NUR 166 Exam 2 Hondros Concepts of Family-Centered Nursing Practical Nurse 2026/2027 | Complete Test Bank with Verified Questions and Answers and Detailed Rationales | LPN Maternal-Child and Pediatric Nursing Prep | Get HighScore | Instant Download

INSTANT PDF DOWNLOAD — This is the official test bank for the NUR 166 Exam 2 at Hondros College of Nursing, covering Concepts of Family-Centered Nursing for the Practical Nurse (LPN) program. It contains verified questions and answers with detailed rationales in multiple-choice, select-all-that-apply (SATA), ordered response, and clinical scenario formats aligned with the Ohio Board of Nursing LPN scope of practice. Maternal-Newborn Nursing Concepts Antepartum Care and Fetal Development – Signs of pregnancy: presumptive (subjective: amenorrhea, breast tenderness, nausea/vomiting, fatigue, urinary frequency), probable (objective signs: Goodell's sign – softening of cervix, Chadwick's sign – bluish-purple discoloration of cervix/vagina, Hegar's sign – softening of lower uterine segment, positive pregnancy test, Braxton Hicks contractions), positive (definitive: fetal heartbeat by Doppler, fetal movement felt by examiner, ultrasound visualization of fetus). Fetal heart rate (FHR) baseline normal range: 110-160 bpm. Gestational age assessment using fundal height: McDonald's rule (fundal height in cm corresponds to weeks of gestation between 18-32 weeks). Labor and Delivery – Stages of labor: Stage 1 (latent phase 0-6 cm, active phase 6-8 cm, transition 8-10 cm), Stage 2 (full dilation to birth of fetus), Stage 3 (delivery of placenta, typically within 5-30 minutes after birth), Stage 4 (immediate postpartum recovery 1-4 hours). Fetal monitoring: late decelerations indicate uteroplacental insufficiency, variable decelerations indicate cord compression, early decelerations indicate head compression (typically benign). Amniotomy and amniotomy: ROM assessment, infection risk after 24 hours, color of fluid: clear (normal), green/meconium-stained (fetal distress). Nursing interventions for prolapsed cord: knee-chest position or Trendelenburg, manually elevate presenting part off cord, prepare for immediate delivery. Postpartum Care – Assessment of fundus: should be firm, midline, at umbilicus immediately after delivery, descending 1 fingerbreadth per day. Uterine atony (boggy uterus) is leading cause of postpartum hemorrhage. Interventions for boggy uterus: massage, oxytocin (Pitocin) administration, methergine (contraindicated in hypertension), misoprostol (Cytotec) or carboprost (Hemabate) if needed. Lochia progression: rubra (red, 1-3 days), serosa (pink-brown, 4-10 days), alba (white-yellow, 10-28 days). Assessment of perineum: REEDA (Redness, Edema, Ecchymosis, Discharge, Approximation). Postpartum preeclampsia signs: severe headache, visual changes (blurred vision, seeing spots), epigastric/RUQ pain, hyperreflexia with clonus. Newborn Assessment and Care – APGAR scoring at 1 and 5 minutes: Appearance, Pulse, Grimace, Activity, Respiration (score 0-2 each). Normal APGAR 7-10 at 5 minutes. Head circumference 32-37 cm (larger than chest by 2-3 cm), chest circumference 30-35 cm. Newborn reflexes: rooting, sucking, Moro (startle), grasp (palmar and plantar), Babinski (toes fan when sole stroked), step (walking), tonic neck (fencing). Newborn screening: hearing screen, CCHD pulse oximetry screen (upper and lower extremities), bilirubin (transcutaneous or serum, jaundice appears first on face, progresses to trunk, then extremities). Vitamin K injection at birth: prevents hemorrhagic disease of the newborn (vitamin K deficiency bleeding). Erythromycin ophthalmic ointment: prevents ophthalmia neonatorum from gonorrhea/chlamydia exposure during birth. Breastfeeding vs. Formula Feeding – Breastfeeding recommendations: exclusive breastfeeding for first 6 months, continue up to 1 year or longer with complementary foods. Signs of adequate intake: 6-8 wet diapers/day (pale urine), 3-4 