lp4 stuff Flashcards

Question

changes visual on breast increase in str blue darkening

Answer 1

Enlargement- –dt mammory alveoli and fat deposits-making milk ↑ in size & number of glands straie-stretch mark blue veins Darkening of areola-from3-5 cm

Answer 2

Placenta – produces estrogen and progesterone, HCG

Answer 3

Prolactin-milk production Oxytocin-labor contraction

Answer 4

↑ BMR by 20%- emotional liability perspiration and tachycardia

Answer 5

Inhibit Immune response- inc levels of corticosteroids and aldosterone to prevent rejection of pregnacy

Answer 6

-inc insulin production but inslin doesn’t work as well d/t estrogen and progest

Answer 7

present in as early as 4 weeks inc in progesterone reduces contracibiltiy of uterus which prevents premature labor

Answer 8

contributes to memory gladn development in prep for lactation stimulates uterine growth to account for developing fetus

Answer 9

growth-promoting and lactogenic present in 6th week expanding breast growth=lactation regulates parental glucose, protein , fat levels for adequate nutrients for fetus

Answer 10

blood serum will be completely negative 1-2 weeks after birth failsafe measure to ensure that corpus lutetium of ovaries continues to produce progesterone and estrogen plays role in suppressing maternal immunological response so placental tissue is not detected as foreign object 8th week outer layer of placenta begin developing progesterone, producing corpus lutem

Answer 11

HCG estrogen

Answer 12

inc risk of diabetes and size of baby monitor bs in baby after birth lab values @25-28 weeks

Answer 13

Linea nigra-narrow brown line on abdomen-fades away Hyperactive sweat & sebaceous glands-inc perspiration and sweat Hair thickening, then loss post-partum

Answer 14

see streaks on sides of abdomen and sometomes on thighs are permanent-will fade

Answer 15

“mask of pregnancy”- darkened/reddened areas on face across cheeks and nose fades away

Answer 16

-rectus muscles underneath skin will painlessly separate

Answer 17

small fiery red branching spots on skin thighs/hands//palms

Answer 18

Pelvic/ligaments + Joints soften (Helps baby move through pelvis during Childbirf) Changes to center of gravity. Possible back/ girdle pain. inc risk of restless leg syndrome + Carpal tunnel Syndrome

Answer 19

Dyspnea/SOB-d/t fetus on lungs May be congestion ↑ in tidal volume of air ↑ in O2 consumption causing mild hyperventilation ↑ in thoracic circumference ↑ depth & rate of respiration 18-20 breaths per minute

Answer 20

left sided sims position

Answer 21

Early pregnancy temp will increase– after 16 weeks temp goes back to nomral due to progestogen

Answer 22

↑ blood flow to uterus & kidneys peripheral blood flow dec causing edema-goes away at night postural hypotension Supine hypotensive syndrome-laying supine compresses vena cava and blood return to heart decreses

Answer 23

↑ in cardiac output, ↑ in HR, slight ↓ in BP, 25 to 50 % ↑ blood volume

Answer 24

need ↑ of Fe and folic acid for inc rBC 50% ↑ in plasma volume Physiologic Anemia - not having enough healthy red blood cells or hemoglobin to carry oxygen to the body's tissue-SOB increase in fibrinogen

Answer 25

Slight ↑ of WBC’s until delivery then significant ↑ ↑ in clotting factors- ↑ risk of thrombosis

Answer 26

elevate legs and use compression sock helps vascolarities and blood flow folic acid and iron helps enhance pregnancy and getting pregnant

Answer 27

N & V-can be noticed at same time of hcg and progesterone increase- subsides after 3 months ↓ in peristalsis constipation heartburn and flatulence ↑ risk of gallstone formation-may need emergency removal

Answer 28

pressure from uterus on veins and consitpation  Hemorrhoids Relaxation of cardiac sphincter heartburn

Answer 29

Hyper-ptyalism-excessive production of saliva Bleeding gums-estrogen Increased tooth decay

Answer 30

Elongation & dilation of ureters ↑ in glomerular filtration rate (2nd trimester) and renal function

Answer 31

Pelvic organ- urinary frequency (1st & 3rd trimester) Abdominal organ - ↓ urinary frequency (2nd trim)

Answer 32

increase in fluid retention increase in bladder capacity decrease in BUN and creating sometimes body cant reabsorb all glucose= glycosuria

Answer 33

Sometimes body can’t reabsorb all glucose filtered can lead to yeast infection inc fluids and urination

Answer 34

Relaxation of joints waddling gait- walking can be difficult and painful

Answer 35

–shoulders back and abdomen forward

Answer 36

separation of rectus abdominis muscl will not go back to same shape

Answer 37

accept reality of pregnacy, feel less pleasure and more anxiety-can be confusing/ once patients know gender they can be more accepting/hearing about prenatal can make feel “more pregnant” and help accepting can be forgotten, but highly important to be apart of emotional/supportive role. Also feeling of ambivalence. Happy but overwhelmed, takes a lot of thought. May not have anyone to support them

Answer 38

trimester-accept reality of baby-feeling a kick can give sense of a person inside. After quickening(first movement), refer to baby as its own entity. can pinpoint when they wanted the child Trimester-can be felt left out. some will work more. can have difficulty enjoying pregnancy

Answer 39

”nest building activates” – prenatal classes and preparing for childbirth. Childbirth education. Happy time for most parents, but unwanted pregnancy, financial difficulties,

