NUR 166 Exam 1 Concepts of Family-Centered Nursing Hondros Practical Nursing | Complete Questions with Verified Answers and Detailed Rationales | LPN Maternal-Newborn and Family Health Prep

INSTANT PDF DOWNLOAD — This comprehensive exam preparation resource for NUR 166 Exam 1 at Hondros College of Nursing covers Concepts of Family-Centered Nursing for the Practical Nurse (LPN) program. It features 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 and family-centered care principles. Family-Centered Care Principles – Core concepts: dignity and respect (listening to and honoring patient and family perspectives and choices), information sharing (communicating complete and unbiased information in affirming and useful ways), participation (encouraging families to participate in care and decision-making at the level they choose), collaboration (involving families, patients, and healthcare providers in policy, program, and facility development). Family is defined as whatever the patient says it is – biological relatives, close friends, neighbors, or others who provide support. Therapeutic Communication in Family-Centered Care – Techniques: active listening, restating, reflecting, clarifying, focusing, silence, summarizing, validation, offering self, giving information, presenting reality, open-ended questions ("Tell me more about..."). Nontherapeutic techniques: advising, belittling, challenging, defending, disapproving, judging, reassuring, stereotyping, probing, changing the subject, asking "why" questions (makes patients defensive, rarely therapeutic). Effective communication with families: avoid medical jargon, use teach-back method to confirm understanding ("Tell me in your own words what you understand about..."), provide written materials at appropriate literacy level (5th-6th grade recommended). Health Promotion and Disease Prevention in Families – Levels of prevention: primary (preventing disease before it occurs: immunizations, health education, lifestyle modifications), secondary (early detection and treatment: screenings, mammograms, blood pressure checks, Pap smears), tertiary (rehabilitation and preventing further complications: cardiac rehab, diabetes management education, stroke recovery support). Anticipatory guidance: age-appropriate education for parents about expected developmental milestones, safety, nutrition, and common childhood illnesses. Prenatal Care and Maternal Health – First prenatal visit: comprehensive health history, estimated due date (EDD) using Naegele's rule (first day of last menstrual period, subtract 3 months, add 7 days), baseline laboratory studies (CBC, blood type and Rh, antibody screen, rubella titer, HBsAg, HIV, syphilis screen, urinalysis, urine culture). Frequency of prenatal visits: every 4 weeks up to 28 weeks, every 2 weeks from 28-36 weeks, every week from 36 weeks to delivery. Danger signs during pregnancy (report immediately): vaginal bleeding, severe headache, blurred vision or seeing spots, epigastric or RUQ pain, persistent vomiting, fever, chills, dysuria, decreased fetal movement (after 28 weeks), sudden gush of fluid, leakage of fluid without contractions, swelling of face or hands (could indicate preeclampsia), painful urination. Fetal Development by Trimester – First trimester (weeks 1-12): organogenesis (all major organs form), heartbeat detectable by Doppler at 10-12 weeks, risk of teratogens highest during this period. Second trimester (weeks 13-27): fetal movement felt by mother (quickening at 16-20 weeks), vernix caseosa and lanugo develop. Third trimester (weeks 28-40): rapid weight gain, surfactant production in lungs (critical for breathing after birth), antibodies cross placenta providing passive immunity. Maternal Nutrition During Pregnancy – Increased caloric requirements: approximately 340 additional calories/day during second trimester, 450 additional calories/day during third trimester. Key nutrients: folic acid (400-800 mcg/day, prevents neural tube defects), iron (27 mg/day, prevents maternal anemia, supports fetal iron stores), calcium (1,000-1,300 mg/day, supports fetal bone development, prevents maternal bone loss), vitamin D (600 IU/day, supports calcium absorption), DHA (200-300 mg/day, supports fetal brain and eye development). Foods to avoid: unpasteurized dairy and juices, raw or undercooked meat/poultry/seafood/eggs, deli meats (unless reheated to steaming), fish high in mercury (shark, swordfish, king mackerel, tilefish), excess caffeine (limit to 200 mg/day), alcohol (no safe amount known – can cause fetal alcohol spectrum disorders).