NSG 320 Week8 Maternity Nursing Questions

NSG 320 Week8 Maternity Nursing Questions

NSG 320 Week8 Maternity Nursing Questions

Chapter 3

1. Describe the steps in a self-breast exam (SBE)?
2. What are some of the barriers to women entering the healthcare system?
3. How do myths and folklore influence health practices and sexual function?
4. What are the most important things a nurse can do in their practice to breakdown the barriers to entering the healthcare system?
5. What are the special needs for health promotion in the following populations: adolescents? Young and middle adults? Late reproductive age?
6. What are the major effects of the following on the mother and fetus?
   1. Marijuana?
   2. Cocaine?
   3. Opiates?
   4. Methamphetamines?
   5. Alcohol?
   6. Cigarette smoking?
   7. Caffeine?
7. How does being obese affect the client planning to become pregnant?
8. What are the unique needs of the client who has experienced Female Genital Mutilation?
9. Describe the phases of the cycle of violence in Intimate Partner Violence (IPV)?
10. Read Table 3-2 page 60. Which if any of these myths have you heard portrayed as a fact? How does this knowledge change your perception of the victim/aggressor in IPV? (this is an opinion)
11. What are the requirement for reporting for domestic violence?
12. What modifications should a nurse make to accommodate a client of differing cultures?
13. Describe special considerations during the physical exam for the following clients:
    1. Adolescents?
    2. Women with a disability?

Chapter 5 Infertility
1. How common is infertility?
2. What percentage of time is infertility due to female factors, male factors and unexplained factors?
3. You are the charge nurse at an infertility clinic. It is your responsibility to schedule various infertility tests. Look at Table 5-1 on p. 113. A woman calls to schedule these tests. Her LMP is November 1st and she always has a 28-day cycle (fat chance!). When would you schedule these various tests?
4. A married couple is considering adoption after five years of infertility treatments. They had one SAB 1 ½ years ago. The woman is 42 and the man is 55. She would like to try one more shot at IVF (they have had three previous attempts without success) and he is ready to adopt. How would you assist contemplating adoptive parents in making decisions related to adoption?

Chapter 5 Contraception:

Complete the following table and various contraceptive methods:

Contraceptive method	Natural/ barrier/ hormonal/ sterilization/ or surgical	advantages	disadvantages	risks	priority teaching
Abstinence
Coitus interruptus
Rhythm method
Basal body temperature
Condoms
Diaphragm & spermicide
Combined oral contraceptive
Minipill
Emergency contraceptive
Transdermal patch
Injectable Progestins
Contraceptive ring
Intrauterine device
Essure
Bilateral tubal ligation
Vasectomy

 

1. Discussabsolute contraindications of oral contraceptive use.
2. What is the difference between sterility and infertility?
3. Describe risk factors that increase the risk of patient’s infertility.

Chapter 5: Induced abortion (pp 135-138).
1. What is an induced abortion? What other terms are used to describe this interruption of pregnancy?
2. When do most induced abortions occur?
3. What are two reasons that the nurse could choose to not provide care for this patient?
4. What kind of counseling needs to be provided for patients seeking an induced abortion?
5. How pregnant should a patient be to safely have a vacuum aspiration abortion?
6. What three medications are used in combination for medical abortions (and why do they all have to start with M and have so many syllables!)
7. In general, who are the “best” candidates for medical abortions (this is an opinion question based on the info you have just read!)?
8. When is a D&E performed?

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NSG 320 Week8 Maternity Nursing Questions

Chapter 6: Genetics
1. What is the single most cost effective way of getting genetic information?
2. Most of the genetic tests now offered are used for what?
3. What is pharmacogenomics? Do you know of any examples?
4. What s a major benefit and a major risk to genetic research and testing?
5. What is the difference between genotype and phenotype? What is the difference between dominant and recessive?
6. What is nondisjunction and how are these related to maternal meiosis (MI) errors? (so can you see why advanced maternal age effects the rate of Down’s syndrome and Trisomy 18).
7. What is Klinefelter syndrome?
8. Draw a diagram to explain autosomal recessive and dominant inheritance (remember that 2X2 table from physiology?)
9. What is an inborn error in metabolism?
10. As a nurse, what is your role going to be in genetics?

NSG 320 Week8 Maternity Nursing Questions

Chapter 4: Reproductive Concerns

1. What are the diseases or abnormailities that might account for amenorrhea?
2. What is the association of anorexia and amenorrhea?
3. Explain the difference between primary and secondary dysmenorrheal.
4. What are the diagnostic criteria for PMS and PMDD? How are these different/same?
5. What are the most effective non-pharmacological management techniques for PMS/PMDD?
6. How does regular exercise help improve the severity of the symptoms of PMS/PMDD?
7. What are possible causes of endometriosis?
8. What are the primary pharmacological and non-pharmacological approaches to care for endometriosis?
9. What are the emotional implications of sexually transmitted infections (STI’s)?
10. What should be taught to a patient inquiring about STI’s? Signs and symptoms, Prevention, treatment, impact on reproductive health?
11. What are the two most reliable STI prevention strategies?
12. What are the legal guidelines for HIV testing during pregnancy?
13. Explain the importance of preventive measures and early detection of reproductive tract infections?
14. What are the effects of STI’s on pregnancy and the fetus (Table 4-5)?
15. What are the characteristics of benign vs malignant breast disorders?
16. Describe the steps in a self-breast exam.
17. What are the tests to confirm breast cancer?