1)CK presents to the office and states she thinks she is pregnant. States she is not sure when her last menses was but thinks it has been a couple of…
Question Answered step-by-step 1) CK presents to the office and states she thinks she is pregnant.States she is not sure when her last menses was but thinks it has been a couple of months. She noticed that her breasts feel larger and tender and her nipples are darker. She also has vomited most mornings when she first gets up. She continues to feel nauseous on and off until afternoon. The patient has a urine pregnancy test done and it is positive. Upon examination the provider notices that CK’s cervix is bluish in color, there is thick mucus at the cervical os, the lower uterine segment is soft, and the uterus feels enlarges to the size of an orange. No fetal heart rate is auscultated. An ultrasound reveals a twin pregnancy at 8 weeks gestation and fetal heart activity can be seen on both fetuses. (6 pts, partial credit given)a. Which items are presumptive signs of pregnancy? b. Which items are probable signs of pregnancy? c. Which items are positive signs of pregnancy?2) When can’t Nagele’s Rule be used for determining an estimated date of birth (EDB)? (1 pt, partial credit given)a. _______________________________________________________________________ b. _______________________________________________________________________ c. _______________________________________________________________________ d. _______________________________________________________________________ 3) When taking CK’s (from question 1) OB history the nurse gets the following information: she is currently 8 weeks pregnant with twins, she had an elective termination when she was 18 years old, a spontaneous miscarriage at age 20, a spontaneous vaginal birth at 39 weeks when she was 25 (child is now 5years old) , and an emergency cesarean birth at 35 weeks due to pregnancy complications when she was 27 (that infant did not survive). What is her GTPAL? (1 pts)a. G = ____ b. T = ____ c. P = ____ d. A = ____ e. L = ____ 4) CK is now at 35 weeks gestation and she calls the office to say she is not feeling the babies move. Which of the following tests might the provider order to assess the fetuses? Circle all the apply. (1 pt, partial credit given)a. Nonstress testb. Biophysical profilec. Quad screend. Doppler flow5) What is the difference between screening tests and diagnostic tests? Health Science Science Nursing NUR 421 Share QuestionEmailCopy link Comments (0)


