CL1: Post partum nursing care

Question 1

efers to the 6-week period after childbirth. It is a time of maternal changes that are both retrogressive (involution of the uterus and vagina) and progressive (production of milk for lactation, restoration of the normal menstrual cycle, and beginning of a parenting role

Answer 1

postpartal period, or puerperium

Question 2

fluid discharges after delivery

Answer 2

lochia rubra

Question 3

pink to brown drainage after delivery until 7 days

Answer 3

lochia serosa

Question 4

pink to brown drainage after delivery until 7 days

Answer 4

lochia serosa

Question 5

yellow to white drainage, 10 days to 4 weeks

Answer 5

lochia alba

Question 6

5 cm saturation of pad in one hour = 10ml

Answer 6

scant lochia

Question 7

10 cm saturation of pad within 1 hour = 10-25ml

Answer 7

light lochia

Question 8

also called dorsi flexon sign test is a physical examination procedure that is used to test for Deep Vein Thrombosis (DVT

Answer 8

Homan’s Sign

Question 9

when the blues moves to the point where mother cannot care for herself or the baby.

Answer 9

POST PARTUM DEPRESSION

Question 10

severe form of depression that warrants immediate intervention. When mother harms herself or the neonate or consider doing so

Answer 10

POST PARTUM PSYCHOSIS

Question 11

helps to decrease inflammation and relieve tension in the area.

Answer 11

cortisone-based cream or warm sitz bath

Question 12

perineal stitches may be absorbed within

Answer 12

10 days

Question 13

Coitus is safe as soon as woman’s lochia has turned

Answer 13

alba

Question 14

Do not give acetaminophen

(Tylenol) for fevers during the first

Answer 14

6 to 8

weeks of life.

Question 15

termination of care from a health care agency

Answer 15

discharge

Question 16

process of identifying and preparing for a patient’s anticipated health care needs after they leave the hospital

Answer 16

discharge planning

Question 17

M-E-T-H-O-D

Answer 17

Medication, Environment, Treatment, Health Teaching, Out patient referral and Diet

Question 18

prenatal vitamins and iron must be continued everyday until

Answer 18

breast-feeding stop

Question 19

study of chromosomes by light microscopy

Answer 19

cytogenetics

Question 20

the child has an extra chromosome 13 and is severely cognitively challenged, midline body disorder

Answer 20

Trisomy 13 syndrome (47XY13/47XX13)

Question 20

the child has an extra chromosome 13 and is severely cognitively challenged, midline body disorder

Answer 20

Trisomy 13 syndrome (47XY13/47XX13)

Question 21

common finding in trisomy 13 syndrome

Answer 21

midline: cleft lip, palate, heart defects, abnormal genitalia
Microcephaly, microthalmos, cutis aplasia

Question 21

common finding in trisomy 13 syndrome

Answer 21

midline: cleft lip, palate, heart defects, abnormal genitalia
Microcephaly, microthalmos, cutis aplasia

Question 22

have three copies of chromosome 18 (edward syndrome)

Answer 22

Trisomy 18 syndrome (47XY18/47XX18)

Question 23

common findings in trisomy 18 or edward syndrome

Answer 23

markedly low-set ears, congenital heart defects, misshapen fingers and toes

Question 24

syndrome due to missing portion of chromosome 5; abnormal cry "cat-sound"

Answer 24

cri-du-chat syndrome (46XX5p/46XY5p)

Question 25

gonadal dysgenesis; small and nonfunctional ovaries, secondary sex charac not develop

Answer 25

Turner Syndrome (45X0)

Question 26

management of turner syndrome

Answer 26

administration of estrogen at 13 years of age for sex charac and prevent osteoporosis

Question 27

males with extra X chromosome; secondary sex characteristics not develop; small testes that produce ineffective sperm; Gynecomastia

Answer 27

Kunefelter Syndrome (47XXY)

Question 28

cognitive challenge in males; deficit in speech and arithmetic; hyperactive and autism

