NU 335 Exam 1: Chapters 13-15, 17 and 18 /237
Questions And Answers Graded (A+)
Quiz :Nursing Care During the Prenatal Period: Nursing plan and
implementation - √Answer :1.) Prioritize
- Immediate needs, concerns perceived by woman
2.) Community-based nursing care
- Value of primary care nurse- Family assumes equal responsibility
- Home care = Useful for removing barriers such as lack of local facilities,
transportation
3.) Health promotion education
- Informal and formal teaching
Quiz :Anticipatory guidance for changes that will occur during childbirth -
√Answer :- Postpartum stress, depression
- Infant, household chores
- Help in the first few days
- Family finances
- Mother's return to work
Quiz :Topics for Patient Teaching During Pregnancy - √Answer :All Three
Trimesters
- Discomforts of pregnancy
- Nutrition and weight gain
- Sexual activity
- Sibling preparation
1.) First Trimester
- Attitude toward pregnancy
- Exercise and rest
- Smoking; use of alcohol and other drugs
- Traveling
- Fetal growth and development
- Danger signals associated with spontaneous abortion
- Employment
- Early pregnancy classes
2.) Second Trimester
- Concerns related to changes in body
- Fetal growth and development
- Fetal movement
- Clothing
- Care of skin and breasts
,- Beginning preparation for care of the newborn (equipment and room)
- Decisions about newborn/infant feeding
3.) Third Trimester
- Exercise and rest
- Traveling
- Danger signals
- Preparation for labor and birth
- Completion of preparation in home for new baby
- Decisions about the newborn (circumcision, method of feeding, and so forth)
- Decision making for the early postpartum period
- Education about psychologic and physical expectations in the early postpartum
period
Quiz :Care of the Pregnant Woman's Family - √Answer :1.) Needs of woman
- Relieve discomforts
- Maintain physical health
- Provide anticipatory guidance
2.) Needs of family
- Support, prenatal education
- Harmony, integrity
- Consider effect of pregnancy on other children
- Discussion about ambivalence = Open communication about feelings may
prevent children from hurting baby when unsupervised
- Encourage to bring children to antepartal visits
- Resolve conflicts with grandparents
3.) Needs of the father
- Assess support system if not part of family structure
- Provide anticipatory guidance = Information, feelings regarding pregnancy
- Assess intended degree of participation in labor, birth
- Support decisions
Quiz :Cultural Considerations in Pregnancy - √Answer :• Cultural humility
• Cultural assessment = Adapt to patient needs and Special, transitional event in
all cultures
Quiz :Types of cultural beliefs - √Answer :- Prescriptive
- Restrictive
- Taboo
Quiz :Childbearing Decisions: Healthcare Provider - √Answer :• One of the first
decisions
• Explain various options
,• Interview questions = Who can cover when healthcare provider unavailable
and Feelings on available options
Quiz :Childbearing Decisions: Prenatal Care Services - √Answer :Assist
expectant parents in obtaining care
1.) Individual
2.) Centering
- Group prenatal care = Mothers and partners, Self-tracking
- Health assessment, education, and support
Quiz :Childbearing Decisions: Birth Setting - √Answer :• Tour facilities
• Speak with nurses, recent parents
- How closely birth plan was followed
- Support from partner, coach, healthcare team
• Concept of individuality = Encourage women to personalize birth setting
Quiz :Labor Support Individual - √Answer :1.) Who?
- Father/partner
- Doula
- Monitrice
2.) Positive outcomes and satisfaction with continuous support
- Less analgesia
- Fewer operative births
3.) Role of the doula
- Provide emotional, physical, informational support
- Advocate
- No clinical tasks
Quiz :Siblings at Birth - √Answer :• Children can be prepared
• Imperative that child has own coach = Should be able to intervene if necessary
and Flexibility to leave room if child desires
• Should be given options
• Generally engenders feelings of interest, nurturing
Quiz :Classes for Family Members During Pregnancy - √Answer :• Taught by
certified childbirth educators = CBE or CCE
• "Mother-Friendly Childbirth Initiative" in 1996
• Specific educational preparation• Not required to be RN
• Prenatal education = Opportunity to share information, Beneficial effect on
labor and delivery
Quiz :Education of the Family Having Cesarean Birth - √Answer :- 32% of all
U.S. births (2017)
, - What to expect
- Anesthesia
- Preparation for repeat cesarean birth
- Preparation for vaginal birth after cesarean (VBAC)
Quiz :Preparation for Parents Desiring Trial of Labor After Cesarean Birth -
√Answer :• Vaginal birth after cesarean (VBAC)
• Trial of labor under necessary criteria
• Prepare two birth plans = One for vaginal birth and One for cesarean birth
Quiz :Breastfeeding Programs - √Answer :• Currently below objective rate,
81.9%
• Information about:
- Advantages and challenges
- Techniques and positioning
- Methods of pumping, milk storage
- How to involve father/partner in feeding process
- Ways of successfully breastfeeding and returning to work
Quiz :Sibling Preparation: Adjustment to a Newborn - √Answer :• Significant
event in child's life
• Typical classes for ages 3-12
• Parents and children attend together
• Practice holding dolls and changing diapers
• Formal or informal
Quiz :Classes for Grandparents - √Answer :• Important source of support and
information
• Transitioning to new role
• Ways to support new family unit
• Educational information updated
Quiz :Relief of the Common Discomforts of Pregnancy - √Answer :• Not minor
to the pregnant woman
• Result of physiologic, anatomic changes
• Specific to either first trimester or second and third trimesters
Quiz :First Trimester Discomforts - √Answer :• Nausea and vomiting
• Urinary frequency
• Fatigue
• Breast tenderness
• Increased vaginal discharge
• Nasal stuffiness and epistaxis
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