NUR 4020 Midterm Exam
What is the protection and optimization of health and abilities, prevention of the illness and
injury, alleviation of suffering through the diagnosis and treatment of the human response, and
the advocacy in the care of individuals, families, communities, and populations? - correct
answer Nursing
Is prenatal care covered in Michigan? - correct answer Yes, prenatal care must be provided to
any pregnant women regardless of their age, race, ethnicity, or immigration status.
Who is prepared to independently manage the care of low-risk women during pregnancy, birth,
and the care of normal newborns? - correct answer Certified Nurse Midwife
What is included in scope of practice (2)? - correct answer 1. state nurse practice acts
2. professional nursing practice: responsibility to remain up to date (CE)
Omitting or committing an act that a reasonably prudent person would not omit or commit
under the same or similar circumstances is known as ? - correct answer Nursing Negligence
When is the action considered negligent (4)? - correct answer 1. There was a duty to provide
care
2. The duty was breached
3. Injury occurred
4. The breach of duty could cause injury
What is known as families being given all options before making a decision? - correct answer
informed consent
8 examples of ethical situations in perinatal care - correct answer maternal-fetal conflict,
abortion, embryonic stem cell research, fetal research and surgery, cord blood banking,
reproductive assistance, multi-fetal pregnancy reduction, and sperm donor created babies
What is the concept that categorizes groups of people who share biological similarities? -
correct answer Race
What is the concept that structural groups sense of ID associated with the groups' common
social and cultural heritage? - correct answer ethnicity
What is the process of modifying one's culture to fit within the new or dominant culture? -
correct answer acculturation
What is the process of adopting and incorporating traits of the new culture within one's
practice? - correct answer assimilation
What is known as the knowledge and respect for cultural values and traditions? - correct
answer cultural competence
,NUR 4020 Midterm Exam
What is known as the honor and respect for a family's culture and beliefs? - correct answer
cultural humility
What do complimentary health alternative (CHA) benefits focus on? - correct answer
prevention and wellness
-emphasis on holistic healing and not physical cure
-must consider safety for pregnant women and fetuses. Sometimes misleading claims and lack
of education since no FDA oversight
What is the definition of infertility? What percent of individuals/couples does it affect? -
correct answer The inability to become pregnant after one year of unprotected intercourse
-19%
What is the definition of sterility? - correct answer inability to conceive due to structural or
anatomical issues
Artificial manipulation of eggs, sperm, and/or embryo is defined as? - correct answer Assistive
Reproductive Therapy (ART)
Five main types of Assistive Reproductive Therapies - correct answer 1. Ovarian stimulation
2. Intrauterine Insemination
3. In Vitro Fertilization-Embryo Transfer
4. Gamete Intrafallopian transfer
5. Oocytye/Sperm/embryo donation
(gestational surrogate, adoption)
What can nurses suggest to couples to improve infertility? - correct answer 1. Avoid douching
or the use of artificial lubricants/saliva
2. Females go in recumbent position for a half hour(place pillow or blankets under hips)
3. intercourse every other day
4. avoid leakage of sperm
5. good nutrition and reduce stress
6. avoid leakage or sperm or talking about conception during sex
Known as the inability to effectively have intercourse. What % of couples does it affect? -
correct answer impaired fecundity
-26%
, NUR 4020 Midterm Exam
Common causes of infertility factors in men - correct answer decreased sperm
production/quality of sperm, change in sperm motility, obesity, smoking, and underlying
disease
Common causes of infertility factors in women - correct answer ovulation disorders, tubal
occlusion, endometriosis, obesity, smoking, and underlying disease
When a couple is going through infertility treatment, what must be considered by the nurse? -
correct answer ability to cope, ongoing support of psychological and emotional effects that
occur due to treatment
How much folic acid should be taken of planning to become pregnant or already pregnant?
Why? - correct answer 400mcg, decreases the risk of neural tube defects (spina bifida,
myleomeningocele)
Where does fertilization take place? - correct answer Ampulla (outer third of the fallopian
tube)
When are ova most fertile? - correct answer 12-24 hours
How long can sperm survive? - correct answer 48-72 hours
When is the most critical time for development of the organ systems and main external
features of the embryo? - correct answer Day 15-8 weeks (many people do not know they are
pregnant yet)
Stages of fertilization (7) - correct answer 1. zygote: (fertilized ova) go through rapid cell
division to form blastomeres
2. morula: 16 cells of blastomere form a solid ball
3. blastocyte (day 5-7 with implantation day 9): develops into amnion and embryo
4. trophoblast: outer layer of cells creating chorion
5. Implantation (nidation): 6 days after fertilization
6. Embryo-2nd to 8th week
7. fetus-9th week until birth
What is the amnion? - correct answer the innermost membrane of the amniotic sac that
encloses the embryo
What is the chorion? - correct answer is the outer membrane that surrounds the amnion, the
embryo and other membranes and entities in the womb.
-Formed by two layers; trophoblast as the outer layer and mesoderm as the inner layer.
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