PRN 1831|PRINCIPLES OF MATERNAL CHILD NURSING |COMPLETE
GUIDE WITH VERIFIED Q&A
GENERAL:
• Who defines and regulates nursing scope of practice?
Defines scope: State Nurse Practice Act
Regulates: State Board of Nursing
• What is evidence-based practice?
It is the nursing care in which all nursing interventions are based on current valid research evidence. It
takes nursing research and puts it into practice at the pts. Bedside. Incorporated into policies, procedures,
and nursing practice.
• What are the ethical principles that guide nursing care?
Autonomy: Pt making own choices; function independently
Beneficence: To benefit the patient; To do good,
Nonmaleficence: do no harm
Justice: Being Fair
• Which nurses are prescribers?
APRN-Nurse Practitioner
CNM-Certified Nurse Midwives
CNS- Clinical Nurse Specialist
GYN:
• Nursing care of the client with gonorrhea
NAAT testing, dirty urine specimen
Treatment ceftriaxone 250mg IM X 1with Zithromax 1g po x1
Ask how many partners do they have? Pain during sex? Any pregnancy?
• Recommendations on Pap smears for cervical cancer
Start at 21 years and should be done every 3 years.
• Contraindications for contraceptive methods: IUD
Liver disease, uterine abnormalities, smoker, heart disease
• Hormonal vs nonhormonal contraceptive options
Hormonal: progestin pill, Levonorgestril IUD, nuvaring, nexplanon, depo provera, transdermal patch
Nonhormonal: Copper IUD, Abstinence, barrier methods
• Combination oral contraceptives in adolescence- be able to provide teaching
Estrogen can stop from growing
• Use of hormonal contraceptives in adolescents
Estrogen can cause a halt in the expected growth spurt in adolescents. Adolescents should have period for
at least 2 years prior to starting oral contraceptives.
, • Contraception in breastfeeding- what is safe? Know appropriate use of progestin only pill
Breastfeeding: Progestin only methods or nonhormonal methods (estradiol interferes with milk
production).
This is how birth control methods should be taken or administered:
• Nuvaring- insert ring and leave in place x 3 weeks, then d/c x 1 week insert new ring
• COC/POP- take 1 pill each day at the same time (COC increases risk for Thrombosis/Progestin
only Pill causes irregular menses)
• Depo provera- IM injection x 1 every 3 months (Causes weight gain, amenorrhea/irregular
menses)
• IUD- inserted by provider… leave in place x 3, 5, or 10 years depending on device
(Levonorgestril IUD (Mirena) {cause irregular bleeding/amenorrhea}
• Nexplanon- inserted under the skin of the upper inner arm by provider, remains in place x 3 years
(Cause weight gain, acne, menstrual irregularities, and mood changes)
• Patch- {cause increased risk for Thrombosis}
• What treatment options are available for pelvic floor disorder?
Pelvic floor dysfunction is treated without surgery. Non-surgical treatments include: Biofeedback: This is
the most common treatment, done with the help of a physical therapist. Biofeedback is not painful, and
helps over 75% of people with pelvic floor dysfunction.
PREGNANCY:
• What hormone is detected in pregnancy testing?
Human chorionic gonadortropin (HCG)
• What is amenorrhea
Absence of menstruation (No vaginal bleeding)
• Where does fertilization typically occur?
Outer third of the fallopian tube near the ovary
• Where does the genetic material determining gender come from?
Sperm (X= Female or Y= Male- this determines gender) The Ovum is X
• Naegel’s rule- be able to calculate due date from LMP
Last menstrual period – 3 months + 7 days + 12 months
• Ex: A woman presents to the clinic reporting an LMP of 10/01/2019. What is her EDD?
Oct 1 minus 3 months is July 1…add 7 days and you get July 8…adjust the year and:
EDD= July 8, 2021
• Be able to determine a parity statement from a given OB history
• Gravida: total number of Pregnancies
• Parity: FPAL
o Full term: total number of live births after 38 weeks
o Preterm: total number of live births between 20 and 37 weeks
o Abortions: total number of pregnancy losses/elective terminations prior to 20 weeks
o Living Children: total number of living children
GUIDE WITH VERIFIED Q&A
GENERAL:
• Who defines and regulates nursing scope of practice?
