Promotions Exam 1

Front 1

Nursing process of teaching/learning

Back 1

Assessment of learner

Diagnosis - what does learner need to know

Planning - teaching plan to address learners needs

Implementation - implement teaching plan

Evaluation - did the plan achieve its goals

Front 2

Domains of learning

Back 2

Cognitive

Affective

Psychomotor

Front 3

Cognitive

Back 3

Listing signs of disease

Front 4

Psychomotor

Back 4

Demonstrating how to do something

I.e. glucometer, injections

Front 5

Affective

Back 5

Listening benefits to managing their disease

Front 6

Different teaching strategies for various learners

Back 6

Auditory

Visual

Psychomotor

Front 7

Auditory learning style

Back 7

Hearing to process

Responds to spoken word

Front 8

Visual learning style

Back 8

Using sight to process

Reading/note taking

Front 9

Psychomotor learning style

Back 9

“Kinesthetic”

Used touch to process

“Doing” to understand

Front 10

What to start with for the learner

Back 10

Start with what learner wants to learn then move on to more complex things

Determine motivation

Front 11

Stages of change

Back 11

Precontemplation

Contemplation

Preparation

Action

Maintenance

Front 12

Knowles theory of andragogy

Back 12

Andragogy - adult learning

Adults learn differently than children

Adults want to learn what’s relevant and apply now

Front 13

Kolb learning styles

Back 13

Auditory

Visual

Kinesthetic

Front 14

Blooms domain of learning

Back 14

Cognitive

Psychomotor

Affective

Front 15

Assessment components

Back 15

Motivation of learner

Ability to learn

Level of education

Barriers to learning

Front 16

Diagnosis components

Back 16

What nursing diagnosis reflects patient’s specific needs

Front 17

Planning components

Back 17

Determine learning objectives

What do you want patient to be able to do

Front 18

Implementation components

Back 18

Ensure patient participation

Reinforce positive behaviors

Establish trust

Ask patient for feedback

Front 19

IUD warning signs

Back 19

Period late

Abd pain w/ intercourse

Infection exposure, vag discharge

Not feeling well

String missing/shorter

Front 20

Hormonal warning signs

Back 20

Implants, injections, oral

Abd pain

Chest pain

Headaches

Eye problems

Swelling or aching in legs

Front 21

Earliest sign of puberty in boys

Back 21

Testes and scrotum enlarge

Front 22

Earliest sign of puberty in females

Back 22

Breast buds

“The larche”

Front 23

When to perform self breast exam

Back 23

Monthly

One week after start of menstrual cycle

Front 24

Chlamydia

Back 24

Abnormal discharge/bleeding

Pelvic pain

Treated w/ antibiotics

Front 25

Genital herpes

Back 25

Lesions on genitals

Acyclovir to diminish symptoms

Front 26

Genital warts

Back 26

Can cause cervical cancer

Topical gel, cryotherapy, laser

Front 27

Gonorrhea

Back 27

Vaginal discharge

Can lead to PID

Painful urination

Antibiotics for treatment

Front 28

Syphilis

Back 28

Painless ulcer, generalized rash

Latent stage: cardiac/CNS dysfunction

Penicillin for treatment

Front 29

Which STI has pain with urinating and discharge

Back 29

Gonorrhea

Front 30

Levels of prevention

Back 30

Primary - prevention

Secondary - screening

Tertiary - treatment

Front 31

IVF

Back 31

In vitro fertilization

Fertilized outside of body

Inserted in uterus

Front 32

GIFT

Back 32

Gamete intrafallopian transfer

Fertilized in body

Inserted in fallopian tube

Front 33

ZIFT

Back 33

Zygote intrafallopian transfer

Fertilized outside of body

Inserted in fallopian tube

Front 34

Which hormone is responsible for ovulation

Back 34

LH - luteinizing hormone

Front 35

Corpus luteum secretes which hormone to prepare endometrium for fertilized ovum?

Back 35

Progesterone

Front 36

How long do sperm live

Back 36

48-72 hrs

Front 37

How long does an ovum live

Back 37

12-24 hrs

Front 38

How long can you use plan B for it to work?

