Final Exam Review (maternal health Flashcards

Maternal Health (64 cards)

1
Q

Pills: Education, contrindication, signs and symptoms of adverse reactions

A

Education: Take at the same time daily; effectiveness reduced by missed doses or certain antibiotics.Contraindication: Smokers over 35, history of thromboembolic disorders, liver disease.Adverse Reactions: Nausea, weight gain, mood changes, blood clots (e.g., leg pain, chest pain).

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2
Q

Patch: Education, contrindication, signs and symptoms of adverse reactions

A

Education: Apply to clean, dry skin on the abdomen, buttock, or arm; change weekly for three weeks, then one patch-free week.Contraindication: Same as pills; skin disorders at the application site.Adverse Reactions: Skin irritation, breast tenderness, headache, thromboembolism.

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3
Q

Injection: Education, contrindication, signs and symptoms of adverse reactions

A

Education: Administer every 12 weeks; maintain calcium intake due to risk of bone density loss.Contraindication: Liver disease, undiagnosed vaginal bleeding.Adverse Reactions: Weight gain, delayed return to fertility, menstrual irregularities.

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4
Q

Implant: Education, contrindication, signs and symptoms of adverse reactions

A

Education: Effective for up to three years; inserted in the upper arm.
Contraindication: Liver tumors, thromboembolic disorders.
Adverse Reactions: Irregular bleeding, mood changes, headache

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5
Q

Condoms: Education, contrindication, signs and symptoms of adverse reactions

A

Education: Use new condom for each act of intercourse; avoid oil-based lubricants with latex.
Contraindication: Latex allergy (use polyurethane).
Adverse Reactions: Rare; irritation or allergic reaction.

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6
Q

Diaphrams: Education, contrindication, signs and symptoms of adverse reactions

A

Education: Insert prior to intercourse; leave in place for 6-8 hours after. Use with spermicide.
Contraindication: History of toxic shock syndrome (TSS).
Adverse Reactions: Irritation, risk of TSS if left too long.

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7
Q

Natural Family Planning: Education, contrindication, signs and symptoms of adverse reactions

A

Education: Requires monitoring basal body temperature, cervical mucus, and calendar tracking.
Contraindication: Irregular menstrual cycles.
Adverse Reactions: None, but high failure rate if not used correctly.

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8
Q

IUD: Education, contrindication, signs and symptoms of adverse reactions

A

Education: Long-term contraception; check strings monthly to ensure placement.
Contraindication: Uterine abnormalities, PID, active STI.
Adverse Reactions: Cramping, spotting, risk of uterine perforation.

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9
Q

What roles do FSH, LH, Estrogen, Progesterone play in the Menstrual Cycle:

A

FSH: Stimulates follicle growth.
LH: Surge triggers ovulation.
Estrogen: Thickens the endometrial lining.
Progesterone: Maintains the lining for implantation.

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10
Q

What are the Signs of Ovulation

A

Cervical mucus becomes clear and stretchy.
Slight rise in basal body temperature.
Ovulation pain (Mittelschmerz).

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11
Q

What are the emotional aspects of infertility

A

Stress, depression, Guilt, relationship strain

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12
Q

What major organ systems develop and when in utero

A
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13
Q

What are the critical periods of devolopment for baby while in utero

A
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14
Q

What does GTPAL mean and example of it

A

G5T3P1A1L4
Gravida: Total pregnancies.
Term: Full-term births.
Preterm: Births before 37 weeks.
Abortions: Losses before viability.
Living: Current living children.

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15
Q

what is the first step of fertility testing and why

A

Male testing (e.g., semen analysis) is typically less invasive and easier than female testing.

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16
Q

How can the use of illicet drugs impact pregancy (Heroin)

A

Preterm labor, fetal growth restriction, neonatal abstinence syndrome (NAS).

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17
Q

What is a Biophysical Profile?

A

Ultrasound assessment of Fetal well- being

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18
Q

What are the components of BPP

A

Fetal breathing, movememnt, tone, amniotic fluid, and Nonstress test

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19
Q

What is an Amniocentesis

A

Extraction of amniotic fluid for genetic testing.

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20
Q

Nursing Considerations for Amniocentesis

A

Monitor for infection, leakage, and contractions.

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21
Q

Presumptive signs of Pregancy

A

Missed period, nausea, fatigue.

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22
Q

Proable signs of Pregancy

A

Positive pregnancy test, Hegar’s sign

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23
Q

Positive signs of Pregancy

A

Fetal heartbeat, ultrasound confirmation.

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24
Q

Using Nagele’s Rule what is the estimated delivery date (EDD) for a women who’s LMP was Oct. 14, 2024

A

LMP + 7 days - 3 months + 1 year.
Oct. 14 (+7days) - 3 Months= July 21st 2025

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25
What are the levels of Folic acid, iron, and calcium you need during pregancy
Folic acid iron calcium
26
What are common pregancy discomforts how might they be releived
27
When during pregancy should you call the physician (dangers)
28
Stages of Labor
Cervical Dialation (latent, Active, transition) Fetal Expulsion Placental delivery Post Partum Recover
29
Nonpharmacological pain management options for labor pain
Breathing, massage, hydrotherapy, counter pressure, repositioning
30
Pharmacologic Pain management for Labor pain
IV analgesics (fent), epidural anesthesia
31
Nursing interventions for fetal tone decelerations
32
Placental abruption management and risks
Placenta detaches from the uterus- Painful bleeding- fetal distress, r/4 hemmorrhage
33
Placenta Previa management and risks
Placenta is close to or covers the Cervix- Painless bleeding- requires C/S
34
PPH causes
Uterine Atony, retained placenta
35
PPH Medications
Pitocin, Methergin, Hemabate
36
Engorgement treatment
Use of ice packs, cabbage leaves, well fitting bra- propeer latching
37
What is proper latching for breast feeding
38
How to care for mastitis
Antibiotics, cont to breast feed or pump
39
What is the difference between post partum blues and depression
Blues resolve in 2 weeks, depression starts to devolop at 2 weeks- and becomes presistent depression which needs treatment
40
Normal Newborn Vitals
HR: 120-160 bpm RR: 30-60/min Temp: 97.7-99.5°F.
41
What are newborn reflexes that should be present at birth
Rooting: head turns in direction of touch- opens mouth for feedings Moro: baby extends arms and palms up Babinski: toes fan back and out when foot is stroked
42
Hypoglycemia symptoms in a newborn
Jitteriness, poor feeding, low blood sugar (<40 mg/dL).
43
Circumcision care for boys
Gomco: Use petroleum jelly. Plastibell: Allow ring to fall off naturally.
44
Assessment of preterm newborn
Thin skin, underdeveloped fat.
45
Assessment of Term newborn
Pink, flexed posture
46
Assessment of post-term newborn
Dry skin, long nails
47
Pitocin: purpose, side effects, education, contrindications
48
Cytotec: purpose, side effects, education, contrindications
49
Methergine: purpose, side effects, education, contrindications
50
Hemabate: purpose, side effects, education, contrindications
51
Bathamethasone: purpose, side effects, education, contrindications
52
Nubain: purpose, side effects, education, contrindications
53
Epidural:purpose, side effects, education, contrindications
54
Narcan: purpose, side effects, education, contrindications
55
Lactated Ringer's: purpose, side effects, education, contrindications
56
Assessment for vaginal delivery
57
Assessment for c/s delivery
58
Post partum asssessment
59
Newborn Assessment normals
60
Maladaptation vs adaptation
61
preeclamspia complications and education
62
Hyperemesis complication, education
63
Insulin changes for diabetics during pregancy
64
Gestation diabetes management