Defines scope: State Nurse Practice Act
Regulates: State Board of Nursing
• What is evidence-based practice?
It is the nursing care in which all nursing interventions are based on current valid research evidence. It
takes nursing research and puts it into practice at the pts. Bedside. Incorporated into policies, procedures,
and nursing practice.
• What are the ethical principles that guide nursing care?
Autonomy: Pt making own choices; function independently
Beneficence: To benefit the patient; To do good,
Nonmaleficence: do no harm
Justice: Being Fair
• Which nurses are prescribers?
APRN-Nurse Practitioner
CNM-Certified Nurse Midwives
CNS- Clinical Nurse Specialist
GYN:
• Nursing care of the client with gonorrhea
NAAT testing, dirty urine specimen
Treatment ceftriaxone 250mg IM X 1with Zithromax 1g po x1
Ask how many partners do they have? Pain during sex? Any pregnancy?
• Recommendations on Pap smears for cervical cancer
Start at 21 years and should be done every 3 years.
• Contraindications for contraceptive methods: IUD
Liver disease, uterine abnormalities, smoker, heart disease
• Hormonal vs nonhormonal contraceptive options
Hormonal: progestin pill, Levonorgestril IUD, nuvaring, nexplanon, depo provera, transdermal patch
Nonhormonal: Copper IUD, Abstinence, barrier methods
• Combination oral contraceptives in adolescence- be able to provide teaching
Estrogen can stop from growing
• Use of hormonal contraceptives in adolescents
Estrogen can cause a halt in the expected growth spurt in adolescents. Adolescents should have period for
at least 2 years prior to starting oral contraceptives.
, • Contraception in breastfeeding- what is safe? Know appropriate use of progestin only pill
Breastfeeding: Progestin only methods or nonhormonal methods (estradiol interferes with milk
production).
This is how birth control methods should be taken or administered:
• Nuvaring- insert ring and leave in place x 3 weeks, then d/c x 1 week insert new ring
• COC/POP- take 1 pill each day at the same time (COC increases risk for Thrombosis/Progestin
only Pill causes irregular menses)
• Depo provera- IM injection x 1 every 3 months (Causes weight gain, amenorrhea/irregular
menses)
• IUD- inserted by provider… leave in place x 3, 5, or 10 years depending on device
(Levonorgestril IUD (Mirena) {cause irregular bleeding/amenorrhea}
• Nexplanon- inserted under the skin of the upper inner arm by provider, remains in place x 3 years
(Cause weight gain, acne, menstrual irregularities, and mood changes)
• Patch- {cause increased risk for Thrombosis}
• What treatment options are available for pelvic floor disorder?
Pelvic floor dysfunction is treated without surgery. Non-surgical treatments include: Biofeedback: This is
the most common treatment, done with the help of a physical therapist. Biofeedback is not painful, and
helps over 75% of people with pelvic floor dysfunction.
PREGNANCY:
• What hormone is detected in pregnancy testing?
Human chorionic gonadortropin (HCG)
• What is amenorrhea
Absence of menstruation (No vaginal bleeding)
• Where does fertilization typically occur?
Outer third of the fallopian tube near the ovary
• Where does the genetic material determining gender come from?
Sperm (X= Female or Y= Male- this determines gender) The Ovum is X
• Naegel’s rule- be able to calculate due date from LMP
Last menstrual period – 3 months + 7 days + 12 months
• Ex: A woman presents to the clinic reporting an LMP of 10/01/2019. What is her EDD?
Oct 1 minus 3 months is July 1…add 7 days and you get July 8…adjust the year and:
EDD= July 8, 2021
• Be able to determine a parity statement from a given OB history
• Gravida: total number of Pregnancies
• Parity: FPAL
o Full term: total number of live births after 38 weeks
o Preterm: total number of live births between 20 and 37 weeks
o Abortions: total number of pregnancy losses/elective terminations prior to 20 weeks
o Living Children: total number of living children
