Family Focused Nursing Final Exam 2023/2024 (possible questions with error-free answers)
What is Duvall's Developmental Theory? correct answers -suggests that families move through stages in a particular order over time as tasks are achieved in each stage
-used by the nurse to plan care for fam...
Family Focused Nursing Final Exam 2023/2024 (possible
questions with error-free answers)
What is Duvall's Developmental Theory? correct answers -suggests that families move through
stages in a particular order over time as tasks are achieved in each stage
-used by the nurse to plan care for families
-a limitation to this theory is that it only applies to traditional nuclear families and does not work
well with other family structures
Stage 1: Marriage and an Independent Home: The Joining of Families correct answers -establish
couple identity
-realign relationships with extended family
-make decisions regarding parenthood
Stage 2: Families with Infants correct answers -integrate infants into family unit
-accommodate new parenting and grandparenting roles
-maintain marital bond
Stage 3: Families with Preschool Children correct answers -socialize children
-parents and child adjust to separation
Stage 4: Families with Schoolchildren correct answers -children develop peer relations
-parents adjust to their children's peer and school influences
Stage 5: Families with Teenagers correct answers -adolescents develop increasing autonomy
-parents refocus on midlife marital and career issues
-parents begin a shift toward concern for the older generation
Stage 6: Families as Launching Centers correct answers -parents and young adults establish
independent identities
-parents renegotiate marital relationship
Stage 7: Middle-Aged Families correct answers -reinvest in couple identity with concurrent
development of independent interests
-realign relationships to include in-laws and grandchildren
-deal with disabilities and death of older generation
Stage 8: Aging Families correct answers -shift from work role to leisure and semi or full
retirement
-maintain couple and individual functioning while adapting to aging process
-prepare for own death and dealing with loss of spouse, siblings, and other peers
How are family structures changing in recent years? correct answers -less married couple living
arrangements
-increase in children living with other relatives instead of their parents
,-increase in single parents, blended families, or two married parents where one or both have
remarried
Nuclear Family correct answers -2 parents and their children (parents may or may not be
married)
-parent-child relationship= may be biologic, step, adoptive, or foster
-may be a blended family
-no other relatives
Traditional Nuclear Family correct answers -a married couple and their biologic children
-all children are biologically related
-may be single or dual income
-no other relatives
Blended Nuclear Family correct answers family that includes at least one stepparent, stepsibling,
or half-sibling
Extended Family correct answers family includes at least one parent, one or more children, and
one or more members other than a parent or sibling (parent-child or sibling relationships can be
step, foster, adoptive, or biologic)
Single-Parent Family correct answers family or household includes one parent and one or more
children
Binuclear Family correct answers parents continue parenting role while terminating spousal unit
(joint custody)
When does ovulation occur? correct answers 14 days prior to onset of the next period
Variation during the _________ phase can can change the number of days in the menstrual cycle.
correct answers follicular
Where does the negative feedback loop start on the menstrual cycle? correct answers towards
day 28 when menstruation occurs due to estrogen and progesterone plummeting
What is the length of the menstrual cycle? correct answers average of 28 days (but can range
from 21-35 days)
Where does LH come from and what does it do? correct answers -released from anterior pituitary
-triggers ovulation and an ovum (egg) is expelled from the follicle
Where does FSH come from and what does it do? correct answers -released from anterior
pituitary
-primary active hormone in first part of ovarian cycle
-helps follicles develop
, As follicles mature, what do they release? correct answers estrogen
What causes ovulation to occur? correct answers a spike in LH release (see positive feedback
loop)
What does the corpus luteum do? correct answers secretes progesterone and some estrogen to
help thicken and maintain endometrial lining of uterus (for possible fertilized egg)
If the egg is fertilized then what happens to the corpus luteum? correct answers it sticks around
to maintain the lining of the uterus until the placenta takes over; estrogen and progesterone
continue to be secreted
If the egg is not fertilized what happens to the corpus luteum? correct answers the corpus luteum
is broken down and estrogen and progesterone levels plummet and cause bleeding to occur
(lining passes through uterus)
What is the lifespan of the corpus luteum? correct answers 14 days
Where is GnRH released from? correct answers hypothalamus
What are physiological signs that ovulation is near? correct answers -cervical mucus becomes
thin, clear, and more abundant; looks, feels, and stretches like egg white
-can also have spotting and localized lower abdominal pain
-thin cervical mucus allows for easier sperm penetration
How much fluid can the uterus hold before pregnancy compared to end of pregnancy? correct
answers -before pregnancy= 10 ml
-at end of pregnancy= 5 L
What are the phases of the menstrual cycle? correct answers follicular phase, ovulation, luteal
phase, and menstruation
What happens to extra follicles that remain after ovulation? correct answers never active in
another reproductive cycle
What secretes estrogen and progesterone? correct answers the ovaries
What is the function of estrogen and where is it produced? correct answers -produced by corpus
luteum and then the placenta takes over
-helps regulate levels of progesterone and prepares the womb for the baby and the breasts for
feeding
-increases breast and uterus size and increases vascularity and blood flow in tissues
What is the function of progesterone and where is it produced? correct answers -produced by
corpus luteum and then the placenta takes over
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