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NSG222/ NSG 222 Exam 3: (New 2024/ 2025 Update) Family Nursing Review| Questions and Verif, Exams of Nursing

NSG222/ NSG 222 Exam 3: (New 2024/ 2025 Update) Family Nursing Review| Questions and Verified Answers| 100% Correct| A Grade– Herzing

Typology: Exams

2024/2025

Available from 09/13/2024

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NSG222/ NSG 222 Exam 3: (New 2024/ 2025
Update) Family Nursing Review| Questions
and Verified Answers| 100% Correct| A
Grade Herzing
QUESTION
premature rupture of membranes (PROM)
Answer:
> 37 weeks gestation
QUESTION
pre-term premature rupture of membranes (PPROM)
Answer:
< 37 weeks gestation
QUESTION
management of premature rupture of membranes
Answer:
- antibiotics
- STERILE cervical exams
- activity restriction
- monitor for signs of labor
- monitor for infection (temp >100.4)
- discharge home if no labor within 48 hours
QUESTION
How long should lupus be stable or in remission before getting pregnant?-
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Download NSG222/ NSG 222 Exam 3: (New 2024/ 2025 Update) Family Nursing Review| Questions and Verif and more Exams Nursing in PDF only on Docsity!

NSG222/ NSG 222 Exam 3: (New 2024/ 2025

Update) Family Nursing Review| Questions

and Verified Answers| 100% Correct| A

Grade– Herzing

QUESTION

premature rupture of membranes (PROM) Answer:

37 weeks gestation

QUESTION

pre-term premature rupture of membranes (PPROM) Answer: < 37 weeks gestation

QUESTION

management of premature rupture of membranes Answer:

  • antibiotics
  • STERILE cervical exams
  • activity restriction
  • monitor for signs of labor
  • monitor for infection (temp >100.4)
  • discharge home if no labor within 48 hours

QUESTION

How long should lupus be stable or in remission before getting pregnant?-

Answer: 6 months

QUESTION

treatment for HIV positive mother Answer:

  • oral antiretroviral drugs bid from 14 weeks to birth
  • IV antiretroviral meds during labor
  • oral syrup for newborn (6 hours through 6 weeks)
  • more likely to have C-section
  • avoid anything that will expose fetus to maternal blood (episiotomy)

QUESTION

risk factors for dystocia Answer:

  • epidural
  • macrosomia
  • 41 weeks gestation

  • maternal exhaustion
  • abnormal fetal position
  • multiple fetuses
  • ineffective pushing techniques
  • nulliparity

QUESTION

dystocia Answer: slow, abnormal progression of labor (failure to progress)

QUESTION

McRoberts Maneuver

QUESTION

indications for induction or augmentation Answer:

  • prolonged gestation
  • prolonged PROM
  • gestational hypertension
  • dystocia
  • intrauterine fetal demise

QUESTION

What is used for labor induction? Answer:

  • cervical ripening agent (cervidil, cytotec)
  • Oxytocin/Pitocin

QUESTION

signs of umbilical cord prolapse Answer:

  • visualization of cord in vagina
  • sudden fetal bradycardia
  • recurrent variable decelerations

QUESTION

management of umbilical cord prolapse*** Answer:

  • call for help
  • relieve cord compression (continuously push fetus back up, DO NOT TOUCH umbilical cord)
  • position change (elevate hips - trendelenberg, Sims, knee-chest)
  • administer oxygen (non-rebreather mask)
  • delivery
  • support

QUESTION

indications for C-section Answer:

  • HIV positive
  • shoulder dystocia
  • active genital herpes
  • gestational hypertension (sometimes)
  • macrosomia
  • fetal distress

QUESTION

When is Penicillin given to a mother who tests positive for Group B strep? Answer:

4 hours before delivery

QUESTION

postpartum hemorrhage Answer:

  • leading cause of maternal death
  • 500mL blood loss in vaginal birth

  • 1000mL blood loss in C-section

QUESTION

symptoms of postpartum hemorrhage Answer:

  • hypotension
  • tachycardia (heart beats faster to try to get more blood to the body)
  • boggy uterine fundus

QUESTION

newborn weight variations Answer:

  • appropriate for gestational age (AGA)
  • small for gestational age (SGA): <2500g, <10th percentile
  • large for gestational age (LGA): >4000g, >90th percentile
  • low birth weight (LBW): <2500g
  • very low birth weight (VLBW): <1500g
  • extremely low birth weight (ELBW): <1000g

QUESTION

small for gestational age causes Answer:

  • fetal growth restriction (intrauterine growth restriction - IUGR)
  • placental insufficiency (undersupply of O2 and nutrients)**
  • hypertension
  • smoking
  • drug use
  • alcohol use
  • chronic maternal illness
  • intrauterine infection

QUESTION

common problems for SGA newborns Answer:

  • perinatal asphyxia
  • difficulty with thermoregulation
  • hypoglycemia
  • polycythemia
  • meconium aspiration
  • hyperbilirubinemia
  • birth trauma

QUESTION

common problems for LGA newborns Answer:

  • birth trauma
  • hypoglycemia
  • polycythemia
  • hyperbilirubinemia

QUESTION

placenta previa Answer: a placenta that is implanted in the lower portion of the uterus, partially or completely blocking cervical opening

QUESTION

risk factors for placenta previa Answer:

  • prior C-section
  • maternal age >
  • smoking
  • diabetes
  • short interval between pregnancies

QUESTION

nursing management for placenta previa Answer:

  • avoid vaginal exams
  • monitor FHR
  • have patient lie on left side
  • insert IV to restore fluids

gestational hypertension Answer:

