NURS 345 - Quiz 1 With Already
Solved Solutions 2025-2026 Edition.
BC Provincial Women's Health Strategy - Answer supports women's diversity, the way in which
women provide for their health needs in the social, cultural + spiritual context, places the
woman/newborn at the center of care, assures women/families are respected, ensures services
are planned/provided to meet needs/respect preferences
Family-Centered Maternity and Newborn Care (FCMNC) - Answer Framework that defines
pregnancy as a normal/healthy life event; identifies the complex, multidimensional process of
providing safe, skilled and individualized care and recognizes the significance of family support,
participation, and informed care
Defining family - Answer - system/unit
- may or may not live together
- may or may not contain children
- commitment and attachment among family members that includes future obligation
"Family is who they say they are."
Systems - Answer operate with the larger environment (what effects the system effects it's
parts), have open/closed boundaries, require rules to function, and communication feedback
Freidman's System Theory of Family Nursing (5 functions) - Answer 1. Affective = emotional
needs
2. Socialization = appropriate use of language, behaviour and core family values
3. Reproductive = traditional, adoption, surrogacy, ect...
4. Economic = sufficient financial resources to meet needs
5. Health care = food, clothing, shelter, health care
5 Key Elements of Engaging with Families in the Maternity Setting - Answer 1. Therapeutic
Conversations
2. Manners
3. Genogram/Ecomap
4. Therapeutic Questions
,- conversations that make a difference and enhance relationships between the
nurse/client/family
- do not force/direct change, but promote collaboration
2. Manners - Answer - instill trust: unhurried, eye contact, keep promises
- respectful: professional, responds to questions, active listening
- genuine: show interest/concern
- purposeful: focused on person/family, responsible for boundary maintenance
3. Genogram/Ecomap - Answer genogram: displays family composition which shows where a
newborn fits in the family structure
ecomap: displays personal and family social relationships that shows the resources that the
family has/are intending to use
4. Therapeutic Questions (3 general categories of inquiry) - Answer 1. Sharing of information
("What is one question you would most like answered?")
2. Expectations ("What has been helpful to you during any past hospitalization?"
3. Most pressing concern ("What is the greatest challenge...?")
5. Commendations and Strengths - Answer focus on family strengths, resources,
competencies, and possibilities through assessing patterns/behaviours)
- this creates possibilities for change, elicits more strength, and builds trust in nurse-patient
relationship
Postpartum Period - Answer interval from birth until the return of reproductive organs to their
pre-pregnant state (~6 weeks). Fatigue/psychological adaptation can be much longer (~1 yr)
Postpartum - Answer characterized by normal maternal physiological & anatomical
adjustments and an important period of psychosocial-emotional adaptations for all family
members
Immediate postpartum period - Answer "4th stage of labour"
- first 2-4 hrs following birth
- period of stability and homeostasis
, Implications of short hospital stays for the role of the perinatal nurse (5) - Answer *Discharge
planning begins at admission
1. accurate and comprehensive assessments (physio/psycho/emotional, safety (carseats))
2. promote well-being, rest/recovery
3. provide educational resources and services
4. support the development of family relationships, parenting skills, ect...
5. encourage/assist completion of prophylactic screening procedures, newborn screening,
prevent Rh iso-immunization, prevent postpartum variances, and appropriate interventions
Patient/Family Teaching - Answer examples include: breast/nipple care, hand milk expression,
pain management, voiding/bowel patterns, family planning...
connect with resources
- Baby's Best Chance
- HealthyFamilies
Practice Guidelines - Perinatal Services BC - Answer provides guidelines for physiological
assessment
- ie. Assess fundus for normal involution 0-2 hrs postpartum, 2-24 hrs postpartum, 24-72 hrs
postpartum, and >72 hrs postpartum
CASN - Answer entry to practice competencies
1. promotes and enhances the health of the childbearing person, baby, and family during
childbearing years
2. provides safe and appropriate care for the childbearing family from preconception through
pregnancy
3. Participates in the care of the childbearing family during childbirth
4. Cares for the childbearing family during the postpartum period.
Vital Signs (PP) - Answer HR = 55-100 bpm; expecting a stable or slightly decreased HR.
Temp = 36.7-37.9 (slightly elevated during first 24 hrs >38).
RR = 12-24 br/min
BP = 90-140/50-90; may go up slightly within the first 4-5 days but never exceeds 140/90.