yellow seedy stools/day, steady weight gain (15-30 g/day), content between feedings. Latch assessment: wide open mouth, lips flanged outward, chin touching breast, more areola visible above top lip. Pediatric Nursing Concepts Growth and Developmental Milestones – 1 month (raises head slightly, responds to sound), 3 months (holds head up, coos, follows objects), 6 months (sits with support, transfers objects hand-to-hand, babbles), 9 months (sits independently, crawls, pincer grasp begins), 12 months (stands, may walk with assistance, says "mama/dada"), 15 months (walks alone, uses spoon, says 4-6 words), 18 months (runs, scribbles, points to body parts, 10-25 words), 24 months (2-year-old: climbs stairs, 2-3 word phrases, parallel play, 100+ words, initiates toileting). Erikson's Psychosocial Stages (Pediatric) – Trust vs. Mistrust (birth-1 year): meeting basic needs consistently. Autonomy vs. Shame and Doubt (1-3 years): encourage independence, toilet training. Initiative vs. Guilt (3-6 years): encourage exploration and assertiveness. Industry vs. Inferiority (6-12 years): praise accomplishments, develop competence. Identity vs. Role Confusion (12-18 years): support exploration of roles and values. Piaget's Cognitive Stages – Sensorimotor (birth-2 years): object permanence develops. Preoperational (2-7 years): egocentrism, magical thinking, animism, centration. Concrete operational (7-11 years): logical thinking about concrete events, conservation. Formal operational (11+ years): abstract reasoning, hypothetical thinking. Pain Assessment in Children – FLACC scale (Face, Legs, Activity, Cry, Consolability) for ages 2 months-7 years or nonverbal children. FACES pain rating scale (Wong-Baker) for ages 3+ years. Numeric rating scale (0-10) for ages 7+ years. Immunization Schedules – Birth: HepB. 2 months: HepB, DTaP, Hib, IPV, PCV13, RV. 4 months: DTaP, Hib, IPV, PCV13, RV. 6 months: HepB, DTaP, IPV, PCV13, RV, (flu starting at 6 months). 12-15 months: PCV13, MMR, Varicella, Hib. 4-6 years: DTaP, IPV, MMR, Varicella. 11-12 years: Tdap, HPV, MCV4 (meningococcal). Contraindications to immunizations: severe allergic reaction to previous dose or component of vaccine (e.g., egg allergy for some influenza vaccines – check type). Common Pediatric Alterations – Respiratory syncytial virus (RSV): most common cause of bronchiolitis in infants 1 year; symptoms: rhinorrhea, cough, wheezing, fever, respiratory distress; treatment: supportive care (suctioning, hydration, oxygen if needed); transmission: contact and droplet precautions. Croup (laryngotracheobronchitis): barking cough, inspiratory stridor; treatment: racemic epinephrine, corticosteroids (dexamethasone). Otitis media: ear pain, fever, bulging tympanic membrane; treatment: observation (48-72 hours) or antibiotics (amoxicillin first-line). Gastroenteritis: diarrhea, vomiting, fever; treatment: oral rehydration therapy (Pedialyte), avoid clear fluids (water, juice, soda – lack proper electrolytes), resume normal diet when tolerated. Pediatric Dosage Calculations – Weight-based dosing: calculate mg/kg/day or mg/kg/dose. Daily dose divided by frequency. Body surface area (BSA) method for chemotherapy or narrow therapeutic index drugs. Safe dose range verification: compare calculated dose to recommended range, not exceeding maximum. LPN Scope of Practice in Family-Centered Nursing – LPN can: collect data, reinforce teaching from RN, administer PO/IM/SubQ medications (excluding IV push in Ohio without additional certification), perform selected newborn assessments (vital signs, weight, length), assist with breastfeeding teaching, perform sterile procedures (urinary catheterization, dressing changes) with demonstrated competency. LPN cannot: perform initial admission assessment (RN responsibility), develop nursing care plan (RN responsibility), administer IV push medications or titrate infusions (state-specific, check Ohio Nurse Practice Act), pronounce death (RN or provider).