NRSG 329 FINAL EXAM WITH COMPLETE SOLUTIONS 100%
VERIFIED!!!! ALREADY GRADED A+
How to provide family centered care - (answer)- Focus on dignity and respect for family
- Pay attention to family values and preferences
- Involve pt and family in care decisions
- Maximize participation of families in care in accordance with pt preference
How to provide trauma informed care - (answer)- Minimize potentially traumatic/distressing aspects of
medical care
- Address distress: pain, fear, anxiety
- Provide emotional support to pts and support effective coping
- Promote effective emotional support of family
- Address family members distress
How to combine family centered care and trauma informed care - (answer)- Share info with pt and family
- Encourage family presence
- Provide pt/family with choices and sense of control
- Consider family needs
- Respect family strengths
- Cultural competence
BUBBLEEE Assessment - (answer)-Breast
- Uterus
- Bladder
- Bowels
- Lochia
- Episiotomy
- Extremities
- Emotional status
,NRSG 329 FINAL EXAM WITH COMPLETE SOLUTIONS 100%
VERIFIED!!!! ALREADY GRADED A+
Variances of breast assessment - (answer)- Engorgement
- Mastitis
- Cracked/damaged nipples
- Inverted nipples
Role of estrogen in pregnancy - (answer)- Produced by corpus luteum until 14 wks and then placenta
- Enlargement of uterus, breasts, and genitals
- Promotes fat deposit changes
- Causes hyperpigmentation of skin
- Relaxes pelvic ligaments
- Alters sodium and water retention
- Decreases ability of pancreas to process insulin
Role of progesterone in pregnancy - (answer)- Produced by corpus luteum and ovary until 14 wks and
then by placenta
- Maintains endometrium for implantation
- Inhibits uterus contractility
- Promotes development of secretory ducts for lactation
- Stimulates sodium secretion
- Reduces smooth muscle tone
Thyroxine (T4) - (answer)- Influences thyroid gland size and activity and increases heartrate
-Increases basal metabolic rate during pregnancy
Human chorionic gonadotropin (hCG) - (answer)- Produced in early pregnancy by fertilized ovum and
chorionic villi
,NRSG 329 FINAL EXAM WITH COMPLETE SOLUTIONS 100%
VERIFIED!!!! ALREADY GRADED A+
- Stimulates progesterone and estrogen by corpus luteum to maintain pregnancy until placenta takes
over
Human chorionic somatomammotropin - (answer)- Produced by placenta
- Affects glucose and protein metabolism
- Has diabetogenic effect
- Contributes to breast development
melanocyte stimulating hormone - (answer)- produced by anterior pituitary gland
- causes pigmentation of skin to darken
Relaxin - (answer)-Produced by corpus luteum and placenta
- Remodels collagen, causing connective tissue of symphysis pubis to be more moveable and cervix to
soften
- Inhibits uterine activity
Prolactin - (answer)Prepares breasts for lactation
Oxytocin - (answer)- produced by the posterior pituitary gland
- Stimulates uterine contraction
- Inhibited by progesterone during pregnancy
- Keeps uterus contracted after birth
- Stimulates milk ejection reflex during breastfeeding
Changes to uterus - (answer)- increases number of myometrial (muscle) cells in first trimester and size of
cells in second and third trimesters
- uterus becomes a temporary abdominal organ at the end of the first trimester
, NRSG 329 FINAL EXAM WITH COMPLETE SOLUTIONS 100%
VERIFIED!!!! ALREADY GRADED A+
Changes to cervix - (answer)- Cervix changes in color and consistency
- Glands increase in number and activity
- Mucous plug seals the cervical canal
Changes to ovaries - (answer)- Ovaries do not produce ova during pregnancy
- The corpus luteum remains on the ovary for the first 6-7 wks to maintain the uterine lining
Changes to the vagina - (answer)- Blood supply increases
- Vaginal mucosa thickens and rugae become prominent
- pH lowers and becomes more acidic
- Vaginal secretions are higher in glycogen
Possible complications of bacterial vaginosis - (answer)- premature rupture of membranes
- chorioamnionitis
- preterm labour
- post-caesarean endometritis
Changes in breasts - (answer)- estrogen and progesterone prepare breasts for lactation
- areolae darken
- sebaceous glands in the nipples become prominent
- begin producing colostrum in the last few months
Colostrum - (answer)"premilk"
- high in protein, fat soluble vitamins, minerals
- Low in calories, fat, and sugar
- contains mother's antibodies