Solved Solutions 2025-2026 Edition.
BC Provincial Women's Health Strategy - Answer supports women's diversity, the way in which
women provide for their health needs in the social, cultural + spiritual context, places the
woman/newborn at the center of care, assures women/families are respected, ensures services
are planned/provided to meet needs/respect preferences
Family-Centered Maternity and Newborn Care (FCMNC) - Answer Framework that defines
pregnancy as a normal/healthy life event; identifies the complex, multidimensional process of
providing safe, skilled and individualized care and recognizes the significance of family support,
participation, and informed care
Defining family - Answer - system/unit
- may or may not live together
- may or may not contain children
- commitment and attachment among family members that includes future obligation
"Family is who they say they are."
Systems - Answer operate with the larger environment (what effects the system effects it's
parts), have open/closed boundaries, require rules to function, and communication feedback
Freidman's System Theory of Family Nursing (5 functions) - Answer 1. Affective = emotional
needs
2. Socialization = appropriate use of language, behaviour and core family values
3. Reproductive = traditional, adoption, surrogacy, ect...
4. Economic = sufficient financial resources to meet needs
5. Health care = food, clothing, shelter, health care
5 Key Elements of Engaging with Families in the Maternity Setting - Answer 1. Therapeutic
Conversations
2. Manners
3. Genogram/Ecomap
4. Therapeutic Questions
,- conversations that make a difference and enhance relationships between the
nurse/client/family
- do not force/direct change, but promote collaboration
2. Manners - Answer - instill trust: unhurried, eye contact, keep promises
- respectful: professional, responds to questions, active listening
- genuine: show interest/concern
- purposeful: focused on person/family, responsible for boundary maintenance
3. Genogram/Ecomap - Answer genogram: displays family composition which shows where a
newborn fits in the family structure
ecomap: displays personal and family social relationships that shows the resources that the
family has/are intending to use
4. Therapeutic Questions (3 general categories of inquiry) - Answer 1. Sharing of information
("What is one question you would most like answered?")
2. Expectations ("What has been helpful to you during any past hospitalization?"
3. Most pressing concern ("What is the greatest challenge...?")
5. Commendations and Strengths - Answer focus on family strengths, resources,
competencies, and possibilities through assessing patterns/behaviours)
- this creates possibilities for change, elicits more strength, and builds trust in nurse-patient
relationship
Postpartum Period - Answer interval from birth until the return of reproductive organs to their
pre-pregnant state (~6 weeks). Fatigue/psychological adaptation can be much longer (~1 yr)
Postpartum - Answer characterized by normal maternal physiological & anatomical
adjustments and an important period of psychosocial-emotional adaptations for all family
members
Immediate postpartum period - Answer "4th stage of labour"
- first 2-4 hrs following birth
- period of stability and homeostasis
, Implications of short hospital stays for the role of the perinatal nurse (5) - Answer *Discharge
planning begins at admission
1. accurate and comprehensive assessments (physio/psycho/emotional, safety (carseats))
2. promote well-being, rest/recovery
3. provide educational resources and services
4. support the development of family relationships, parenting skills, ect...
5. encourage/assist completion of prophylactic screening procedures, newborn screening,
prevent Rh iso-immunization, prevent postpartum variances, and appropriate interventions
Patient/Family Teaching - Answer examples include: breast/nipple care, hand milk expression,
pain management, voiding/bowel patterns, family planning...
connect with resources
- Baby's Best Chance
- HealthyFamilies
Practice Guidelines - Perinatal Services BC - Answer provides guidelines for physiological
assessment
- ie. Assess fundus for normal involution 0-2 hrs postpartum, 2-24 hrs postpartum, 24-72 hrs
postpartum, and >72 hrs postpartum
CASN - Answer entry to practice competencies
1. promotes and enhances the health of the childbearing person, baby, and family during
childbearing years
2. provides safe and appropriate care for the childbearing family from preconception through
pregnancy
3. Participates in the care of the childbearing family during childbirth
4. Cares for the childbearing family during the postpartum period.
Vital Signs (PP) - Answer HR = 55-100 bpm; expecting a stable or slightly decreased HR.
Temp = 36.7-37.9 (slightly elevated during first 24 hrs >38).
RR = 12-24 br/min
BP = 90-140/50-90; may go up slightly within the first 4-5 days but never exceeds 140/90.
