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NSPN 7200: Final Exam Study Guide, Study Guides, Projects, Research of Nursing

Virginia State University (VSU)Nursing

NSPN 7200: Final Exam Study Guide

Typology: Study Guides, Projects, Research

2025/2026

Available from 05/07/2026

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NSPN 7200: Final Exam Study Guide
1.
SDOH:
= the economic and social conditions that influence the health of individuals, communities, etc.
-
Aboriginal
status
-
Early
life
factors
(e.g.
poverty,
housing,
education)
-
Education
-
Employment
&
working
conditions
-
Food
security
(the
ability
to
acquire/
consume
an
adequate
diet
(quality/quantity)
of
food)
-
Gender
-
Health
services
-
Housing
-
Income
(and
distribution)
-
Social
security
(welfare,
EI,
health
care,
etc.)
-
Social
exclusion
-
Unemployment
and
employment
security
2. In Canada, what SDOH contribute to inequalities?: - Housing
-
Work
settings
-
Education
-
Access
to
food
-
Income
3. Who are associated with higher rates of infant mortality?: - Low income groups in
urban Canada
-
Aboriginal people (1-4X higher)
4. Common causes of post-natal mortality causes: - SIDS
-
Infectious
disease
-
Injuries
5. What do low-income neighbourhoods have increased rates of?: - SGA
-
Preterm
birth
-
Still
birth
-
Neonatal
death
-
Post-neonatal
death
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NSPN 7200: Final Exam Study Guide

  1. SDOH: = the economic and social conditions that influence the health of individuals, communities, etc.
  • Aboriginal status
  • Early life factors (e.g. poverty, housing, education)
  • Education
  • Employment & working conditions
  • Food security (the ability to acquire/ consume an adequate diet (quality/quantity) of food)
  • Gender
  • Health services
  • Housing
  • Income (and distribution)
  • Social security (welfare, EI, health care, etc.)
  • Social exclusion
  • Unemployment and employment security
  1. In Canada, what SDOH contribute to inequalities?: - Housing
  • Work settings
  • Education
  • Access to food
  • Income
  1. Who are associated with higher rates of infant mortality?: - Low income groups in urban Canada
  • Aboriginal people (1-4X higher)
  1. Common causes of post-natal mortality causes: - SIDS
  • Infectious disease
  • Injuries
  1. What do low-income neighbourhoods have increased rates of?: - SGA
  • Preterm birth
  • Still birth
  • Neonatal death
  • Post-neonatal death

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  • adolescent pregnancy
  1. How is income associated with adverse perinatal outcomes?: - Lack of communi-ty- based programs for women’no access/limited access to prenatal education and care
  • Limited personal resources (time, transportation and social support)
  • Understanding of care benefits
  • Fear of judgement
  • Negative association with HCP's from past experiences
  1. How do working conditions influence health?: - Lack of job security
  • Lack of control/decision-making
  • Lack of social support in the workplace
  • Part-time/casual/temporary/ contract work may not provide benefits (sick days, Mat. Leave, vacation time, etc.) **Women are overrepresented in part-time/temporary work
  1. What groups are more likely to experience social exclusion in Canada?: - Substance using women
  • Immigrant women
  • Women with disabilities
  • Aboriginal women
  • Women experiencing abuse
  1. What do food security and dietary compromises influence?: - Chronic disease management
  • Body weight
  • Mental health
  • Physical health
  1. What health risks and inequalities do Aboriginal people experience?: - In- creased rates of poverty
  • Increased rates of substance use
  • Increased violence and homicide
  • Poor living conditions (mold, poor hygiene, crowded housing)
  • Lack of clean drinking water

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  • Infant mortality rates are 1-4X higher for aboriginal people
  • Aboriginal children experience higher rates of hospitalization
  • Higher rates of HIV
  • Increased rates of morbidity
  • Increased vulnerability
  • Increased rates of diabetes
  • Increased risk of infant mortality
  1. Why do Aboriginal people experience inequalities?: - They are manifestations of the complex interplay of social, political and economic determinants that influence health status and access to health services
  • The history of the relationship of aboriginal peoples and non-aboriginal people are a contributing factor to development of the inequalities
  • They live in rural/remote areas impacts access to care ***Many women up north have to be transferred out of their communities to give birth/receive maternity care less likely to seek perinatal care/assistance
  1. What barriers do you think exist for aboriginal women trying to access prenatal care?: - Financial
  • Psychological
  • Services are geared towards married, non-aboriginal women
  • Fear of medical providers
  • Lack of providers in their communities
  • Invalidating encounters
  • Aflrming encounters
  1. How can a woman's SDOH be influenced to promote positive perinatal outcomes health?: - reducing poverty
  • increasing social support
  • increasing community resources
  1. Examples of abuse tactics: - Physical assaults
  • Intimidation
  • Harassment
  • Social isolation

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  • Verbal threats

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  • Forbidding her to breastfeed

