Exam Two Content Flashcards
(162 cards)
1
Q
Symmetrical IUGR
A
Proportional
Long term conditions
2
Q
Asymmetrical IUGR
A
Disproportional
Impaired uteroplacental blood flow
3
Q
Complications IUGR
A
Hypo-oxia, thermia, gylcemic
Polycythemia
4
Q
Complications LGA
A
Birth Trauma, Induction, C/S
Hypoglycemia, polycythemia, hyperviscosity
5
Q
Risks for diabetic newborn
A
Low calcium, blood sugar
High RBC, bilirubin
6
Q
Respiratory distress syndrome
A
Diabetic babe
L:S + P:G factors affected by DM of mom
7
Q
Hypoglycemia in babe
A
Less than 40-45mg/dl
Seizure, cyanosis, cold stress, poor feeds
8
Q
What is prematurity
A
beofre 38 weeks
9
Q
What are we concerned about prematurity
A
RDS, cold stress, poor nutrition, hyperbilirubinemia, cranial hemorrhage
10
Q
Apnea
A
cessation of breathing for 20sec, cyanosis
Stimulate baby!
11
Q
How to care for premie
A
monitor!, growth and development, nutition (fluid/electrolytes) warm!
12
Q
Post maturity concerns
A
hypoglycemia
meconium aspiration
13
Q
Fetal alcohol syndrome presentation
A
short stature, microcephaly, thin
14
Q
Fetal alcohol syndrome concerns
A
impulsive, cognitive involvement, speech issues, learning debilities
15
Q
Drug abuse concerns
A
Asphyxia, infection, low APGAR, withdrawal
16
Q
Care for baby of substance abusing mother
A
PNC, tox screen, social services, withdrawal, abstinence, small feeds, decrease stimulaion
17
Q
Metabolic Screening
A
PKU cognative disability
Gala - carbs
Homo, hypothyroid, sickle cell, cystic fibrosis
18
Q
Hypoxia can lead to
A
meconium aspiration
19
Q
Respiratory interventions
A
Celestone, surfactant
20
Q
Transient Tachypnea of Newborn
A
GFR, cyanosis, acidosis
21
Q
What to do meconium apsiration
A
No stimulation –> take to warmer for suctioning
22
Q
Cold stress results in (3)
A
decreased surfactant, acidosis, hypoglycemia
23
Q
When is jaundice concerning
A
within first 24hr
24
Q
Concern for jaundice
A
kernicterus - in brain
25
What is hydrops
anemia - severe edema --> organ failure
26
When is hydrops frequently seen
RH-
ABO sensitivity
27
Jaundice management
Phototherapy
Transfusion
28
What is considered a post partum hemorrhage
Over 500ml
29
Vitals + finding of PPH
decrease BP
increase pulse
decrease UOP
30
Early PPH causes
atony, laceration, retained placenta, hematoma, rupture
31
Atony causes
distention, grandparity, meds, preeclampsia
32
Atony management
massage, crystalloid, blood products, embolization, methergine, packing
33
Bright red blood, firm uterus indicative of
Laceration
34
Findings relating to late PPH
high fundal height
rubra, brown lochia
backache
35
How to treat subinvoliution
methergine, antibiotics
36
Puerperal Infection
Reproductive tract
Morbid - >38*C for 2/10 days PP
37
Endometritis sx/tx
Bloody/foul d.c
tenderness
tachycardia
TX" antibiotic
38
Med for pyelonephritis
Pyridium
39
Urinary tract infection
Retention, bacteria, trauma
40
Mastitis presentation
red, painful, swollen breasts
41
Mastitis causes
Milk stasis, trauma, obstruction, failure to empty
42
Mastitis intervention
frequent feeds, antibiotics, supportive bra
43
Why do pregnant women's blood clot easily? Concern.