- secreted for first 2-3 days after birth
VERIFIED!!!! ALREADY GRADED A+
How to provide family centered care - (answer)- Focus on dignity and respect for family
- Pay attention to family values and preferences
- Involve pt and family in care decisions
- Maximize participation of families in care in accordance with pt preference
How to provide trauma informed care - (answer)- Minimize potentially traumatic/distressing aspects of
medical care
- Address distress: pain, fear, anxiety
- Provide emotional support to pts and support effective coping
- Promote effective emotional support of family
- Address family members distress
How to combine family centered care and trauma informed care - (answer)- Share info with pt and family
- Encourage family presence
- Provide pt/family with choices and sense of control
- Consider family needs
- Respect family strengths
- Cultural competence
BUBBLEEE Assessment - (answer)-Breast
- Uterus
- Bladder
- Bowels
- Lochia
- Episiotomy
- Extremities
- Emotional status
,NRSG 329 FINAL EXAM WITH COMPLETE SOLUTIONS 100%
VERIFIED!!!! ALREADY GRADED A+
Variances of breast assessment - (answer)- Engorgement
- Mastitis
- Cracked/damaged nipples
- Inverted nipples
Role of estrogen in pregnancy - (answer)- Produced by corpus luteum until 14 wks and then placenta
- Enlargement of uterus, breasts, and genitals
- Promotes fat deposit changes
- Causes hyperpigmentation of skin
- Relaxes pelvic ligaments
- Alters sodium and water retention
- Decreases ability of pancreas to process insulin
Role of progesterone in pregnancy - (answer)- Produced by corpus luteum and ovary until 14 wks and
then by placenta
- Maintains endometrium for implantation
- Inhibits uterus contractility
- Promotes development of secretory ducts for lactation
- Stimulates sodium secretion
- Reduces smooth muscle tone
Thyroxine (T4) - (answer)- Influences thyroid gland size and activity and increases heartrate
-Increases basal metabolic rate during pregnancy
Human chorionic gonadotropin (hCG) - (answer)- Produced in early pregnancy by fertilized ovum and
chorionic villi
,NRSG 329 FINAL EXAM WITH COMPLETE SOLUTIONS 100%
VERIFIED!!!! ALREADY GRADED A+
- Stimulates progesterone and estrogen by corpus luteum to maintain pregnancy until placenta takes
over
Human chorionic somatomammotropin - (answer)- Produced by placenta
- Affects glucose and protein metabolism
- Has diabetogenic effect
- Contributes to breast development
melanocyte stimulating hormone - (answer)- produced by anterior pituitary gland
- causes pigmentation of skin to darken
Relaxin - (answer)-Produced by corpus luteum and placenta
- Remodels collagen, causing connective tissue of symphysis pubis to be more moveable and cervix to
soften
- Inhibits uterine activity
Prolactin - (answer)Prepares breasts for lactation
Oxytocin - (answer)- produced by the posterior pituitary gland
- Stimulates uterine contraction
- Inhibited by progesterone during pregnancy
- Keeps uterus contracted after birth
- Stimulates milk ejection reflex during breastfeeding
Changes to uterus - (answer)- increases number of myometrial (muscle) cells in first trimester and size of
cells in second and third trimesters
- uterus becomes a temporary abdominal organ at the end of the first trimester
, NRSG 329 FINAL EXAM WITH COMPLETE SOLUTIONS 100%
VERIFIED!!!! ALREADY GRADED A+
Changes to cervix - (answer)- Cervix changes in color and consistency
- Glands increase in number and activity
- Mucous plug seals the cervical canal
Changes to ovaries - (answer)- Ovaries do not produce ova during pregnancy
- The corpus luteum remains on the ovary for the first 6-7 wks to maintain the uterine lining
Changes to the vagina - (answer)- Blood supply increases
- Vaginal mucosa thickens and rugae become prominent
- pH lowers and becomes more acidic
- Vaginal secretions are higher in glycogen
Possible complications of bacterial vaginosis - (answer)- premature rupture of membranes
- chorioamnionitis
- preterm labour
- post-caesarean endometritis
Changes in breasts - (answer)- estrogen and progesterone prepare breasts for lactation
- areolae darken
- sebaceous glands in the nipples become prominent
- begin producing colostrum in the last few months
Colostrum - (answer)"premilk"
- high in protein, fat soluble vitamins, minerals
- Low in calories, fat, and sugar
- contains mother's antibodies
- secreted for first 2-3 days after birth
