NUR4650 STUDY GUIDANCE FOR MIDTERM EXAM

Winter 2021

Client Needs focus

RN Content Area and specific topics to ensure knowledge and understanding of

Blooms

Questions

Weighting

Health Promotion and Maintenance

Physiological Integrity

· Basic Care & Comfort

· Pharmacological and Parenteral Therapies

· Reduction of Risk Potential

· Physiological Adaptation

Safe and Effective Care Environment

Management of Care

Maternity Health

Knowledge, Application

35

26%

· Antepartum care

· Normal prenatal assessments,

· Signs of pregnancy,

· Common labs and diagnostic tests –

· AFP, CVS, amniocentesis, NST, CST

· Fetal development; calculating EDD,

· Prenatal nutrition,

· Antepartum teaching – nutrition, safety, vaccines, infection prevention, common discomforts – backache, nausea vomiting, heartburn constipation

· Complications in pregnancy

· TORCH

· Ectopic pregnancy

· Spontaneous abortion

· Hypertension eclampsia

· Diabetes Mellitus

· Placenta previa, Abruptio, insufficiency

20

questions

· Labor and delivery

· Normal assessment – phases of labor, fetal monitor tracing, fetal position in uterus, readiness for delivery

· Nursing management of abnormal fetal monitor tracing – Fetal distress, deceleration patterns variability

· Identification and nursing management of potential complications during labor and delivery

· Preterm labor and precipitous birth

· Indications for C-section, indications for

· Post-Partum Hemorrhage

· Postpartum Depression

·

10 Questions

· Complications for the neonate

· Recognize abnormal assessment findings in the neonate – APGAR scoring

· Recognize risk factors/S&S and nursing management for common neonatal complications -

· Perinatal asphyxia, RDS

· Hemolytic Disease of the newborn and Hyperbilirubinemia

· Hypoglycemia, sepsis, narcotic-addicted infants

· Cleft Lip and Palate

10

Questions

Health Promotion and Maintenance

Physiological Integrity

· Basic Care & Comfort

· Pharmacological and Parenteral Therapies

· Reduction of Risk Potential

· Physiological Adaptation

Safe and Effective Care Environment

Management of Care

PEDIATRIC HEALTH

Knowledge,

Comprehension,

Application

35

30%

· Normal Assessment –

· Developmental milestones – infants teens

· Play, communication and teaching in pediatrics

· Vital signs,

· CDC recommended vaccine schedule

·

· Health promotion teaching, Assessment and treatment of common pediatric health conditions:

·

· Communicable diseases – chicken pox, tonsillitis (Strep), pertussis, lice, scabies

· Pyloric stenosis, Hirschsprung

· Wilm’s Tumor

· Hydrocephalus

· Esophageal Atresia and Tracheoesophageal Fistula

· SIDS

· Neural tube defects

· Scoliosis

· Cystic Fibrosis

· ASTHMA

· SICKLE CELL DISEASE

15 questions

20 questions

Psychosocial Integrity

Health Promotion and Maintenance

Physiological Integrity

· Pharmacological and Parenteral Therapies

Safe and Effective Care Environment

· Safety and Infection Control

MENTAL HEALTH

Comprehension, Application

25

19%

· Mental Health vs Mental Illness

· Pharmacological drug classes indicated in management of mental illness

· Alternatives to pharmacological agents for managing mental illness and promoting mental health

· Group therapy, milieu therapy, activity, behavioral therapy

· Best practices in therapeutic communication responses – silence clarification reflection

· Nursing and collaborative management of common psychosocial challenges

· Recognize signs & symptoms and management of:

· Anxiety – phobia, OCD

· Situational crisis vs PTSD

· Burnout, Depression, and suicide

· Bipolar disorder

· Schizophrenia – positive and negative signs

· Personality disorders – Borderline, Paranoid

· Alcohol dependence and other substance abuse and withdrawal

· Abuse – child abuse, elder abuse, Domestic violence

15 questions

10 questions

TOTAL

100

75

pur-new-sol

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