Exam 2 Flashcards
(87 cards)
Blood test used to screen for risk of birth defects such as spina bifida?
Alpha-fetoprotein (AFP)
Your patient is 33 weeks pregnant. She has been having contractions and suspects that her water broke last night, though there was only a small amount of fluid. Which is NOT standard medical management?
A) Antihypertensives to stabilize her blood pressure**
B) Tocolytics to delay delivery
C) Antibiotics to min risk of infection
D) Corticosteroids to stim fetal lung development
Your patient is 35 weeks pregnant. Chief complaint:low back pain following a motor vehicle accident. Review of systems reveals; uterine pain and vaginal bleeding. You suspect?
Abprutio placentae
Your patient is 38 weeks pregnant. When updating your patient’s chief complaint, she mentions that she’s had headaches since the last visit and describes mild visual disturbances. When asked, she reports upper abdominal pain as well. You suspect and recommend?
pre-eclampsia
taking her blood pressure
____ is/are associated with slower 1st and 2nd stages of labor, increased use of piton, increased perineal tears, increased instrument-assisted deliveries, and increased rate of cesarean.
epidural analgesia
True/False? a “nuchal arm is the LEAST common type of compound presentation?
FALSE=most common
Your patient presents in your office 1 week after giving birth vaginally. She tells you that they had to induce her labor with Pitocin and that she chose to have an epidural. Forceps were used because the baby was stuck. In addition to wanting and adjustment, she reports frequent urges to urinate and some burning with urination. she does not have a fever and describes a normal lochia. your exam reveals suprapubic tenderness. You suspect?
urinary tract infection
T/F Mastitis is caused by milk stasis and cracked nipples?
true
T/F clinical presentation of mastitis may include fever, myalgias and warm, swollen, tender breast tissue?
true
T/F A mother with mastitis should discontinue nursing and avoid expressing milk?
false
T/F Conservative mastitis management may include moist heat and massage to reverse stasis
true
T/F PPT (Postpartum thyroiditis) includes signs of fatigue, palpitations, heat intolerance, and nervousness?
false (cold intolerance)
T/F Postpartum psychosis is a permanent condition in most cases?
false (duh)
When recording pediatric history, a number of people may provide you with historical data (parents, siblings, ect.). You must document the historian’s ?, __?__, and ?
name, relationship to patient, and reliability
T/F start pediatric exam with the otoscopic exam to get uncomfortable parts of the exam out of the way first?
false
Apgar scores are notes at 1 minute and again at 5 minutes. Which is associated with a high risk for subsequent CNS and other organ dysfunction?
1minute: 5
5minute: 6
Response to decreased temperature?
cutis marmorata
As a chiropractor, you may be the primary healthcare provider for some of your patient families. It will be important for you to understand expected growth patterns. Which of the following statements is true?
length should be increased by 50% in the first year
clubbing nails is assessed using ___ and is most likely related to ____?
schamroth technique
cardiovascular disease
T/F the apical pulse is found between the 3rd and 5th intercostal space and midclavicular line in a newborn exam?
true
a 6 day old infant presents to your office with jaundice that has appeared over the last 3 days. You assess it as ___ and which is commonly related to ___?
physiologic (pathologic if born with it)
breastfeeding
Saddle-shaped nose with a low bridge means what for the patient?
congenital heart anomaly
When examining a newborn head, you note a prominence over the left parietal bone. It is firm with well defined edges and does not appear to cross sutures. You suspect ___ which is caused by ___?
cephalhematoma
subperiosteal bleeding
T/F microsomnia is associated with hydrocephalus?
false
these are; dilated scalp veins, setting sun sign, craniotabes
