Nur4650 study guidance for midterm exam winter 2021 client need

1. 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,

2. 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

3. · 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

4. 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

5. 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

6. · 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