Exam 1 Flashcards

(93 cards)

1
Q

What is the maternal- child health continuum?

A

It reflects a seamless flow of care between maternal and child health criticizing, a lifelong family centered care

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2
Q

Define maternal mortality

A

The death of a woman during pregnancy or within 42 days of the end of pregnancy from any pregnancy related cause

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3
Q

Define infant mortality

A

The death of an infant before their first birthday per 1000 life births

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4
Q

What is family center care?

A

Healthcare approach that includes and support the family and all aspects of childcare

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5
Q

How can nurses respect adversity and family centered care?

A

By understanding and incorporating, cultural beliefs, values, and practices into care

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6
Q

What is reproductive life planning?

A

Planning if and when to have children, including birth control and fertility support

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7
Q

What is the role of menstruation education and family planning?

A

It helps individuals understand, fertility windows, and reproductive health

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8
Q

Name, one hormonal and one barrier birth control method

A

Hormonal: oral contraceptive
Barrier : condom

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9
Q

List one advantage of oral contraceptives

A

Regulates menstrual cycles

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10
Q

What is the luteal phase?

A

The phase after ovulation were corpus, luteum secretes progesterone to prepare the endometrium for possible implantation

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11
Q

Define amenorreha?

A

The absence of menstruation, it can be primary (never started) or secondary (stopped after starting)

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12
Q

List three common hormonal, birth control methods

A

Oral contraceptives hormonal, IUDs, and the contraceptive patch

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13
Q

List three barrier methods of contraception

A

Male condoms, female condoms diaphragm

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14
Q

What is emergency contraception?

A

Medication such as Plan B or Ella taken after unprotected intercourse for pregnancy

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15
Q

What are some side effects of oral contraceptives?

A

Nausea breast tenderness, mood changes, increased risk of blood clots

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16
Q

How does the copper IUD work?

A

It creates an inflammatory reaction and the uterus that is toxic dispersement, preventing fertilization

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17
Q

What hormone surges before ovulation?

A

Luteinizing hormone (LH)

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18
Q

What is subfertility?

A

A delay in conceiving, not infertility, but less optimal fertility

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19
Q

What are common male causes of subfertility?

A

Low sperm count per sperm, motility, varicocele and infections

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20
Q

What are common female causes of subfertility?

A

PCOS, endometriosis, ovulatory dysfunction, blocked fallopian tubes

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21
Q

What is clomiphene citrate used for?(Clomid)

A

A medication used to induce ovulation in women with ovulatory disorders
-Stimulates ovulation by increasing FSH/LH

side effects: GI symptoms/visual changes/breast tenderness/ovarian hyperstimulation

Nursing implications:
-ensure baseline studies
-remind client to track ovulation
-instructed patient to report symptoms
-informed that only three cycles of treatment before reassessing

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22
Q

What is in vitro fertilization ?(ivf)

A

A process with eggs are fertilized outside the body, and the embryo is implanted in the uterus

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23
Q

How do nurses support clients with assisted with reproductive technology(ART)

A

Provide education, emotional support, medication, guidance, and help coordinate care

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24
Q

How does QSEN apply to reproductive health?

A

This promote safety and contraceptive use patient centered education and use of evidence based reproductive interventions