Answer 40

The emotional upset and disruptive behavior of firstborn children to the arrival of a new sibling is often viewed as sibling jealousy routine is key for toddlers school age needs reassurance age appropriate teaching--also sibling classes make it family affair

Answer 41

don't know their role can try to step in unnecessarily can often overstep tell parents to set boundaries grandparents can be pushy

Answer 42

1st day of LMP EDB Subtract 3 months, and add 7 days ultrasounds can help

Answer 43

High risk = possible negative outcome Social and personal Preexisting medical-diabetes or thyroid may be high risk Obstetric/GYN considerations ----previous pregnancys what look like Full Physical assessment including VS Labs

Answer 44

Hgb, Hct, and RBCs ABO and Rh WBC and differential Glucose Protein Rubella Hepatitis B and HIV (if desired) STDs Pelvic and Pap

Answer 45

gyneocloid

Answer 46

Family and support systems-whats going on Economic and living conditions-resources if needed Educational needs-what help may need =any home issues to be aware of

Answer 47

Respect and professionalism-integrate practices if possible Don’t stereotype Ask, don’t assume Break down language barriers Handouts and translation services

Answer 48

q 4 wks to week 28 q 2 wks to week 36, then weekly until birth Health Interview Weight Gain/VS Edema Urine sample Uterine size-Fundal height Fetal development Quickening Doppler Ultrasound

Answer 49

nuchal translucency testing looking at neck folds on baby

Answer 50

Amniocentesis check for gender or genetic disorder

Answer 51

Quad or Pentascreen- Down syndrome /neural tube defect or any risk

Answer 52

glucose tolerance test and H&H (Glucose test may be done sooner if diabetes suspected) looking for anemia

Answer 53

GBS (Group B streptococcus) screen if positive given antibotcs during delivery

Answer 54

Vaginal bleeding Persistent vomiting Temp and chills Gush of fluid Abdominal pain Dizziness, blurred vision, spots before eyes Severe headache Edema Muscular irritability or convulsions Epigastric pain Oliguria Dysuria Absence of fetal movement

Answer 55

mom will track activity-10 an hr Cigarettes and drugs Blood glucose Time of day Sleep/wake cycles Sounds

Answer 56

Urinary Frequency Nausea and vomiting Fatigue Breast tenderness Increased vaginal discharge Nasal stuffiness

Answer 57

Heartburn Ankle edema Varicose veins Flatulence Hemorrhoids Constipation Backache Leg cramps Faintness SOB Difficulty sleeping ----Left sided Sims - optimal Round ligament pain Carpal tunnel syndrom

Answer 58

Support the breasts with nice bra Comfort Prevent back strain Nipple Care , don't wash with soaps or put oil or lotion on the nipples

Answer 59

Employment-some jobs cant do Travel- dont recommend later in trimester Clothing and Bathing-loose fitting clothing Activity and Rest Teratogenic Substances and Medications-chemicals

Answer 60

increases the risk of miscarriage, premature birth and your baby having a low birthweight no ridge on nose can cause neurological damage NO ACLOHOL

Answer 61

Effects of tobacco use – increased incidence of: Fetal growth restriction Low birth weight - SGA Stillborn and SIDS risk

Answer 62

Wt gain- 25-35 lbs if normal BMI 11 lb fetus, placenta, fluid 2.5lb uterus 4lb increased blood volume 1.5-3lb breast tissue 7 lb maternal stores-backup

Answer 63

Calories: 300 extra calories daily in 2&3 trimester. Carbohydrates- Proteins-meat, poultry, eggs Fat-vegetable oils- Minerals-calcium, Iodine, iron, fluoride, zinc- Vitamins-CAD, folic acid//fresh fruit, vegtables, milk eggs Fluid- 8-10 glasses fluid daily 4-6 should be water-2500-3000ml

Answer 64

Watch raw foods and fish sources Prenatal vitamin-can be taken-wont hurt Supplements -Iron: Iron helps make hemoglobin. -Folic Acid- helps prevent neural tube defects AND helps make red blood cells.

Answer 65

Don’t restrict calories, but make them count = nutritious Lactose intolerance Eating disorders Pica-eat non food items Discomforts Cultural, ethnic, and religious Psychosocial Socioeconomic ADOLEctents need even more cals

Answer 66

small frequent meals increase fluids to 2-3 l 8-10 fluids per day

Answer 67

calcium makes the baby bones! if you dont eat calcium, baby will steal the calcium from your bones to create its bones milk/dairy/leafy greens

Answer 68

goes up-300 cals a day underweight should gain over 35 lbs normal should gain 25-30 overwiehgt should gain 15-20

Answer 69

fish-mercury meats-listeria-can cause still birth

Answer 70

prenatal vits can always be taken iron and folic acid are important to take during

Answer 71

if any bleeding

Answer 72

go to bathroom as often as possible go on first urge empty bladder fast

Answer 73

ACETAMINOPHEN only nothing else

Answer 74

soft shoes massages ice positioning pillows

Answer 75

elevate legs teds compressions stocking

Answer 76

ROGAM shot at 28 weeks and 72 hrs after labor help not trasnfering blood

Answer 77

left sided sims helps dizziness

Answer 78

iron testing and H&H for anemia

Answer 79

contract provider NO ER

Answer 80

ice water sugary food move around call if nothing after 2 hrs

Answer 81

NO SOONER THEN 35 WEEKS

Answer 82

not on same schedule as mother kick when they feel like it

Answer 83

NO mental health drugs no lithium antiserzires meds no

lp4 stuff Flashcards

(109 cards)