FAMILY NURSING EXAM 1 BLUEPRINT 2026/2027 | NURSING STUDY
GUIDE, EXAM REVIEW & PRACTICE QUESTIONS
NSG 222 Family Nursing Exam 1 Blueprint (Modules 1 and 2) help
Module NSG222 Exam 1 Notes
Dysmenorrhea→ Painful menstruation.
1 Dysmenorrhea, etiology
Primary Dysmenorrhea Painful menstruation with no detectable underlying
NSG222.01.01. pathology Cause:
01 - increased prostaglandin production by the endometrium in an ovulatory cycle.
- Prostaglandin causes uterine contractions because it triggers vasoconstriction.
- Hormones can cause primary dysmenorrhea.
Treatments:
- High levels of ibuprofen for pain (prostaglandin inhibitor)
- Oral contraceptives prescribed
- Heat on back
Secondary Dysmenorrhea Painful menstruation due to pelvdischargeic or uterine pathology. Has a known
cause.
Possible causes:
- endometriosis, adenomyosis, fibroids, pelvic infection, intrauterine system, cervical stenosis, or
congenital uterine or vaginal abnormalities.
- Endometriosis is the most common cause of secondary dysmenorrhea and is associated with pain
beyond menstruation, dyspareunia, low back pain, heavy or irregular bleeding, bloating, nausea, and
vomiting, and infertility
, Treatment→ treat the underlying cause.
SECONDARY SYMPTOMS
Extreme uterine cramping after 25 YO
Linked with infertility issues
Heavy menstrual flow
Irregular cycles
Immense pain
Infertility→ the inability to conceive a child after 1 year of regular sexual intercourse unprotected by
1 Infertility, therapeutic management contraception.
Treatment options include:
NSG222.01.01. - Lifestyle changes weight loss and smoking cessation.
02 - Taking clomiphene to promote ovulation; (oral med)
- Hormone injections to promote ovulation.
- Intrauterine insemination; and IVF.
- Various ovulation-enhancement drugs and timed intercourse might be used for the woman with
ovulation problems.
- Check for sperm count
- PO meds to promote ovulation can cause twins, ectopic pregnancy.
Nurses’ role: There are fertility clinics to be non-judgmental, supportive, provide education. Never promise
anything that you cannot be sure of.
Barrier contraceptives are physical or chemical devices that prevent pregnancy.
1 Barrier methods Mechanical barriers: condoms, diaphragms, cervical caps, sponges.
Chemical barriers: spermicide
NSG222.01.01.
03 Barrier methods provide a physical barrier for sperm and protect from STIs.
The best barrier method = condoms
, Abortions carried out via PO or vaginal medications.
1 Medical abortion
Complications: Complications of medical abortions include incomplete expulsion of uterine
NSG222.01.01.
contents, uterine infection, and heavy bleeding.
04
The use of 2 medications is needed/used (?).
1. Mifepristone blocks progesterone, which is essential to the development of pregnancy
2. Misoprostol is taken 24-48 hours later. This drug empties the uterus by causing cramping and bleeding.
Brain and CNS: hot flashes, disturbed sleep, mood, and memory problems
1 Menopause effects on body systems Cardiovascular: lower levels of high-density lipoprotein (HDL) and increased risk of CVD
Skeletal: rapid loss of bone density that increases the risk of osteoporosis
NSG222.01.01. Breasts:replacement of duct and glandular tissues by fat
05 Genitourinary: vaginal dryness, stress incontinence, cystitis
GI: less absorption of calcium from food, increasing the risk for fractures
Integumentary: dry, thin skin and decreased collagen levels
Body shape: more abdominal fat; waist size that swells relative to hips
1 STI, nursing management Education: how to avoid STI,
NSG222.01.02. Treated with antibiotics.
01
Age group that is most at risk- The younger the teens
Encourage adolescents to minimize their lifetime number of sexual partners, to use
barrier
methods consistently and correctly, and to be aware of the connection between drug
and alcohol
use and the incorrect use of barrier methods.
Vaginitis→ inflammation and infection of the vagina.
1 Preventing vaginitis, box 5.2
, Prevention:
NSG222.01.02. - Use condoms
02 - Avoid douching
- Avoid tights, nylon underwear, and tight clothes
- Avoid perfumed powders, sprays, bubble baths
- Wipe from front to back
Box 5.2
PREVENTING VAGINITIS
● Avoid douching to prevent altering the vaginal environment.
● Use condoms to avoid spreading the organism.
● Avoid tights, nylon underpants, and tight clothes.
● Wipe from front to back after using the toilet.
● Avoid powders, bubble baths, and perfumed vaginal sprays.
● Wear clean cotton underpants.
● Change out of wet bathing suits as soon as possible.
● Become familiar with the signs and symptoms of vaginitis.
● Choose to lead a healthy lifestyle.
Chlamydia: most common bacterial STI
1 Chlamydia, Therapeutic Management:
Management, Nursing assessment - Treated with antibiotics (Doxycycline 100mg PO 2x/day for 7 days or azithromycin 1g PO
NSG222.01.02. single dose
03 Nursing Assessment:
Assess for risk factors
- Adolescent
- Multiple sex partners or a new sex partner
- Sex without barrier contraception
- Oral contraceptives
- Being pregnant
GUIDE, EXAM REVIEW & PRACTICE QUESTIONS
NSG 222 Family Nursing Exam 1 Blueprint (Modules 1 and 2) help
Module NSG222 Exam 1 Notes
Dysmenorrhea→ Painful menstruation.
