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NUR 221 Quiz 1 with Complete Solutions
What is the Circle of Violence?
Tension building => Abusive incident => Honeymoon phase => Repeat
What is the most common form of violence experienced by women worldwide?
Intimate Partner Violence (IPV)
Are pregnant adolescents abused at a higher rate than adult women?
Yes, and thus they should be considered at high risk.
Why do battering episodes initiate or increase during pregnancy?
1.) The biopsychosocial stresses of pregnancy may strain the relationship beyond the couple's ability to cope, and frustration is followed by violence. 2.) The man may be jealous of the fetus, resenting the intrusion into the couple's relationship and the woman's displacement of attention.
3.) The man may be angry at the unborn child or the woman. 4.) The beating may be the man's conscious or unconscious attempt to end the pregnancy.
What are the signs of Intimate Partner Violence?
1.) Overuse of health services 2.) Vague, nonspecific complaints 3.) Chronic pain 4.) Depression, anxiety 5.) Missed appointments 6.) Unexplainable injuries or bruising 7.) Nonadherence to treatment 8.) Untreated serious injuries 9.) Injuries not matching the description 10.) Intimate partner never leaving the patient's side 11.) Intimate partner insisting on telling the story of the injury
How do you calculate a pregnant woman's expected date of delivery (EDD) using Naegle's Rule?
If the patient has a regular 28 day cycle, the EDD can be calculated by adding 9 calendar months and 7 days to the first day of her last menstrual period (LMP) or by subtracting 3 months and adding 7 days to the LMP.
What does G in GP stand for?
Gravida: Number of pregnancies the woman has had, regardless of the duration. The current pregnancy is also included.
What is the priority nursing intervention for chorioamnionitis?
Prompt treatment with intravenous broad spectrum antibiotics.
What should you teach a pregnant patient with a history of HSV?
That they will be placed on acyclovir during the last few weeks of pregnancy to prevent an outbreak at the time of labor and birth.
What is failure to rescue?
Failure to rescue is the failure to recognize or act on early signs of distress. Key components of failure to rescue are (1) careful surveillance and identification of complications, and (2) quick action to initiate appropriate interventions and activate a team response.
What are maternal complications that are appropriate for process measurement related to failure to rescue?
Placental abruption, postpartum hemorrhage, uterine rupture, eclampsia, and amniotic fluid embolism.
How does cardiac output change during pregnancy?
Cardiac output increases 30% to 50% during pregnancy, reaching a peak by 25 to 30 weeks and declining to about a 20% increase at 40 weeks of gestation. This elevated cardiac output is largely a result of increased stroke volume and heart rate and occurs in response to increased tissue demands for oxygen.
What should you teach a patient who is taking iron about ways to prevent constipation?
A diet high in fiber with adequate fluid intake is recommended.
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