NU-409 Module 1 Exam Guide With
Complete Solution
What are some examples of single family issues?
Financial, increased stress, increased illness, decreased social support
A student nurse is concerned about learning enough about different cultures
to deliver competent care. The preceptor responds by saying:
A. "Responding effectively to different cultures means always using an
interpreter to communicate."
B. "You will never know everything so focus on cultural sensitivity for people
born in other countries."
C. "You will never know everything but keeping an open mind and
communicating effectively will help."
D. "You only need to be concerned about knowing about the main cultures in
our community."
C
During what weeks of pregnancy does organogenesis occur?
3-10 weeks
During weeks 3-10, what is the fetus most vulnerable to?
Teratogens
What is the first organ system to develop in a fetus?
,cardiovascular system
After what age is considered an advanced maternal age pregnancy?
age 35 (aka geriatric pregnancy)
What are the risks of a geriatric pregnancy (3)?
Potential for diminished egg quality, Increased risk for pregnancy-related
complications, and an increased risk of preexisting health conditions
Adolescent pregnancies under the age of 20 are considered high risk largely
due to ________________
Socioeconomic factors
What are the individual factors in GTPAL?
Gravidity, Term (greater than 37 weeks), Preterm (between 20-36.6 weeks
gestation), Abortion (less than 20 weeks), and Living Children
Mrs. D is a 34 year old client who is 20 weeks pregnant. She states she has
two children, a girl born at 32 weeks and a boy born at 39 weeks. She states
she lost a baby in between her children at 12 weeks
What is her GTPAL
G:4 T: 1 P: 1 A: 1 L: 2
Mrs. G is a 22 year old client who is 10 weeks pregnant. She states she has
three children, a girl born at 32 weeks, a boy at 37 weeks, and boy born at 39
weeks. She states she had a miscarriage at 10 weeks and at 14 weeks.
, What is her GTPAL?
G: 6 T: 2 P: 1 A: 2 L: 3
What vaccines can be administered during pregnancy?
Influenza and Tdap vaccine (at 27-36 weeks each pregnancy (ALL other
vaccines should be administered postpartum or preconception)
What hormone is responsible for maturation of ovarian follicles?
Follicle-Stimulating hormones (FSH)
When do Luteinizing hormones peak?
14 days before menses
What does Luteinizing hormone cause?
Ovulation
Following ovulation, what is the ovarian follicle known as?
Corpus Luteum
What is the role of the corpus luteum?
Produce progesterone and estrogen which maintain the uterine lining for
implantation
If implantation does not occur during the menstrual cycle, what happens to
the corpus luteum and uterine lining?
The corpus luteum degenerates and is reabsorbed by the body while the
uterine lining is shed (causing a period)
What are the two phases of the menstrual cycle known as?
Complete Solution
What are some examples of single family issues?
Financial, increased stress, increased illness, decreased social support
A student nurse is concerned about learning enough about different cultures
to deliver competent care. The preceptor responds by saying:
A. "Responding effectively to different cultures means always using an
interpreter to communicate."
B. "You will never know everything so focus on cultural sensitivity for people
born in other countries."
C. "You will never know everything but keeping an open mind and
communicating effectively will help."
D. "You only need to be concerned about knowing about the main cultures in
our community."
C
During what weeks of pregnancy does organogenesis occur?
3-10 weeks
During weeks 3-10, what is the fetus most vulnerable to?
Teratogens
What is the first organ system to develop in a fetus?
,cardiovascular system
After what age is considered an advanced maternal age pregnancy?
age 35 (aka geriatric pregnancy)
What are the risks of a geriatric pregnancy (3)?
Potential for diminished egg quality, Increased risk for pregnancy-related
complications, and an increased risk of preexisting health conditions
Adolescent pregnancies under the age of 20 are considered high risk largely
due to ________________
Socioeconomic factors
What are the individual factors in GTPAL?
Gravidity, Term (greater than 37 weeks), Preterm (between 20-36.6 weeks
gestation), Abortion (less than 20 weeks), and Living Children
Mrs. D is a 34 year old client who is 20 weeks pregnant. She states she has
two children, a girl born at 32 weeks and a boy born at 39 weeks. She states
she lost a baby in between her children at 12 weeks
What is her GTPAL
G:4 T: 1 P: 1 A: 1 L: 2
Mrs. G is a 22 year old client who is 10 weeks pregnant. She states she has
three children, a girl born at 32 weeks, a boy at 37 weeks, and boy born at 39
weeks. She states she had a miscarriage at 10 weeks and at 14 weeks.
, What is her GTPAL?
G: 6 T: 2 P: 1 A: 2 L: 3
What vaccines can be administered during pregnancy?
Influenza and Tdap vaccine (at 27-36 weeks each pregnancy (ALL other
vaccines should be administered postpartum or preconception)
What hormone is responsible for maturation of ovarian follicles?
Follicle-Stimulating hormones (FSH)
When do Luteinizing hormones peak?
14 days before menses
What does Luteinizing hormone cause?
Ovulation
Following ovulation, what is the ovarian follicle known as?
Corpus Luteum
What is the role of the corpus luteum?
Produce progesterone and estrogen which maintain the uterine lining for
implantation
If implantation does not occur during the menstrual cycle, what happens to
the corpus luteum and uterine lining?
The corpus luteum degenerates and is reabsorbed by the body while the
uterine lining is shed (causing a period)
What are the two phases of the menstrual cycle known as?