NSG222/ NSG 222 Exam 1: (New 2024/ 2025 Update) Family Nursing Review Q&A, Exams of Nursing

Download NSG222/ NSG 222 Exam 1: (New 2024/ 2025 Update) Family Nursing Review Q&A and more Exams Nursing in PDF only on Docsity!

NSG22 2 / NSG 22 2 Exam 1 : (New 2024/ 2025

Update) Family Nursing Review| Questions

and Verified Answers| 100% Correct | A

Grade – Herzing

QUESTION

ways to decrease risk for lymphedema Answer:

• avoid using affected arm for blood pressure, blood draws, IVs
• wear gloves during activities that may cause injury
• wear compression sleeve

QUESTION

recommendations for breast self exam Answer:

• inspect breasts in 3 different posi- tions (hands above head, hands on hips, leaning forward)
• 3 types of palpation (circles, wedges, lines)
• use 3 different types of pressure (light, medium, firm)

QUESTION

hysterectomy post op care Answer:

• pain management
• assess vaginal bleeding (less than 1 pad per hour)
• encourage early ambulation
• nothing in the vagina for 6 weeks
• no heavy lifting for 6 weeks

QUESTION

risk factors for uterine cancer Answer:

• obesity
• nulliparity
• older age at pregnancy

QUESTION

vulvar cancer Answer:

• leukoplakia (white patches on vulva)
• erythema/redness
• lumps on labia
• dysuria
• itching/burning
• treated with chemotherapy, radiation, surgery

QUESTION

cycles of violence Answer:

• tension building
• physical abuse
• reconciliation/honeymoon

QUESTION

nursing focus for rape Answer:

• supportive care
• evidence collection
• STI evaluation
• prevent pregnancy

QUESTION

placenta functions Answer:

• removes waste products from fetus
• oxygenates blood for fetus
• supplies fetus with nutrients

QUESTION

hormones produced by the placenta Answer:

• chorionic gonadotropin
• prolactin
• human placental lactogen (hPL)
• estrogen
• progesterone
• relaxin

QUESTION

umbilical cord Answer:

• connects fetus to placenta
• contains 1 large vein & 2 small arteries
• vein carries oxygenated blood to fetus
• arteries carry deoxygenated blood to placenta

QUESTION

amniotic fluid Answer:

• fluid within the amniotic sac that insulates and cushions the fetus
• normal volume at 32-26 weeks: 500-2000mL

QUESTION

oligohydramnios Answer:

• too little amniotic fluid (<500mL at 32-36 weeks)
• indicates kidney abnormality b/c fetus is not urinating enough

QUESTION

polyhydramnios Answer:

• too much amniotic fluid (>2000mL at 32-36 weeks)
• indicates GI abnormality b/c fetus is not swallowing enough

QUESTION

presumptive (subjective) signs of pregnancy Answer:

• amenorrhea
• nausea
• breast tenderness
• deepening pigmentation
• urinary frequency
• fetal movements (quickening)

QUESTION

probable (objective) signs of pregnancy Answer:

• Braxton Hicks contractions
• positive pregnancy test
• abdominal enlargement
• Ballottement (rebound felt during cervical exam)

• Goodell's sign (softening of cervix)
• Chadwick's sign (bluish-purple coloration of cervix)
• Hegar's sign (softening of lower uterine segment)

QUESTION

positive signs of pregnancy Answer:

• audible fetal heartbeat
• fetal movement felt by examiner
• ultrasound confirmation

QUESTION

normal changes/symptoms during pregnancy Answer:

• nausea/vomiting
• excessive salivation
• back pain
• nasal stuffiness
• constipation
• shortness of breath
• breast tenderness
• hemorrhoids

QUESTION

interventions to help with symptoms during pregnancy Answer:

• heating pad for back pain
• maintain good posture
• wear supportive shoes
• remain upright after eating for heartburn

QUESTION

physiological changes during pregnancy Answer:

• uterus: softens, anteflexion
• cervix: softens, forms mucus plug
• vagina: lengthens, increased vascularity
• ovaries: enlarge, cease ovulation
• breasts: enlarge, increased vascularity
• GI: decreased motility, constipation
• cardiovascular: increased heart rate, increased cardiac output, increased blood volume (up to 50%)
• respiratory: increased tidal volume, increased O2 consumption
• urinary: increased urination, kidneys enlarge
• musculoskeletal: increased lordosis, postural changes
• skin: hyperpigmentation
• endocrine: decreased glucose & insulin
• sexuality: fluctuates throughout pregnancy (most interest in 2nd trimester)

QUESTION

linea nigra Answer:

• a dark line appearing on the abdomen and extending from the pubis toward the umbilicus
• normal finding
• will disappear after delivery

QUESTION

supine hypotension syndrome Answer:

• pressure on the inferior vena cava when a pregnant woman lies on her back
• causes lightheadedness, weakness, dizziness
• relieved by lying on left side

QUESTION

pregnancy complications

Answer:

• 1st trimester: bleeding, painful urination, severe vomiting
• 2nd trimester: regular uterine contractions, calf pain, sudden gush of fluid from vagina, lack of fetal movement
• 3rd trimester: sudden weight gain, edema, severe abdominal pain, headache with visual changes

QUESTION

recommended weight gain during pregnancy for healthy BMI (18.5 - 24.9)- Answer: 25 - 35 pounds

• 1st trimester: 3-5 pounds
• 2nd & 3rd trimester: 1 pound per week

QUESTION

recommended weight gain during pregnancy for underweight BMI (<18.5)- Answer: 28 - 40 pounds

• 1st trimester: 5 pounds
• 2nd & 3rd trimester: 1+ pound per week

QUESTION

recommended weight gain during pregnancy for overweight BMI (>25) Answer:

15 - 25 pounds

• 1st trimester: 2 pounds
• 2nd & 3rd trimester: 2/3 pound per week

QUESTION

first prenatal visit Answer:

• estimated due date
• physical, pelvic, and breast exam
• blood pressure and weight
• personal and family medical history
• lab tests: urine, blood, maybe pap smear
• screening for STIs

QUESTION

Naegele's Rule Answer:

• method for determining the estimated date of delivery (EDD)
• add 7 days to the first day of the last menstrual period, then subtract 3 months
• add one year to get EDD

QUESTION

gravida Answer: pregnant woman

QUESTION

primigravida Answer: a woman who is pregnant for the first time

QUESTION

nulligravida Answer:

a woman who has never been pregnant

QUESTION

multigravida Answer: a woman who has been pregnant more than once

QUESTION

primipara Answer: a woman who has given birth only once

QUESTION

nullipara Answer: a woman who has never given birth

QUESTION

multipara Answer: a woman who has given birth to two or more children

QUESTION

GTPAL

Answer:

• G: number of pregnancies (including current one)
• T: pregnancies to term (38-42 weeks)
• P: preterm deliveries (20-37 weeks)

• A: abortions, pregnancies ending before 20 wks
• L: currently living children

QUESTION

4 types of contraception Answer:

• behavioral
• barrier
• hormonal
• permanent

QUESTION

behavioral methods of contraception Answer:

• abstinence
• rhythm method (fertility awareness)
• withdrawal (coitus interruptus)
• lactational amenorrhea

QUESTION

lactational amenorrhea Answer:

• breast feeding at least 6 times per day
• no more than 6 hours between feedings at night
• solely breastfeeding child

QUESTION

What is unique about the barrier method of contraception? Answer: only method that also prevents STIs

QUESTION

barrier methods of contraception Answer:

• condom
• diaphragm
• cervical cap
• sponge

QUESTION

hormonal methods of contraception Answer:

• oral
• injectable
• transdermal
• vaginal ring
• implantable
• intrauterine
• emergency

QUESTION

permanent methods of contraception Answer:

• tubal ligation
• vasectomy
• hysterectomy

QUESTION

What is the age of viability of a fetus? Answer: 22 - 24 weeks

QUESTION

menopause Answer:

• absence of menses for a period of 1 year
• average age of onset is 51
• caused by a decline in estrogen

QUESTION

symptoms of menopause Answer:

• hot flashes
• disturbed sleep
• vaginal dryness
• stress incontinence
• anxiety
• weight gain

QUESTION

genital herpes (HSV II) Answer:

