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Maternal and Child Nursing > Lesson 1 > Flashcards

Lesson 1 Flashcards

1
Q

What is the promotion and maintenance of optimal family health to ensure cycles of optimal childbearing and childrearing?

A

PRIMARY GOAL OF MCN

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2
Q

A group of people related by blood,
marriage, or adoption living together? Two or more people who live n in the same household (usually), share a
common emotional bond, and perform
certain interrelated social tasks?

A

FAMILY

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3
Q

Basic Family Types: the
family one is born into (e.g., oneself, mother, father, and siblings, if any)?

A

FAMILY OF ORIENTATION

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4
Q

Basic Family Types: the
family one establishes (e.g.
oneself, a spouse or significant
other, and children, if any)?

A

FAMILY OF PROCREATION

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5
Q

Family structure: those that have no children?

A

DYAD FAMILY

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6
Q

Family structure: unmarried couple that has children?

A

COHABITATIONAL FAMILY

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7
Q

Family structure: family unit that typically consists of two parents and their children?

A

NUCLEAR FAMILY

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8
Q

Family structure: a family where one person is married to multiple spouses?

A

POLYGAMOUS FAMILY

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9
Q

Family structure: a family structure where multiple generations of relatives, like grandparents, parents, children, aunts, uncles, and cousins, live together or in close proximity, sharing a kinship network that extends beyond the immediate nuclear family unit?

A

Extended (multigenerational) family

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10
Q

Family structure: a family where one parent is responsible for raising the children without a spouse or partner to share the responsibilities?

A

SINGLE PARENT FAMILY

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11
Q

Family structure: a family consisting of a couple and their children from this and all previous relationships?

A

BLENDED FAMILY

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12
Q

Family structure: a same-sex family or rainbow family, is a family where at least one person is lesbian, gay, bisexual, transgender, non-binary, or queer?

A

GAY or LESBIAN FAMILY

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13
Q

Family structure: are the family that takes in a foster child or children into their home, which is known as a “foster home.”?

A

Foster family

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14
Q

Family structure: a family where the parents have adopted a child who is not biologically related to them?

A

Adoptive family

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15
Q

Nurturer,provider,decision maker, financial manager, problem solver, health manager, culture bearer, environmentalist, and gatekeeper are the family ___?

A

roles

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16
Q
  • Physical maintenance
  • Socialization of family members
  • Allocation of resources
  • Maintenance of order
  • Division of labor
  • Reproduction, recruitment, and release of
    family members
  • Placement of members into larger society
  • Maintenance of motivation and morale
    What are these?
A

FAMILY FUNCTIONS

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16
Q
  1. Marriage
  2. Early childbearing Family
  3. Family with a preschool Child
  4. Family with a school-aged Child
  5. Family with an adolescent
  6. Family with a young adult (“launching”)
  7. Family of middle years
  8. Family in retirement or older age
A

Developmental stages of the Family

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17
Q

Common test for determination of genetic abnormalities: a visual presentation
of the chromosome pattern of an individual?

A

KARYOTYPING

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18
Q

It is the most common male chromosomal disease, otherwise known as 47,XXY, is caused by an extra X chromosome.
*primary features are infertility and small
poorly functioning testicles?

A

KLINEFELTER SYNDROME

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18
Q

It is a genetic condition caused by an extra chromosome?

A

DOWN SYNDROME or TRISOMY 21

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19
Q

A baby
has an extra 18th chromosome. These
babies usually have many problems, and
most don’t live longer than a year?

A

Edwards syndrome (trisomy 18)

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19
Q

It is a condition that affects only females, results when one of the X chromosomes (sex chromosomes) is missing or partially missing?

A

TURNER SYNDROME

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20
Q

A baby has
an extra 13th chromosome. These babies
usually have heart problems and severe
mental impairment. Most won’t live more
than a year?

A

Patau syndrome (trisomy 13)

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21
Q

It is a test that measures the quantity of fetal
serum protein.
* Significant ↓
○chromosomal defects
such as Down’s
Syndrome.
* 15-20 weeks of gestation?

