery. Hidden twins are usually seen after this maneuver. |
| What is the 1st sign of Hypovolemia? | Tachycardia |
| What are TORCH infections? | Toxoplasmosis Other Rubella Cytomegalovirus Herpes |
| Karl Crede | recommended the use of 2% silver nitrate in the eyes of newborns to prevent blindness from gonorrhea |
| Ignaz Semmelweis | Assistant Professor in Austria that noticed that many woman were dying in childbirth or shortly after due to infections because medical students working on cadavers were not washing their hands. |
| Pathway of sperm | Epididymis-Vas deferens-Urethra |
| What color should amniotic fluid be? | Clear and may have a mild odor. |
| Goodell's sign | softening of the cervix and vagina caused by increased vascular congestion |
| Chadwick's sign | purple or bluish coloration of the cervix, vagina and vulva caused by increased increased vascular congestion |
| Hegar's sign | softening and compressibility of the lower uterus |
| McDonald's sign | Uterus is softening, easy to flex the body of the uterus against the cervix. |
| By the end of the 12th week the uterus is located | just above the symphysis pubis |
| Between 20 and 22 weeks the uterus extends to | the umbilicus |
| Fetal Heart beat can be detected | by the 10th week using a doppler device. |
| What is the antidote for Magnesium sulfate | Calcium Gluconate |
| What is a complication of excess Magnesium Sulfate | Loss of deep tendon reflexes |
Created by:
shondell1971
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