o What are the 4 categories of family roles?
(how will I know if a family has good communication etc)
o Different types of families (gay families most recent one) race, ethnicity, preservation,
o Anatomy & physio
STUDY GUIDE BOOK CH. 2
1. Nurses in community care settings spend more time in management and supervisory roles than their
counterparts in the acute care setting. Which of the following activities is part of case management?
Ans: Scheduling speech and res
STUDY GUIDE BOOK CH. 20
1. A nurse is caring for a pregnant client. The nurse learns from the report that the client is diabetic. Which of
the following should the nurse identify as the effect of insulin resistance in the client?
Ans: Postprandial hypergl
STUDY GUIDE BOOK CH. 23
1. A nurse is caring for an infant born with polycythemia. Which intervention is most appropriate when caring
for this infant?
Ans: Focus on decreasing blood viscosity by increasing fluid volume
2. Which precautions should a nurse
STUDY GUIDE BOOK CH. 13
1. A client in her third trimester of pregnancy arrives at a healthcare facility complaining of cramping and low
back pain; she also notes that she is urinating more frequently and that her breathing has become easier the past
STUDY GUIDE BOOK CH. 14
1. It is the nurses first meeting with a pregnant client. What is the first point that the nurse needs to ascertain as
part of the admission assessment to check whether the client needs to be admitted?
Ans: Whether the client is in
STUDY GUIDE BOOK CH. 5 STIs
1. A nurse is caring for a female client who has a history of recurring vulvovaginal candidiasis. Which of the
following instructions should the nurse include in the teaching session with the client?
Ans: Wear white, 100% cotto
STUDY GUIDE BOOK CH. 11 Meternal Adaptation During Pregnancy
1. A 28-year old client complains of skipping her menses and suspects she is pregnant. When assessinf this
client, which of the following would the nurse identify as a presumptive sign of pregna
STUDY GUIDE BOOK CH. 15
1. A nurse is caring for client in the postpartum period. Which of the following processes should the nurse
identify as retrogressive process involved in involution? Select all that apply
Ans: Contraction of muscle fibers
STUDY GUIDE BOOK CH. 1
1. A female client who has just given birth has been reading health reports and is alarmed at the high rate of
infant mortality. She seems anxious about the health of her child and wants to know ways to keep her baby from
1. Hand Hygiene
2. Check MAR with Drs order
3. Do 5 rights (med, dose, patient, route, time)
4. Prepare inhaler Do 2 checks label of meds on MAR twice
5. Hand Hygiene, Introduce
6. 2 Identifiers, explain what we are here for
CHAPTER 47: IMMOBILTY-MOBILITY
1. Observe Decreased for Muscle Tone and Strength, Activity Tolerance Assess
ROM, ask questions about and physically examine the patient for stiffness,
swelling, pain, limited movement, and unequal movement. Gait (balance,
Activity and Exercise
Scientific Knowledge Base
Overview of exercise and activity:
Relationship of one body part to another
Achieved by low center of gravity; enhanced by posture
Coordinated body movement
CHAPTER 29: VITAL SIGNS
1. Give the 5 most frequent measurements obtained by health care providers:
2. As indicators of health status, these measures indicate the effectiveness of
_, _, _, and _ body function.
3. Because of their
CHAPTER 29: VITAL SIGNS
1. The most frequent measurements obtained by health care providers are
Blood Pressure (BP)
2. As indicators of health status, these measures indicate the effectiv
ASSESSMENT OF VITAL
PROFESSOR HILL, RN, MN, MSG
AT THE COMPLETION OF THIS
COURSE THE LEARNER WILL BE
IDENTIFY & DISCUSS THE
PHYSIOLOGICAL VARIABLES THAT
AFFECT VITAL SIGNS: TEMPERATURE,
PULSE, RESPIRATIONS, BLOOD
1. Hand Hygiene
2. Check CHART for any medical history, labs results needed
3. Take Physicians order and compare it with MAR
4. Check allergies
5. Do 5 rights (Meds, Dose, Individual, Route, Time)
6. Do 3 checks: and dont for
STUDY GUIDE BOOK CH. 4
1. The Nurse is assessing a client for amenorrhea. Which of the following should the nurse document as
evidence of androgen excess secondary to a tumor?
Ans: Facial hair and acne
2. A nurse is teaching a female client about fertilit
STUDY GUIDE BOOK CH. 18
1. The nurse caring for a newborn has to perform assessment at various intervals. When should the nurse
complete the second assessment for the newborn?
Ans: Within the first 2 to 4 hours, when the newborn is in the nursery
2. A nur
Mech. Of action
(most common SE)
What must be known before giving?
or assessed afterwards?
IM: 0.2mg q 2-4hrs
max of 5 doses.
What types of fetal monitoring are used, what is the most common and why?
Internal and external. External is most common because it is non invasive
What are the downfalls of using external monitoring?
1. Frequent maternal position changes
What is the Recommended Daily Allowance for fluid &
40-60mL/kg for the 1st two days of life
100mL-150mL/kg/24hours by the end of the first week of life.
Babies lose 5-10% of birth weight due to loss of extracellular water &
What happens when a woman when
she has a low weight gain, & excessive
Low weight gain
Low birth weight (low APGAR
score, increased mortality)
Preterm labor (break in
Increased risk of fetal &
newborn mortality &
What is considered hemorrhage?
What is early postpartum hemorrhage & late
What are some common predisposing factors for
Blood loss of
500ml for vaginal birth or 1000ml after C/S
A decrease in HCT of 10% or more sinc
What is variability?
What are the classifications for variability?
What does variability indicate?
Why would variability be decreased?
Fluctuation in the baseline FNR within a 10-minute window. The fluctuations are irregular in
amplitude & frequency. No d
1. What is the first hormone in the menstrual cycle?
2. What hormone surges just before ovulation?
3. Maternal mortality is per 100,000, infant (1 year & younger) is per 1000, neonate (28 days &
younger) is per 100
4. Normal vitals for newbor
How to read the fetal heart rate patterns
Doesnt accurately measure contraction intensity or uterine
resting tone due to
Internal devices only go in if we have ruptured membranes
Stages of labor
Check bladder, have her void every 2 hours. A full bladder can block the babys passage, get up to void only if membranes
are intact, if membrane ruptured use bedpan
Stage 1- Stage of dilation 1-10cm
latent phase 1-3cm
o contractions 5 min
STUDY GUIDE BOOK CH. 21
1. A nurse is assigned to care for a client who has to undergo a forceps and vacuum-assisted birth. The nurse
understands that which of the following factors has contributed to a forceps and vacuum-assisted birth
Ans: Prolonged sec
STUDY GUIDE BOOK CH. 22
1. A nurse is caring for a postpartum client who has a history of thrombosis during pregnancy and is at high risk
of developing a pulmonary embolism. For which sign or symptom should the nurse monitor the client to prevent
STUDY GUIDE BOOK CH. 24
1. The nurse assessing a newborn suspects meconium aspiration syndrome. What sign or symptom would alert
the nurse to this condition?
Ans: End-expiratory grunting
2. A newborn in a family maternity center is suspected of having a c
STUDY GUIDE BOOK CH. 17
1. A client delivers a newborn in a local health care facility. What guidelines should the nurse give to the client
before discharge regarding care of the newborn at home?
Ans: Keep the newborn wrapped in a blanket, with a cap on i
STUDY GUIDE BOOK CH. 16
1. A nurse has been assigned to the care of a client who has just given birth. How frequently should the nurse
perform the assessments during the first hour after delivery?
Ans: Every 15 minutes.
2. A nurse, assigned to check the p