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25
When is quickening typically felt?
Around 16 to 20 weeks gestation
26
What is a genetic disorder?
An abnormality in the DNA
27
What contraceptive is safe during Lactation?
Progesterone only pills
28
What is the most effective form of contraception?
Sterilization or LARC methods like IUDs and implants
29
When does fetal heart development begin?
Around 3 to 4 weeks of gestation
30
What tool is used to assess fetal well-being in pregnancy?
Ultrasound, NST stress test, biophysical profile(BPP)
31
What is amniocentesis?
A test for amniotic fluid is sampled to detect, genetic abnormalities
32
What environmental factor can harm fetal development?
Alcohol, tobacco, and certain medication’s
33
What is the primary symptom of asthma in children?
Wheezing, coughing, especially at night or with activity
34
What is bronchiolitis?
A viral infection, often, RSV, that inflamed the bronchioles in infants
35
What is the hallmark symptom of croup?
Barking, cough and stridor
36
What is epiglottitis?
Inflammation of the epiglottis that can block the airway and requires immediate care
37
How is cystic fibrosis diagnosed?
Sweat, chloride test and genetic test testing
38
Nursing care for a child with RSV
Airway support, hydration, and infection control precautions
39
What is BPD?
Bronchopulmonary dysplasia a chronic lung condition in preterm in infants
40
What are common psychological changes during pregnancy?
Mood swings, ambivalence, excitement, and anxiety about role change
41
What are physical changes that occurred during pregnancy?
Uterine enlargement, weight gain breast tenderness, skin changes
42
What are presumptive signs of pregnancy?
Nausea, lack of a period and fatigue
43
Probable signs of pregnancy?
Positive pregnancy test, and uterine enlargement
44
What is the purpose of prenatal visit?
Monitor fetal development, monitor maternal health, provide anticipatory guidance
45
What should be included in prenatal health teach?
Nutrition, physical activity, signs of complications and emotional change changes
46
What are the five Ps of labor ?
Passenger, passage, powers, psyche, position
47
What does the passenger refer to in labor?
The fetus, size, position, presentation number of fetuses
48
What is the passage mean In the 5 Ps
The maternal pelvis and soft tissue issues which the Baby must pass
49
What is the Powers in 5 ps
Uterine contractions and maternal pushing efforts
50
How does psyche affect Labor?
Emotional status can impact pain perception coping, and how the labor progresses
51
What are the stages of labor?
1) dilation 2) expulsion 3) placental 4) recovery
52
What is the nurses rule during Labor?
Monitor fetal/maternal well-being, provide support and assist with pain relief
53
What are non-pharmacological methods of pain, relief, in labor?
Breathing techniques, massage, hydrotherapy, positioning
54
Name a pharmacological pain management option during labor?
Epidural anesthesia or IV opioids
55
What must be assessed before administering epidural?
Platelet count fluid status, maternal consent and fetal status
56
What is a common congenital heart defect?
ASD and VSD
57
What is the coarctation of the aorta?
A narrowing of the aorta leading to increased upper body, BP and decreased lower extremity perfusion
58
What are the signs of congestive heart failure in infants?
Poor feeding , sweating, tachypnea and failure to thrive
59
What is sickle cell disease?
A genetic disorder, causing abnormally shaped red blood cells that block blood flow
60
What are the priority nursing interventions during a sickle cell crisis?
Hydration, oxygenation, pain management and rest
61
What is hemophilia?
A bleeding disorder due to the deficiency in clotting factors
62
How is hemophilia managed in children?
Administer clotting, factor replacement and prevent injury
63
What are nursing priorities for children with heart defects?
Monitor oxygenation growth and prevent infections
64
What QSEN competency is critical in managing chronic pediatric conditions?
Safety and teamwork/collaboration
65
What is the purpose of menstruation?
To bring an ovum to maturity and renew uterine tissue
66
What is reproductive life planning?
Includes all decisions and individual a couple make about having children, including healthy people 2030
67
Name commonly used birth control options
Natural family planning Barrier methods Hormonal contraceptives Estrogen/progesterone transdermal patch Intrauterine devices Surgical methods
68
Natural family planning
Abstinence: 0% failure rate most effective to prevent STI Lactation amenorrhea method(Lam): safe method with failure rate one to 5% infant should be under six months of age breast-feeding with no supplements Coitus interruptus: 82% effective does not prevent against STI
69
Barrier methods
Place a chemical latex barrier between cervix and advancing sperm Spermicides Male and female condoms Diaphragm Cervical cap
70
Hormonal contraception