  • elevated BP >140/
  • more than 20 weeks gestation through 12 weeks postpartum
  • no previous history of hypertension
  • no protein in urine

QUESTION

preeclampsia Answer:

  • elevated BP >140/
  • protein in urine and/or organ dysfunction

QUESTION

treatment for severe preeclampsia Answer:

  • magnesium sulfate
  • hospitalization
  • monitor BP
  • prepare for birth
  • prevent seizures (assess neurologic function, DTRs)

QUESTION

chronic hypertension timeline Answer:

  • before pregnancy
  • before 20 weeks gestation
  • continues after 12 weeks postpartum

QUESTION

treatment for chronic hypertension Answer:

  • anti-hypertensives
  • exercise
  • low salt diet

QUESTION

gestational diabetes Answer: diabetes that develops during pregnancy

QUESTION

risk factors for gestational diabetes Answer:

  • advanced maternal age
  • family hx of diabetes
  • lack of activity
  • obesity
  • hypertension/cardiac disease

QUESTION

neonatal complications related to gestational diabetes Answer:

  • macrosomia
  • shoulder dystocia due to large size, trauma during birth
  • hypoglycemia (excessive insulin produced by baby to offset mother's hyper- glycemia)

QUESTION

treatment for gestational diabetes Answer:

  • thermal regulation (delay bathing)
  • nutrition (vital signs may decline b/c they cannot suck and swallow)
  • infection prevention (wash hands)
  • decrease stimulation (cluster care, dim light)

QUESTION

pain management of newborn Answer:

  • non-nutritive sucking (pacifier)
  • breast feeding
  • heat (warm blanket)
  • skin-to-skin contact
  • reduced noise
  • sweetened solutions

QUESTION

Which newborns more frequently suffer hypoxic-ischemic encephalopa- thy? Answer: home births or birthing center newborns

QUESTION

equipment needed for HIE newborns Answer:

  • wall suction
  • oxygen
  • ventilation bag
  • infant warmer
  • towels
  • laryngoscope

QUESTION

transient tachypnea Answer:

  • usually resolves within 72 hours after birth
  • caused by delayed clearance of fluid from lungs

QUESTION

signs of transient tachypnea and respiratory distress syndrome Answer:

  • tachyp- nea
  • retractions
  • grunting
  • nasal flaring
  • cyanosis

QUESTION

respiratory distress syndrome Answer:

  • tachypnea that lasts more than 72 hours
  • caused by lung immaturity or decreased surfactant
  • treated with surfactant, mechanical ventilation
  • ground glass pattern on chest x-ray

QUESTION

signs of meconium aspiration syndrome Answer:

  • tachypnea
  • cyanosis
  • grunting
  • retractions
  • nasal flaring
  • barrel-shaped chest
  • staining of amniotic fluid, nails, skin, umbilical cord

QUESTION

periventricular/intraventricular hemorrhage Answer:

  • bleeding in the brain caused by weak cerebral vessels
  • typically seen in preterm newborns
  • most common in first 72 hours
  • no treatment

QUESTION

signs of necrotizing enterocolitis Answer:

  • abdominal distention
  • bloody stools
  • feeding intolerance
  • lethargy

QUESTION

treatment for necrotizing enterocolitis Answer:

  • NPO
  • antibiotics
  • IV fluids
  • orogastric tube to prevent gastric distention
  • surgical removal of necrotic or perforated bowel

QUESTION

neonatal abstinence syndrome (NAS) Answer:

  • drug dependency acquired in utero manifested by neurologic and physical behaviors
  • symptoms may last from 1 week to 6 months

QUESTION

management of NAS Answer:

  • dim lights
  • cluster care
  • frequent feedings
  • low noise
  • frequent diaper changes
  • tight swaddle
  • pacifier
  • morphine/methadone

QUESTION

signs of NAS Answer: Wakefulness (sleeping less than 3 hours after feeding) Irritability Temperature variation (hyperthermia) Hyperactivity (hypertonic) Diarrhea, disorganized suck Respiratory distress Apneic Weight loss Alkalosis Lacrimation

QUESTION

signs of neonatal sepsis Answer:

  • poor feeding
  • respiratory distress
  • lethargy (later symptom)
  • persistent crying

QUESTION

treatment for neonatal sepsis

Answer: herniation of intestines through abdominal wall (no peritoneal sac)

QUESTION

imperforate anus Answer: absence or abnormal location of anal opening

QUESTION

5 A's when working with substance abuse mothers Answer: Ask Assess Assist Advise Arrange

QUESTION

causes of ectopic pregnancy Answer:

  • tubal scarring related to PID (most cases)
  • chlamydia
  • IUD
  • prior tubal surgery
  • smoking
  • douching

QUESTION

places where ectopic pregnancy can occur Answer:

  • abdominal cavity
  • fallopian tube
  • cervix
  • intestines

QUESTION

management of ectopic pregnancy Answer:

  • if not ruptured, drug therapy (methotrex- ate)
  • if ruptured, surgery
  • Rh immunoglobin if woman is Rh-
  • monitor HCG levels until undetectable

QUESTION

hallmark sign of ectopic pregnancy Answer: abdominal pain with bleeding within 6 to 8 weeks after missed menses

QUESTION

causes of miscarriage (spontaneous abortion) Answer:

  • unknown & highly variable
  • genetic abnormalities - 1st trimester
  • maternal conditions - 2nd trimester

QUESTION

nursing assessment of miscarriage Answer:

  • vaginal bleeding
  • cramping or contractions
  • vital signs
  • pain level
  • weeks gestation