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NUR 166 – Fundamentals of Nursing | Final Exam Comprehensive Review | Ivy Tech Community College

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This NUR 166 Final Exam study guide provides a detailed and organized review of key concepts in foundational nursing practice. Topics covered include the nursing process (ADPIE), patient safety, infection control, medication administration, vital signs, nutrition, pain management, documentation, cultural competence, and therapeutic communication. The content also integrates prioritization frameworks such as Maslow’s hierarchy of needs and clinical decision-making for NCLEX-style questions. Ideal for Ivy Tech students preparing for their final exam in the Fundamentals of Nursing course.

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Uploaded on
June 10, 2025
Number of pages
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Written in
2024/2025
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NUR 166 – Fundamentals of Nursing | Final Exam Comprehensive
Review | Ivy Tech Community College


Gravida - correct answer The number of times a woman has been pregnant (regardless of
duration)
Para - correct answer The number of deliveries born after 20 weeks (alive or otherwise)
Term - correct answer Delivered between 38-42 weeks
Pre-term - correct answer Delivered between 20-38 weeks
Abortion - correct answer Delivery before 20 weeks (includes miscarriages)
Post-Term - correct answer Delivery after 42 weeks
Viability - correct answer Ability to live outside the uterus after 24 weeks
What nutrition would a nurse recommend for a pregnant mom? - correct answer Vitamins
(specifically folic acid which helps form the neuro in the baby as well as prevent spina bifida)
When should a pregnant mother begin feeling fetal movement? - correct answer Between 16-
20 weeks
When should a mother expect breast milk to come in? - correct answer Usually around days 3-
5 after delivery
What is mag sulfate used for? - correct answer Usually for pre-eclamptic patients- slows
contractions for pre-term labor
What is considered a toxic level for mag sulfate? What would you expect to administer? -
correct answer Anything over 8 is toxic. Calcium gluconate.
Cardinal movements of labor (just know the first 3) - correct answer Descent, Engagement,
Flexion
Probable and positive signs of pregnancy - correct answer Ultrasound, fetal movement verified
by Dr.
When can you give Rhogam? - correct answer When mom has (-) blood they get it at 28 weeks
and 72 hours after birth.
When does a mom get tested for group B strep? - correct answer 35-37 weeks
What will be discussed at the first prenatal visit? - correct answer What they are eating,
nausea, laying on back, sitting upright

,Lochia Rubra - correct answer Bright red; lasts about 3 days after birth
Lochia Serosa - correct answer Pinkish from blood and mucus content- lasts days 3-10
Lochia Alba - correct answer Mostly mucus (should be clear) and lasts day 10-21.
Age of Neonatal - correct answer birth- 4 weeks
Age of infant - correct answer 4 weeks-1 year
Age of toddler - correct answer 1-3 years
Age of pre-schooler - correct answer 3-6 years
Age of school-aged - correct answer 6-12 years
Age of adolsecent - correct answer 12-18 years
When should birthweight be doubled? - correct answer At 6 months
When should a birthweight be tripled? - correct answer At 1 year
Maslow's Heirarchy - correct answer PASLES (Physiological, Activity, safety, love, esteem, self-
actualization)
What does Kohlberg believe in? - correct answer Moral development
What are the 3 stages of Kohlberg's moral development? - correct answer Preconventional: 4-
7
Conventional: 7-11
Post-Conventional: 12+
When should parents give solid food to a child? - correct answer Not until the tongue
extrusion dissappears
What is parallel play? - correct answer When a child plays side by side but not directly with
another child
What type of games should a 7-10 year old be interested in playing? - correct answer
Competitive games such as baseball
When should the posterior fontanel close by? - correct answer 2 months
When should the anterior fontanel close by? - correct answer 12-18 months
When does teething usually begin? - correct answer Around 6 months
When does the iron begin to diminish in a baby? - correct answer Around 6 months

,What does the Denver II test for? - correct answer Social, fine motor, adaptive, language,
gross motor skills (usually done from birth-6 years)
What is the proper placement for a carseat? - correct answer Rear-facing in the back seat,
center. 2 years and 22 lbs
What age group grows mostly in their legs and doubles by the age of 5? - correct answer Pre-
schooler age 3-5
What type of toy is important to never give to a patient on oxygen? - correct answer A toy that
could create friction or spark (such as a teddy bear)
Erikson-Infant - correct answer Trust VS Mistrust
Erikson-Toddler - correct answer Autonomy/Shame & Doubt
Erikson-Preschooler - correct answer initiative VS Guilt
Erikson-School-Age - correct answer Industry VS Inferiority
Erikson-Adolescent - correct answer Role diffusion
Freud-Infant - correct answer Oral
Freud-Toddler - correct answer Anal
Freud-Preschooler - correct answer Phallic/oedipal
Freud-School-Age - correct answer Latency
Freud-Adolescent - correct answer Gentality
Piaget 0-2 - correct answer Sensorimotor
Piaget 2-7 - correct answer Pre-operational
Piaget 7-11 - correct answer Concrete operations
Piaget 11-16 - correct answer Formal operations
What should you do if you find the fundus to be boggy? - correct answer Vigorous massage
Where should the fundus be 2 days post delivery? - correct answer 2 Finger breadths
When should you instruct a postpartum patient to use peri-care? - correct answer Every time
they use the restroom
When should a breastfeeding mother expect to see her menstrual cycle return? - correct
answer 8 weeks

, When should a bottle-feeding mother expect to see her menstrual cycle return? - correct
answer 5 weeks
How many vessels should you expect to see in an umbilical cord? - correct answer 3 (AVA- 2
arteries, 1 vein)
When should a birth weight be doubled? - correct answer 6 months
When should a birth weight be tripled? - correct answer 1 year
When should solid foods be introduced? - correct answer Only when the tongue extrusion
disappears
When should a postpartum mother begin contraception use? - correct answer ASAP! They can
get pregnant before the first period
What are tantrums usually caused by in children? - correct answer Frustration
What is the leading cause of death in infants? - correct answer Accidents, because they are
low to the ground
When should you discipline a child? - correct answer As soon as it happens
How do firm decisions make children feel? - correct answer Safe and secure, prevents injuries,
removes pressure from the child that they are too young for.
What should you do if you notice a mongolian spot? - correct answer Document it thoroughly
to ensure other's in the newborn's healthcare team do not mistake for abuse.
What should the newborn's heart rate be? - correct answer 110-160
What should the newborn's respirations be? - correct answer 30-60
What should the blood pressure of a newborn be? - correct answer 65-90/30-60
What should the temperature of a newborn be? - correct answer 97.7-98.6 (taken auxiliary)
What should do you if you have a toddler who won't (or can't) eat vegetables? - correct answer
Use supplements
What does connective tissue turn into? - correct answer Cartilage (while in utero)
What is important when it comes to nutrition in children? - correct answer Make sure it is
consistent
What is important when it comes to bedtime for children? - correct answer Stick to a routine,
decrease the stimuli
When does an infant begin to eat better? - correct answer When they develop the pincher
grasp

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