Module 9 (Exam 3) Independent Study 2 Flashcards Preview

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Flashcards in Module 9 (Exam 3) Independent Study 2 Deck (16):

Zidovudine (AZT)

Given for HIV infection (dyad, mother & neonate individually)


Acyclovir (Zovirax)

Antiviral medication

  • Baby with Herpes
  • Varicella-Zoster pneumonia in the neonate


Miconazole (Monistat)

Used to treat infections involving yeast.

  • Candidiasis 


Metronidazole (Flagyl)

Used to treat:

  • Bacterial Vaginosis
  • Trichomoniasis


Varicella-Zoster Immune Globulin (VZIG)

Chicken pox

Will treat infant infected 5 days before birth up to 2 days after birth. 

Actual vaccine is a live, attenuated virus - do not give during pregnancy. Avoid pregnancy 28 days after vaccination


What are the five principles of teratogenic action?

  1. The period of organogenesis (weeks 2-8) is also the period of greatest vulnerability to tertogenic action.
  2. Greater potency and greater exposure to a teratogenic agent present greater potential for fetal injury.
  3. Exposure to specific teratogens correlates with specific fetal injury.
  4. Genetic pre-disposition to a congenital anomaly may increase potential impact of a teratogen.
  5. Infectious agents may harm a developing fetus even without evidence of maternal illness.


Define Fetal Alcohol Spectrum Disorder (FASD)

Syndrome caused by maternal alcohol ingestion: characterized by cognitive delays, microcephaly, intrauterine growth restriction, short palpebral fissures, and maxillary hypoplasia


Factors contributing to adolescent pregnancy

  1. Socioeconomic issues
  2. Cultural factors
  3. High-risk behaviors
  4. Psychosocial and self-esteem factors


Physiologic risks for pregnant adolescents

  • Iron deficient anemia
  • Preterm birth
  • Low birth weight
  • Cephalopelvic disproportion
  • Preeclampsia and eclampsia
  • Also: HIV, nutritional defiencies, STDs


Psycological risks associated with adolescent pregnancy

  • Interruption in the progress of maternal developmental needs
  • Increased risk for depression


Sociologic risks of the adolescent mother

  • Higher risk for social and economic disadvantage


Nutrtional concerns for the adolescent patient

  1. Potential for increased caloric intake to allow for both maternal and fetal growth
  2. Irregular eating patterns
  3. Adequate intake of essential nutrients


What nutrients are more likely to be inadequate of the adolescent patient?

  1. Iron
  2. Calcium
  3. Protein
  4. Folic acid


Primary Prevention (care of adolescent maternity patient)

Strategies implemented to avoid development of a disease process or threat to wellness

  1. Screening
  2. Immunization
  3. In-school clinics
  4. Nurtritional counseling


Secondary Prevention (care of adolescent maternity patient)

Early diagnosis and treatment of an existing disease process in the asymptomatic or early stages, before significant morbidity occurs

  1. Early prenatal care
  2. Referral for supportive care


Tertiary Prevention (care of the adolescent maternity patient)

Initiation of treatment to reduce the negative impact of a disease process of threat to wellness and/or restore optimal functioning

  1. Tutoring during pregnancy
  2. Young Mothers' Support Group
  3. Day care services

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