NUR 166 Final Exam | 2026/2027 | Concepts of Family-Centered Nursing Hondros Practical Nurse | Complete Questions with Verified Answers and Detailed Rationales | LPN Maternal-Newborn Pediatric and Family Health

INSTANT PDF DOWNLOAD — This comprehensive final exam review resource for NUR 166 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. This resource integrates all content from the course, including maternal-newborn nursing, pediatric nursing, family health promotion, and reproductive health. FINAL EXAM REVIEW – COMPREHENSIVE CONTENT UNIT I: FOUNDATIONS OF FAMILY-CENTERED CARE Family-Centered Nursing Principles – Core concepts: dignity and respect (honoring patient and family perspectives), information sharing (timely, complete, unbiased information), participation (families as partners in care and decision-making), collaboration (involving families in policy and program development). Family nursing considers the family as context (family as background for individual care), family as client (family as the focus of care), family as system (interactions between family members), and family as component of society (family's interaction with broader community). Family assessment tools: ecomap (visual representation of family's connections to external support systems), genogram (family tree illustrating relationships and health patterns across generations), family APGAR (Adaptation, Partnership, Growth, Affection, Resolve). Therapeutic Communication Across the Lifespan – With children: use simple words, get on child's eye level, offer choices when appropriate, allow child to touch equipment, use play and drawing to facilitate communication. With adolescents: ensure privacy, use nonjudgmental approach, respect confidentiality (with limits), discuss peer pressure, body image, sexuality, and risk behaviors. With pregnant women and new mothers: active listening, validate concerns, normalize common discomforts, provide anticipatory guidance, assess for postpartum depression using Edinburgh Postnatal Depression Scale. With families: avoid assumptions, respect diverse family structures (nuclear, extended, single-parent, blended, same-sex, grandparent-headed), accommodate cultural preferences in care. Health Promotion and Disease Prevention – Life span approach: prenatal (preconception health, folic acid, prenatal vitamins, avoiding teratogens), infancy (breastfeeding, immunizations, safe sleep, car seat safety), early childhood (injury prevention, nutrition, developmental surveillance, immunizations), school-age (obesity prevention, dental health, injury prevention, substance abuse education), adolescence (sexuality education, STI prevention, mental health screening, vaccination), adulthood (reproductive health, cancer screening, cardiovascular risk reduction), older adulthood (falls prevention, polypharmacy management, advance care planning). UNIT II: MATERNAL-NEWBORN NURSING Antepartum Care (Prenatal Period) – Prenatal visit schedule: every 4 weeks (to 28 weeks), every 2 weeks (28-36 weeks), weekly (36 weeks to delivery). Components of prenatal visit: vital signs, weight, urine dipstick (protein, glucose), fundal height measurement (McDonald's rule: fundal height in cm corresponds to weeks gestation 18-32 weeks), fetal heart rate auscultation (Doppler 10-12 weeks, fetoscope 18-20 weeks), fetal movement assessment (quickening at 16-20 weeks, daily kick counts after 28 weeks – 10 kicks in 2 hours is reassuring). Danger signs during pregnancy (report immediately): vaginal bleeding, severe headache, blurred vision or seeing spots, epigastric/RUQ pain (preeclampsia), fever/chills (infection), persistent vomiting (hyperemesis, dehydration), dysuria (UTI), sudden gush or leakage of fluid (ROM), decreased fetal movement (after 28 weeks), swelling of face or hands (preeclampsia). Naegele's Rule for EDD Calculation – Formula: first day of last menstrual period (LMP), subtract 3 months, add 7 days, add 1 year if applicable. Example: LMP January 1, 2025 → subtract 3 months = October 1, 2024 → add 7 days = October 8, 2024? (Wait, need to add year: January 1, 2025 → subtract 3 months = October 1, 2024 → add 7 days = October 8, 2024 → add 1 year = October 8, 2025). Alternative: LMP + 280 days (40 weeks) from first day of last menstrual period. Gestational Age Assessment (Newborn) – Ballard score (Dubowitz/Ballard Examination): assesses neuromuscular maturity (6 items) and physical maturity (6 items) to estimate gestational age. Categories: preterm (37 weeks), early term (37 0/7 - 38 6/7 weeks), full term (39 - 40 6/7 weeks), late term (41 - 41 6/7 weeks), postterm (≥42 weeks). Newborn classification by birth weight: low birth weight (LBW 2,500g), very low birth weight (VLBW 1,500g), extremely low birth weight (ELBW 1,000g), macrosomia (4,000g). Prenatal Laboratory Screening – First trimester: blood type and Rh, antibody screen, CBC, rubella titer, HBsAg, HIV, syphilis (VDRL/RPR), urinalysis and urine culture, Pap smear, chlamydia/gonorrhea screen. Second trimester: multiple marker screen (maternal serum alpha-fetoprotein MSAFP, hCG, estriol, inhibin A) for neural tube defects and aneuploidy (Down syndrome, trisomy 18), 1-hour glucose challenge test (24-28 weeks for GDM screening, threshold 130-140 mg/dL). Third trimester: repeat CBC, HBsAg, HIV, syphilis, GBS screen at 35-37 weeks (Group B Streptococcus, rectovaginal culture, treat positive with IV penicillin during labor to prevent neonatal GBS disease).