1 Dysmenorrhea, etiology
Primary Dysmenorrhea Painful menstruation with no detectable underlying
NSG222.01.01. pathology Cause:
01 - increased prostaglandin production by the endometrium in an ovulatory cycle.
- Prostaglandin causes uterine contractions because it triggers vasoconstriction.
- Hormones can cause primary dysmenorrhea.
Treatments:
- High levels of ibuprofen for pain (prostaglandin inhibitor)
- Oral contraceptives prescribed
- Heat on back
Secondary Dysmenorrhea Painful menstruation due to pelvdischargeic or uterine pathology. Has a known
cause.
Possible causes:
- endometriosis, adenomyosis, fibroids, pelvic infection, intrauterine system, cervical stenosis, or
congenital uterine or vaginal abnormalities.
- Endometriosis is the most common cause of secondary dysmenorrhea and is associated with pain
beyond menstruation, dyspareunia, low back pain, heavy or irregular bleeding, bloating, nausea, and
vomiting, and infertility
, Treatment→ treat the underlying cause.
SECONDARY SYMPTOMS
Extreme uterine cramping after 25 YO
Linked with infertility issues
Heavy menstrual flow
Irregular cycles
Immense pain
Infertility→ the inability to conceive a child after 1 year of regular sexual intercourse unprotected by
1 Infertility, therapeutic management contraception.
Treatment options include:
NSG222.01.01. - Lifestyle changes weight loss and smoking cessation.
02 - Taking clomiphene to promote ovulation; (oral med)
- Hormone injections to promote ovulation.
- Intrauterine insemination; and IVF.
- Various ovulation-enhancement drugs and timed intercourse might be used for the woman with
ovulation problems.
- Check for sperm count
- PO meds to promote ovulation can cause twins, ectopic pregnancy.
Nurses’ role: There are fertility clinics to be non-judgmental, supportive, provide education. Never promise
anything that you cannot be sure of.
Barrier contraceptives are physical or chemical devices that prevent pregnancy.
1 Barrier methods Mechanical barriers: condoms, diaphragms, cervical caps, sponges.
Chemical barriers: spermicide
NSG222.01.01.
03 Barrier methods provide a physical barrier for sperm and protect from STIs.
The best barrier method = condoms
, Abortions carried out via PO or vaginal medications.
1 Medical abortion
Complications: Complications of medical abortions include incomplete expulsion of uterine
NSG222.01.01.
contents, uterine infection, and heavy bleeding.
04
The use of 2 medications is needed/used (?).
1. Mifepristone blocks progesterone, which is essential to the development of pregnancy
2. Misoprostol is taken 24-48 hours later. This drug empties the uterus by causing cramping and bleeding.
Brain and CNS: hot flashes, disturbed sleep, mood, and memory problems
1 Menopause effects on body systems Cardiovascular: lower levels of high-density lipoprotein (HDL) and increased risk of CVD
Skeletal: rapid loss of bone density that increases the risk of osteoporosis
NSG222.01.01. Breasts:replacement of duct and glandular tissues by fat
05 Genitourinary: vaginal dryness, stress incontinence, cystitis
GI: less absorption of calcium from food, increasing the risk for fractures
Integumentary: dry, thin skin and decreased collagen levels
Body shape: more abdominal fat; waist size that swells relative to hips
1 STI, nursing management Education: how to avoid STI,
NSG222.01.02. Treated with antibiotics.
01
Age group that is most at risk- The younger the teens
Encourage adolescents to minimize their lifetime number of sexual partners, to use
barrier
methods consistently and correctly, and to be aware of the connection between drug
and alcohol
use and the incorrect use of barrier methods.
Vaginitis→ inflammation and infection of the vagina.
1 Preventing vaginitis, box 5.2
, Prevention:
NSG222.01.02. - Use condoms
02 - Avoid douching
- Avoid tights, nylon underwear, and tight clothes
- Avoid perfumed powders, sprays, bubble baths
- Wipe from front to back
Box 5.2
PREVENTING VAGINITIS
● Avoid douching to prevent altering the vaginal environment.
● Use condoms to avoid spreading the organism.
● Avoid tights, nylon underpants, and tight clothes.
● Wipe from front to back after using the toilet.
● Avoid powders, bubble baths, and perfumed vaginal sprays.
● Wear clean cotton underpants.
● Change out of wet bathing suits as soon as possible.
● Become familiar with the signs and symptoms of vaginitis.
● Choose to lead a healthy lifestyle.
Chlamydia: most common bacterial STI
1 Chlamydia, Therapeutic Management:
Management, Nursing assessment - Treated with antibiotics (Doxycycline 100mg PO 2x/day for 7 days or azithromycin 1g PO
NSG222.01.02. single dose
03 Nursing Assessment:
Assess for risk factors
- Adolescent
- Multiple sex partners or a new sex partner
- Sex without barrier contraception
- Oral contraceptives
- Being pregnant
