Exam (elaborations)
Exam 2: NSG 434/ NSG434 (New 2024/ 2025 Update) Nursing Care of the Childbearing Family Complete Guide with Qs & As| 100% Correct| Grade A (Verified Answers)- GCU
Exam 2: NSG 434/ NSG434 (New 2024/
2025 Update) Nursing Care of the
Childbearing Family Complete Guide with
Qs & As| 100% Correct| Grade A (Verified Answers)- GCU
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1. Exam (elaborations) - Exam 2: nsg 434/ nsg434 (new 2024/ 2025 update) nursing care of the childbearing f...
2. Exam (elaborations) - Exam 2: nsg 434/ nsg434 (new 2024/ 2025 update) nursing care of the childbearing f...
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1. Exam (elaborations) - Final exam: nsg 434/ nsg434 (new 2024/ 2025 update) nursing care of the childbeari...
2. Exam (elaborations) - Final exam: nsg 434/ nsg434 (new 2024/ 2025 update) nursing care of the childbeari...
3. Exam (elaborations) - Exam 2: nsg 434/ nsg434 (new 2024/ 2025 update) nursing care of the childbearing f...
4. Exam (elaborations) - Exam 2: nsg 434/ nsg434 (new 2024/ 2025 update) nursing care of the childbearing f...
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1. Exam (elaborations) - Final exam: nsg 434/ nsg434 (new 2024/ 2025 update) nursing care of the childbeari...
2. Exam (elaborations) - Final exam: nsg 434/ nsg434 (new 2024/ 2025 update) nursing care of the childbeari...
3. Exam (elaborations) - Exam 1: nsg 434/ nsg434 (new 2024/ 2025 update) nursing care of the childbearing f...
4. Exam (elaborations) - Exam 1: nsg 434/ nsg434 (new 2024/ 2025 update) nursing care of the childbearing f...
5. Exam (elaborations) - Exam 2: nsg 434/ nsg434 (new 2024/ 2025 update) nursing care of the childbearing f...
6. Exam (elaborations) - Exam 2: nsg 434/ nsg434 (new 2024/ 2025 update) nursing care of the childbearing f...
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ExamI2:INSGI434/INSG434I(NewI2024/I
2025IUpdate)INursingICareIofItheI
ChildbearingIFamilyICompleteIGuideIwithI
QsI&IAs|I100%ICorrect|IGradeIAI(Verified
IAnswers)-IGCU
QUESTION
cleftIlipIandIpalate
Answer:
-
ResultsIfromIembryonicIfailureIofItheIsoftItissueIand/orIbonyIstructureItoIfuseIduringIembryon
icIdevelopment
-TheIdefectIoccursIatIapproximatelyI6‐8IweeksIgestation
-
CleftIlipIisIaIseparationIofItheItwoIsidesIofItheIlip;ImayIaffectIbothIsidesIofItheIlip,Ibone,IorIs
oftItissueIofItheIalveolusI(gumIline)
-
CleftIpalateIisIaImidlineIopeningIofItheIpalate;IresultsIfromItheIfailureIofItheItwoIsidesItoIfuse
IduringIembryonicIdevelopment
-
ExactIcauseIunknown,IbutImostIcasesIthoughtItoIbeImultifactorial:IaIcombinationIofIenvironm
entalIandIgeneticIfactors
-UsuallyIanIisolatedIeventIbutImayIhappenIasIpartIofIaIsyndrome
-HappensIinIuteroIfairlyIearly
ClinicalIManifestations:
-VisibleIunilateralIorIbilateralIcleftIlip
-PalpableIand/orIvisibleIcleftIpalate
-CleftIofItheIalveolusI(gumIline)
-NasalIdistortion
-FeedingIdifficulties
-CannotIalwaysIseeIit
-MayIbeIaIcompleteIcleftIthroughItheInaresIorIanIincompleteIcleftIofIpartIofItheIlip
,Complications:
-SpeechIdifficulties
-
Malocclusion:IabnormalItoothIeruptionIpattern;IabnormalIdevelopmentIofItheIwayItheImandibl
eIandImaxillaImeet
-ExcessiveIdentalIdecay
-ChronicIotitisImedia:IsecondaryItoIEustachianItubeIdysfunction;ImayIresultIinIhearingIloss
-AlteredIself-esteemIandIbodyIimage
SurgicalIManagement:
-CleftIlip:
•Goal:ItoIachieveIlipIcompetenceIandItoIcreateItheImostInatural-appearingIlip
•RepairedIatI2ItoI3ImonthsIofIage
•MayIneedImodificationsIatI4ItoI5IyearsIofIage
-CleftIpalate:
•ReconstructionIofItheIpalatalImusculatureIwithItheIgoalIofIallowingInormalIspeechIdevelopm
ent
•RepairedIbeforeI12ImonthsIofIage
•DependsIonItheIdegreeIofIdeformityIandIsizeIofIchild
PreoperativeICare:I
-FacilitateIparents'IpositiveIadjustmentItoIinfant
-ImportantItoIencourageIinfant-parentIbonding
-ReferItoIcleftIpalateIteam
-ProvideIinformationIandIresourcesItoIparents
-MaintainIadequateInutritionalIint
QUESTION
esophagealIatresia/TEF
Answer:
-
EsophagealIatresiaIandItracheoesophagealIfistulaI(TEF):IfailureIofItheIesophagusItoIdevelopIas
IaIcontinuousIpassageIandIaIfailureIofItheItracheaIandIesophagusItoIseparateIintoIdistinctIstruc
tures.
