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405 1 Flashcards

1
Q

Child – any person younger than age _ years

A

18

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2
Q

Child- Any handicapped person less than __ years

A

21

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3
Q

Non-accidental physical injury of a child

A

PHYSICAL ABUSE

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4
Q

Sexual abuse: Parent or caretaker commits or ___ a sexual offense to be committed against a child

A

allows

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5
Q

Acts or omissions that cause or could cause:
Serious conduct disorders
Serious cognitive disorders
Serious affective disorders

A

EMOTIONAL ABUSE

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6
Q

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.

A

Munchenhausen Syndrome by Proxy

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7
Q

What does High Risk Pregnancy have to do with the mother’s weight?

A

underweight and overweight are at higher risk

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8
Q

Low birth weight newborn is below

A

2500 g

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9
Q

Fetal Alcohol Syndrome: Wt , length

A

below norm

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10
Q

Fetal Alcohol Syndrome: s___

A

Seizures

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11
Q

Fetal Alcohol Syndrome: A___

A

ADHD

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12
Q

Fetal Alcohol Syndrome: Eyes

A

wide set

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13
Q

Fetal Alcohol Syndrome: nose

A

Nasal bridge low

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14
Q

Fetal Alcohol Syndrome: face

A

Flat midface

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15
Q

safe amount of alcohol use

A

No safe amount of alcohol use established

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16
Q

Effects during pregnancy: Heroin

A

IUGR, SGA, prematurity

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17
Q

Effects during pregnancy: Cocaine

A

Premature /LBW infant

Congenital anomalies

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18
Q

Bronchopulmonary Dysplasia

A

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.

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19
Q

Bronchopulmonary Dysplasia: tissue changes can be detected by

A

x ray

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20
Q

Respiratory Distress Syndrome is caused by

A

immature lung and inadequate levels of surfactant cause lung collapse

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21
Q

Respiratory Distress Syndrome is common in preterm infants less than ___ weeks gestation

A

28

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22
Q

Abruptio Placenta

A

placenta detaches from the womb (uterus)

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23
Q

Placenta Previa

A

When the placenta covers the opening in the mother’s cervix

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24
Q

Hydatidiform Mole

A

A noncancerous tumor that develops in the uterus as a result of a nonviable pregnancy

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25
Q

HELLP Syndrome

A

serious high BP during pregnancy

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26
Q

Preeclampsia

A

high BP during pregnancy

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27
Q

Eclampsia

A

Seizures that occur during a woman’s pregnancy or shortly after giving birth

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28
Q

Hyperemesis Gravidarum

A

Vomiting during pregnancy – beyond 1st trimester

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29
Q

IUGR

A

Intrauterine growth restriction

baby doesn’t grow to normal weight during pregnancy

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30
Q

Hyperemesis Gravidarum: what kind of eating pattern should they try

A

small frequent meals

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31
Q

Gestational Hypertension, the BP is

A

140/90 after 20 weeks

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32
Q

Preeclampsia, the BP is higher than

A

140/90 with proteinuria greater than 1+

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33
Q

Eclampsia – headache, visual changes, ___ ___

A

seizure activity

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34
Q

HTN causes IUGR because of

A

vasoconstriction

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35
Q

Magnesium Sulfate is in what drug class?

A

anticonvulsant

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36
Q

What class of drug is good for Pre-eclampsia with rising BP

A

Vasodilators

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37
Q

HELLP Syndrome: you have hemolysis of RBC caused by high

A

BP

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38
Q

____ Syndrome: A serious, potentially life threatening condition

A

HELLP

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39
Q

HELLP Syndrome: history of

A

pre-eclampsia OR post-partum hypertension

40
Q

HELLP Syndrome: elevated ___ enzymes

A

liver

41
Q

HELLP Syndrome: Low Platelets (below ____)

A

100,000

42
Q

HELLP Syndrome: what kind of pain

A

Epigastric pain RUQ

43
Q

HELLP Syndrome: something to do with the placenta

A

Abruption Placenta

44
Q

HELLP Syndrome: bleeding?

A

yes

45
Q

HELLP Syndrome: IUGR?

