NUR 221; Exam 1 Questions And Answers.
Verified And Updated.
Outcomes oriented care - answer✔✔measures effectiveness of care, if patient benefited from the
care provided.
Standard of care - answer✔✔-agencies have own protocols
-level of practice a prudent nurse would provide in similar cirumstances
Legal negligence - answer✔✔-care given is compared with standard of care
-if standard was not met and harm occurred, negligence occurred
Malpractice - answer✔✔insurance has gone up as consequence of negligence
LEGAL TIP STANDARD OF CARE - answer✔✔-if unsure how to perform certain procedure,
consult agencies policies
sentinel event - answer✔✔event that is not due to underlying conditions that results in death,
permanent harm, or severe temporary harm.
Failure to rescue - answer✔✔failure to recognize or act on early signs of distress
-careful surveillance and identification of complications
-quick action to initiate appropriate interventions and activate team response
Maternal complications for process measurement - answer✔✔-placental abruption
-postpartum hemorrhage
-uterine rupture
-uterine hyperstimulation
-eclampsia
-amniotic fluid embolism
fetal complications - answer✔✔-non-reassuring fetal heart rate/ pattern
-prolapsed umbilical cord
-shoulder dystocia
EXAM STUDY MATERIALS July 25, 2024 1:06 PM
,Informed consent - answer✔✔allocation of resources must be given and addressed
-intrauterine fetal surgery
-fetoscopy
-theraputic insemination
-genetic engineering
-stem cell research
-surrogate chiildbearing
-surgery for infertility
-fetal research
-treatment for very low birth weight babies
Economic changes - answer✔✔recent economic changes have reduced the ability to access
health care
-women/ families are faced with the challenge to overcome discrimination
*it is critical to consider racial and ethnic differences and sexual orientation
Family - answer✔✔primary unit of socialization
nuclear family - answer✔✔traditionally a wife, husband, and their children
live as an independent unit sharing roles, responsibilities, economic resources
Multigenerational families - answer✔✔a family with three or more generations alive at the same
time;
Non-biologic parent families - answer✔✔children live independently in foster or kinship care
such as living with a grandparent
Married-blended families - answer✔✔formed as a result of divorce and remarriage, consist of
unrelated family members
Cohabitating-parent families - answer✔✔children live with two unmarried biologic parents or
two adoptive parents
single-parent families - answer✔✔unmarried biologic or adoptive parent who may or may not be
living with other adults
Other family compositions - answer✔✔LGBTQ live together with or without children
EXAM STUDY MATERIALS July 25, 2024 1:06 PM
,Family nursing - answer✔✔represents the primary target of health care delivery for maternal and
newborn nurses
-most families will hold different view that are different than the nurses, BE CULTURALLY
COMPETENT
Culture - answer✔✔influenced by religion, environment, historic events
-plays powerful role in individual/groups behaviors/human interaction
Cultural knowledge - answer✔✔Beliefs and values about each facet of life which is passed from
one generation to the next.
Ethocentrism - answer✔✔view that ones way of doing things is best
cultural relativism - answer✔✔OPPOSITE OF ECHOCENTRISM
-learning and applying standards of another culture to activities within that culture
-Nurse recognizes that people from different cultural backgrounds perceive and comprehend the
same object/situations differently
Interpreters - answer✔✔Must be professionals/ No family members
-direct questions at patient
Cultural competence - answer✔✔involves acknowledging, and appreciating ethnic, cultural and
linguistic diversity
Key components of cultural competent care - answer✔✔1. recognizing that differences exist
2. educating and promoting healthy behaviors
3. taking abstract knowledge about other cultures and applying it in a practical way
4. communicating respect
5. recognizing the importance of culturally different communication styles
6. anticipating the need to address varying degrees of language ability and literacy
Nurses role - answer✔✔-focused on collaborating with family, identifying risk factors, providing
health information to facilitate positive health behaviors
Perinatal education classes - answer✔✔-well-established mechanism for increasing awareness of
healthy behaviors during pregnancy and preparing women and their partners for birth,
postpartum care, newborn care, and parenting
*GO THE FULL 40
critical community indicators - answer✔✔-access to care
EXAM STUDY MATERIALS July 25, 2024 1:06 PM
, -maternal mortality
-infant mortality
-preterm birth
-low birth weight
-first trimester prenatal care
-rates screenings
Vulnerable populations - answer✔✔in terms of health status
-sociocultural, economic, and environmental risk factors that contribute to health disparites
-health disparities effect certain racial, ethnic groups
-African Americans, hispanic, native americans, Pacific Islanders, asian americans are
considered vulnerable populations due to burden of preventable diseases, death, disability
Health disparities - answer✔✔-occur due to differences in access to care, social determinants,
provider biases, poor provider- client communication, poor health literacy
Women - answer✔✔primary sources of health disparities for women are gender, socioeconomic
status, race or ethnicity.
-adolescent girls
-older women
-incarcerated women
- immigrants/ refugees
preconception care - answer✔✔guides couples on how to avoid unintended pregnancies, identify
and manage risk factors in their lives and their environment, and identify healthy behaviors that
promote the well-being of the woman and her potential fetus
-activites must be initiated before period of critical fetal development, between 17 and 56 days
after fertilization (end of 8th week and end of first trimester)
-due to unaware pregnancy fetus may be exposed to environmental hazards (drugs, viruses,
chemicals) ASK ABOUT JOB/WORKPLACE
rate of malformation - answer✔✔-greatly reduced when women with preexisting diabetes had
excellent blood glucose control at time of pregnancy and throughout.
-spina bifida and anencephaly decreased with intake of 400 MCG OF FOLUC ACID
EXAM STUDY MATERIALS July 25, 2024 1:06 PM
