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: NUR166/ NUR 166 (Latest 2023/2024) Concepts of Family-Centered Nursing for the Practical Nurse Exam Review| Questions and Verified Answers| 100% Correct- Hondros

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: NUR166/ NUR 166 (Latest 2023/2024) Concepts of Family-Centered Nursing for the Practical Nurse Exam Review| Questions and Verified Answers| 100% Correct- Hondros

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  • October 22, 2024
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Exam 1: NUR166/ NUR 166 (Latest 2023/2024) Concepts
of Family-Centered Nursing for the Practical Nurse
Exam Review| Questions and Verified Answers| 100%
Correct- Hondros


Preterm Labor Treatments - ANSWER Magnesium sulfate: research has shown that
it may reduce the risk damage to the brain (cerebral palsy) for babies born before 32
weeks of gestation.
Tocolytics: temporarily stop your contractions.

What is Preterm Labor - ANSWER Labor that occurs after 20 and before 37 weeks
of gestation.

What counters magnesium sulfate - ANSWER Calcium Gluconate

Risk Factors Preterm Labor - ANSWER Exposure to diethylstilbestrol (DES),
underweight, Chronic illness such as diabetes or hypertension, dehydration,
preecampsia, previous preterm labor, previous pregnancy loss, under 18 or over 40.
see table 8-1 page 192

Nonpharmacological pain interventions - ANSWER Relaxation, Skin stimulation,
Positioning, Diversion and Distraction, Breathing,

Dick-Read Method - ANSWER education and relaxation techniques to interrupt the
cycle

Bradley Method - ANSWER Husband coached

Lamaze Method - ANSWER exercises and breathing control to give pain relief
without drugs

Effleurage - ANSWER massage with a circular stroking movement

Different breathing techniques - ANSWER FIRST STAGE BREATHING Slow-paced
breathing, Modified-paced breathing, Pattern paced breathing (Constant pattern and
stair step pattern) SECOND STAGE BREATHING delivery

Lightening - ANSWER a drop in the level of the uterus during the last weeks of
pregnancy as the head of the fetus engages in the pelvis.

Interventions for supine hypotension - ANSWER Turning to one side or placing a
small pillow (or towel) under one hip

quickening - ANSWER baby's first movements felt by mother. between weeks 16
and 20 of pregnancy.

,Aortocaval Compression (Vena cava syndrome) - ANSWER Supine hypotension

3 phases of pregnancy - ANSWER antepartum (before), intrapatum (during), and
postpartum (after)

Major Goals of Prenatal Care - ANSWER Promote health ( of mother, fetus, baby,
and family) Safe birth, Educate, provide physical care.

When is Amniocentesis administered - ANSWER 16-20 weeks of gestation when
high risk problems are suspected

Nagels's Rule for EDD - ANSWER Count back 3 months and 7 days of last normal
menstrual period.

Positive signs of Pregnancy - ANSWER 1.Audible fetal heartbeat
2. Fetal movement felt by examiner
3. Ultrasound visualization of fetus

How long is 1 trimester - ANSWER 13 weeks

hCG - ANSWER Human chorionic gonadotropin

Goodell's sign - ANSWER softening of the cervix and vagina

Chadwicks sign - ANSWER purple or blueish discoloration of the cervix, vagina, and
vulva

Hegar's sign - ANSWER softening of the lower uterine segment

Uterine Souffle - ANSWER soft blowing sound herd over the uterus during
auscultation

Mucous Plug - ANSWER Mucous that seals the cervical canal

Calorie increase needed for pregnancy - ANSWER 300 cal/day

McDonalds Sign 4-3 page 50 - ANSWER ease in flexing body of uterus against the
cervix

Signs of Pregnancy - ANSWER 1. Presumptive 2.Probable 3.Positive

Hyperemesis Gravidarum - ANSWER excessive nausea and vomiting

Hyperemesis Gravidarum Treatment - ANSWER Ginger, methylprednisone, and
erythromycin.

Labs to be completed during primary visit - ANSWER Blood Type and Rh factor,
CBC, Hemoglobin/hematocrit, VDRL or rapid plasma reagin (RPR) Rubella Titer, TB,
HEP B, HIV, Urinalysis, PaP test, Vaginal Test.

, Optimal Weight Gain During Pregnancy - ANSWER 25Lb 35Lb

GBS culture - ANSWER Vaginal and rectal swab conducted at 35 to 37 weeks of
gestation to protect mother and infant from infection during labor and birth. High
mortality rate for neonates. Page 106 and 45.

Folic Acid - ANSWER Water soluble B vitamin essential for the formation of and
maturation of both red and white blood cells in bone marrow. Can reduce the
incidences of neural tube defects such as spina bifida and anencephaly WHEN
TAKEN AT CONCEPTION

Gravida - ANSWER The number of times a woman has been pregnant (regardless
of duration)

Para - ANSWER The number of deliveries born after 20 weeks (alive or otherwise)

Term - ANSWER Delivered between 38-42 weeks

Pre-Term - ANSWER Delivered between 20-38 weeks

Abortion - ANSWER Delivery before 20 weeks (includes miscarriages)

Post-Term - ANSWER Delivery after 42 weeks

Viability - ANSWER Ability to live outside the uterus after 20 weeks

When should a mother expect breast milk to come in? - ANSWER Usually around
days 3-5 after delivery

What is mag sulfate used for? - ANSWER Usually for pre-eclamptic patients- slows
contractions for pre-term labor

What is considered a toxic level for mag sulfate? What would you expect to
administer? - ANSWER Anything over 8 is toxic. Calcium gluconate.

When can you give Rhogam? - ANSWER When mom has (-) blood they get it at 28
weeks and 72 hours after birth.

What will be discussed at the first prenatal visit? - ANSWER What they are eating,
nausea, laying on back, sitting upright

What is beta-methizone used for in pregnancy? - ANSWER Given to stimulate
surfactant production in the baby (to promote lungs in preterm baby)

What are side effects of pre-term labor-mag sulfate toxicity? - ANSWER Delayed
reflexes

What do you do if you are checking a pregnant pt. and the cord is prolapsed? -
ANSWER Get pressure off (Trendelenburg)

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