Test 1 Blueprint (2) Flashcards Preview

OB > Test 1 Blueprint (2) > Flashcards

Flashcards in Test 1 Blueprint (2) Deck (50):
1

What fetal/baby problems can smoking during pregnancy cause?

low birth weight
intrauterine growth restriction
SIDS

2

What maternal problems can smoking during pregnancy cause?

placenta previa
placental abruption
preterm rupture of membranes
ectopic pregnancy

3

What health issues can children develop later in life as a result of mothers smoking?

asthma
infantile colic
childhood obesity

4

What vitamin do women who smoke need more of?

vitamin C

5

Smoking may impair ____.

lactation

6

Alcohol is a known ____.

teratogen

7

What direct effects can alcohol have during the embryonic and fetal stages?

altered brain morphology
neuronal development
hypoxia
fetal alcohol syndrome
alcohol related birth defects

8

What time frame is the most susceptible to alcohol?

first 6 weeks

9

What is the most preventable cause of cognitive disability?

alcohol related effects

10

How much alcohol is safe to drink during pregnancy?

NONE

11

Vasoconstrictor drugs constrict arteries and cause ___ ___ to the baby. What can this cause?

decreased perfusion
hypoxia

12

Besides antacids, what can someone do to reduce heartburn?

gum, mint, hard candy
sit up after eating
avoid fatty, fried foods and overeating

13

Which STI is the oldest with the 2nd highest occurance and highly communicable?

gonorrhea

14

What age group is most at risk for gonorrhea?

women age 15-24

15

What symptoms are seen with gonorrhea?

- normally asymptomatic
- purulent endocervical discharge
- menstrual irregularities, abdominal pain, painful menses

16

What are the 2 types of gonorrhea?

1) cervical
2) ophthalmia neonatorum

17

Which type of gonorrhea involves premature rupture of membranes, preterm birth, chorioamnionitis, neonatal sepsis, intrauterine growth restriction, maternal postpartum sepsis?

cervical gonorrhea

18

Which type of gonorrhea is the most common manifestation of neonatal gonococcal infection and could lead to blindness if untreated?

ophthalmia neonatorum

19

When can transmission of HIV occur from mom to baby?

perinatal period

20

What type of delivery is required to reduce the chance of HIV transmission from mom to baby?

C-section

21

What situations during L&D could lead to the fetus contracting HIV?

Anything that could break the skin of the fetus:
- artificial rupture of membranes
- fetal scalp electrode
- scalp pH sampling
- use of vaccum/forceps

22

Can an HIV infected mom breastfeed baby?

Nope

23

How is syphilis transmitted?

kissing
biting
oral-genital sex

24

What are the 3 stages of syphilis?

1) primary
2) secondary
3) latent

25

Name the stage of syphilis: primary lesion, painless papule to an ulcer in 5 to 90 days

primary

26

Name the stage of syphilis: widespread symmetric maculopapular rash on palms and soles, lymphadenopathy, fever, HA, malaise. Lasts 6 weeks to 6 months.

secondary

27

Where might condylomata lata develop during a syphilis outbreak?

vulva, perineum, or anus

28

Name the stage of syphilis: asymptomatic, can only be detected with serologic testing.

latent

29

If latent syphilis infections are left untreated, ____ syphilis will develop.

tertiary

30

What can occur with tertiary syphilis?

neurologic, CV, musculoskeletal, or multi-organ system failure

31

What test is performed to detect syphilis?

RPR; rapid plasma reagent

32

What is the most common STI?

chlamydia

33

What does chlamydia lead to?

- Pelvic Inflammatory Disease (PID)
- cervical ulcerations

34

Cervical ulcerations increase the risk of acquiring ___.

HIV

35

Past chlamydial infections are associated with:

ectopic pregnancy
tubal factor infertility

36

Why should doxycycline not be administered to a pregnant woman?

turns baby's teeth yellow

37

What type of exercises can a pregnant woman perform to avoid/treat leg cramps?

stand holding chair and dorsiflex foot or have another person do it

38

What should we be concerned about with persistent or leg pain?

DVT

39

Education for woman performing pregnancy test:

1) first void in a.m.
2) Meds can interfere with accuracy
3) HCG detected 4 days after implantation

40

What meds can interfere with pregnancy test? How?

- anticonvulsants & tranquilizers: false positives
- diuretics and promethazine - false negatives

41

What are the 3 types of pregnancy signs?

- presumptive - woman feels (not reliable)
- probable - examiner observes (strong but inconclusive)
- positive - from fetus (confirmation)

42

Amenorrhea, fatigue, and breast changes are ____ signs.

Presumptive

43

Hegar sign, ballottement, pregnancy test are ____ signs.

Probable

44

Fetal heart tones, visualizing fetus, fetal movements are ____ signs.

Positive

45

IUD not recommended for:

- women who haven't been pregnant (could tear cervix b/c so tight)
- PID
- If pregnancy occurs, risk of miscarriage and preterm labor

46

Oral contraceptives not recommended if history of:

- smoking (esp over 35)
- thrombophlebitis
- pulmonary embolism
- CVA
- CAD
- breast cancer (estrogen feeds cancer)
- impaired liver function
- severe HTN

47

Advanced age and smoking increase the risk of ___ with oral contraceptive use.

myocardial infarction

48

Teaching for oral contraceptives:

- yearly exams
- missed one pill less than 12 hrs, take pill immediately then back on track
- missed one pill more than 12 hrs or more than one pill, take pill immediately then back on track (back up method for 7 days)

49

What effect does St. John's Wart have on oral contraceptive effectiveness?

alters effectiveness

50

What meds alter oral contraceptive effectiveness?

- anticonvulsants
- systemic antifungals
- antituberculosis drugs
- anti-HIV protease inhibitors