NUR 166 Exam 1 Hondros Concepts of Family-Centered Nursing Practical Nurse 2026/2027 Test Bank with Verified Answers and Detailed Rationales Grade A

INSTANT PDF DOWNLOAD — This is the official test bank for NUR 166 Exam 1 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. This resource focuses on family health promotion, reproductive health, prenatal care, fetal development, family planning, and infertility. FAMILY-CENTERED NURSING FOUNDATIONS (EXAM 1 FOCUS) FAMILY-CENTERED CARE PRINCIPLES Core concepts: dignity and respect (honoring patient and family perspectives and choices), information sharing (timely, complete, unbiased information communicated in affirming and useful ways), participation (families as partners 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. Family Nursing Approaches – Family as context: family serves as background or resource for individual client care. Family as client: family itself is the focus of assessment and intervention. Family as system: interactions between family members are the focus (systems theory). Family as component of society: family's interaction with broader community systems (education, healthcare, social services, employment). Family Assessment Tools – Ecomap: visual representation of family's connections to external support systems and resources (social services, healthcare, school, work, extended family, friends, religious organizations). Genogram: family tree illustrating relationships and health patterns across multiple generations (identifies hereditary conditions, patterns of illness, family dynamics). Family APGAR: assessment of family function: Adaptation, Partnership, Growth, Affection, Resolve. Life Span Approach to Health Promotion – Preconception: folic acid 400-800 mcg, optimize chronic disease management, STI screening, genetic counseling, environmental/occupational hazard avoidance. Prenatal: prenatal vitamins with folic acid, first prenatal visit within first trimester, regular prenatal visits, avoid teratogens (alcohol, tobacco, illicit drugs, certain medications, radiation). Infancy: breastfeeding promotion, immunizations (birth-12 months), safe sleep (Back to Sleep/Safe to Sleep campaign, supine position, firm mattress, no soft bedding), car seat safety (rear-facing until 2 years). Early Childhood (1-5 years): injury prevention (falls, burns, drowning, poisoning, motor vehicle), nutrition (healthy eating habits, limit screen time), developmental surveillance, immunizations. PRENATAL CARE Fetal Development by Trimester First Trimester (Weeks 1-12) – Organogenesis (all major organs form during this critical period). Weeks 3-8: development of heart (begins beating at 5 weeks), brain, spinal cord, lungs, GI tract, kidneys, limbs, fingers, toes. Neural tube closes by 28 days. Heartbeat detectable by Doppler at 10-12 weeks. Risk of teratogens highest during first trimester (drugs, alcohol, infections, radiation, certain chemicals). Gestational sac visible on ultrasound at 5 weeks, fetal pole at 6 weeks, heartbeat on transvaginal ultrasound at 6-7 weeks. Crown-rump length (CRL) used for accurate dating in first trimester. Second Trimester (Weeks 13-27) – Quickening (fetal movement felt by mother) at 16-20 weeks. Vernix caseosa (waxy protective coating) and lanugo (fine hair) develop. Fetal heartbeat audible by fetoscope at 18-20 weeks. Fundal height measurement (McDonald's rule) becomes reliable at 18-32 weeks (fundal height in cm corresponds to weeks gestation ±2 cm). Maternal serum alpha-fetoprotein (MSAFP) screening at 15-20 weeks (neural tube defects, abdominal wall defects). Anomaly ultrasound at