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NUR 318 > module 2 > Flashcards

module 2 Flashcards

1
Q

Prenatal care

A

Identifies rist factors, emphasizes preventative care

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2
Q

What does hcg do?

A

Hcg is the earliest biochemical marker for pregnancy. Hcg levels in pregnancy double every 48-72h. It is limited by the length of gestation, specimen concentration, prescence if blood, and prescence of some drugs

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3
Q

Pre term

A

20 weeks - befire the completion of 37 weeks

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4
Q

Late preterm pregnancy

A

34 weeks and 0 days - 36 weeks and 6 days

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5
Q

Early term

A

37 and 0 - 38 and 6

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6
Q

Full term

A

39 and 0 - 40 and 6

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7
Q

Late term

A

41 and 0 - 41 and 6

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8
Q

Postterm pregnancy

A

42 and 0 +

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9
Q

What is viability?

A

The capacity to live outside the uterus. Its threshold is about 22 to 25 weeks gestation. Theses infants are vilnerable to brain injury

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10
Q

Gravida vs. Gravidity

A

Gravida is a woman who is pregnant. Gravidity is pregnancy

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11
Q

Nuligravida vs primigravida vs multigravida

A

Nuli- woman who has never been pregnant
Primi- woman pregnant for the first time
Multi- woman who has been pregnany 2 or more times

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12
Q

Parity

A

Number of pregnancies in which fetus or fetuses have reached viability, not the number of fetuses whether the fetus is born alive or still born after viability is reached does not afrect parity. Can be nuli, primi, or multi

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13
Q

GP VS GPTAL

A 
GP= gravida, para
GPTAL= gravida, para, term, abortions, living children
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14
Q

Trimesters

A

1= 0-13 wks
2= 14-26 wks
3=27-40 wks

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15
Q

Pregnancy hormones

A

hCG. progesterone, estrogen, serum prolactin, oxytocin

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16
Q

hCG

A

maintains the corpus lutes and helps with he production of estrogen and progesterone until the placenta can take over

17
Q

progesterone

A

suppresses secretion of FSH and LH. maintains pregnancy by relaxing smooth muscles

18
Q

estrogen

A

suppresses secretion of FSH and LH.

19
Q

serum prolactin

A

prepares the breasts for lactation

20
Q

oxytocin

A

stimulates uterine contractions and stimulates milk ejection from breasts

21
Q

immune system adaptation during pregnancy

A

mother becomes tolerant of the foreign fetus keeping the fetus from being rejected and protecting it from infection
-if the mother is Rh negative, the mother will get medication called roam which will prevent fetus rejection

22
Q

maternal emotional responses

A
  • uncertainty
  • introversion
  • acceptance
  • mood swings
  • changes in body image
23
Q

Rubins maternal role tasks

A

tasks that women must accomplish in order to possess the maternal role

  • ensuring safe passage throughout pregnancy and birth
  • seeking acceptance of infant by others
  • seeking acceptance of self in maternal role (binding in)
  • learning to give oneself
24
Q

weight gain in pregnancy

A
  • if at a healthy BMI: 18.5-24.9, the mother should gain 25-35 lbs
  • if mother has a BMI of < 18.5, they should gain 28-40 lbs
  • if the mother has a BMI of 25-28.9, they should gain 15-25 lbs
  • if the mother is obese, BMI > 30, she should gain 11-20 lbs
25
Q

nutritional needs of the mother

A

directly effects the well being of the fetus

  • vitamins and mineral supplements are generally prescribed
  • increase protein for general growth, iron for correcting anemia and folate for neural tube defects
  • increase intake by 300 cals a day
  • use my plate and avoid fish and mercury, limit caffeine, and no alcohol
26
Q

nursing assessments during pregnancy

A

1st trimester: monthly
2nd trimester: every 2-3 wks
3rd trimester: every 2 weeks
last month: every week

27
Q

assessments during visits

A 
weight
bp
urinalysis for ketones, glucose, proteins
fundal Keith 
FHR
fetal movement
28
Q

discomfort of the first trimester

A
  • urinary frequency
  • fatigue
  • breast tenderness
  • increased vaginal discharge
  • nasal stuffiness and nosebleeds
  • N/V
29
Q

how to help with morning sickness

A 
dry crackers
small frequent meals that are high carb and protein
herbal tesas
accupressure
ginger
30
Q

common discomforts of the second trimester

A 
heartburn
ankle edema
varicose veins
hemorrhoids
backabche
31
Q

common discomforts of the third trimester

A

constipation (fiber and stool softener)
backache (back support, good posture and body mechanics)
leg cramps (exercise, dorsiflex, supportive shoes, stockings)
faintness (avoid supine)
dyspnea
carpal tunnel syndrome
braxton hicks contractions (monitor for preterm labor)

32
Q

intimate partner violence

A
  • begins from one partner needing controls and domination over the other
  • the violent partner may have seen or experienced this before and thinks its normal
  • victims are isolated from family and friends
  • it is on the rise bc of quarantine
33
Q

subjective data of IPV

A
  • partner is frequently present
  • headaches
  • gi disturbances
  • sleeping difficulties
34
Q

objective data IPV

A
  • bruises
  • fractures
  • head injuries
  • teeth alterations
  • injuries that don’t match up with the story
  • lack of eye contact
35
Q

sexual assault

A
  • there is a higher incidence than is reported
  • rape and sexual assault are not sexually motivated acts they are motivated by rage, aggression, and the determination to dominate another human being
  • you are mandated to report sexual assault
36
Q

laws in CT

A
  • exams and evidence collection can be done up to 72 hours after assalt
  • the state of CT will hold evidence fro 60 days to give you time to decide if you will report the crime to the police. If it has been more than 60 day it can still be reported but the evidence collected during the exam is likely unusable in the investigation
37
Q

clinical evaluation of sexual assalt

A
  • get complete history of events
  • have victim disrobe on a sheet
  • perfirm a physical and pelvic exam with an advocate
  • document physical and emotional findings
  • collect cultures for gonorrhea and chlamydia
  • sti testing and prophylaxis
38
Q

referrals

A
  • ED within 5 days of assault: sexual assault nurses examiner and sexual assault forensic examiner
  • mental health services
  • legal
  • check-in 24-48 hours after care
  • avoid pregnancy for at least `3 months
  • follow up

NUR 318 (10 decks)

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