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Tuesday, February 3, 2009

Lippincott's Nclex-RN Review Software: Antepartum Period Nclex Bullets

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With iron deficiency anemia, the Hb level is below 11 g/L and HCT drops below 32%.

A client with lactose intolerance must take lactase replacement drops or tablets whenever milk or a milk product is consumed. The drops must be added to a carton of milk at least 24 hours before the milk is consumed to ensure proper action.

Maternal alcohol use during pregnancy may cause fetal and neonatal central nervous system deficits such as learning disabilities. It also may lead to characteristic physical anomalies and growth retardation.

Braxton Hicks' contractions typically begin between 23 and 27 weeks' gestation.

The fundal height measurement in centimeters equals the approximate gestational age in weeks, until week 32. Thus, fundal height at 12 weeks is 12 cm;

Based on human chorionic gonadotropin (hCG) levels in the blood and urine, pregnancy can be diagnosed as early as 8 days after conception.

When the fetus is in the cephalic postion (head down), fetal heart tones are best ausculated midway between the symphysis pubis and the umbilicus.

Maternal insulin requirement usually decrease during the first trimester from rapid fetal growth and maternal metabolic changes, necessitating adjustment of the insulin dosage.

TORCH refers to Toxoplasmosis, Other Rubella virus, Cytomegalovirus and Herpes simplex virus .

When performing a vaginal or rectovagianl examination, the nurse may assess Hegar's sign (softening of the uterine isthmus) between the 6th and 8th weeks of pregnancy. The fetal outline may be palpated after 24 weeks.

Quickening typically is reported after 16 to 20 weeks.

Castor oil can initiate premature uterine contractions in pregnant women.

An abnormally high AFP level in the client's serum or amniotic fluid suggests a neural tube defect such as spinal bifida.

Signs and symptoms of ectopic pregnancy include amenorrhea and adnexal fullness and tenderness.

Tocolytic drugs are used to arrest preterm labor.

The BPP evaluates fetal health by assessing five variables: fetal breathing movements, gross body movements, fetal tone, reactive fetal heart rate, and qualitative amniotic fluid volume.

In a client with gestational trophoblastic disease, an ultrasound performed after the 3rd month shows grapelike clusters of transparent vesicles rather than a fetus.

Iron deficiency anemia is a common complication of adolescent pregnancies.

Braxton Hicks contractions cause pulling or thightening sensations, primarily over the pubic bone.

HCG is teh hormone responsible for maintaining the pregnancy until the placenta is in place and functioning.

Relaxin is an ovarian hormone that causes the mother to feel tired, thus promoting her to seek rest.

For a client entering pregnancy in her ideal weight range, a gain of 24 to 32 lbs is adequte to meet her needs and the needs of the fetus.

Using Doppler ultrasound, fetal heart tones may be heard as early as the 11th week of pregnancy. Using a stethoscope, fetal heart tones maybe heard between 17 and 20 weeks of gestation.

As the uterus grows in early pregnancy, it deviates physically to the right. This shift, or dextrorotation, is due to the presence of the rectosigmoid colon in the left lower quadrant. As a result, many woman complain of pain in the right lower quadrant.





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