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