405 4 Flashcards
1
Q
Kids with defects are more likely to
A
be abused because of the added stress
2
Q
Physical neglect definition
A
withholding or failing to provide
3
Q
Between ages 6 and 16
A
you MUST go to school or be home schooled
4
Q
Phys neglect compared to Phys abuse
A
neglect is slightly less bad
5
Q
Signs of emotional abuse
A
- Child is a bully or bullied
- Withdrawn
- Conduct disorder
- Learning disability
6
Q
Failure to thrive
A
Not growing enough enough
7
Q
Failure to thrive is sometimes caused by
A
not feeding enough
8
Q
Munchausen
A
mother pretends child is sick or purposely makes him sick
9
Q
When do you report suspected abuse?
A
immediately
10
Q
Do you need proof to report abuse?
A
Not really, just reasonable cause
11
Q
Social Hold
A
There’s no phys reason, but you hold them for other reasons
12
Q
The role of a nurse in a court case
A
Nurse usually doesn’t go to court, but the documentation does
13
Q
You could be liable if
A
you fail to report abuse
14
Q
Fetal Alcohol Syndrome has __ and ___ components
A
phys and mental
15
Q
Fetal Alcohol Syndrome baby has small head but not
A
microcephaly
16
Q
Fetal Alcohol Syndrome baby size
A
SGA
17
Q
Fetal Alcohol Syndrome baby might have messed up ___ reflex
A
moro reflex
18
Q
Fetal Alcohol Syndrome baby might not get a perfect APGAR score because
A
they have diminished moro reflex
19
Q
Fetal Alcohol Syndrome baby eating consideration
A
They are poor feeders
Might need an NG tube
20
Q
Fetal Alcohol Syndrome emotional consideration
A
they cry a lot so they need a lot of attention
21
Q
Fetal Alcohol Syndrome baby might need medication for
A
antiseizure
22
Q
Fetal Alcohol Syndrome: start assessing for cognitive problems at
A
early toddler period
23
Q
Fetal Alcohol Syndrome need what kind of interdisciplinary help
A
OT and PT
24
Q
Fetal Alcohol Syndrome: a good way to stimulate cognition is
A
play
25
Fetal Alcohol Syndrome: a condition that often goes along with it
ADHD
26
Teen pregnancies have a higher rate of
pre terms
27
Teen pregnancy: they might be bad about
getting prenatal care
28
2nd stage of Grief
Anger
29
3rd stage of Grief
Bargaining
30
Grief: early verse late miscarriage
either way it's still a loss
31
Grief and loss: you need to give the parents enough
time
32
How might a 9, 10, or 15 year old express themselves
drawing
| writing
33
Visiting rules for a dying patients
might be more lenient with the rules
34
A helpful strategy for explaining death to pre schoolers
pictures/objects
35
The approach for dealing with grieving family
use a combination of giving them space and being supportive
36
Dying process: Encourage ___ __ ___ for as long as possible
connections with friends
37
Difference between beating and spanking
beating leaves marks (phys or emotional)
38
Gestational DM baby size
could be LGA
| Could also be SGA because of vasoconstriction
39
Macrosomia
LGA
40
Women who are DM or Gestationally DM often need
C section because the baby is LGA
41
Which ethnicities have the most Gestational DM
all non-white
42
Bethamethasone
drug that makes the fetus' lungs mature faster
43
Gestational DM tx
try diet and exercise
| If that doesn't work try insulin or oral med
44
Treatment for Gest DM woman after she delivers
Standard care except that they need blood sugar testing
It's possible mom could get type 2 DM
45
If you've had Gest DM, the chances of getting it again
are high
46
Gest DM: Newborn care
They will be hypOglycemic
| Give them oral glucose by bottle
47
Gest DM: babies are born preterm, watch out for
respiratory distress
48
HypOglycemia is more effected by
food amount than exercise level
49
HTN in pregnancy: need to find out the mother's
baseline
50
HTN in pregnancy: assess for
vision changes and headache
51
Worse BP than in pregnancy HTN
preclampsia
52
Preclampsia patients need rest to prevent
seizures
53
clonus
muscular spasm involving repeated, often rhythmic, contractions.