A

yes

46
Q

Rh (-) mother + Rh (+) father =

A

Rh (+) baby (therefore you need to worry about the Rh (-) mother harming the baby

47
Q

Rhogam is given at

A

28 weeks and 72 hours

48
Q

Rhogam: to prevent antibody formation for next pregnancy

A

give at 72 hrs

49
Q

Rhogam: to prevent antibody formation for current pregnancy (aka isoimmunization)

A

give at 28 weeks

50
Q

2 criteria of Spontaneous Abortion

A

Before 20 weeks

less than 500 g

51
Q

What ages are Spontaneous Abortions more common

A

under 20 and over 40

52
Q

Spontaneous Abortion: signs/symptoms, the blood will be

A

bright red

53
Q

Spontaneous Abortion: Causes: c____ ____

A

Congenital anomalies

54
Q

Spontaneous Abortion: Causes: _____ infection

A

Maternal infection

55
Q

Spontaneous Abortion: Causes: Uterine or cervical ____

A

incompetence

56
Q

Spontaneous Abortion: Causes: I___

A

Injury

57
Q

Type of abortion: Threatened

A

?

58
Q

Type of abortion: Incomplete

A

?

59
Q

Type of abortion: Complete

A

?

60
Q

Ectopic Pregnancy: age that makes it more likely

A

over 40

61
Q

Ectopic Pregnancy: h/o

A

PID with scarring

62
Q

Risk for Ectopic Pregnancy: use of

A

IUD

63
Q

Ectopic Pregnancy: signs/symptoms: missed

A

period

64
Q

Ectopic Pregnancy: signs/symptoms: what kind of pain

A

abd or pelvic

65
Q

Ectopic Pregnancy: signs/symptoms: Vaginal bleeding:

A

small amount, light color

66
Q

Ectopic Pregnancy: dx: high

A

beta HCG levels

67
Q

Ectopic Pregnancy: drug tx

A

Methotrexate

68
Q

Ectopic Pregnancy: surgical tx

A

Salpingostomy

69
Q

Placenta grows

Fetus underdeveloped or absent (1st or 2nd trimester)

A

Hydatidiform Mole

70
Q

Hydatidiform Mole S/S: Rapid ____ ____

A

uterine growth

71
Q

Hydatidiform Mole S/S: HCG levels

A

very high

72
Q

Hydatidiform Mole S/S: dx test

A

sonogram

73
Q

Hydatidiform Mole: surgical tx

A

D and C

74
Q

Hydatidiform Mole: drug consideration

A

No oxytocin

75
Q

Hydatidiform Mole: the patient should avoid

A

pregnancy for 6 months

76
Q

S/S: painful bleeding

A

Abruptio Placenta

77
Q

Abruptio Placenta: blood color

A

Bright red or dark

78
Q

Abruptio Placenta: tenderness in the

A

uterus

79
Q

Placenta Previa where the placenta is part way blocking the cervix

A

partial

80
Q

Placenta Previa where the placenta is totally blocking the cervix

A

complete

81
Q

Placenta Previa can be caused by h/o

A

C section
and
D and C

82
Q

S/S: painless bleeding

A

Placenta Previa

83
Q

what is the goal for someone at risk of Preterm Labor

A

carry to full term

84
Q

with someone at risk of Preterm Labor, they must avoid

A

sex

85
Q

with someone at risk of Preterm Labor, give Tocolytic Drugs to

A

decrease contractions

86
Q

Tocolytics include

A

Magnesium Sulfate
Nifedipine
Ritodrine

87
Q

Tocolytics can only be given if there is less than __ cm cervical dilation

A

4

88
Q

S/S often silent. Urinary frequency, burning, abnormal vaginal discharge 1-3 wks post exposure

A

Chlamydia

89
Q

Candida – pH of vagina and cervix more ___ as HCG increases

A

acidic

90
Q

Signs/symptoms: Gonorrhea:

A

none

91
Q

Signs/symptoms: Syphilis

A

Chancre – firm, round, painless

92
Q

Signs/symptoms: Toxoplasmosis

A

Fever, malaise

93
Q

Signs/symptoms: CMV

A

Fever, malaise

94
Q

Signs/symptoms: Hepatitis

A

Fever, jaundice

95
Q

Signs/symptoms: HIV

A

Fever, wt loss

aa Orgo (196 decks)

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