Protective mechanism
Increase risk for blood clot
44
Superficial thrombophlebitis
tender, warm, no temp
45
Deep vein thrombosis
edema, pale limb, fever, chills
46
Interventions for blood clots
heat, elevation, analgesic, bed rest, compression sock, no massage
47
Dual process
Loss and restoration
48
Attachment theory
intensity = attachment to pregnancy
49
Meaning reconstruction
redefining life after loss
50
Caring theory
knowing
being with
doing for
enabling
maintaining
51
Infertility teaching
Days 7-17 fertile
no lube
sex every other day
prenatal vitamins
52
Ovulatory factors
high temp
FSH
LH
53
Ovulatory dysfunction factors
progesterone
prolactin
TSH
androgen
54
Endometrial biopsy
progesterone/receptivity
55
transvag us
follicles, endo development
56
Hysterosalpingogram
uterine structure/ fallopian tube
57
Hysteroscopy
size, shape, location of uterus
58
Laparoscopy
endometriosis, adhesion, tumor
59
Varicocele
dilation of scrotal vein, atrophy
60
Induce ovulation by stimulating hypothalamus
Clomid
61
Directly stimulate follicle development
Gonadotropin
62
Increases endo receptivity d/t luteal phase defect
Progesterone
63
Inhibit prolactin ****
Parlodel
TERATOGENIC
64
Drug therapy for PCOS
Metformin
65
Drug therapy for endometriosis
Danazol
66
Therapeutic Insemination
sperm placed at cervical opening
67
IVF
eggs extracted from ovaries -->
fertilized in lab -->
into uterus
68
Gamete Intrafallopian Transfer
collected by u/s and guided to fallopian tube
69
Zygote Intrafallopian Transfer
collected by u/s FERTILIZED and guided to fallopian tube
70
Gestational carrier V Surrogate
G - baby not her own
S - carrier/oocyte donor
71
Intracytoplasmic Sperm Injection
sperm into oocyte
72
LH
triggers egg release from ovary
73
FSH
Stimulates growth of eggs
74
Oviarian cycle
FSH - 1-14
LH - 14-28
75
Menstrual cycle
Menstrual 1-6 degration of endo
Proliferative 6-14 follicle reaching maximum devleopment - estrogen released
Secretory 14-26 progestin released -to prepare for fertilization
Ischemic 26-28 if fertilization doesnt take place
76
Estrogen
builds lining
77
Progesterone
maintains pregnancy with thick lining
78
Awareness methods
Calender - ov (12-16)
High body temp - day-3daypost
Cervical mucus - fetile - SPINBARKITE - stretchy
79
Diaphragm
High in vag with spermicide, worn 24hr, keep in 6-8hr post
**TSS
80
Copper/Mirena
highly effective, last years
**Cramping, bleeding, uterine rupture
*check for sting
81
Estrogen-Progestin Pill
21 days on 7 off
same day, decrease with antibio
***CI pregnancy, clotting
82
Progestin Pill
for women with hx clotting, HTN
Breastfeeding moms
83
Depo Provera
suppress ovulation/thicken mucus
3 months
**bone demineralization, wt gain, hair loss, irregular bleeds
84
Plan B
post 24-72hr
85
Ella
5 days, prescription needed
86
Sterilization
Reversal is 50/50
87
Vasectomy
6-36 ejaculations to clear, sperm count
88
Vaginitis SX
Foul odor, itch/irritation, painful intercourse
(Sex on the beach! - fishy, itchy, painful)
89
Vaginitis cause
Bacteria - pH rises above 4.5 (BASIC)
90
Vaginitis treatment
Flagyl, Clindamycin
91
Vaginitis concern
preterm labor
92
Candidiasis SX
red rash, cheese like discharge
93
Candidiasis TX
TOPICAL ANTIFUNGAL
Diflucan, nystatin
94
Candidiasis concern
newborn thrush
95
Trichomonas SX
frothy discharge, strawberry spots
Rich strawberry milkshake (frothy, strawberry)
96
Trichomonas TX
Flagyl
97
Chlamydia SX
dull pelvic pain, cervical inflammation
**infertility
98
Chlamydia TX
Azithromycin
Doxycycline
99
Concern chlamydia
eye infection, ectopic pregnancy
100
Gonorrhea SX
purulent d/c, frequency, swelling, pelvic pain, eroded cervic
101
Gonorrhea TX
Ceftriaxone
Azithromycin
102
Herpes SX
visible vesicles, pain, inflammation, flu-like
103
Herpes TX
Acyclovir
104
Syphilis SX
fever, wt loss, malaise, condylomata, arthritis
105
Syphilis TX
Benzathine
Pen G
"george is friends with ben and pen"
106
Syphilis concern
IUGR, premie, still birth, psych implication
107
HPV SX
genital warts
Cervical dysplasia
108
HPV TX
Podophyllin (TERATOGENIC)
PPP Podophylin for hPv not for Pregnant
109
HPV vaccine
Gardasil (6,11,16,18)
Cevarix
110
HIV/AIDS SX
wasting syndrome
candidiasis
111
HIV/AIDS TX
Antiretroviral therapy
112
HIV/HPV/AIDS delivery
c/s, no breastfeeding
113
HIV infant
immunosuppression
failure to thrive
neuro problems
114
When are perinatal infections most harmful to fetus?