-
MaternalIpolyhydramniosIisIpresentIinIapproximatelyI50%IofInewborns;IifItheIbabyIhasIthisIi
nIutero,ItheImomIwillIbecomeIextraIbigIdueItoIexcessIwater
,-
MostIcasesIhaveItheIproximalIesophagealIsegmentIterminatingIinIaIblindIpouchIandItheIdistalI
segmentIisIconnectedItoItheItracheaIorIprimaryIbronchusIbyIaIshortIfistulaIatIorInearItheIbifur
cation.
-OxygenationIandIaspirationIissuesIareItheImostIseriousIconcernIwithIthisIdisorder
ClinicalIManifestations:
-ExcessiveIsalivationIandIdrooling
-ThreeIC'sIofItracheoesophagealIfistula:
•Coughing
•Choking
•Cyanosis
-Apnea
-IncreasedIrespiratoryIdistressIduringIfeeding
-AbdominalIdistension
-NGItubeIcomesIrightIbackIup:IoneIofItheIfirstIcluesIofIthisIdisorder
Treatment:
-MaintainIpatentIairway:
•IntermittentIorIcontinuousIsuctioning
-PreventionIofIpneumonia
-Surgery:
•ThoracotomyIwithIdivision
•LigationIofItheITEFIandIanIend-to-endIorIend-to-sideIanastomosisIofItheIesophagus
•G-
tubeImayIbeIrequiredIforIsevereIcases;IgiveIinfantsIaIpacifierIduringIGItubeIfeedingsIsoItheyIb
eginItoIassociateIsuckingIwithIfoodI
-KidsIgoItoIsurgeryIwithinI72Ihours
-ConnectItwoIendsIofIesophagusItogether
QUESTION
pyloricIstenosis
Answer:
-StomachIcontentsIunableItoIemptyI(usuallyIdiagnosedIatI4‐6Iweeks)I
-OccursIinItheIfirstIweeksIofIlifeItoIasIlateIasI5ImonthsIofIage
-InfantIvomitsIinIaIprojectileIwayIrightIafterIeatingIandIthenIisIhungry
, -
Palpable,Ihard,Imoveable,I"olive"IpyloricImassIinItheIrightIupperIquadrantIfeltImanyItimesIbut
InotIalways
-RiskIforImetabolicIalkalosis:ItreatIpre-op
-MoreIcommonIinImales
-HigherIincidenceIifImothersIalsoIhadIthisIdisease
-KidsIwithIthisIdisorderIareIatIriskIforIdehydration
Treatment:
-SurgicalIcorrection:Ipyloromyotomy
-Laparoscopy:
•IncisionIisIhighIriskIforIinfectionIdueItoIlocationIinIdiaperIarea:IfoldIdiaperIdownItoIavoidIco
ntamination
-Post-op:
beginIsmallIfeedingsI4ItoI24IhoursIpost-op
QUESTION
CeliacIdisease
Answer:
-AIgeneticIdisorderIinIwhichIglutenIcausesIdamageItoItheIsmallIintestine
-GlutenIisIfoundIinIgrainsI(wheat,Irye,Ioats,Ibarley)
-
VilliIofItheIsmallIintestineIabsorbInutrientsIintoItheIbloodstream:InowIdamagedIcausingImalnu
trition
-OnlyItreatmentIisIaIstrictIgluten-
freeIdiet;IevenIaIsmallIamountIofIglutenIwillIcauseIdamageItoItheIvilli
-SignsIandIsymptoms:
•SteatorrheaI(fattyIstools)
•DiarrheaIand/orIconstipation:IdiarrheaImayIbeIbloody,IwhichIcanIleadItoIanemia
•Vomiting
•FailureItoIthriveIorIweightIloss
•NutritionalIdeficiencies
•Anemia
•LowIvitaminIDIlevel
-CeliacIcrisis:IextremeIvomitingIandIdiarrhea;IrequiresIIVItherapyIandIelectrolyteIreplacement
DiagnosticIStudies:
-CBC