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Exam (elaborations)

NSG 432 EXAM 1

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Exam of 35 pages for the course NSG 432 at NSG 432 (NSG 432 EXAM 1)

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NSG 432 EXAM 1,2,3 AND FINAL EXAM COMPLETE COURSE
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(NURSING CARE OF CHILDBEARING FAMILY) NEWEST n n n n n n


2025 ACTUAL EXAM COMPLETE QUESTIONS AND n n n n n n


CORRECT DETAILED ANSWERS (VERIFIED ANSWERS) n n n n n


|ALREADY GRADED A+||BRAND NEW!!(GCU) n n n n
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Stages of maternity nursing - ANSWER PRECONCEPTION
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-prior to concieving/conception
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PRENATAL OR ANTEPARTUM n n n


-pregnancy (approximatley 40 weeks) n n n n


INTRAPARTUM n


-labor and birth
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POSTPARTUM n


-birth to 6 weeks
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Advances in nursing care - ANSWER EARLY 1900s
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-childbirth classes and first milk bank n n n n n n


-more standardized care for women and childbirth
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-improvements of birth control and feminine products n n n n n n n


MID 1900s
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-lamaze education n n


-birth control PILL
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-research on cause of birth defects
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-NAACOG founded n n


-mammograms n


LATE 1900s n n


-home pregnancy kits
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-family medical leave act
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-newborn and mothers health act n n n n n


-emergency contraception n n


EARLY 2000s-CURRENT DAY n n n


-affordable care act n n n

,-HPV vaccinen n


-further research of virusesn n n n
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Health disparities - ANSWER VULNERABLE
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-
women, ethnic and racial minorities, adolescent girls, older women, homel
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ess, etc
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-black women greater risk of death
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-factors of mortality: lack of midwives
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EFFORTS TO REDUCE n n n


-HRSA: no healthcare coverage n n n n


-Office of Minority of health
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-NIH: research and education materials
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-CDC n


-US dept health and human services: evidence based programs
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Healthy people 2030 - ANSWER -science based goals every 10 years
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-reduce rate of fetal and newborn deaths
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-increase proportion of clients who attend childbirth classes
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-reduce maternal mortality
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GLOBAL n


-united nations wants to sustain environment and eliminate poverty
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Problems with US healthcare - ANSWER -costs
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-medical errors cause of death n n n n n


-institute of medicine: analyzes errors
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-low birth weight (under 2500g or 5-8oz, born before 37 weeks gestation)
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-infant mortality rate increasing
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-
maternal mortality related to •acute renal failure, amniotic fluid embolism,
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cerebrovascular accident, eclampsia, pulmonary embolism, liver failure, o n n n n n n n


bstetric shock, respiratory failure, septicemia, and complications of anesth
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esia (pulmonary, cardiac, central nervous system).
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-obese- BMI >30 n n n
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,Birthing practices - ANSWER -prenatal care enhances outcomes
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BIRTH OPTIONS n n


-hospitals/medical facilities n n


-birthing centers, midwives n n n


- home births with midwife or doula
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FAMILY CENTERED CARE n n n


-help catch the baby, cut the cord -
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skin to skin after birth!
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Standard of care nursing - ANSWER - n n n n n n


definition: the level of practice that a reasonably prudent nurse would provi
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de in the same or similar circumstances. if uncertain how to do something t
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he nurse should consult the agencies policies
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SENTENIAL EVENTS n n


-events resulting in death, permanent harm, or severe temporary harm
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FAILURE TO RESCUE n n n


-not acting on or recognizing distress
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ANA n


-standards for maternal-child health nursing n n n n n


AWHONN n


-standards for perinatal nurses n n n n


American College of Nurse-Midwives (ACNM) n n n n n


-standards for nurse midwives n n n n


National Association of Neonatal Nurses n n n n n


-standards for neonatal nurses n n n n
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Advances in nursing practice - ANSWER TECHNOLOGYn n n n n n n


-advanced fertility- n


nolder age, chronic disease, costs of care, increased options for contraceptio
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innovations: intrauterine fetal surgery, fetoscopy, therapeutic inseminatio
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n, genetic engineering, stem cell research, surrogate childbearing, surgery
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, for infertility, "test tube" babies, fetal research, and treatment of very low-
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birth-weight (VLBW) babies n n n
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Family, Culture, and Home care - ANSWER -
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family: primary unit of socialization (nuclear, multigenerational, nonbiolo
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gic, married-blended, single parent, etc
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-provide respectful and compassionate care to all families
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FAMILY ASSESSMENT n n


-focus on interaction of individuals within the family
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-promote healthy birth outcomes for low risk family
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-illness care needs for high risk family
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GENOGRAM n


-assessment of family social environment, identify support systems
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CULTURE n


-address questions to client not interpreter!!
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-privacy and respect n n n


-time orientation varies
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-culture may influence if a man actively participates in pregnancy and birth
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Menstrual cycle - ANSWER - n n n n


begins on the day that menstrual bleeding begins, 14 days after ovulation -
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average 28 days, ovulation on day 14
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ENDOMETRIAL CYCLE n n


-menstrual n


-proliferative: dependent on estrogen secretion from ovaries n n n n n n n


-secretory n


-ischemic n


-basal layer is retained, the 2/3 outer uterine lining retained
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HYPOTHALAMIC-PITUITARY CYCLE n n


-produce LH and FSH, surge on day 12, stimulate release of ovum 24-
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36 hr later
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OVARIAN CYCLE n n


-each month 1-30 ova will begin to mature
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