T4 - Medical Disorders Substance Abuse (Josh) Flashcards Preview

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Flashcards in T4 - Medical Disorders Substance Abuse (Josh) Deck (27):
1

How is Heart Disease classified?

Class 1
Class 2
Class 3
Class 4

***classes can change throughout pregnancy

2

Which Heart Disease Classification?

Asymptomatic and has no limitation on activity

Class 1

3

Which Heart Disease Classification?

Symptomatic w/ slight limitation on activity

Class 2

4

Which Heart Disease Classification?

Symptomatic w/ marked limitations on activity.

Class 3

5

Which Heart Disease Classification?

Cardiac insufficiency or angina occurs even at rest

Inability to carry out any physical activity w/out discomfort

Class 4

6

Which Class of Heart Disease will definitely have a C/S?

Class 4

7

When is the greatest risk for the client w/ CHF?

28-32 wks b/c that is when volume peaks

8

Symptoms of CHF

Edema (progresses from pedal to generalized, pitting and pulmonary)

Fatigue

Dyspnea w/ ADL --> orthopnea

Crackles at bases of lungs

9

What is most common CV complication from pregnancy?

CHF

10

What is cardiac decompensation?

inability to maintain adequate CO

11

Why would we give a prophylactic antibiotic for the CV client before invasive procedures?

prevent bacterial endocarditis

12

Why would we be cautious about Diruetics (Furosemide) for CHF client who is pregnant?

may interfere w/ perfusion to baby

13

Iron Deficiency Anemia:

What is total Iron requirement for pregnancy?

1000 mg

14

S/S of Iron Deficiency Anemia

Pallor

Fatigue

Lethargy

HA

Pica

15

Nursing education r/t supplemental Iron

Vit C increases absorption

Milk, Tea and Cofee DECREASE absorption

16

How much Folic Acid needed per day?

4 mg/day

17

When we think of Cocaine, we should think of --- ---

placental abruption

18

Smoking is a --- and can cause a --- baby.

vasoconstictor

LBW
- due to poor perfusion

19

When do signs of Heroin withdrawal appear in neonate?

within 72 hrs

20

Client teaching r/t Substance Abuse

Should not go 'cold turkey'

Heroine addicts may be put on methadone

21

What are our concerns about Stadol for a client who is a heroin addict?

would cause INSTANT withdrawal symptoms

22

Treatment for AIDS during Pregnancy

Zidovudine (ZDV) orally beginning after 14 wks gestation (syrup)

Administered IV during labor

Administered to infant ~6 wks after delivery

23

Amniocentesis for AIDS mom?

NO

24

Interventions during Intrapartum for AIDS mom

Avoid scalp electrodes

Avoid episiotomy

Avoid Pitocin (strong UC can cause vag tears)

ZDV given IV as ordered

25

Neonate and HIV

bathe baby prior to any invasive procedures

ZDV at 6 wks

26

Pregnant client is two times more likely to form --- due to increased progesterone.

gallstones

***antibiotics
***meperidine or atropine to decrease spasms
***omit fatty foods

27

What are the TORCH infections?

Toxoplasmosis

Others (Varicella)

Rubella

Cytomegalovirus (Herpes)