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NSG222/ NSG 222 Exam 1: (New 2024/ 2025
Update) Family Nursing Review| Questions
and Verified Answers| 100% Correct| A
Grade– Herzing
QUESTION
ways to decrease risk for lymphedema Answer:
- avoid using affected arm for blood pressure, blood draws, IVs
- wear gloves during activities that may cause injury
- wear compression sleeve
QUESTION
recommendations for breast self exam Answer:
- inspect breasts in 3 different posi- tions (hands above head, hands on hips, leaning forward)
- 3 types of palpation (circles, wedges, lines)
- use 3 different types of pressure (light, medium, firm)
QUESTION
hysterectomy post op care Answer:
- pain management
- assess vaginal bleeding (less than 1 pad per hour)
- encourage early ambulation
- nothing in the vagina for 6 weeks
- no heavy lifting for 6 weeks
QUESTION
risk factors for uterine cancer Answer:
- obesity
- nulliparity
- older age at pregnancy
QUESTION
vulvar cancer Answer:
- leukoplakia (white patches on vulva)
- erythema/redness
- lumps on labia
- dysuria
- itching/burning
- treated with chemotherapy, radiation, surgery
QUESTION
cycles of violence Answer:
- tension building
- physical abuse
- reconciliation/honeymoon
QUESTION
nursing focus for rape Answer:
- supportive care
- evidence collection
- STI evaluation
- prevent pregnancy
QUESTION
oligohydramnios Answer:
- too little amniotic fluid (<500mL at 32- 36 weeks)
- indicates kidney abnormality b/c fetus is not urinating enough
QUESTION
polyhydramnios Answer:
- too much amniotic fluid (>2000mL at 32- 36 weeks)
- indicates GI abnormality b/c fetus is not swallowing enough
QUESTION
presumptive (subjective) signs of pregnancy Answer:
- amenorrhea
- nausea
- breast tenderness
- deepening pigmentation
- urinary frequency
- fetal movements (quickening)
QUESTION
probable (objective) signs of pregnancy Answer:
- Braxton Hicks contractions
- positive pregnancy test
- abdominal enlargement
- Ballottement (rebound felt during cervical exam)
- Goodell's sign (softening of cervix)
- Chadwick's sign (bluish-purple coloration of cervix)
- Hegar's sign (softening of lower uterine segment)
QUESTION
positive signs of pregnancy Answer:
- audible fetal heartbeat
- fetal movement felt by examiner
- ultrasound confirmation
QUESTION
normal changes/symptoms during pregnancy Answer:
- nausea/vomiting
- excessive salivation
- back pain
- nasal stuffiness
- constipation
- shortness of breath
- breast tenderness
- hemorrhoids
QUESTION
interventions to help with symptoms during pregnancy Answer:
- heating pad for back pain
- maintain good posture
- wear supportive shoes
- remain upright after eating for heartburn
QUESTION
Answer:
- 1st trimester: bleeding, painful urination, severe vomiting
- 2nd trimester: regular uterine contractions, calf pain, sudden gush of fluid from vagina, lack of fetal movement
- 3rd trimester: sudden weight gain, edema, severe abdominal pain, headache with visual changes
QUESTION
recommended weight gain during pregnancy for healthy BMI (18.5 - 24.9)- Answer: 25 - 35 pounds
- 1st trimester: 3 - 5 pounds
- 2nd & 3rd trimester: 1 pound per week
QUESTION
recommended weight gain during pregnancy for underweight BMI (<18.5)- Answer: 28 - 40 pounds
- 1st trimester: 5 pounds
- 2nd & 3rd trimester: 1+ pound per week
QUESTION
recommended weight gain during pregnancy for overweight BMI (>25) Answer:
15 - 25 pounds
- 1st trimester: 2 pounds
- 2nd & 3rd trimester: 2/3 pound per week
QUESTION
first prenatal visit Answer:
- estimated due date
- physical, pelvic, and breast exam
- blood pressure and weight
- personal and family medical history
- lab tests: urine, blood, maybe pap smear
- screening for STIs
QUESTION
Naegele's Rule Answer:
- method for determining the estimated date of delivery (EDD)
