405 1 Flashcards
Child – any person younger than age _ years
18
Child- Any handicapped person less than __ years
21
Non-accidental physical injury of a child
PHYSICAL ABUSE
Sexual abuse: Parent or caretaker commits or ___ a sexual offense to be committed against a child
allows
Acts or omissions that cause or could cause:
Serious conduct disorders
Serious cognitive disorders
Serious affective disorders
EMOTIONAL ABUSE
The caretaker of a child, most often a mother, either makes up fake symptoms or causes real symptoms to make it look like the child is sick.
Munchenhausen Syndrome by Proxy
What does High Risk Pregnancy have to do with the mother’s weight?
underweight and overweight are at higher risk
Low birth weight newborn is below
2500 g
Fetal Alcohol Syndrome: Wt , length
below norm
Fetal Alcohol Syndrome: s___
Seizures
Fetal Alcohol Syndrome: A___
ADHD
Fetal Alcohol Syndrome: Eyes
wide set
Fetal Alcohol Syndrome: nose
Nasal bridge low
Fetal Alcohol Syndrome: face
Flat midface
safe amount of alcohol use
No safe amount of alcohol use established
Effects during pregnancy: Heroin
IUGR, SGA, prematurity
Effects during pregnancy: Cocaine
Premature /LBW infant
Congenital anomalies
Bronchopulmonary Dysplasia
chronic lung disease that affects newborns (mostly premature) and infants. It results from damage to the lungs caused by mechanical ventilation (respirator) and long-term use of oxygen.
Bronchopulmonary Dysplasia: tissue changes can be detected by
x ray
Respiratory Distress Syndrome is caused by
immature lung and inadequate levels of surfactant cause lung collapse
Respiratory Distress Syndrome is common in preterm infants less than ___ weeks gestation
28
Abruptio Placenta
placenta detaches from the womb (uterus)
Placenta Previa
When the placenta covers the opening in the mother’s cervix
Hydatidiform Mole
A noncancerous tumor that develops in the uterus as a result of a nonviable pregnancy
HELLP Syndrome
serious high BP during pregnancy
Preeclampsia
high BP during pregnancy
Eclampsia
Seizures that occur during a woman’s pregnancy or shortly after giving birth
Hyperemesis Gravidarum
Vomiting during pregnancy – beyond 1st trimester
IUGR
Intrauterine growth restriction
baby doesn’t grow to normal weight during pregnancy
Hyperemesis Gravidarum: what kind of eating pattern should they try
small frequent meals
Gestational Hypertension, the BP is
140/90 after 20 weeks
Preeclampsia, the BP is higher than
140/90 with proteinuria greater than 1+
Eclampsia – headache, visual changes, ___ ___
seizure activity
HTN causes IUGR because of
vasoconstriction
Magnesium Sulfate is in what drug class?
anticonvulsant
What class of drug is good for Pre-eclampsia with rising BP
Vasodilators
HELLP Syndrome: you have hemolysis of RBC caused by high
BP
____ Syndrome: A serious, potentially life threatening condition
HELLP
HELLP Syndrome: history of
pre-eclampsia OR post-partum hypertension
HELLP Syndrome: elevated ___ enzymes
liver
HELLP Syndrome: Low Platelets (below ____)
100,000
HELLP Syndrome: what kind of pain
Epigastric pain RUQ
HELLP Syndrome: something to do with the placenta
Abruption Placenta
HELLP Syndrome: bleeding?
yes
HELLP Syndrome: IUGR?
yes
Rh (-) mother + Rh (+) father =
Rh (+) baby (therefore you need to worry about the Rh (-) mother harming the baby
Rhogam is given at
28 weeks and 72 hours
Rhogam: to prevent antibody formation for next pregnancy
give at 72 hrs
Rhogam: to prevent antibody formation for current pregnancy (aka isoimmunization)
give at 28 weeks
2 criteria of Spontaneous Abortion
Before 20 weeks
less than 500 g
What ages are Spontaneous Abortions more common
under 20 and over 40
Spontaneous Abortion: signs/symptoms, the blood will be
bright red
Spontaneous Abortion: Causes: c____ ____
Congenital anomalies
Spontaneous Abortion: Causes: _____ infection
Maternal infection
Spontaneous Abortion: Causes: Uterine or cervical ____
incompetence
Spontaneous Abortion: Causes: I___
Injury
Type of abortion: Threatened
?
Type of abortion: Incomplete
?
Type of abortion: Complete
?
Ectopic Pregnancy: age that makes it more likely
over 40
Ectopic Pregnancy: h/o
PID with scarring
Risk for Ectopic Pregnancy: use of
IUD
Ectopic Pregnancy: signs/symptoms: missed
period
Ectopic Pregnancy: signs/symptoms: what kind of pain
abd or pelvic
Ectopic Pregnancy: signs/symptoms: Vaginal bleeding:
small amount, light color
Ectopic Pregnancy: dx: high
beta HCG levels
Ectopic Pregnancy: drug tx
Methotrexate
Ectopic Pregnancy: surgical tx
Salpingostomy
Placenta grows
Fetus underdeveloped or absent (1st or 2nd trimester)
Hydatidiform Mole
Hydatidiform Mole S/S: Rapid ____ ____
uterine growth
Hydatidiform Mole S/S: HCG levels
very high
Hydatidiform Mole S/S: dx test
sonogram
Hydatidiform Mole: surgical tx
D and C
Hydatidiform Mole: drug consideration
No oxytocin
Hydatidiform Mole: the patient should avoid
pregnancy for 6 months
S/S: painful bleeding
Abruptio Placenta
Abruptio Placenta: blood color
Bright red or dark
Abruptio Placenta: tenderness in the
uterus
Placenta Previa where the placenta is part way blocking the cervix
partial
Placenta Previa where the placenta is totally blocking the cervix
complete
Placenta Previa can be caused by h/o
C section
and
D and C
S/S: painless bleeding
Placenta Previa
what is the goal for someone at risk of Preterm Labor
carry to full term
with someone at risk of Preterm Labor, they must avoid
sex
with someone at risk of Preterm Labor, give Tocolytic Drugs to
decrease contractions
Tocolytics include
Magnesium Sulfate
Nifedipine
Ritodrine
Tocolytics can only be given if there is less than __ cm cervical dilation
4
S/S often silent. Urinary frequency, burning, abnormal vaginal discharge 1-3 wks post exposure
Chlamydia
Candida – pH of vagina and cervix more ___ as HCG increases
acidic
Signs/symptoms: Gonorrhea:
none
Signs/symptoms: Syphilis
Chancre – firm, round, painless
Signs/symptoms: Toxoplasmosis
Fever, malaise
Signs/symptoms: CMV
Fever, malaise
Signs/symptoms: Hepatitis
Fever, jaundice
Signs/symptoms: HIV
Fever, wt loss
