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405 1 Flashcards

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1
Q

Child – any person younger than age _ years

A

18

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2
Q

Child- Any handicapped person less than __ years

A

21

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3
Q

Non-accidental physical injury of a child

A

PHYSICAL ABUSE

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4
Q

Sexual abuse: Parent or caretaker commits or ___ a sexual offense to be committed against a child

A

allows

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5
Q

Acts or omissions that cause or could cause:
Serious conduct disorders
Serious cognitive disorders
Serious affective disorders

A

EMOTIONAL ABUSE

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6
Q

The caretaker of a child, most often a mother, either makes up fake symptoms or causes real symptoms to make it look like the child is sick.

A

Munchenhausen Syndrome by Proxy

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7
Q

What does High Risk Pregnancy have to do with the mother’s weight?

A

underweight and overweight are at higher risk

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8
Q

Low birth weight newborn is below

A

2500 g

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9
Q

Fetal Alcohol Syndrome: Wt , length

A

below norm

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10
Q

Fetal Alcohol Syndrome: s___

A

Seizures

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11
Q

Fetal Alcohol Syndrome: A___

A

ADHD

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12
Q

Fetal Alcohol Syndrome: Eyes

A

wide set

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13
Q

Fetal Alcohol Syndrome: nose

A

Nasal bridge low

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14
Q

Fetal Alcohol Syndrome: face

A

Flat midface

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15
Q

safe amount of alcohol use

A

No safe amount of alcohol use established

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16
Q

Effects during pregnancy: Heroin

A

IUGR, SGA, prematurity

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17
Q

Effects during pregnancy: Cocaine

A

Premature /LBW infant

Congenital anomalies

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18
Q

Bronchopulmonary Dysplasia

A

chronic lung disease that affects newborns (mostly premature) and infants. It results from damage to the lungs caused by mechanical ventilation (respirator) and long-term use of oxygen.

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19
Q

Bronchopulmonary Dysplasia: tissue changes can be detected by

A

x ray

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20
Q

Respiratory Distress Syndrome is caused by

A

immature lung and inadequate levels of surfactant cause lung collapse

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21
Q

Respiratory Distress Syndrome is common in preterm infants less than ___ weeks gestation

A

28

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22
Q

Abruptio Placenta

A

placenta detaches from the womb (uterus)

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23
Q

Placenta Previa

A

When the placenta covers the opening in the mother’s cervix

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24
Q

Hydatidiform Mole

A

A noncancerous tumor that develops in the uterus as a result of a nonviable pregnancy

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25
HELLP Syndrome
serious high BP during pregnancy
26
Preeclampsia
high BP during pregnancy
27
Eclampsia
Seizures that occur during a woman's pregnancy or shortly after giving birth
28
Hyperemesis Gravidarum
Vomiting during pregnancy – beyond 1st trimester
29
IUGR
Intrauterine growth restriction | baby doesn't grow to normal weight during pregnancy
30
Hyperemesis Gravidarum: what kind of eating pattern should they try
small frequent meals
31
Gestational Hypertension, the BP is
140/90 after 20 weeks
32
Preeclampsia, the BP is higher than
140/90 with proteinuria greater than 1+
33
Eclampsia – headache, visual changes, ___ ___
seizure activity
34
HTN causes IUGR because of
vasoconstriction
35
Magnesium Sulfate is in what drug class?
anticonvulsant
36
What class of drug is good for Pre-eclampsia with rising BP
Vasodilators
37
HELLP Syndrome: you have hemolysis of RBC caused by high
BP
38
____ Syndrome: A serious, potentially life threatening condition
HELLP
39
HELLP Syndrome: history of
pre-eclampsia OR post-partum hypertension
40
HELLP Syndrome: elevated ___ enzymes
liver
41
HELLP Syndrome: Low Platelets (below ____)
100,000
42
HELLP Syndrome: what kind of pain
Epigastric pain RUQ
43
HELLP Syndrome: something to do with the placenta
Abruption Placenta
44
HELLP Syndrome: bleeding?
yes
45
HELLP Syndrome: IUGR?
yes
46
Rh (-) mother + Rh (+) father =
Rh (+) baby (therefore you need to worry about the Rh (-) mother harming the baby
47
Rhogam is given at
28 weeks and 72 hours
48
Rhogam: to prevent antibody formation for next pregnancy
give at 72 hrs
49
Rhogam: to prevent antibody formation for current pregnancy (aka isoimmunization)
give at 28 weeks
50
2 criteria of Spontaneous Abortion
Before 20 weeks | less than 500 g
51
What ages are Spontaneous Abortions more common
under 20 and over 40
52
Spontaneous Abortion: signs/symptoms, the blood will be
bright red
53
Spontaneous Abortion: Causes: c____ ____
Congenital anomalies
54
Spontaneous Abortion: Causes: _____ infection
Maternal infection
55
Spontaneous Abortion: Causes: Uterine or cervical ____
incompetence
56
Spontaneous Abortion: Causes: I___
Injury
57
Type of abortion: Threatened
?
58
Type of abortion: Incomplete
?
59
Type of abortion: Complete
?
60
Ectopic Pregnancy: age that makes it more likely
over 40
61
Ectopic Pregnancy: h/o
PID with scarring
62
Risk for Ectopic Pregnancy: use of
IUD
63
Ectopic Pregnancy: signs/symptoms: missed
period
64
Ectopic Pregnancy: signs/symptoms: what kind of pain
abd or pelvic
65
Ectopic Pregnancy: signs/symptoms: Vaginal bleeding:
small amount, light color
66
Ectopic Pregnancy: dx: high
beta HCG levels
67
Ectopic Pregnancy: drug tx
Methotrexate
68
Ectopic Pregnancy: surgical tx
Salpingostomy
69
Placenta grows | Fetus underdeveloped or absent (1st or 2nd trimester)
Hydatidiform Mole
70
Hydatidiform Mole S/S: Rapid ____ ____
uterine growth
71
Hydatidiform Mole S/S: HCG levels
very high
72
Hydatidiform Mole S/S: dx test
sonogram
73
Hydatidiform Mole: surgical tx
D and C
74
Hydatidiform Mole: drug consideration
No oxytocin
75
Hydatidiform Mole: the patient should avoid
pregnancy for 6 months
76
S/S: painful bleeding
Abruptio Placenta
77
Abruptio Placenta: blood color
Bright red or dark
78
Abruptio Placenta: tenderness in the
uterus
79
Placenta Previa where the placenta is part way blocking the cervix
partial
80
Placenta Previa where the placenta is totally blocking the cervix
complete
81
Placenta Previa can be caused by h/o
C section and D and C
82
S/S: painless bleeding
Placenta Previa
83
what is the goal for someone at risk of Preterm Labor
carry to full term
84
with someone at risk of Preterm Labor, they must avoid
sex
85
with someone at risk of Preterm Labor, give Tocolytic Drugs to
decrease contractions
86
Tocolytics include
Magnesium Sulfate Nifedipine Ritodrine
87
Tocolytics can only be given if there is less than __ cm cervical dilation
4
88
S/S often silent. Urinary frequency, burning, abnormal vaginal discharge 1-3 wks post exposure
Chlamydia
89
Candida – pH of vagina and cervix more ___ as HCG increases
acidic
90
Signs/symptoms: Gonorrhea:
none
91
Signs/symptoms: Syphilis
Chancre – firm, round, painless
92
Signs/symptoms: Toxoplasmosis
Fever, malaise
93
Signs/symptoms: CMV
Fever, malaise
94
Signs/symptoms: Hepatitis
Fever, jaundice
95
Signs/symptoms: HIV
Fever, wt loss

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