- add 7 days to the first day of the last menstrual period, then subtract 3 months
- add one year to get EDD
QUESTION
gravida Answer: pregnant woman
QUESTION
primigravida Answer: a woman who is pregnant for the first time
QUESTION
nulligravida Answer:
- A: abortions, pregnancies ending before 20 wks
- L: currently living children
QUESTION
4 types of contraception Answer:
- behavioral
- barrier
- hormonal
- permanent
QUESTION
behavioral methods of contraception Answer:
- abstinence
- rhythm method (fertility awareness)
- withdrawal (coitus interruptus)
- lactational amenorrhea
QUESTION
lactational amenorrhea Answer:
- breast feeding at least 6 times per day
- no more than 6 hours between feedings at night
- solely breastfeeding child
QUESTION
What is unique about the barrier method of contraception? Answer: only method that also prevents STIs
QUESTION
barrier methods of contraception Answer:
- condom
- diaphragm
- cervical cap
- sponge
QUESTION
hormonal methods of contraception Answer:
- oral
- injectable
- transdermal
- vaginal ring
- implantable
- intrauterine
- emergency
QUESTION
permanent methods of contraception Answer:
- tubal ligation
- vasectomy
- hysterectomy
QUESTION
What is the age of viability of a fetus? Answer: 22 - 24 weeks
QUESTION
symptoms of pelvic inflammatory disease Answer:
- abdominal pain
- fever
- elevated WBCs
- dysuria
- dysmenorrhea
- painful intercourse
- nausea
- vomiting
QUESTION
human papillomavirus (HPV) Answer:
- viral sexually transmitted disease that causes genital warts or cervical cancer
- no cure (vaccines available - 2 doses for 9 - 14 yrs, 3 doses for 15 - 45 yrs)
QUESTION
mastitis Answer:
- inflammation of breast tissue caused by blocked milk duct
- flu-like symptoms
- warmth, redness, swelling, tenderness
- usually unilateral
- treatment includes encouraging breast feeding
QUESTION
non-modifiable risk factors for breast cancer Answer:
- gender (females)
- age (older than 50)
- family history
- genetic mutations (BRCA1 & BRCA2 genes)
- race (Caucasian)
- early menarche/late menopause
QUESTION
modifiable risk factors for breast cancer Answer:
- obesity
- sedentary lifestyle
- excessive alcohol intake
- smoking
- nulliparity
QUESTION
When is Rhogam given? Answer:
- mother is Rh-negative & infant is Rh-positive
- 28 weeks gestation AND 72 hours after birth
- any miscarriage
- an abortion
- an ectopic pregnancy
- after an amniocentesis
- after a stillbirth
QUESTION
How does mother assess fetal well-being? Answer:
- track how long it takes to feel 10 movements
- contact provider if less than 10 movements in 2 hours
autosomal recessive disorders Answer:
- requires 2 abnormal genes
- cystic fibrosis
- sickle cell anemia
QUESTION
x-linked disorders Answer:
- linked to the X chromosome, affects males more ofent
- hemophilia
- muscular dystrophy
QUESTION
preconception counseling should be offered to Answer:
- mother is 35 or older
- father is 50 or older
- exposure to teratogens
- cases of incest
QUESTION
primary amenorrhea Answer: absence of menses by age 15 with absence of growth of secondary sex characteristics
QUESTION
causes of primary amenorrhea Answer:
- stress
- vigorous exercise
- congenital abnormalities
- endocrine disorders
QUESTION
secondary amenorrhea Answer: absence of menses by age 16 with normal develop- ment of secondary sex characteristics
QUESTION
causes of secondary amenorrhea Answer:
- vigorous exercise
- stress
- anxiety/depression
- pregnancy
- breast feeding
QUESTION
primary dysmenorrhea Answer: painful menstruation without any identifiable underlying pelvic pathology
QUESTION
secondary dysmenorrhea Answer:
- painful menstruation due to pelvic or uterine pathol- ogy
- do not typically respond to NSAIDs
- causes infertility