A

Alpha-fetoprotein testing

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22
Is retrieval and analysis of chorionic villi for chromosome analysis.  Tissue of fetal origin ◦ Use to obtain samples of chorionic villi to test for genetic disorder in the fetus.  Timing at 10 to 12 weeks?
Chorionic Villi Sampling (CVS)
22
Aspiration of 20 cc amniotic fluid from the pregnant uterus through the abdominal wall -15th to 20th week, amniotic fluid has reached about 200ml at this point -determine genetic disorder, sex, and fetal maturity?
AMNIOCENTESIS
23
ANALYSIS information from AMNIOCENTESIS: NORMAL
COLORLESS
24
ANALYSIS information from AMNIOCENTESIS: Normal in late pregnancy
YELLOW TINGE
24
ANALYSIS information from AMNIOCENTESIS: blood incompatibility
strong yellow
24
ANALYSIS information from AMNIOCENTESIS: Green
meconium stain fetal distress
25
They are protein component of the lung enzyme surfactant that alveoli begin to form about 22nd to 24th week of pregnancy; : ratio of 2.5:1 or 3:1 a mature indicator in infants whose mother is diabetic; Normal ratio is 2:1 or greater which signifies lung maturity?
LS RATIO ( Lecithin / Sphingomyelin ratio)
26
NORMAL: Negative for blood or should have no false positive reading? POSITIVE: The presence of bilirubin may be analyzed if a blood incompatibility is suspected?
BILIRUBIN DETERMINATION
27
A few fetal skin cells are always present in amniotic fluid. * This cell may be cultured and stained for karyotyping. * Chromosomal study of fetal tissues should be free of diseases?
CHROMOSOME ANALYSIS
28
Diagnose pregnancy as early as 6 weeks ✓ Confirm the presence, size, location, of the placenta and amniotic fluid ✓ Establish fetus is growing and no gross anomalies ✓ Establish the sex Establish presentation and position of the fetus ✓ Predict gestational age ✓ Discover complication of pregnancy and genetic disorders ✓ Detect fetal death ✓ Detect retained placenta or poor uterine involution after birth Explain the procedure ✓ Ask patient to drink a full glass of water every 15 minutes beginning 90 minutes before the procedure ✓ Ensure full bladder ✓ Instructed the patient not to void until after the procedure ✓ Assist the patient on the examining table and drape exposing the abdomen ✓ Place towel under right buttock to tip the body slightly so the uterus will roll away from the vena cava, thus will prevent SUPINE HYPOTENSION SYNDROME?
ULTRASONOGRAPHY (UTZ)
29
Visualization of the fetus thru a fetoscope an extremely narrow, hollow tube inserted by amniocentesis technique thru minor abdominal incision - Long tube with a camera on one end, inserted thru a small abdominal incision - Can be performed approximately 16th - 17th week?
FETOSCOPY
30
urine is tested for the ff: - proteinuria (protein) - glycosuria (sugar) - nitrites (bacteria) - pyuria (WBC)?
Urinalysis
31
-hemoglobin, hematocrit, and red cell index for anemia, -white blood cell for infection -platelet count to estimate clotting ability?
Blood Serum Studies CBC (Complete Blood Count)
32
It is the measures the number of lymphocytes, a type of white blood cell, in a given blood sample. - If numbers are elevated it could indicate an abnormal immune system response?
LYMPHOCYTE COUNT
33
What are the 5 WBC?
Neutrophils Basophils Eosinophils Lymphocytes Monocytes
34
It is the type of WBC that is the first responder/ fight off fungal, bacteria, or viruses infections? When this type of WBC die, pus is formed?
NEUTROPHILS
35
Type of WBC that has an important role in asthma?
BASOPHILS
36
Type of WBC that is known for their role in allergy symptoms?
EOSINOPHILS
37
Type of WBC that fight infections by producing antibodies?
LYMPHOCYTES
38
It is a test that can help determine the severity of an allergic reaction – more being associated with a more acute reaction?
EOSINOPHIL COUNT
39
It is the unusually low number of neutrophils?
NEUTROPENIA
39
It is type of WBC that clean up dead cells?
MONOCYTE
39
levels represent red blood cell volume in the given blood sample. Size of those red blood cells is also reported? Size and number of red blood cells are an indication of overall health and dietary efficiency?
HEMATOCRIT
39
It is to find evidence of anemia such as sickle cell anemia?
hematocrit and hemoglobin levels
40
it is to determine infection?
white blood cell count
40
it is to estimate clotting ability?
platelet count
40
It is to detect ABO and Rh incompatibility - blood must be available in case bleeding occur?
Blood typing and Rh factor
40
it is a test if syphilis is present must be treated early before fetal damage occur?
Serologic test for Syphilis
40
It should be collected at initial pelvic examination - often asymptomatic infections - patient is treated with antibiotic - test for repeat culture at 35 and 37 weeks - all patient 25 years and under must repeat the test at 35 and 37 weeks?
Culture for chlamydia and gonorrhea
41
MSAF) and pregnancy associated plasma protein A - accurate at 16-18 weeks?
Maternal Serum alpha Fetoprotein
42
It is a test that determine whether the Rh antibodies are present in Rh-negative woman - test repeated at 28 weeks?
Indirect Coombs test
43
Serum antibody titer for?
✓Rubella ✓Hepa B (HBsAg) – can be repeated at about 36 weeks ✓Hepa C ✓Varicella (chicken pox)
44
should be done in early pregnancy - high risk should be retested in the 3 rd trimester - ELISA (enzyme-linked immunosorbent assay)- screening test - Western Blot a confirmatory test once ELISA is positive?
HIV screening
44
Meaning of ELISA?
Enzyme-linked immunosorbent assay
45
measure of the amount of sugar attached to hemoglobin - reflects the average blood glucose over the past 4 to 6 weeks?
Glycosylated hemoglobin (HgA1C)
46
Mantoux Test ● PPD /tuberculin test ● 0.1 of tuberculin units are injected by a needle and syringe intradermally ● If induration area is at least 10 cm in diameter, the test is considered positive?
Tuberculosis Screening
47
Test that measures the fetal heart rate after the mother's uterus is stimulated to contract. This test is done to make sure the fetus can handle contractions during labor and get the oxygen needed from the placenta?
Contraction stress test
47
It is a prenatal ___ assesses fetal heart rate and movement. It provides useful information about the oxygen supply to the fetus. This test indicates the fetus needs more monitoring and testing?
NON STRESS TEST

Maternal and Child Nursing (12 decks)

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