NUR 221 EXAM 1 | 130 ACTUAL QUESTIONS
AND CORRECT ANSWERS WITH
COMPLETE SOLUTIONS | NEW UPDATE
2025
What is included in the initial visit/family assessment? - ANSWERS -Was the
pregnancy planned, desired, or unwanted?
-Is the woman pleased or displeased?
-What primary support is available?
-Does she need any support from the community?
-Who all lives in the home?
-How prepared does she feel about becoming a mom?
-Does she feel safe in the home?
-Does she have any special cultural considerations?
-What is her birthing plan?
-Family history?
-Nutritional history?
-History of drug/herbal preparation use?
-Obstetric/Gynecologic history?
-Mental health screening
Vaccines given during pregnancy - ANSWERS Tdap
Flu
can give Hep series if necessary
**Do not give any live vaccines (ex. Varicella)
,Normal weight gain during pregnancy - ANSWERS underweight- 28-40 lbs
normal- 25-35 lbs
overweight- 15-25 lbs
obese 11-20 lbs
laboratory tests at initial visit - ANSWERS Urine- tests for protein, glucose, and
leukocytes
Blood- blood type, baseline blood levels, detects anemia, detects infection, renal
function tests, Rubella titer, STI's
Pap test- HPV, other STI's
TB test might also be done
Signs of abuse during preganacy - ANSWERS missed apts
bruises/unexplained injuries
chronic pain
overuse of health services
depression/anxiety
untreated serious injuries
injuries not matching the description
nonadherence to treatment
won't make eye contact
won't speak for herself
keeps someone with them or on the phone at all times
withdrawn
,guards themselves when you try to touch them
intimate partner violence assessment - ANSWERS -Assess safety at every visit
-Are you with a spouse or partner who threatens or physically hurts you? if yes?
who?
-Within the past year or in this pregnancy, has anyone hit, slapped, kicked, or
otherwise hurt you? Are you currently with that person?
-Has anyone forced you to have sexual activities that made you uncomfortable? if
yes, who? Are you with that person?
Nursing interventions for signs of abuse - ANSWERS -speak to patient alone
(sometimes you have to get creative)
-make aware of available resources
-teach her about how to get a safety plan in place (pack a bag, extra key, check
book)
-offer use of telephone to call for help if she chooses
-let them know what is happening to them is not okay
-if in immediate danger report and take action to protect her and her children
-complete physical assessment for injuries and observe for behaviors
Naegele's Rule - ANSWERS add 7 days to first day of LMP, subtract 3 months,
and add 1 year
or
add 7 days to first day of LMP and add 9 months
Gravida - ANSWERS number of times a woman has been pregnant
, Parity - ANSWERS number of pregnancies greater than or equal to 20 weeks
gestation
GTPAL - ANSWERS Gravida (# of pregnancies)
Term (greater than or equal to 37 weeks)
Preterm (20-36 weeks 6 days
Abortions (less than 20 weeks)
Living Children
nuclear family - ANSWERS Mother, father and children living as a unit
extended family - ANSWERS a family that extends beyond the nuclear family,
including grandparents, aunts, uncles, and other relatives, who all live nearby or in
one household.
multigenerational family - ANSWERS a family household containing at least
two adult generations or a grandparent and at least one other generation
No-biologic parent families - ANSWERS those in which children live
independently in foster care or kinship care such as living with a grandparent
married-blended families - ANSWERS Family formed as a result of divorce and
remarriage, consisting of unrelated family members (stepparents, stepchildren,
stepsiblings)
AND CORRECT ANSWERS WITH
COMPLETE SOLUTIONS | NEW UPDATE
2025
What is included in the initial visit/family assessment? - ANSWERS -Was the
pregnancy planned, desired, or unwanted?
-Is the woman pleased or displeased?
-What primary support is available?
-Does she need any support from the community?
-Who all lives in the home?
-How prepared does she feel about becoming a mom?
-Does she feel safe in the home?
-Does she have any special cultural considerations?
-What is her birthing plan?
-Family history?
-Nutritional history?
-History of drug/herbal preparation use?
-Obstetric/Gynecologic history?
-Mental health screening
Vaccines given during pregnancy - ANSWERS Tdap
Flu
can give Hep series if necessary
**Do not give any live vaccines (ex. Varicella)
,Normal weight gain during pregnancy - ANSWERS underweight- 28-40 lbs
normal- 25-35 lbs
overweight- 15-25 lbs
obese 11-20 lbs
laboratory tests at initial visit - ANSWERS Urine- tests for protein, glucose, and
leukocytes
Blood- blood type, baseline blood levels, detects anemia, detects infection, renal
function tests, Rubella titer, STI's
Pap test- HPV, other STI's
TB test might also be done
Signs of abuse during preganacy - ANSWERS missed apts
bruises/unexplained injuries
chronic pain
overuse of health services
depression/anxiety
untreated serious injuries
injuries not matching the description
nonadherence to treatment
won't make eye contact
won't speak for herself
keeps someone with them or on the phone at all times
withdrawn
,guards themselves when you try to touch them
intimate partner violence assessment - ANSWERS -Assess safety at every visit
-Are you with a spouse or partner who threatens or physically hurts you? if yes?
who?
-Within the past year or in this pregnancy, has anyone hit, slapped, kicked, or
otherwise hurt you? Are you currently with that person?
-Has anyone forced you to have sexual activities that made you uncomfortable? if
yes, who? Are you with that person?
Nursing interventions for signs of abuse - ANSWERS -speak to patient alone
(sometimes you have to get creative)
-make aware of available resources
-teach her about how to get a safety plan in place (pack a bag, extra key, check
book)
-offer use of telephone to call for help if she chooses
-let them know what is happening to them is not okay
-if in immediate danger report and take action to protect her and her children
-complete physical assessment for injuries and observe for behaviors
Naegele's Rule - ANSWERS add 7 days to first day of LMP, subtract 3 months,
and add 1 year
or
add 7 days to first day of LMP and add 9 months
Gravida - ANSWERS number of times a woman has been pregnant
, Parity - ANSWERS number of pregnancies greater than or equal to 20 weeks
gestation
GTPAL - ANSWERS Gravida (# of pregnancies)
Term (greater than or equal to 37 weeks)
Preterm (20-36 weeks 6 days
Abortions (less than 20 weeks)
Living Children
nuclear family - ANSWERS Mother, father and children living as a unit
extended family - ANSWERS a family that extends beyond the nuclear family,
including grandparents, aunts, uncles, and other relatives, who all live nearby or in
one household.
multigenerational family - ANSWERS a family household containing at least
two adult generations or a grandparent and at least one other generation
No-biologic parent families - ANSWERS those in which children live
independently in foster care or kinship care such as living with a grandparent
married-blended families - ANSWERS Family formed as a result of divorce and
remarriage, consisting of unrelated family members (stepparents, stepchildren,
stepsiblings)