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  • Putting down her parenting abilities
  • Threatening to abduct or take custody of the baby
  1. Why do you think women stay in abusive relationships?: - Financial reasons
  • Fear of not being believed
  • Pressured by family, friends and clergy to stay and make it work
  • Feeling responsible for the abuse
  • Feeling powerless
  • Fear of being killed
  • Fear for infant's safety
  1. What are some barriers to barriers to treatment for substance use prob- lems for pregnant women?: - Fear of losing children
  • Lack of child care services during treatment
  • Stigma attached to pregnant women or mothers using substances
  • Internal feelings of guilt
  • Fear
  • Shame
  • Lack of specific treatment programs specific for pregnant women
  1. What are 5 reasons why you think people use drugs?: - Experience pleasure
  • Cope with pain, fear, loneliness, rejection
  • To be accepted by social groups
  • Habit
  • Get sleep
  • Deal with anger or stress
  1. Risk factors for perinatal depression: - Hx Depression
  • Hx postpartum depression
  • Family Hx Depression -Contributing factors:
  • Poor social support
  • Adverse life events
  • Maternal instability

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  • Abuse violence
  • Chronic maternal health problems
  1. What are pregnancy complications associated with untreated antenatal depression?: - GHTN
  • IUGR
  • LBW
  • Spontaneous abortion
  1. S+S of Neonatal Abstinence Syndrome (NAS): - Tremors
  • Irritability
  • Hypertonicity
  • High-pitched cry
  • Vomiting
  • Diarrhea
  • Respiratory distress
  • Sneezing
  • Diaphoresis
  • Poor sucking
  1. If caring for a mother and infant who have been exposed to substances, what are 4 nursing strategies for the 3 goals (creating a supportive environ-ment; Providing adequate fluid and nutrition; Promoting attachment)?: 1)Creat-ing a supportive environment:
  • Quiet room
  • Dim lights
  • Role model infant care
  • Include parents in care of infant
  • Teach infant cues
  • Rooming-in
  1. Providing adequate fluid and nutrition:
  • Support mother in making an informed choice of feeding method

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  • In &outs
  • Keep track of weight

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  • Uterine anomalies
  • Trauma, MVA

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- ART

  • Cervical injury from an elective abortion or prior cervical surgery related to treatment of HPV or DES exposure
  • Short interconception interval
  • Smoking (decreases vit C levels Vit C is important for collagen formation and strength of the cervix; increased sensitivity of the myometrium to oxytocin)
  1. Placental Ischemia:
  • Abruptio placentae
  • GDM
  • GHTN
  • Hereditary Thromboembolic disorder
  • Obesity
  • CVD
  • Renal disease
  • Hep
  • Cholestasis (liver disease=itching d/t increase hormones)
  • Smoking
  • Alcohol/illicit drug use
  • Altered nutrition that leads to low BMI
  1. Inflammation:
  • Bacterial infections
  • Gonorrhea or chlamydia
  • Symptomatic bacterial vaginosis (BV) or trichomoniasis
  1. Stress:
  • High stress level in general
  • Domestic violence
  • Single marital status
  • Low social status
  • Low education

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  1. Assessment of PROM: - Fluid leakage (Nitrazine, ferning, sterile speculum)
  • S+S of infection (GBS, UTI, STI, BV)
  • Uterine contraction
  1. S+S of PTL: - Menstrual cramps
  • Painful or painless contractions
  • Backache
  • Pelvic pressure
  • Diarrhea
  • Urinary frequency
  • Increased vaginal discharge
  1. What are the indications for fetal fibronectin testing?: - threatened PTL between 24- wks GA
  • intact amniotic membranes
  • cervix less than 3cm dilated
  • established fetal well-being
  1. What are the contraindications for fetal fibronectin testing?: - ROM
  • Active vaginal bleeding
  • Vaginal intercourse in the past 24hrs
  1. What are the treatments for PTL?: - corticosteroids
  • antibiotics
  • tocolytics (indomethacin)
  • mangnesium sulphate
  1. What are the modifiable risk factors for PTL?: - Planning pregnancy
  • Early and regular prenatal care
  • Rest periods
  • Appropriate exercise
  1. What are key potential health consequences of PTL for the infant?: - Respiratory distress
  • Asphyxia
  • Hyperbilirubinemia

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  • Metabolic disturbances
  • Fluid and electrolyte imbalances

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  • unpredictable timing of presentation
  • understudied population
  1. What are late preterm infants at risk for?: - Respiratory distress
  • Apnea and bradycardia
  • Sepsis
  • Feeding diflculties
  • Hypoglycemia
  • Thermal instability
  • Hyperbilirubinemia
  1. What are the criteria for Preeclampsia?: 1) HTN
  1. Proteinuria
  2. Adverse conditions
  • Persistent or new/unusual headache
  • Visual disturbances
  • Persistent abdominal or RUQ pain
  • Severe N+V
  • Chest pain or dyspnea
  • Pulmonary edema
  • Suspected placenta abruption
  • Abnormal lab values
  • IUGR
  • Oligohydramnios
  • Absent or reversed end-diastolic flow in the umbilical artery by Doppler intrauterine fetal death
  1. What are the risk factors for GHTN?: - Family Hx
  • Extremes of reproductive age (<19 or >40 yrs old)
  • Primigravida
  • MG
  • Diabetes
  • Renal disease
  • Collagen vascular disease

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  • 1st pregnancy with new partner
  • Limited sperm exposure, such as donor insemination or oocyte donation