Pregnancy & Prenatal Care
At how many weeks pregnancy does fetal movement start to be felt, and what is that process called?
Quickening, 16-20 weeks.
Explain the difference between objective and subjective caregiver burden.
Objective: costs that can be measured, such as time, money, number of tasks performed, etc.
Subjective: caregivers' experiences and the emotional, physical & psychological toll
True or False: Encouraging school age children to participate in meal preparation is an effective strategy for obesity prevention.
True.
Identify 2 barriers older adults may experience in obtaining adequate nutrition?
Medications, limited mobility, social isolation, and poverty.
What are the steps in the nursing process?
ADPIE
Assess
Diagnose
Plan
Implement
Evaluate
Why is folic acid recommended during pregnancy, and when/how long/how much should be taken?
400 mcg daily, prevents neural tube defects, should start 3 months pre-conception and take throughout breastfeeding.
What are 2 kinds of MS symptoms that are particularly stressful for caregivers to manage?
Cognitive changes
Mobility
Incontinence
Fatigue
Nursing education on childhood obesity includes limiting recreational screen time to no more than this many hours per day for school-aged children.
What is 2 hours?
Identify 3 risk factors for falls.
Biologic: acute & chronic illness, balance & gait, cognitive impairment, vision, muscle weakness
Behavioural: assistive devices, alcohol, fear of falling, footwear & clothing, previous history of falls, inadequate diet, meds, vit D intake, risky behaviour
Environmental: stairs, railings, uneven surfaces, rugs, cords, grab bars, weather & climate
Socioeconomic: social networks (isolation, depression), SDoH (access to resources, food, environment)
This type of nursing diagnosis applies when a patient has an increased likelihood of developing a problem or complication.
What is a risk nursing diagnosis?
Identify 3 things a nurse would include in a physical assessment for a client at 24 weeks gestation.
Weight
BP
FHR
Fundal height
Edema
Proteinuria
This virus, commonly known for causing mononucleosis (“mono”), has been strongly associated with an increased risk of developing Multiple Sclerosis.
What is Epstein–Barr virus (EBV)?
Identify 3 tips a nurse would provide when trying to promote healthy eating for school age children.
Replace sugary drinks with water; eat plenty of fruits and vegetables; eat more whole grain foods; eat a variety of protein sources
List 3 interventions that are part of universal falls precautions in a hospital setting.
Signage
Room location close to nursing station
Bed in low position
No slip hazards on floors, keep area clear
Proper patient footwear
Adequate lighting
Secure equipment (locks on wheelchairs)
Use only top side rails
Keep personal items and call bell within reach
Frequent (hourly) patient checks
A child’s immunization may cause discomfort during administration, but the benefits of protection from disease outweigh the temporary discomforts. Which principle applies to this situation?
What is beneficence?
Canadian guidelines recommend this vaccine during every pregnancy, ideally between 27–32 weeks, to protect newborns from severe respiratory disease through passive antibody transfer.
What is the Tdap vaccine (tetanus, diphtheria, and acellular pertussis)?
Identify 2 nursing interventions to help alleviate caregiver burden.
Providing emotional support through open communication and counselling, offering psychoeducation on stress management and burnout, connecting caregivers with community resources like respite care and support groups, and helping them set realistic expectations and boundaries.
What are the recommended guidelines for physical activity for a 10 year old?
At least 60 minutes of moderate-to-vigorous physical activity each day. This should include vigorous activities at least three times a week and muscle- and bone-strengthening activities at least three times a week.
Identify 3 nursing interventions to prevent falls in home-dwelling older adults.
Proper use of assistive devices
Chronic disease management (vision, CV disorders, hypertension control)
Patient education
Home modification
Exercise
Medication review
Nutrition & vitamin D
What is a nursing diagnosis statement for a patient who requires teaching about a new blood thinner medication they have just been prescribed, because they do not understand how to manage the increased risk of bleeding?
Knowledge deficit related to newly prescribed blood thinner medication as evidenced by lack of understanding about risks of bleeding.
List and define the 4 stages of labour.
Stage 1: 0-10cm dilation & effacement (latent 0-4cm, active 5-10cm)
Stage 2: pushing stage, full dilation to birth of newborn
Stage 3: delivery of placenta
Stage 4: immediate postpartum & newborn care
List 3 MS symptoms, and 1 nursing or caregiver intervention to address each of them.
Symptoms-balance problems, fatigue, numbness/tingling, bladder/bowel issues, mood changes, pain, cognitive changes, weakness, walking difficulty.
Identify 3 health risks that are increased due to childhood obesity.
type 2 diabetes, high blood pressure, high cholesterol, and sleep apnea
What specific types of exercise are best for falls prevention in older adults?
Balance, gait, weight bearing to build bone strength
Which of the following sets forth ethical principles for professional nursing practice in a clinical setting?
Bonus: identify 2 principles from this document
Code of Ethics for Registered Nurses by the Canadian Nurses' Association.
Principles:
1. Honouring the Dignity and Autonomy of All People
2. Valuing Relationships and Humanizing Care
3. Maintaining Integrity and Accountability in Nursing Practice
4. Pursuing Truth and Reconciliation
5. Promoting Social Justice
6. Providing Competent Professional Nursing Practice
7. Preserving Privacy and Confidentiality