HONDROS COLLEGE NUR 221 Final Exam LATEST 2026
SPRING SUMMER QUARTER:ACTUAL QUESTION AND
ANSWER GRADED A
What type of blood incompatibility affects the first baby?
ABO incompatibility
What type of blood incompatibility affects the second baby?
Rh incompatibility
When should Rhogam be administered during pregnancy?
At 28 weeks and within 72 hrs after birth only if baby is Rh -
Severe jaundice
Can lead to Kernicterus (brain damage).
Phototherapy Nursing Care
Eye protection, diaper only, no lotions; Frequent feedings to excrete bilirubin.
Mastitis
Localized redness, warmth, pain; Continue breastfeeding, warm compresses, antibiotics.
Barrier Contraceptive Methods
Condoms, spermicides, diaphragm, cervical cap, sponge.
Hormonal Contraceptive Methods
Pills (ACHES acronym), vaginal ring, IUD (PAINS acronym), implant, transdermal patch, injectable.
ACHES
Abdominal pain
Chest pain
Headaches
Eye problems
Severe leg pain
PAINS
P – Period abnormalities (late, missed, or irregular bleeding)
A – Abdominal pain (severe cramping or pain)
I – Infection (unusual vaginal discharge, fever, chills)
N – Not feeling well (flu-like symptoms, malaise)
, S – String missing or shorter/longer (may indicate IUD displacement or expulsion)
Physiologic Changes in Pregnancy
Increased blood volume,
Increased cardiac output
Increased respiratory rate
Decreased gastrointestinal motility
Hypercoagulability,
Hormonal changes affecting metabolism and musculoskeletal system.
Chlamydia & Gonorrhea Treatment
Azithromycin/Doxycycline; Reportable.
Trichomoniasis Treatment
Metronidazole; Not always reportable.
HPV
Viral STI with no cure; vaccines available (Gardasil 9).
UTIs Treatment
Bacterial infections treated with Nitrofurantoin, Bactrim, increased hydration.
Postpartum Psychosis
Medical emergency requiring hospitalization.
Signs & Symptoms: Hallucinations, delusions, severe mood swings, mania, depression. Increased
risk of harming self or baby.
Risk Factors for Postpartum Psychosis
Personal or family history of bipolar disorder or hx postpartum psychosis.
Treatment for Postpartum Psychosis
Antipsychotics, hospitalization, and psychotherapy.
ECT (Electroconvulsive Therapy) if severe.
What position should an infant's car seat be in?
Rear-facing in the back seat.
What should not be placed between the baby and the harness in a car seat?
Coats, snowsuits, or padding.
A rolled towel or blanket may be used to support the babies head
What may hospitals require before discharging a newborn?
Proof of a new car seat.
How should the umbilical cord be cleaned?
Clean with water only (no alcohol or ointments).
Falls off naturally within 1-2 weeks.
SPRING SUMMER QUARTER:ACTUAL QUESTION AND
ANSWER GRADED A
What type of blood incompatibility affects the first baby?
ABO incompatibility
What type of blood incompatibility affects the second baby?
Rh incompatibility
When should Rhogam be administered during pregnancy?
At 28 weeks and within 72 hrs after birth only if baby is Rh -
Severe jaundice
Can lead to Kernicterus (brain damage).
Phototherapy Nursing Care
Eye protection, diaper only, no lotions; Frequent feedings to excrete bilirubin.
Mastitis
Localized redness, warmth, pain; Continue breastfeeding, warm compresses, antibiotics.
Barrier Contraceptive Methods
Condoms, spermicides, diaphragm, cervical cap, sponge.
Hormonal Contraceptive Methods
Pills (ACHES acronym), vaginal ring, IUD (PAINS acronym), implant, transdermal patch, injectable.
ACHES
Abdominal pain
Chest pain
Headaches
Eye problems
Severe leg pain
PAINS
P – Period abnormalities (late, missed, or irregular bleeding)
A – Abdominal pain (severe cramping or pain)
I – Infection (unusual vaginal discharge, fever, chills)
N – Not feeling well (flu-like symptoms, malaise)
, S – String missing or shorter/longer (may indicate IUD displacement or expulsion)
Physiologic Changes in Pregnancy
Increased blood volume,
Increased cardiac output
Increased respiratory rate
Decreased gastrointestinal motility
Hypercoagulability,
Hormonal changes affecting metabolism and musculoskeletal system.
Chlamydia & Gonorrhea Treatment
Azithromycin/Doxycycline; Reportable.
Trichomoniasis Treatment
Metronidazole; Not always reportable.
HPV
Viral STI with no cure; vaccines available (Gardasil 9).
UTIs Treatment
Bacterial infections treated with Nitrofurantoin, Bactrim, increased hydration.
Postpartum Psychosis
Medical emergency requiring hospitalization.
Signs & Symptoms: Hallucinations, delusions, severe mood swings, mania, depression. Increased
risk of harming self or baby.
Risk Factors for Postpartum Psychosis
Personal or family history of bipolar disorder or hx postpartum psychosis.
Treatment for Postpartum Psychosis
Antipsychotics, hospitalization, and psychotherapy.
ECT (Electroconvulsive Therapy) if severe.
What position should an infant's car seat be in?
Rear-facing in the back seat.
What should not be placed between the baby and the harness in a car seat?
Coats, snowsuits, or padding.
A rolled towel or blanket may be used to support the babies head
What may hospitals require before discharging a newborn?
Proof of a new car seat.
How should the umbilical cord be cleaned?
Clean with water only (no alcohol or ointments).
Falls off naturally within 1-2 weeks.
