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Nurs 410 Exam 1 Questions with Correct Answers.
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Nurs 410 Exam 1 Questions with Correct Answers.
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Nurs 410 Exam 1 Questions with Correct AnswersGeneral Systems Theory Correct Answer ✓✓ Explains the relationships
among parts and the whole and provides a way of looking at
interrelationships
GST: System Correct Answer ✓✓ A set of interacting, identifiable parts
or components. A system can be an individual, a family, a community,
or a nation. The fundamental components of a system include matter,
energy and communications. All of these components are necessary for
the existence of a system.
GST: Boundary Correct Answer ✓✓ A separation that differentiates one
system from another. For example, the skin separates the individual
from the environment.
GST: Subsystem Correct Answer ✓✓ Smaller parts of complex
systems. Organ systems such as the digestive or respiratory systems are
subsystems of the body.
GST: Open Systems Correct Answer ✓✓ Energy, matter and
information move in and out of the system through the boundary. All
living systems are open systems and are in a constant state of change.
An open system depends upon input, throughput, output, and feedback.
Characteristics of Open Systems Correct Answer ✓✓ 1. The parts of a
system are interrelated and interactive.
2. A change in one part affects all other parts.
,3. A system is more than the sum of its parts.
4. The focus is on the process or function of the whole system and not
on its parts.
5. Each system is part of a larger system.
How is GST applicable to nursing? Correct Answer ✓✓ 1. Since the
emphasis in nursing is on holistic practice (looking at the physiological,
psychological, sociocultural, developmental, and spiritual variables),
GST is very practical.
2. Nursing is involved with individuals, families, and communities
(systems).
3. The nursing process is an example of an open system.
4. Nursing does not exist in a vacuum but as a collaborative endeavor
within the health care system.
Newborn & Mother's Health Protection Act Correct Answer ✓✓ - 2 day
hospital stay for vaginal birth
- 3 day hospital stay for vaginal birth
Early Maternal Assessment: Vital Signs Correct Answer ✓✓ Temp:
During first 24 hrs, temp may raise to 100.4 due to the exertion and
dehydration of labor
Pulse: Bradycardia is common during first 6 to 10 days due to elevated
stroke volume. Tachycardia may result from prolonged labor, blood loss,
fever, or infection
,BP: Should return to first trimester values. Decreased BP may be assoc.
with decreased intrapelvic pressure or uterine hemorrhage.
Resp: Should be 12-20. Look for s/s of PE
Gestational Hypertension Correct Answer ✓✓ Increase in SBP of 30 or
15 in DBP
May be assoc. w headaches and/or visual changes
Chilling and Shivering Following Birth Correct Answer ✓✓ Due to
fluid shifts, adrenaline crash, hormone changes ; usually lasts about 30
min
Offer warm blankets and beverages as comfort measures
Fundus Correct Answer ✓✓ Immediately after birth, it should be
palpable halfway bw umbilicus and symphysis pubis
1 hr later: at level of umbilicus
Assessment of Fundus, Lochia, and Perineum Correct Answer ✓✓
Assessed Q15M following birth
, Assist pt into side-lying position (sims) w back facing nurse
REEDA: redness, edema, ecchymosis, drainage, and approximation
Afterpains Correct Answer ✓✓ Moderate to severe cramp-like pains
that are related to the uterus working harder to remain contracted and/or
to the increase of oxytocin that is released in response to infant suckling;
more common in multiparas
Tx: prone position, sitz baths, ambulation, mild analgesics 30 min before
breast feeding
BUBBLE-HE Correct Answer ✓✓ Breasts, Uterus, Bladder, Bowels,
Lochia, Episiotomy, Homan's Sign, Emotional Status
Assessment: Breasts Correct Answer ✓✓ Palpate breasts: soft, filling,
firm?
Temp and color: pink, cool, red streaked?
Nipples-flat, intact, inverted & everted?
Should be firm and warm by 3rd day due to filling
Nodules are a result of incomplete emptying
Assessment: Uterus Correct Answer ✓✓ Location: Midline or deviated
to R/L?
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