Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Mother-Infant > ATI: Medical Conditions > Flashcards

ATI: Medical Conditions Flashcards

1
Q

An US shows a short cervix, presence of funneling, or effacement of the cervical os indicates what?

A

Cervical insufficiency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What prophylactic action can HCP do for clients w/ cervical insufficiency?

A

Cervical cerclage which helps prevent premature cervical dilation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

A woman w/ cervical insufficiency is discharged home. What can she do to promote a soft uterus vs. a contracting uterus?

A

Increase hydration because dehydration causes uterine contractions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

When can cervical cerclage be applied to a woman who has cervical insufficiency?

A

12-14 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

When is a cervical cerclage removed?

A

Between 37 and 38 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are the risks for hyperemesis gravidarum for the fetus

A
  • Intrauterine growth restriction
  • SGA
  • Preterm (if condition persists)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Why is urinalysis the most important lab test to obtain in women w/ hyperemesis gravidarum?

A

Because it tests for ketones and acetones (breakdown of protein and fats)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Why is metabolic alkalosis a finding in women with hyperemesis gravidarum?

A

D/t excessive vomiting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What can we excpect with lab values for hematocrit (Hct) in women w/ hyperemesis gravidarum?

A
  • elevated d/t hemoconcentration (all fluid is leaving)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What do women w/ hyperemesis gravidarum get to replinish hydration?

A

Lactated ringers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What vitamin/supplement can we give women w/ hyperemesis gravidarum?

A

pyridoxine (vitamin B12)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Name the progression of diet advancement in women w/ hyperemesis gravidarum

A
  1. Clear liquids
  2. Crackers, dry toast, cereal (bland)
  3. Soft diet
  4. Normal diet
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Pica is due to what insufficiency?

A

Iron

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What levels of Hgb will indicate iron-deficiency anemia in a pregnant woman during 1st and 3rd trimesters?

A

Less than 11

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What levels of Hgb will indicate iron-deficiency anemia in a pregnant woman during 2nd trimester?

A

Less than 10.5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What levels of Hct levels will indicate iron-deficiency anemia in a pregnant woman?

A

Less than 33%

17
Q

What levels of blood ferritin will indicate iron-deficiency anemia in a pregnant woman?

A

Less than 12

18
Q

What is the recommended iron intake for a pregnant woman?

A

37/mg day

Most prenatal vitamins typically have 30mg

19
Q

What medication can we give a woman w/ iron deficiency anemia?

A

Ferrous sulfate

20
Q

Pt. educaiton for ferrous sulfate?

A
  • Take on empty stomach
  • Take w/ orange juice
  • Increase roughage and fluids to help w/ constipation
21
Q

What is the expected blood glucose level (in a pregnant woman) during fasting?

A

60-99

22
Q

What is the expected blood glucose level (in a pregnant woman) 2hrs after meals?

A

Less than 120

23
Q

What is a positive 1 hour blood glucose test?

What values?

A

130-140

24
Q

What if we have a positive 1 hour test?

A

We do a 3 hour test

25
Q

Is fasting needed for the 3 hour glucose test?

If so, how many hours?

A

Yes, fasting is needed 12 hours before the 3 hour glucose test

26
Q

What other substances need to be avoided before doing a 3 hour glucose test?

A
  • Caffeine
  • Smoking
27
Q

What is the first form of treatment for women w/ gestational diabetes?

A

Exercise and diet

28
Q

What is the second form of treatment for women w/ gestational diabetes?

A

Medications

ATI did not really talk about it, but glyburide may be used

29
Q

What are the criteria to classify a gesteraionl hypertension diagnosis?

A
  • Onset of hypertension after 20 weeks gestation
  • BP reading of 140/90
  • Reading must be 2 seperate times, 4 hours apart
  • No proteinuria
30
Q

What is the criteria for preeclampsia?

A
  • Gestational hypertension
  • WITH proteinuria of greater or equal to 1+

Edema and headaches can be present as well

31
Q

What do we see in severe preeclampsia?

A

Proteinuria 3+
Ankle clonus
BP 160/110 or greater
Severe headache
Blurred vision
Creatinine 1.1 or more
Oliguria
Extensive peripheral edema
Hyperreflexia
Epigastric or RUQ pain
Thrombocytopenia (low number of platelets in the blood)

32
Q

What distinguishes eclampsia vs preeclampsia?

A

Eclmapsia we see seizure activities
We see headaches, epigstric pain, RUQ, hyperrflexia

33
Q

What is HELLP?

A
  1. H:hemolysis; anemia & jaundice
  2. EL: Elevated liver enzymes; high ALT/AST, epigastric pain, n/v
  3. LP: Low platelets; less than 100,000; thrombocytopenia, bleeding gums, peteichae and possible DIC
34
Q

What is the best way to mantain a regular flow rate of magnesium sulfate?

A

Use an infusion control device

35
Q

What first needs to be done if you notice magnesium sulfate toxicity?

A

Stop infusion!

36
Q

What is the antidote for magensium sulfate?

A

Calcium gluconate

37
Q

What are som s/s of magnesium sulfate toxicity?

A
  • Depressed resp. rate
  • Absent deep tendon reflexes
  • Urine output less than 30ml
  • Decreased LOC
  • Cardiac dysrhythmias

Mother-Infant (15 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions