NUR 2513 / NUR2513: Maternal-ChildNursing Exam 1 (Latest 2021 /
2022)
Rasmussen
NUR 2513 / NUR2513: Maternal-ChildNursing Exam 1 (Latest 2021 /
2022)
Rasmussen
NUR 2513 Maternal-Child Nursing
MCN Exam 1
What trends are currently influencing maternal child care?
- An expansion of community-based services
- Accidents are a leading cause of injury/mortality in the school aged
population and therefore education focused on this topic would be
considered high priority.
What influences the changes in the types of care required to support
maternal child health issues?
- Families are smaller, with a higher number of single parent families as
well as moms working outside the home.
- When planning care, consideration must be given to these structural shifts.
What are the 2020 National Health Goals for pregnancy?
- Stop smoking/alcohol use
- Eat a healthy diet
- Take PNV
NUR 2513 / NUR2513: Maternal-ChildNursing Exam 1 (Latest 2021 /
2022)
Rasmussen
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NUR 2513 / NUR2513: Maternal-ChildNursing Exam 1 (Latest 2021 /
2022)
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- Take folic acid
- Achieve optimal nutrition status prior to conception
What are the strategies for smoking cessation?
- Follow a designed smoking cessation plan
- Ask the MD if any medications can help
- Get a friend involved in the plan
What are the phases of the menstrual cycle?
- Proliferative
- Secretory/luteal
- Ischemic
- Menses
What happens during the proliferative phase of the menstrual cycle?
- First half of the menstrual cycle:
Ovary begins to produce estrogen.
Endometrium proliferates quickly--> increases thickness by eightfold from
day 5-14.
What happens during the Secretory/luteal phase of the menstrual cycle?
- Progesterone forms in the corpus luteum --> glands of
endometrium become corkscrew/twisted and dilated w/ glycogen
and mucin (protein).
Appearance: Rich, spongy velvet.
NUR 2513 / NUR2513: Maternal-ChildNursing Exam 1 (Latest 2021 /
2022)
Rasmussen
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NUR 2513 / NUR2513: Maternal-ChildNursing Exam 1 (Latest 2021 /
2022)
Rasmussen
What happens during the Ischemic phase of the menstrual cycle?
- Corpus luteum in the ovary regresses after 8-10 days.
Progesterone DECREASES--> endometrium of uterus degenerates
(day 24/25 of cycles).
Capillaries rupture, minute hemorrhages, and the endometrium SLOUGHS
off.
What happens during the Menses phase of the menstrual cycle?
- Mix of blood, mucin (protein), endometrial tissue, and unfertilized ovum
are released from the body.
When is conception possible?
- Can occur 2-3 days before ovulation and 1 day afterwards
What is the life expectancy of sperm and the length of time an ova is ripe for
fertilization?
- Sperm survival: 3-5+
days. Ova ripe: 1 day
How do combination oral contraceptives (COC) work?
- estrogen acts to suppress follicle-stimulating hormone (FSH) and LH
to suppress ovulation.
Progesterone decreases permeability of cervical mucus (limits sperm
motility/access to ova). Also interferes w/ tubal transport and
endometrial proliferation (implantation significantly decreased)
NUR 2513 / NUR2513: Maternal-ChildNursing Exam 1 (Latest 2021 /
2022)
Rasmussen