{"id":117211,"date":"2023-08-28T09:31:14","date_gmt":"2023-08-28T09:31:14","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=117211"},"modified":"2023-08-28T09:31:16","modified_gmt":"2023-08-28T09:31:16","slug":"exam-1-2-3-final-review-bundle-nur-2513-nur2513-latest-2023-2024-maternal-child-nursing-rasmussen","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/28\/exam-1-2-3-final-review-bundle-nur-2513-nur2513-latest-2023-2024-maternal-child-nursing-rasmussen\/","title":{"rendered":"Exam 1 \/ 2 \/ 3 (Final) Review BUNDLE – NUR 2513 \/ NUR2513 (Latest 2023 \/ 2024): Maternal Child Nursing – Rasmussen"},"content":{"rendered":"\n

NUR 2513 Maternal-Child Nursing
Exam 1 Review<\/p>\n\n\n\n

GYN\/General
\u25a0 Current trends influencing maternal childcare
\u2013 An expansion of community-based services (i.e. WIC)
\u2013 Accidents are a leading cause of injury\/mortality in the school aged populatiotherefore education focused on this topic would be considered high priority
\u25a0 What influences changes in types of care required to support maternal-child health\u2013 Families are smaller, higher number of single parents and working moms
\u2013 Considerations must be given to these structural shifts when planning care (djudge people)
\u25a0 Phases of menstrual cycle and what happens during each
\u2013 Proliferative, secretory\/luteal, ischemic, menses<\/p>\n\n\n\n

Proliferative – Phase 1 Menstrual Cycle
\u25a0 Ovary produces estrogen in follicular fluid, controlled by pituitary FSH (follicle stimulati\u25a0 Endometrium thickness increases up to 8x between days 5 and 14 d\/t rapid proliferati\u25a0 First half of the menstrual cycle
\u25a0 AKA proliferative, estrogenic, follicular, postmenstrual phase
Secretory – Phase 2 Menstrual Cycle
\u25a0 Progesterone forms in corpus luteum, controlled by luteinizing hormone
\u25a0 Endometrium glands gain corkscrew appearance and dilate with glycogen and mucin
\u2013 Looks like \u201ca rich, spongy velvet\u201d
\u25a0 AKA pregestational, luteal, premenstrual, secretory phase<\/p>\n\n\n\n

Ischemic – Phase 3 Menstrual Cycle
\u25a0 Corpus luteum regresses after 8-10 days = decreased progesterone = degenerative enaround days 24-25
\u25a0 Capillaries rupture = mini hemorrhages
\u25a0 Endometrium sloughs off
Menses – Phase 4 Menstrual Cycle
\u25a0 Body expels blood from ruptured capillaries, mucin, fragments of endometrial tissue, amicroscopic, atrophied, unfertilized ovum
Conception
\u25a0 Cannot happen without ovulation
\u25a0 Think about the life expectancy of the sperm along with the period of viability for the ovum
\u2013 Can occur 2-3 days before ovulation up to 1 day after<\/p>\n\n\n\n

NUR 2513 Maternal-Child NursingExam 2 Review<\/p>\n\n\n\n

Postpartum
Topics:
\u25e6 Lochia
\u25e6 Fundal Assessment
\u25e6 Preeclampsia
\u25e6 Postpartum Depression
\u25e6 Activity Modification
\u25e6 Postpartum period is also called
\u25e6 \u201c4th trimester\u201d or
\u25e6 Puerperium
\u25e6 Care begins immediately after childbirth and continuethrough 6 weeks post-delivery
\u25e6 Mom is typically okay to return to work by 6 weeks
\u25e6 Nurse teaches new mother how to care for herself andher baby
\u25e6 Assess for s\/s reproductive tract infections (most
common site)
\u25e6 Endometritis
\u25e6 Nursing actions
\u25e6 EDUCATION
\u25e6 Assessment<\/p>\n\n\n\n

Lochia
\u25e6 Rubra
\u25e6 \u201cRuby\u201d red
\u25e6 1-3 days
\u25e6 Blood, fragments of decidua (the thick layer of modified mucous
membrane which lines the uterus during pregnancy and is shed with the
afterbirth), mucus
\u25e6 Serosa
\u25e6 \u201cRose\u201d pink
\u25e6 Days 3-10
\u25e6 Blood, mucus, invading leukocytes
\u25e6 Alba
\u25e6 \u201cAlbino\u201d white
\u25e6 Days 10-14 (up to 6 weeks)
\u25e6 Largely mucus, high leukocytes
\u25e6 Amounts
\u25e6 Soaking a pad in 15 minutes is too much<\/p>\n\n\n\n

Fundal Assessment
\u25e6 Support lower uterine segment w\/ one hand and
palpate fundus with fingertips of the other hand
\u25e6 Assess lochia at the same time
\u25e6 Color, amount, any clots?
\u25e6 If boggy?
\u25e6 Massage.
\u25e6 If boggy and displaced
\u25e6 Empty bladder and massage
\u25e6 Pressure of birth causes edema leading to decreased
bladder sensation
\u25e6 Increased risk for urinary retention
\u25e6 May require straight cath to empty bladder
\u25e6 Expected location at delivery
\u25e6 Midline, midway between umbilicus and symphysis\u25e6 1-2 hours post-delivery
\u25e6 At level of umbilicus
\u25e6 Charted as @U
\u25e6 12 hours
\u25e6 1 cm above umbilicus
\u25e6 @U+1
\u25e6 24 hours
\u25e6 1 cm below umbilicus
\u25e6 @U-1
\u25e6 2 days
\u25e6 2 cm below umbilicus
\u25e6 @U-2
\u25e6 3 days
\u25e6 3 cm below umbilicus
\u25e6 @U-3
\u25e6 7 days
\u25e6 Palpable at symphysis pubis
\u25e6 10 days
\u25e6 Not palpable<\/p>\n\n\n\n

NUR 2513 MATERNAL-CHILD NURSIFinal Exam Review<\/p>\n\n\n\n

\uf0a7 Painful\/Heavy periods
\uf0a7 Management
\uf0a7 NSAIDS
\uf0a7 Ibuprofen is first line treatment
\uf0a7 Then naproxen
\uf0a7 Begin medication regimen 1-2 days before onset of period, continue throughout duratioof cycle
\uf0a7 Block prostaglandins that cause dysmenorrhea
\uf0a7 Other option: Contraceptive methods to regulate hormones or block menstruation<\/p>\n\n\n\n

\uf0a7 Part of every standard gynecological exam, more frequent for high-risk
\uf0a7 Recommended yearly for ages 20+
\uf0a7 Age 20+ should do self-exams at the same time each month, best done 1 week afthe beginning of period
\uf0a7 This allows the woman to know what is normal for her
\uf0a7 Changes such as lumps, thickening, skin consistency, or unexpected discharge
from the nipple are considered abnormal<\/p>\n\n\n\n

\uf0a7 Fetal Heart Rate
\uf0a7 Range: 110-160
\uf0a7 Location is based on gestation age
\uf0a7 Higher in abdomen if breech
\uf0a7 Labs:
1
ST TRIMESTER (1-12WKS) 2
ND TRIMESTER (13-27WKS) 3
RD TRIMESTER (28-40W\u2022 Blood Type and Rh<\/p>\n\n\n\n