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Exam (elaborations)

NSG 2421 Review: Weeks 1 – 4 Exam Questions With Correct Answers

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NSG 2421 Review: Weeks 1 – 4 Exam Questions With Correct Answers...

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NSG 2421 Review: Weeks 1 – 4 Exam
Questions With Correct Answers

What are the core concepts of Family Centered Care?
SELECT ALL THAT APPLY.
a. Respect and Dignity
b. Teaching
c. Information Sharing
d. Innovation
e. Collaboration
f. Participation - ANSWER A, C, E, F
The four core concepts of FCC are Respect and Dignity, Information Sharing,
Participation and Collaboration.

Which of the following should a nurse consider when evaluating a family's
coping resources?
a. Availability of support persons
b. Family structure
c. Preventive health practices within the family
d. Roles of family members - ANSWER A. Availability of support persons

Rationale: Support persons will be vital in offering assistance and care for the
client recovering from illness. Family structure will not have a direct effect on
the client's ability to maintain health or recover from illness. Preventive health
practices are not related to the client's ability to cope with the stresses and
demands of illness. Roles and role performance don't impact the family's coping
resources.

Which of the following outcomes of family centered care is most illustrative of
the concept?
a. The nurse and parents mutually develop strategies of care.
b. The child is viewed as the most important family member.
c. Health professionals implement a sensitive plan of care for the child and
family.
d. All family members enjoy unlimited visiting hours. - ANSWER A. The nurse and
parents mutually develop strategies of care.

Rationale: The nurse and parents mutually developing strategies of care
illustrates partnership as the hallmark of family centered care. Such active
involvement promotes integrity and reduces risk to the child.

, An antepartum client tells the nurse her last period was May 18 to 24. The nurse
uses Nägele's rule to compute the client's expected date of birth. What is the
correct estimated date of birth (EDB)?
a. February 11 (of the next year)
b. February 18 (of the next year)
c. February 25 (of the next year)
d. March 3 (of the next year) - ANSWER C. February 25 (of the next year)

Rationale: February 25 (of the next year) is the correct date of birth based on the
fact that the first day of her last period was May 18. Calculating with Nägele's
rule (subtract three months first, then add 7 days to the first day of the last
menstrual period) provides for the EDB of February 25

A nursing instructor asks a nursing student who is preparing to assist with the
assessment of a pregnant client to describe the process of quickening. Which of
the following statements if made by the student indicates an understanding of
this term?
a. "It is the irregular, painless contractions that occur throughout pregnancy."
b. "It is the soft blowing sound that can be heard when the uterus is
auscultated."
c. "It is the thinning of the cervix."
d. "It is the fetal movement that is felt by the mother." - ANSWER D. "It is the fetal
movement that is felt by the mother."

Quickening: "It is the fetal movement that is felt by the mother."
Braxton Hicks: "It is the irregular, painless contractions that occur throughout
pregnancy."
Effacement: "Thinning out of the cervix"
Uterine soufflé: "It is the soft blowing sound that can be heard when the uterus is
auscultated."

A client asks how to tell the difference between true and false labor. The nurse
correctly responds: (Select all that apply)
a. "True labor contractions usually occur at regular intervals."
b. "True labor contractions often feel like period cramps."
c. "False labor contractions do not usually increase in duration and intensity."
d. "False labor contractions usually go away with rest." - ANSWER A, C, D
"True labor contractions usually occur at regular intervals."
"False labor contractions do not usually increase in duration and intensity."
"False labor contractions usually go away with rest."

True labour contractions are usually regular, and are felt most strongly in the
back and radiate to the abdomen. True labour contractions do not usually
decrease with rest. False labour contractions will often decrease with rest.
False labour contractions usually occur in the lower abdomen.

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