first trimester
115
Toxoplasmosis causes
cat litter
undercooked meat
116
Toxoplasmosis TX
Spiramycin
117
Toxoplasmosis concern
death, coma, micro/hydrocephalus, growth restriction
118
Rubella TX
prevention, MMR vaccine
119
Rubella concern
Cataracts, deafness, heart defects, mental retardation, cerebral palsy
120
Cytomegalovirus TX
none
121
Cytomegalovirus concern
death, retardation, hearing issues, cephaly, hemolysis
122
When is group B strep tested
6w
123
Group B Strep TX
PCN, ampicillin
124
Concern for Group B strep
infection, stillbirth, death
125
Parvovirus 19 SX
slapped cheek --> red rash
slapped the dogs
126
Parvovirus B19 concern
abortion, anemia, hydrops
127
Cocaine use
abortion, abruption, IUGR, premie, stillbirth
128
PCP use
HTN, hyperthermia, diuresis, coma
129
Ecstasy use
learning/memory impairment
130
Heroin
withdrawal, IUGR, premies
131
Assessment of abused
HA, painful intercourse, abortion, fibromyalgia, anxiety, eating disorder, accidents, trauma, fractures, neglect
132
Power Rape
asserting dominance
133
Anger Rape
wrongs against
134
Sadistic Rape
torture and mutilation motive
135
Acquaintance rape
trust to initiate
136
Stranger Rape
do not know eachother
137
RTS - acute
First 3 weeks
Disorganization
Fear, unclean, bad sleep, guilty
138
RTS - outward adjustment
denial
139
RTS - reorganization
depressed anxiety, phobia, nightmares
140
Nurse practice acts
explains scope of practice
Hospitals can limit, not expand
141
Standard of care - minimum criteria
ANA - publish standards
142
Clinical practice guidelines
care plans, interventions, expected outcomes
malpractice if needs not met
143
Roe VS Wade
Abortion legal
144
Heartbeat bill
illegal abortion after detected heartbeat
145
Can nurses deny abortion patient's care?
Yes, but required to find replacement nurse. CANNOT ABANDON PATIENT
146
How will a patient deliver when hx of intrauterine surgery?
need of c/s d/t classical incision
147
Intrauterine insemination
gives sperm better chance, legal problems
148
IVF
embryo transfer
149
Stem cell research
Cord blood
Cardiac cells, RBC< skin cells, neurons
150
Stats
Health - objective ways
Descriptive - describe/summarize
Inferential - draw conclusion
151
Nuclear family
bio parents and children
152
Binuclear
divorced, co parenting
153
Acculturation
modify ones culture to fit in dominate
154
Assimilation
adopt/incorporate trait of new culture within one's practice
155
Christian
no medical intervention
156
Jehovah's Witness
no blood
157
Catholic
no contraception
158
Agnostic
offended by reference to god
159
Homeopathy
treat with small doses of med that would cause illness
160
Nautropathy
combo of traditional and current advances
161
Maternal mortality risks
low SES, over 15 year old
severe bleeding, infection, HTN, unsafe abortion
162
