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SET 1 > Reproductive/ Pregnancy > Flashcards

Reproductive/ Pregnancy Flashcards

(92 cards)

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1
Q

Which two infections Causes pelvic inflammatory disease and infertility?

A

Human papilloma virus and syphilis

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2
Q

What does misoprotolol used for labor

A

Cervical softening

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3
Q

What are the Contra indications for Mistropolol?

A

Tachycardia foetal heart rate, uterine surgery, oxytocin infusion

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4
Q

What to teach for pts with triamonias is vaginal infection?

A

This is a sexual infection, teach the patient to complete antibiotic regimen, inform their partner about the infection, do not have any alcohol for three days , Abstain from sexual intercourse, urine me turn brown or red.

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5
Q

What is contra indicated in a radical prostatectomy?

A

Enemas stool softener they should be taught to have interventions with their stools.

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6
Q

What is the appropriate weight gain in pregnancy?

A

25 to 35 pounds

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7
Q

What do you do when the shoulder is wedged between the perineum in labor?

A

Press down on the symphysis pubis called mc Robert

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8
Q

What is an ectopic pregnancy?

A

When a pregnancy occurs outside the uterus such as the fallopian tube’s

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9
Q

What are the signs and symptoms of an ectopic pregnancy?

A

Symptoms of shock, and a referred pain to the shoulder stupid

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10
Q

What should should you provide when someone is going through a preterm labour?

A

Preterm means before 34 weeks.

IM gluccocorticoids to stimulate the lungs
Antibiotics - to prevent strep B
IV Mag Sulfate, to protect neuro if less than 32 weeks
Tocoloytic Meds - to supress uterine activity.
Monitor labs for UTI / Strep B.

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11
Q

What is contra indicated for mistropolol ?

A

The infusion of oxytocin, history of uterine surgery for example a caesarean pregnancy,And of normal foetal heart rate of tachycardia

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12
Q

What do you teach to your patient who has a sexually transmitted disease such as trichomoniasis?

A

Have your partners treated, abstain from sexual intercourse, avoid alcohol intake for at least three days after completing antibiotic treatment, Inform client that you’re in maybe dark in colour

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13
Q

What is contra indicated for someone who just had a Prostatesectomy?

A

Enema, they are taught to avoid straining

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14
Q

What is the appropriate weight gain range in pregnancy?

A

25 to 35 pounds

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15
Q

What is shoulder dystocia?

A

When the foetal Shoulder is wedged in the perineum

Often caused by big baby.

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16
Q

What should you do if shoulder dystocia occurs ?

A

Used the mcroberts maneuver. Press down on the symphysis pubis.

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17
Q

What is IV magnesium sulphate used for?

A

It is used for preeclampsia, and seizure activity

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18
Q

What are the negative affects of IV magnesium sulfate?

A

Decrease in deep tendon, decrease in respirations, decrease heart rate

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19
Q

How do you treat for the negative affects of IV magnesium sulfate?

A

IV calcium gluconate

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20
Q

What is an ectopic pregnancy?

A

When the egg implanted outside of the uterus for example it would be please in the fallopian tube’s.

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21
Q

What are the signs and symptoms of ectopic pregnancy?

A

Signs of shock, with a referred pain to the shoulder, and abdominal pain

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22
Q

What are the signs that a child is demonstrating hearing deficit?

A

Child speaks in a monotone,loud, difficult to understand, child looks dreamy,May appear with drawn and avoid the social interaction.

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23
Q

How do you do a testicular examination?

A

The testes are to be palpated during a warm shower, at the same time and same day of the month,Palpate with hands separately examining if egg shaped

it is normal for one testicle to be slightly larger or hang lower than the other

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24
Q

What is cervical cerclage?

A

Used to prevent preterm labour placed 12-13 weeks removed at 23 weeks. This is for people with short cervix

