NURS 351 Final exam study guide latest – Nevada State College
THE COMPREHENSIVE FINAL EXAM:
STUDY GUIDE
Chapter 12
1. Structure and functions of placenta
• Metabolic function (Respiration, Nutrition, Excreti
...
NURS 351 Final exam study guide latest – Nevada State College
THE COMPREHENSIVE FINAL EXAM:
STUDY GUIDE
Chapter 12
1. Structure and functions of placenta
• Metabolic function (Respiration, Nutrition, Excretion, Storage)
• Endocrine gland function (Human chorionic gonadotropin (hCG), Human chorionic somatomamotropin (hCS), Progesterone, Maternal Estrogens)
• Transport
2. Amniotic fluid (sources, functions)
• Amnion and Chorion – the two fetal membranes
• Composition
• Production of fluid (lungs- 300 to 400 ml per day; urine – 800-1000ml per day)
• Fluid removal (fetal swallowing- 500-1000ml per day, fetal membranes- 200-300 ml/day)
• Functions: cushioning, thermoregulation, maintenance of fluid and electrolyte homeostasis, facilitates fetal movement, barrier to infection, fetal lungs development, prevents membranes from adhering to the fetus.
• The abnormalities: oligohydramnios and polyhydramnios
Chapter 13
1. Signs of pregnancy in detail (presumptive, probable, positive)
• Presumptive signs (3-20wks gestation)
• Probable signs (5-28wks gestation)
• Positive signs (5wks gestation to late pregnancy)
2. Essential pregnancy hormones
3. Integumentary system: changes associated with pregnancy
• Pruritis
• Hyperpigmentation
• Sweat and sebaceous glands
• Hair and nails
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Chapter 37
1. Overt/covert signs of miscarriage
• Overt signs : cramping, bleeding, or passing of the fetus or of fetal tissue
• Covert signs: no uterine growth, the absence of fetal heart tones, failure to see a beating fetal heart on ultrasound, declining levels of (hcg
2. Caring for a stillborn infant family, appropriate language
• Make sure that parents have time to absorb the news
• Provide physical, psychological and spiritual care
• Ensure privacy but not isolation
• Answer questions and prepare parents for the next step
• Offer options
• Allot enough time to engage with them without being rushed.
• Simple, unambiguous, and consistent language is crucial:
o I am so sorry
o Would you like to try that
o Your baby is beautiful
o Do you see any family resemblance?
o What a shock this must be for you
• Hurtful:
o It was not meant to be
o It was for the best
o You are young, you can have another baby
o Over time you will forget your baby
ATI – Ch. 1
1. Side effects of oral contraceptives
2. Disadvantages/advantages of calendar method of contraception
3. Female sterilization; bilateral tubal ligation
ATI – Ch. 2
1. Infertility assessment, male infertility
2. Know the assisted reproductive technologies
3. Ectopic pregnancy; complications
ATI – Ch. 8
1. HIV – details
2. TORCH, signs and symptoms of TORCH infections
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