• painful fluid-filled lesions
• mucopurulent discharge
• no cure (antiviral drugs treat symptoms)

QUESTION

pelvic inflammatory disease Answer:

• inflammation in the reproductive tract
• caused by gonorrhea or chlamydia
• treated with broad-spectrum antibiotics

QUESTION

symptoms of pelvic inflammatory disease Answer:

• abdominal pain
• fever
• elevated WBCs
• dysuria
• dysmenorrhea
• painful intercourse
• nausea
• vomiting

QUESTION

human papillomavirus (HPV) Answer:

• viral sexually transmitted disease that causes genital warts or cervical cancer
• no cure (vaccines available - 2 doses for 9-14 yrs, 3 doses for 15-45 yrs)

QUESTION

mastitis Answer:

• inflammation of breast tissue caused by blocked milk duct
• flu-like symptoms
• warmth, redness, swelling, tenderness
• usually unilateral
• treatment includes encouraging breast feeding

QUESTION

non-modifiable risk factors for breast cancer Answer:

• gender (females)
• age (older than 50)
• family history
• genetic mutations (BRCA1 & BRCA2 genes)
• race (Caucasian)
• early menarche/late menopause

QUESTION

modifiable risk factors for breast cancer Answer:

• obesity
• sedentary lifestyle
• excessive alcohol intake
• smoking
• nulliparity

QUESTION

When is Rhogam given? Answer:

• mother is Rh-negative & infant is Rh-positive
• 28 weeks gestation AND 72 hours after birth
• any miscarriage
• an abortion
• an ectopic pregnancy
• after an amniocentesis
• after a stillbirth

QUESTION

How does mother assess fetal well-being? Answer:

• track how long it takes to feel 10 movements
• contact provider if less than 10 movements in 2 hours

QUESTION

biophysical profile components Answer:

• 30 minutes allowed for test (score of 8-10 is normal)
• body movements: 3+ limb/trunk movements
• fetal tone: 1+ limb/trunk extensions
• fetal breathing: 1+ breathing movements of > 30 seconds
• amniotic fluid: pockets of 2cm or more
• normal NST

QUESTION

multifactorial inheritance Answer: affected by multiple genetic factors and environ- mental influences

QUESTION

What is the difference between fetal circulation in utero and circulation after birth? Answer: oxygenated blood supplied by the placenta versus the lungs

QUESTION

autosomal dominant disorders Answer:

• only 1 abnormal gene
• Huntington's disease
• Marfan's syndrome

QUESTION

autosomal recessive disorders Answer:

• requires 2 abnormal genes
• cystic fibrosis
• sickle cell anemia

QUESTION

x-linked disorders Answer:

• linked to the X chromosome, affects males more ofent
• hemophilia
• muscular dystrophy

QUESTION

preconception counseling should be offered to Answer:

• mother is 35 or older
• father is 50 or older
• exposure to teratogens
• cases of incest

QUESTION

primary amenorrhea Answer: absence of menses by age 15 with absence of growth of secondary sex characteristics

QUESTION

causes of primary amenorrhea Answer:

• stress
• vigorous exercise
• congenital abnormalities
• endocrine disorders

QUESTION

secondary amenorrhea Answer: absence of menses by age 16 with normal develop- ment of secondary sex characteristics

QUESTION

causes of secondary amenorrhea Answer:

• vigorous exercise
• stress
• anxiety/depression
• pregnancy
• breast feeding

QUESTION

primary dysmenorrhea Answer: painful menstruation without any identifiable underlying pelvic pathology

QUESTION

secondary dysmenorrhea Answer:

• painful menstruation due to pelvic or uterine pathol- ogy
• do not typically respond to NSAIDs
• causes infertility

QUESTION

causes of secondary dysmenorrhea Answer:

• fibroids
• endometriosis
• pelvic inflammatory disease

QUESTION

causes of infertility Answer:

• endometriosis
• ovarian failure
• tubal damage
• obesity
• STIs
• diabetes
• smoking

QUESTION

infertility treatment options Answer:

• clomiphene (promotes ovulation)
• hormone injections (promotes ovulation)
• in vitro fertilization
• intrauterine insemination
• smoking cessation
• decrease alcohol use