NURS 4403 (NURS 4403)
Texas Tech University
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NURS 4403 - Exam 1 Study Guide
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NURS 4403 - Exam 1 Study Guide/NURS 4403 - Exam 1 Study Guide. 
CONCEPTION, ANTEPARTUM, INTRAPARTUM 
1. Reva Rubin’s 4 major tasks 
Ensuring safe passage through pregnancy and birth 
 
o	She feels concern for herself and her unborn baby 
 
o	More aware of surroundings (threats), self-care activities, information seeking b. Seeking acceptance of this child by others 
 
Woman slowly alters her network to meet the needs for her pregnancy 
 
Partner is the most important figure- their support an...
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NURS 4403 Chapter 25: The High Risk Newborn,100% CORRECT
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NURS 4403 Chapter 25: The High Risk Newborn 
 
 
MULTIPLE CHOICE 
 
1.	A macrosomic infant is born after a difficult forceps-assisted delivery. After stabilization the infant is weighed, and the birth weight is 4550 g (9 pounds, 6 ounces). The nurse’s most appropriate action is to: 
a.	Leave the infant in the room with the mother. 
b.	Take the infant immediately to the nursery. 
c.	Perform a gestational age assessment to determine whether the infant is large for gestational age. 
d.	Monitor bl...
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NURS 4403 Chapter 24: Newborn Nutrition and Feeding,100% CORRECT
- Exam (elaborations) • 27 pages • 2021
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NURS 4403 Chapter 24: Newborn Nutrition and Feeding 
 
 
MULTIPLE CHOICE 
 
1.	A new mother recalls from prenatal class that she should try to feed her newborn daughter when she exhibits feeding readiness cues rather than waiting until her infant is crying frantically. On the basis of this information, this woman should feed her infant about every 2.5 to 3 hours when she: 
a.	Waves her arms in the air.	c.	Has hiccups. 
b.	Makes sucking motions.	d. Stretches her legs out straight. 
 
2.	A new fat...
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NURS 4403 Chapter 20: Transition to Parenthood,100% CORRECT
- Exam (elaborations) • 24 pages • 2021
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NURS 4403 Chapter 20: Transition to Parenthood 
 
 
MULTIPLE CHOICE 
 
1.	After giving birth to a healthy infant boy, a primiparous woman, 16 years old, is admitted to the postpartum unit. An appropriate nursing diagnosis for her at this time is Risk for impaired parenting related to deficient knowledge of newborn care. In planning for the woman’s discharge, what should the nurse be certain to include in the plan of care? 
a.	Instruct the patient how to feed and bathe her infant. 
b.	Give the ...
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NURS 4403 Chapter 36: Chronic Illness, Disability, and End-of-Life Care,100% CORRECT
- Exam (elaborations) • 27 pages • 2021
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NURS 4403 Chapter 36: Chronic Illness, Disability, and End-of-Life Care 
 
 
MULTIPLE CHOICE 
 
1.	The nurse case manager is planning a care conference about a young child who has complex health care needs and will soon be discharged home. Whom should the nurse invite to the conference? 
a.	Family and nursing staff 
b.	Social worker, nursing staff, and primary care physician 
c.	Family and key health professionals involved in child’s care 
d.	Primary care physician and key health professionals...
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NURS 4403 Chapter 35: The Adolescent and Family,100% CORRECT
- Exam (elaborations) • 17 pages • 2021
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NURS 4403 Chapter 35: The Adolescent and Family 
 
 
MULTIPLE CHOICE 
 
1.	In girls, the initial indication of puberty is: 
a.	Menarche.	c.	Growth of pubic hair. 
b.	Growth spurt.	d. Breast development. 
 
2.	The mean age of menarche in the United States is: 
a.	11.5 years	c.	13.5 years 
b.	12.5 years	d. 14 years 
 
3.	By what age should concerns about pubertal delay be considered in boys? 
a.	12 to 12.5 years	c.	13 to 13.5 years 
b.	12.5 to 13 years	d. 13.5 to 14 years 
 
4.	Steve, 14 years o...
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NURS 4403 Chapter 49: Neuromuscular or Muscular Dysfunction,100% CORRECT
- Exam (elaborations) • 17 pages • 2021
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NURS 4403 Chapter 49: Neuromuscular or Muscular Dysfunction 
 
 
MULTIPLE CHOICE 
 
1.	Spastic cerebral palsy is characterized by: 
a.	Hypertonicity and poor control of posture, balance, and coordinated motion. 
b.	Athetosis and dystonic movements. 
c.	Wide-based gait and poor performance of rapid, repetitive movements. 
d.	Tremors and lack of active movement. 
 
2.	The parents of a child with cerebral palsy ask the nurse if any drugs can decrease their child’s spasticity. The nurse’s respon...
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NURS 4403 Chapter 19: Nursing Care of the Family during the Postpartum Period,100% CORRECT
- Exam (elaborations) • 22 pages • 2021
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NURS 4403 Chapter 19: Nursing Care of the Family during the Postpartum Period 
 
 
MULTIPLE CHOICE 
 
1.	A 25-year-old gravida 2, para 2-0-0-2 gave birth 4 hours ago to a 9-pound, 7-ounce boy after augmentation of labor with Pitocin. She puts on her call light and asks for her nurse right away, stating, “I’m bleeding a lot.” The most likely cause of postpartum hemorrhage in this woman is: 
a.	Retained placental fragments.	c.	Uterine atony. 
b.	Unrepaired vaginal lacerations.	d. Puerperal i...
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NURS 4403 Chapter 22: Physiologic and Behavioral Adaptations of the Newborn,100% CORRECT
- Exam (elaborations) • 29 pages • 2021
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NURS 4403 Chapter 22: Physiologic and Behavioral Adaptations of the Newborn 
 
 
MULTIPLE CHOICE 
 
1.	A woman gave birth to a healthy 7-pound, 13-ounce infant girl. The nurse suggests that the woman place the infant to her breast within 15 minutes after birth. The nurse knows that breastfeeding is effective during the first 30 minutes after birth because this is the: 
a.	Transition period.	c.	Organizational stage. 
b.	First period of reactivity.	d. Second period of reactivity. 
 
2.	Part of the...
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Chapter 38: Family-Centered Care of the Child During Illness and Hospitalization,100% CORRECT
- Exam (elaborations) • 19 pages • 2021
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Chapter 38: Family-Centered Care of the Child During Illness and Hospitalization 
 
 
MULTIPLE CHOICE 
 
1.	What represents the major stressor of hospitalization for children from middle infancy throughout the preschool years? 
a.	Separation anxiety	c.	Fear of bodily injury 
b.	Loss of control	d. Fear of pain 
 
2.	When a preschool child is hospitalized without adequate preparation, the nurse should recognize that the child may likely see hospitalization as: 
a.	Punishment.	c.	An opportunity for...
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