Hormones that cause fluctuations in the normal menstrual cycle to prevent ovulation or normal transport
71
Intrauterine devices (IUDs)
A small plastic device inserted in the uterus prevent for socialization and or decrease sperm motility Copper : 10-12 years Mirena/lietta: 5-7yrs Skyla: 3 years Kyleena: 5 years
72
Surgical methods of contraception
Vasectomy-small puncture wound vas deferens pulled and cut with local anesthesia Tubal ligation : laparoscopically with anesthesia outpatient surgery fallopian tubes are severed and cauterized complications are possible
73
Emergency postcoital medications
High-dose progestin based pills 1-2 pills best to take before 72 hours Insertion of copper IUD Ella pill: 1 pill can be taken up to 120 hours after Inhibit ovulation and fertilization does not cause abortions
74
Induced abortion
Termination of pregnancy performed by a knowledgeable healthcare provider to end pregnancy before fetal viability
75
Infertility
Inability to conceive a child or sustain a pregnancy to birth
76
What are some of the things you would do for fertility testing?
Semen analysis Ovulation monitoring Assessment of fallopian tube
77
Factors causing subfertility in males
Sperm motility, and mobility number Inadequate FSH/LH impaired spermiogenesis Ejaculatory problems Development of auto immunity Past surgery and trauma Stress, poor diet, ill health exposure to radioactive substances
78
Factors causing subfertility in females
Inadequate FSH/LH Anovulation Problems of transport through fallopian tubes to uterus Uterine cervical or vagina factors Poor nutrition, increased body weight and lack of excersise
79
Pediatric upper airway variations
Increased airway resistance Shorter and narrower Small oral cavities and larger tongues
80
What is croup?
Most common croup disorder occurs three months to eight years Viral infection in the upper airway Inflammation, obstructs, airway, inspiration stridor hoarseness characteristic barking cough Signs: barking, cough, dyspnea, strider, low-grade fever, and tripod sitting Treatment: steroids fluids, and racemic epinephrine
81
Epiglottis
Inflammation and swelling of the epiglottis Medical emergency due to airway constriction Caused by bacterial infection Rapid onset airway obstructed in 2 to 6 hours Signs: Toxic appearance and tripod, sitting, drooling and strider, high fever, cherry, red epiglottis steeple sign on x-ray Treatment: keep calm and avoiding anxiety and crying Do not invasively, visualize the throat or cause gagging Antibiotic administration Hundred percent oxygen and rapid endotracheal tube for airway patency
82
Bronchiolitis ( respiratory syncytial virus)
Most often caused by RSV Cells and bronchioles die in accumulate in obstruct Worsening symptoms after two days Signs include a mild cough, rhinorrhea, and congestion Treatment is a vaccination for at risk populations -Palivizumba
83
Asthma
Chronic condition in children Chronic inflammation of airways Diagnosed with pulmonary function test testing Treatment involves medication, control of triggers and education Common asthma, triggers include pollen, mold, pet, dander, tobacco, smoke, exercise, anxiety, dust mites
84
What are some of the asthma symptoms?
Fatigue, Tachypnea, heaviness in the chest, prolonged expiatory phase, contractions, wheezing or decreased breathe sounds and dyspnea.
85
Cystic fibrosis
Autosomal recessive, genetic disorder Abnormalities in body salt, water, and mucus, making cells Thick sticky mucus builds up in lung sinuses, liver, pancreas, intestines, and reproductive organs Manifestation : steatorrhea, failure to thrive, tachypnea, wheezing, retractions, and reoccurring ammonia Test with sweat chloride testing
86
Bronchopulmonary dysplasia(BPD)
Chronic obstructive pulmonary disorder occurs from prolonged use of supplemental oxygen and positive pressure ventilation after premature birth
87
Legal and ethical considerations of genetic testing
People designed genetic testing must sign informed consent It must be elective Results must not be withheld from individuals and only given to those who are involved After results person cannot be coreced and undergoing procedure such as abortion
88
what is Oligohydramnios ?
Oligo <500 ml Uteroplacental insufficiency Fetal renal abnormalities Increased risk for surgical birth Low birthweight
89
Hydramnios (previously polyhydramnios)
Poly >2000ml Maternal diabetes Neural tube defects Chromosomal deviations Malformation of fetal CNS or G.I. tract
90
Umbilical cord
Formed from the amnion Contains 3 vessels (2 arteries and 1 vein) Surrounded by Wharton jelly Provides nutrients and oxygen
91
Placenta
Structure complete by week 12 Protects fetus removes fetal waste, supports fetal circulation Maternal uterine arteries delivered nutrients to placenta Maternal veins carry a fetal waste away
92
What is Naegeles rule?
-3 months, add 7 days and then add a year
93
Pancrelipase
Enzyme replacement for digestion Gift before or with meals Avoid crushing enteric coated forms Watch for irritation Monitor for efficiency