Back 38

120 hrs

Front 39

What hormone is highest in follicular phase?

Responsible for cervical mucus changes

Back 39

Estrogen

Front 40

What hormone is responsible for growth of egg/follicle

Stimulates estrogen production

Back 40

Follicle stimulating hormone

Front 41

Follicular phase

Back 41

Days 1-14

Front 42

Luteal phase

Back 42

Uterine lining thickens

Front 43

How to calculate date of delivery

Back 43

Nagele’s rule

Take menstrual date

Subtract 3 months

Add 7 days

Fix corrected year

Front 44

GTPAL

Back 44

G - # of pregnancies

T - # of term births

P - # of preterm births

A - # of abortions

L - # of living children

Front 45

Alpha fetoprotein screening

Back 45

Not 100% accurate

Measured in:

maternal serum

amniotic fluid

Low:

Down syndrome

High:

neural tube defect

Front 46

Screenings to test for down syndrome

Back 46

Alpha-fetoprotein screening

Multiple marker screening

Chorionic villus sampling

All are just screenings, need further testing to be sure

Front 47

Reasons to do amniocentesis

Back 47

Identify chromosomal abnormalities

Assess fetal condition

Rh, amnionitis (infection)

Lung maturity < 38 weeks

Front 48

NST

Back 48

Reactive:

>2 FHR accelerations of at least 15bpm for 15 seconds

Non reactive: doesn’t meet guidelines in 40 min or longer

Front 49

What does the NST indicate?

Back 49

If baby is getting enough oxygen

Front 50

Biophysical profile

Back 50

4 aspects via ultrasound

Fetal breathing movements

Gross fetal movements

Fetal tone

Amniotic fluid volume

NST not necessary if all BPP is adequate

Front 51

Score for BPP

Back 51

Up to 2 for each aspect

0-10

< 4 is concerning and may have to deliver baby early

Front 52

What is the maternal assessment of fetal movement?

Back 52

10 fetal movements in 12 hr period

Front 53

What is embryo especially vulnerable to during weeks 3-8

Back 53

Teratogens

Front 54

Diastasis recti

Back 54

Separation of rectus abd muscles

Front 55

Striae gravidarium

Back 55

Silvery/slightly pink or purple streaks on abd, breast, butt

Front 56

Chadwicks sign

Back 56

Bluish color of cervix, vagina

Seen early in pregnancy

Front 57

Lightening

Back 57

Descent of fetal head

Toward end of pregnancy

Front 58

Lordosis

Back 58

Curvature of spine in pregnancy

Front 59

Goodells sign

Back 59

Softening of cervix

Early in pregnancy

Front 60

Primipara

Back 60

Woman who has delivered one pregnancy

Front 61

Leopold’s maneuver

Back 61

Palpating fetus through abd wall

Front 62

Couvade

Back 62

Symptoms and behaviors seen in expectant fathers

Front 63

Linea niagra

Back 63

Hyperpigmentation of line marks longitudinal division of abdomen

Front 64

Functions of placenta

Back 64

Produce nutrients

Transfer subs. from mom to baby

Produce hormones for growth

Front 65

Amniotic fluid level < 500 mL

Associated with?

Back 65

Olygohydromnios

Associated with poor fetal development

Front 66

Amniotic fluid levels > 2000 mL

Associated with?

Back 66

Polyhydromnios

Malformation of CNS

Front 67

GBS issues if baby is exposed

Back 67

Baby could develop sepsis, pneumonia, meningitis

Front 68

Treatment for mom for GBS +

Back 68

Penicillin

Front 69

Intervention to prevent antibody formation in Rh - mother?

Back 69

Giving RhoGAM

@ 28 wks of pregnancy

72 hrs within delivery

Front 70

Supine hypotension

Back 70

Partial occlusion of vena cava and aorta

Front 71

Hegars sign

Back 71

Softening of lower segment of uterus

Front 72

Chloasma

Back 72

Hyper pigmentation of:

Cheeks/forehead/nose seen in pregnancy (sometimes)