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25
What should you teach a patient with cervical cerclage to be careful of ?
Signs of labour back pain etc.
26
What is placenta previa?
It is when the placenta is very close to the cervix and can rupture causing major blood loss for the mother resulting in hemorrhage
27
What is an intervention for placenta previa?
Additional ultrasound at 36 weeks, a cesarean birth
28
What is an emergency contraceptive?
It is utilize, After unprotected intercourse occurs Should be taken within five days but it’s Efficacy only lasts three days
29
What is uterine inversion?
It is a medical emergency in which the fundus collapses
30
What is the intervention for uterine in version?
Mechanical reconstruction and at this case all utertonic medications should be stop. Tocolytic May be given to help relax uterus
31
What is umbilical cord prolapse?
When the court slips and causes impaired oxygen this is an a medical emergency and requires a C-section
32
How do you relieve any umbilical cord prolapse?
Place the patient in Trendelenburg, provide IV fluid’s and oxygen
33
What is Priya prism?
An erect penis due to sickle cell anemia which is bluish in color indicating ischemia
34
What is an amino infusion?
Isotonic fluids for the lack of fluids in an amniotic sac
35
What are the signs and symptoms of the foetal alcohol syndrome?
Diminish or ill-defined philtrum, thin upper lip, flat face palpable fissures
36
What is a vaginal ring?
It is a contraceptive the takes seven days to work and wish it absorbs the hormones If it is removed it should be placed back within three hours as they can cause withdrawal bleeding
37
What is placenta accreta?
The placenta does implant in the myometrium not endometrium. Two IV bores are needed and crossmatch
38
What is the bishop score?
active/latent part of labour and delivery determining the cervix whether it is soft and whether it is dilated
39
What vaccinations are contraindicated in pregnancy?
MMR vaccine because it is a live vaccine
40
What should you do when a patient has had an epidural and is feeling light headed?
Take blood pressure
41
What is placental abruption?
When the placental prematurely deattatches itself causing hemorrhage
42
What are the signs and symptoms of placental abruption ?
Abd pain, contractions, tachycardia and dark red bleeding
43
What are the signs and symptoms of a vaginal hematoma?
Severe vag pain or feeling of fullness the fundus will be at midline and firm
44
What is the order in assessing a child?
Weight, Auscultations heart and lungs, take vitals
45
When should common allergic foods be introduced to the baby?
4-6months
46
When and what kind of milk should children transition to?
Whole milk at 12 months
47
What does green bile mean when a child is vomiting ?
There is a blockage in the intestines and the child is not able to defecate so it will come back up as green
48
What are the signs and symptoms of shaken baby syndrome?
``` vomiting irritability lethargy inability suck or eat seizures inconsolable crying ```
49
What medication is contraindicated for high blood pressure in pregnancy?
Methylergonovine causes vasonconstriction Ace ARBS
50
What prevents SIDS?
Smoking cessation breastfeeding up-to-date vaccinations pacifier use
51
What is spinal bifida?
Neural Tube defect
52
What will use see to determine spina bifida?
Tuft hair hemaniona dimple on base of spine
53
What are the a/e of oxytocin?
abn fetal HR emergency c-section pph water intoxication
54
What is anencephaly?
neural tube defect little-to-no brain tissue
55
what are the positive signs of pregnancy
Ultrasound visualization fetal HR fetal movement by HCP
56
What are the questions to be asked in a precipitous birth?
how many babies are being born what color was the fluid when it broke what medications were last taken in 4hrs when is your due date?
57
What is intrahepatic cholestasis?
A liver disorder exclusive to pregnancy with generalized itching but no rash Worsens at night This increases risk of intrauterine fetal demise
58
What is impetigo?
Highly contagious bacterial skin infection occuring in hot humid weather
59
Signs and Symptoms of Impetigo?
Itchy burning honey colored crusts
60
How to treat impetigo?
Antibiotics
61
How to decrease transmission of impetigo?
``` Handwashing Wash clothes in hot water Keep fingernails short Avoid close contact w/ others Cover infected area with gauze Wash with mild antibacterial soal ```
62
What is fetal tachycardia rate?
>160 for >10min which requires continued surveillance
63
What are the three things you can tell about placental previa?
they can go home after bleeding stops additional ultrasound at 36 weeks remain pelvic rest csection
64
What is uterine atony?
Boggy uterus which can lead to early PPH
65
What are the risk factors for PPH?
``` Hx of pph uterine distention due to: multiple gestation excess amniotic fluid macrosomic infant Uterine fatigue Use of meds: Mag sulfate Oxytocin Inhaled anesthesia ```
66
What is a cause of trisomy 21?
Advanced maternal age
67
What are the characteristics for t21?
single palmar crease short neck excess skin
68
What can valporate do?
Control seizures and is contraindicated in pregancy
69
Why is valproate contraindicated?
cause neural tube defects
70
What are the expected physical changes in 2nd trimester?
Quickening weight gain increase in iron rich food
71
What are the diagnostic tests in second trimester?
ultrasound | screening gestational diabetes
72
What is neonatal abstinence syndrome?
Opioid withdrawl 24-48 hrs after birth
73
S+s of opioid withdrawal with neonate
``` irritability jitteriness high-pitch cry diarrhea vomitting ```
74
When does quickening occur?
It occurs at 18-20 weeks.
75
What are the s/s of bacterial meningitis in children?
``` Nucchal rigidity high pitched cry vomitting seizures poor feeding bulging fontanelles ```
76
GTPAL?
Gravita - the number of pregnancies including present one Term - Number of pregnancies longer than 37 Preterm - Num preg. before 37 Abortion - Miscarriage / abortion before 20 wks. Living - num current living children
77
Toys for 0-6
musical mobile
78
Toys for 6-9 (obj permanence)
Large wooden box
79
Toys 9-12 months?
Purposeful with objects | NO build, stack, make, and construct
80
Toys for 1-3 and what skill?
Push pull *Parallel play* - Gross motor
81
What type of toys you avoid for toddlers?
Control and finger dexterity
82
Preschoolers toys?
Fine motor and balance
83
Type of play for preschoolers?
Cooperative play
84
Type of game for 7-11
3C'S | Creative Competitive Collective
85
S/S of Hip Dysplasia?
Extra inguinal or thigh folds | Laxity of the hip joint
86
How to open airway for children when doing cpr?
Keep neutral smelling position, place towel behind shoulders.
87
What does Ptosis indicate?
Pupil below the level of the pupil indicates paralysis
88
What is cryptorchidism?
Undescended testes, that descends by 6 months
89
What is IUD complication?
``` PAINS Period abnorm Abd pain Infection Not feeling well Strings longer, shorter or missing ```
90
What is marfan syndrome?
slender body, increased risk for aortic dissection/rupture
91
Important aspect to teach to marfan pt?
Use reliable birth control
92
Why are NSAIDS contraindicated in pregnancy?
Risk for premature closure of ductus arteriosus.

SET 1 (19 decks)

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