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Exam (elaborations)

NUR 418 Exam 1 – Nursing Care of the Childbearing Family (Concordia University, St. Paul, 2025) – Actual Questions and Answers

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This document includes the complete set of actual 2025 Exam 1 questions and answers for NUR 418: Nursing Care of the Childbearing Family at Concordia University, St. Paul. It covers the foundational maternal–newborn nursing concepts emphasized in the first exam. The content supports focused studying and helps reinforce clinical knowledge and assessment principles relevant to early course material.

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NUR 418
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NUR 418

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Uploaded on
November 18, 2025
Number of pages
19
Written in
2025/2026
Type
Exam (elaborations)
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Questions & answers

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1
NUR 418



Exam1: NUR 418- Nursing Care of the Childbearing

Family 2025 Actual Questions & Answers. Concordia St.

Paul




subjective data of cardiovascular system assessment - ANS health

information; history of present illness, past health history, past and current

medications, surgery or other treatments

objective data of cardiovascular system assessment - ANS physical

examination; vital signs, peripheral vascular system (inspection, palpation,

auscultation)

S3 heart sound - ANS extra sound heard in early diastole (caused by passive

filling)

S4 heart sound - ANS extra sound heard in late diastole, right before systole

(caused by stiff ventricular walls)



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troponin (cardiac biomarker) - ANS normal= < 0.5; overnight stay for

observation= 0.5-0.9; suspected MI= 1.0 (cath lab); rises within 4-6 hours,

peaks at 10-24 hours, and is detected for up to 10-14 days

electrocardiogram - ANS record of the electrical activity of the heart

echocardiogram - ANS ultrasound of the heart (with or without contrast);

provides information regarding structures and motion of heart; measures

ejection fraction (percentage of blood that leaves left ventricle; 60%)

coronary artery disease - ANS progressive narrowing of coronary arteries by

atherosclerosis; injury to epithelial cells in intima (platelet aggregation,

migration of monocytes, lipoproteins enter intima); fatty streak (monocytes

develop into macrophages, lipid-rich "foam cells" develop)

nonmodifiable risk factors for CAD - ANS age (men > 45 years, women > 55

years), family history

modifiable risk factors for CAD - ANS smoking, inactivity, overweight,

cholesterol (high LDL, low HDL), diabetes, hypertension

post-catheterization care - ANS Bed rest; head of bed no higher than 30

degrees
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Monitor bleeding; newer collagen agents for hemostasis may be used

Monitor pulses

Antiplatelet drugs after the procedure (usually after interventions such as

PCI)

May be discharged in 6 to 8 hours; depends on diagnosis and procedures

done in catheterization laboratory

lab tests for CAD - ANS CBC (hemoglobin and hematocrit), sodium,

potassium, calcium, magnesium, troponin if chest pain is present

medications affecting platelets - ANS ASA, dipyridamole, ticlopidine,

clopidogrel

myocardial ischemia - ANS the heart's demand for oxygen is higher than the

supply

angina symptoms - ANS sub/midsternal chest pain, may radiate to arms, jaw,

or back (often in women); epigastric pain and nausea/vomiting in elderly

people; ECG changes to ST segment/T wave

stable angina - ANS chronic, exertional= effort, classic; T wave inversion on

ECG; treatment is rest and nitroglycerin
NUR 418
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