BSNC 5000 Final Exam Studying- Questions and Correct Answers
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Course
BNSC 5000
Institution
BNSC 5000
Family is 2 or more people who are dependent on one another for emotional, physical, and or financial support defined by the pt
Family nursing - Consists of CHNs and families working together to ensure the success of the family and its member in adapting to health and illness - To intervene effect...
BSNC 5000 Final Exam Studying-
Questions and Correct Answers
Family is ✅2 or more people who are dependent on one another for emotional,
physical, and or financial support defined by the pt
Family nursing ✅- Consists of CHNs and families working together to ensure the
success of the family and its member in adapting to health and illness
- To intervene effectively and appropriately w/ families to reduce their health risks and
promote their health it's necessary to view the family as a unit of care and understand
the complex environment in which the family exists
Family demography ✅- The study of the structure of families and household and the
family related events such as marriage and divorce that alter structure through their
numbers, timing, and sequencing
- Important use is to forecast stresses and developmental changes experienced by
families and to identify possible solutions to family health concerns
Maternal adaptation to pregnancy ✅Accepting the Pregnancy
- Cognitive restructuring
> Degree of acceptance: reflected in emotional responses
- Emotional Lability
> Rapid and unpredictable changes in mood
- Ambivalence
> Having conflicted feelings at the same time: normal response for people preparing for
a new role
Identifying with the Mother Role = Reordering Personal Relationships
- Women express two major needs within this relationship during pregnancy: feeling
loved and valued + having the child accepted by their partner
Establishing a relationship with the fetus
- Emotional attachment
- Phase 1
> Woman accepts the biological fact of pregnancy
- Phase 2
> Woman accepts the growing fetus as distinct from herself and as a person to nurture
- Phase 3
> Woman prepares realistically for the birth and parenting of the child
Paternal adaptation to pregnancy ✅Accepting the Pregnancy
- Couvade syndrome
, > Men experience pregnancy symptoms like nausea, weight gain, and other physical
symptoms
- Developmental Tasks
> Announcement Phase
= May last hours to weeks
= Accept the biological fact of pregnancy
> Moratorium Phase
= Adjusts to reality of pregnancy
= Accept the pregnancy
> Focusing Phase
= Occurs in last trimester
= Characterized by the father's active involvement in both the pregnancy and his
relationship to his child
= Negotiate with his partner the role his is to play in labour and to prepare for
parenthood
= Concentrates on his experience of pregnancy and begins to think of himself as a
father
- Identifying with the father role
- Reordering personal relationships
- Establishing a relationship with the fetus
- Preparing for childbirth
Sibling adaptation to pregnancy ✅- accepting the baby
- learning to share
first trimester for mom consists of ✅- Mood swings
- Cravings
- Nausea
- Tired
- Trimester 1 is from 0 to 14 weeks. Here are the changes we expect to see:
- period stops
- sensitive breasts (may also become heavier, tender, and larger)
- mood swings (due to an increase in estrogen and progesterone, and major life
change)
- fatigue
- nausea/vomiting
- increased urinary frequency due to increase in plasma volume
- headaches and/or lightheaded
- sensitivity to smells and foods
- shortness of breath
second trimester for mom consists of ✅15-27 weeks gestation
- Red inflamed gums/nose bleeds - d/t increased blood pressure from vasodilation
- Leaky breasts - d/t lactogenesis increase
, - Stuffy nose - Water retention d/t increased cardiac output and ADH and aldosterone
(RAAS system)
- Increased baby movement - fetal growth
- Lower back pain - growth of fetus and additional weight of baby
- Pubic pain - growth of fetus/pressure of baby weight, increased Relaxin
- Throbbing legs and varicose veins - increase estrogen and increase blood flow
- Swelling of ankle, feet, hands, and hands (tingling) - fluid retention
- Constipation - d/t immobility, fluid retention, increased progesterones relaxing of
smooth muscles in digestive tract
- Line from belly button to pubic area and darkening of face - from increased melanin
production
Third trimester for mom consists of ✅28-40 Weeks Gestation Common Changes:
- Stretch marks on stomach, breasts, thighs
- Dry, itchy skin
- Fatigue
- Doubt, fear about labour
- Pre-labour contractions (Braxton Hicks)
- Leg muscle cramps
- Impatience for the birth
- Hemorrhoids
- Heartburn
- Sudden groin pain
- Shortness of breath
- Difficulty sleeping
- Increased need to pee
Maternal changes that occur during pregancy ✅- uteroplacental circulation
- maternal intravascular volume changes
- blood pressure changes
- cardiovascular changes
- clotting factors
-basal metabolic rate
- pulmonary function
- acid balance
- renal changes
- breast changes
describe the uteroplacental circulation maternal changes ✅- ovarian and uterine
arteries supply spiral arteries = increases size and diameter when potential implantation
- endometrium thickens
- implantation of trophoblasts in endometrial lining of uterus, trophoblasts migrate to
spiral arteries and remodel
- maternal arterial circulation through spiral arteries into intravilla space than drains in
maternal veins
- increased maternal blood volume to accommodate blood flow to placenta
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