Answer 28

fragile X syndrome (46XY23q)

Question 29

occurs in 1 in 800 pregnancies, extra fold of tissue in the inner canthus

Answer 29

Down Syndrome (trisomy 21) (47XY21)

Question 30

lifespan is only 50-60; altered immune system and prone to RTI; atrioventricular defects

Answer 30

Down Syndrome

Question 31

females are more frequently affected

Answer 31

X linked dominant

Question 32

can both affect males and females but only passed on by females

Answer 32

Mitochondrial

Question 33

the gene in question is located on one of the numbered, or non-sex chromosomes

Answer 33

Autosomal

Question 34

single copy disease-associated mutation is enough to cause the disease

Answer 34

Dominant

Question 35

genetic trait or condition can be passed down from parents to children

Answer 35

Autosomal Dominant Inheritance

Question 36

two copies of abnormal gene must be present in order for the disease to develop

Answer 36

autosomal recessive

Question 37

strictly pass only through maternal

Answer 37

mitochondrial mode of inheritance

Question 38

condition that affects the development of the face; cleft lip/palate or both caused by variety of mutations in the IRF6 gene on chromosome 1

Answer 38

Van der Woude Syndrome

Question 39

both clinically and genetically heterogenous; mutations in cytochrome P4501B1 (CYP1B1) predominant caused by PCG (primary congenital glaucoma)

Answer 39

Congenital Cataract

Question 40

most common CHD

Answer 40

atrioventricular septal defect (AVSD), ventricular septal defect (VSD), ASD and PDA or patent ductus arteriosus and tetralogy of falot

Question 41

group of phenotypically and gnetically heterogenous heart malformations; triggered by trisomy 21

Answer 41

atrioventricular septal defect (AVSD)

Question 42

atrial defect associated with aneurysm of the interatrial septum and cardiac arrythmias

Answer 42

atrial septal defect (ASD6)

Question 43

caused by heterozygous mutation in the JAG1 gene

Answer 43

tetralogy of fallot (TOF)

Question 44

congenital cardiovascular malformation with both inherited and acquired causes

Answer 44

patent ductus arteriosus (PDA)

Question 45

decreased pulmonary flow: TOF, Tricuspid atresia | Increased pulmonary flow: transposition of great arteries

Answer 45

Cyanotic heart disease

Question 46

the first recognized genetic cause of CHD, occurs in 40-50% trisomy 21

Answer 46

Chromosomal aneuploidy

Question 47

involves a variety of non-progressive conditions that are characterized by multiple joint contractures

Answer 47

Arthrogyroposis/arthrogyroposis multiplex congenita (AMC)

Question 48

infants external genitalia dont appear

Answer 48

ambiguous genitalia

Question 49

boys where the opening of the urethra is not located at the tip of the penis

Answer 49

hypospadias

Question 50

bones in baby's skulls join together too early

Answer 50

craniosynostosis

Question 51

varied and broad skull, face, and limb abnormalities

Answer 51

saethre-chotzen sysndrome

Question 52

severe malformation of extremities

Answer 52

phocomelia syndrome

Question 53

extremely rare; missing fingers or toes

Answer 53

roberts syndrome

Question 54

hole in the diaphragm

Answer 54

diaphragmatic hernia

Question 55

spine and spinal cord dont form properly; type of neural tube defect

Answer 55

spina bifida

Question 56

most common congenital bleeding disorder

Answer 56

von willebrand disease, hemophilia A and B (christmas disease)

Question 57

severe damage to the lungs; digestive

Answer 57

cystic fibrosis

Question 58

cancer of the blood and bone marrow

Answer 58

leukemia

Question 59

cancer that starts in certain very early form of nerve cells

Answer 59

neuroblastoma

Question 60

type of childhood cancer that starts in the kidneys

Answer 60

wilms tumor (nephroblastoma)

Question 61

most common cancer in children

Answer 61

rhabdomyosarcoma, retinoblastoma, bone cancer