Exam (elaborations)
NUR 186 UNIT 1 EXAM QUESTIONS AND ANSWERS
NUR 186 UNIT 1 EXAM QUESTIONS AND ANSWERS
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EXAM 1 (NUR 435)QUESTIONS AND
ANSWERS
6.7
12.7a-aans--HealthyaPeoplea2020:aObjectives
-Reduceathearateaofaallainfantadeaths:afromaaabaselineaofa__.7aina2007a
-Reduceathearateaofamaternalamortality:afromaaabaselineaofa__.7/100,00aina2007
3/4sa-aans--UnitedaNationsaMilleniumaDevelopmentaGoals:aTargeta5.A:a
-Reduceabya__/__,abetweena1990aanda2015,atheamaternalamortalityaratio
-
Theamaternalamortalityaratioadroppedabya45%abetweena1990aanda2013,afroma380atoa210ad
eathsapera100,000aliveabirths.aAllaregionsahaveamadeaprogressabutaacceleratedainterventio
nsaarearequiredainaorderameetatheatarget.
-
InaEasternaAsia,aNorthernaAfricaaandaSouthernaAsia,amaternalamortalityahasadeclinedabyaar
oundatwo-thirds.
14
narroweda-aans--UNaGoals:
-
Theaproportionaofadeliveriesainadevelopingaregionsaattendedabyaskilledahealthapersonnelaro
seafroma56%aina1990atoa68%aina2012.a
-
Theamaternalamortalityaratioainadevelopingaregionsaisastilla__atimesahigherathanainatheadevel
opedaregions.
-Thearural-urbanagapainaskilledacareaduringachildbirthahasa_______.
Mortality
Maternal
48tha-aans--1.aM_____=anumberawhoahaveadiedaoveraaaspecificaperiod
2.a______amortalityarate:anumberaofadeathsaofaanyacauseaduringapregnancy/100,000aliveabi
rths
-Ina1987,aTheaUSahadaanaallatimealowaofa6.7/100,000amaternaladeatharate.
-21/100,000aina2014
-Embolism,ahemorrhage,apregnancy-
relatedahypertension,aandainfectionaasaleadingacauses
,-UnitedaStatesaranking:a__aforaMM
quality
record
C-sectiona-aans--MaternalaHealthaCare:
-
"Maternalamortalityaisaaageneralareportacardawitharegardatoatheaq____aofaobstetricacareainath
eaUnitedaStates"
-
Partaofatheaincreaseaisadueatoaanaincreaseainapregnantawomenawithachronicaconditionsasuch
aasacardiovascularadiseaseaandadiabetes.
-Partamayabeadueatoabetterar____akeeping.
-Certainly,apartaofatheaincreaseaisadueatoaourahigha_-______arateaofa32%
blacks
55tha-aans--InfantaMortalityainatheaUSA:
-6.17ainfantadeathsapera1000aina2014
-Ratesaareamuchahigheraforab____aata11.46apera1000.
-Howadoawearankaagainstaotheracountries?a__th!
-Slovenia,aCzechaRepublic,aandaCypressaarearankedaaboveaus!
Maternity
Women'sa-aans---
M______aNursing:aFocusesaonawomen,atheirainfants,aandatheirafamiliesaduringatheachildbe
aringacycle.a
-
W_____aHealthanursingafocusesaonaspecialaphysical,apsychosocial,aandasocialaneedsaofaw
omenathroughoutatheiralifespan.
-Hospital,aClinic,aHome,aAgency,aResearch...
family
culturala-aans--Definingaf______:aBasicastructuralaunitawithinaaacommunitya
-AssumesamostaofaresponsibilityaforaSocializationaofaitsamembers
-Transmittingac_____abackground
-Coreavalues
CulturalaCompetencea-aans--C_____aC______=
1.aRecognizingadisparityabetweenaone'saownacultureaandathataofatheaclient
2.aEducatingaandapromotingahealthyabehaviorsainaaaculturalacontext
3.aTakingaabstractaknowledgeaaboutaotheraculturesaandaapplyingaitainaaapracticalaway
4.aCommunicatingarespectfulnessaforaaawidearangeaofadifferencesa(Nontraditionalahealinga
practicesa&aAlternativeatherapies)
5.aRecognizingaculturallyadifferentacommunicationastyles
6.aAnticipatingatheaneedatoaaddressalanguageaabilityaandaliteracy
Differenta-aans--KeyaPoint:aEveryoneaisad______!
,-Putaawayayourabiases
-Tryatoafigureawhatawillaworkabestaforatheapatient
-Tryatoahelpathemafindaresources
-ASKatheapatient
-Beawillingatoalearnasomethinganew-aevenaifaitadoesn'tamakeaimmediateasenseatoayou.
Conceptiona-aans--
C______=asequentialaprocessaincludingagamaateaformation,aovulation,afertilization,aandai
mplantationaintoatheauterus.
oogensis
spermatogenesisa-aans--Gamatogenesis=a
1.a__genesis=ainatheafemaleaproducesaoneamatureaovumaandathreeapolarabodies
2.a_____genesis=aofatheamaleaproducesafouramatureagametes,atheasperm.
ampulla
Zygote
Morula
placentaa-aans--Fertilization-atakesaplaceainatheaa_____aofatheafallopianatube.
1.aZ____=atheaunitedaspermaandaegg
2.aM____=aina3adaysaaa16acellasolidaballaofacellsa
3.aBlastocyst=
a.aTrophoblast-abecomesatheap_____
b.aEmbryoblast-aembryo
stemacells
Implantation
Embryoa-aans--MovingatoatheaUterus...
-Blastocyst-awhereas____acellsaareaextractedafrom
-I_______=abetweena6-10adays,amayaproduceasomeaspottingaoracramping
-E____=adaya15-8aweek-
aduringathisatimeateratogensacauseatheamostadamage.a"Thisaperiodaisatheamostadangerousaf
oratheadevelopingafetusabecauseatheamajoraorgansaareaforming."
Chorion
Amnion
temperature
waste
urinea-aans--AmnioticaSaca&aFluid:
1.aC_____=afetalasideaofatheaplacenta,acontainsamajorabloodavessels.a
2.aA____=acoveringaofatheaumbilicalacordaandacoversatheachorionaonatheafetalasideaofatheapl
acenta.aClosestatoathea"water".
-Fluidahelpsatoamaintainacushionaandat____
-Cushionsababyafromatrauma
-Keepsafetusafromaentanglementafromamembranes
, -Servesaasafluidaandarepositoryaforaw____
-Amnioticafluid=ababy'sau____
Placenta
Drugsaandaviruses
onea-aans--P_____=aCompletedabya12thaweek
-Metabolicaexchangea(respiratory,anutrition)
-d____aandav____acanacrossatheaplacenta
-Onlya___acellalayeraseperatesamaternalafromafetalablood
two
one
Whartona-aans--UmbilicalaCord=a3avessels
a.a___aarteries
b.a___avein
-W____ajelly=aprotectsatheavesselsafromabeingaclosedaoff
HCG,a10adays
lactogen
Progesterone
Estrogena-aans--HormonesaofaPregnancy:
*1.aH__=adetecteda7-__adays,apeaksa8-10aweeks,adoublesaaroundaeverya48ahours
2.aHpla(humanaplacentalal______)=asimilaratoagrowthahormone
3.aP______=amaintainsaendometrium
4.aE_____=astimulatesauterineagrowth,abreastagrowth,acirculation,aandauterineacontractions
9,a10
1-13
14-27
28-40a-aans--Pregnancy=a40aweeks!
-__amonths
-__alunaramonths
-Startsafromatheafirstadayaofathealastamenstrualaperiod.a
1.aFirstaTrimester:aWeeksa1-__
2.aSecondaTrimester:aWeeksa__-27
3.aThirdaTrimester:aWeeksa28-__
3amonths
7adaysa-aans--CalculatingaDueaDate:aNagele'saruleaformula=
LMP-__amonths+_days=aEDD/EDC
a.aLMP=alastamenstrualaperiod
b.aEDD=aEstimatedadueadate
c.aEDC=aEstimatedadateaofaconfinement