54
Preclampsia: assess for ____ and ____ to help detect seizures
clonus and hyper-reflexes
55
Preclampsia positioning
lay on left side to promote circulation to fetus
56
A muscle relaxant that can prevent seizures and prevent early labor
magnesium sulfate
57
magnesium sulfate
A muscle relaxant that can prevent seizures and prevent early labor
58
Tocolytics
one use is to prevent early labor
59
CCB
too much could cause a problem with labor bc the muscles are blocked from contracting
60
Spontaneous abortion; ask the patient
if she has any of the tissue that passed
61
Ectopic pregnancy: ask the patient
what the discharge looked like and was there an odor
62
Ectopic pregnancy: do 2 tests
blood test
| sonogram
63
Ectopic pregnancy: administer
methotrexate to kill the pregnancy
64
Ectopic pregnancy signs
pelvic pain
| maybe pain when urinating
65
Hydatidiform mole: test
sonogram
66
Hydatidiform mole: sign
bleeding
67
Hydatidiform mole: procedure
D and C
68
Hydatidiform mole: administer
methotrexate
69
Infertility definition
inability to conceive after one year of active unprotected intercourse
70
a mental cause of infertility
stress
71
Sexual Abstinance effectiveness rate
anywhere from 10 to 100%
72
Calendar method
Subtract 18 from shortest and 10 from longest
73
Natural Method: Monitor Temperature –
low prior to ovulation
74
Natural Method effectiveness
80%
75
Spermacides: Use with condom or diaphragm
may interfere with integrity of latex/rubber
76
Spermacides alone: effectiveness
50%
77
Pill/patch contraceptions
High BP, CVD, smoking, DM
78
Mifepristone and Mistopristol
Abortion Pills
79
when is the Abortion Pill taken
Early Pregnancy – 63 days or 9 weeks
| 97% effective
80
Mifepristone: how does it work
Blocks progesterone and encourages endometrial sloughing
81
Mistopristol: how does it work
empties the uterus of conception (cramping and bleeding)
82
Mistopristol, side effects
cramping and bleeding
83
Mistopristol, how long does it take to work
30 min to 5 hours
84
is a Vasectomy permanent
usually it is
85
Vasectomy: Residual sperm remains in vas deferens for
4 - 6 wks
86
is a Tubal ligation permanent
Yes
87
HPV: prevent it by administering
vaccine
88
HPV: Early screening should be done using
PAP test
89
Pre-menstrual Syndrome: recommended activity level
rest, exercise in moderation
90
Pre-menstrual Syndrome: medication
antidepressants
91
Pre-menstrual Syndrome: diet
High Carb
low salt,
caffiene,
vitamin B, E, Ca, Mg
92
Pre-menstrual Syndrome: Nurses’ Role
listen,
take complaints seriously,
make referrals prn
93
Magnesium foods
Green vegetables
Legumes & nuts
Whole grains
94
Magnesium functions
muscle and nerve function,
keeps heart rhythm steady,
supports a healthy immune system,
keeps bones strong
95
Vitamin B foods
liver,
eggs,
spinach,
avocados
96
Vitamin E foods
Fish
| Nuts
97
Vitamin B and E function
supports immune system
98
Endometriosis definition
presence of endometrial tissue outside the uterus (young adults)
99
Endometriosis Etiology:
unknown, but it is R/t delayed pregnancy
100
Endometriosis Risk factors
obesity,
DM-II,
High BP
101
Endometriosis Pathology
tissue overgrowth during luteal phase of menstrual cycle.
Tissue adhesion to reproductive organs,
inflammation of tissue
102
Endometriosis Clinical Findings
genitourinary pain, infertility
103
Endometriosis Dx testing
sonogram
104
Endometriosis tx medications:
oral contraceptives,
testosterone
GnRH to decrease ovulation
105
Endometriosis side effects of tx medications:
infertility, artificial menopause
106
Endometriosis tx when it involves cancerous cells
Hysterectomy
107
Uterine Fibroids/Leiomyomas definition
benign tumors of uterus
108
Uterine Fibroids/Leiomyomas Etiology
unknown, but r/t estrogen levels
109
Uterine Fibroids/Leiomyomas: how do they change over time?
increase in size during childbearing years, atrophy during menopause
110
Uterine Fibroids/Leiomyomas Clinical Findings:
- discomfort on surrounding tissue/organs with increased size
- excessive menstrual bleeding
111
Uterine Fibroids/Leiomyomas Dx test:
sonogram
112
Uterine Fibroids/Leiomyomas complications
anemia, hemorrhage
113
Uterine Artery Embolization definition
Insertion of a catheter into the common femoral artery to access the arteries to the uterus.
114
Uterine Artery Embolization is used to treat
Fibroids
115
Uterine Artery Embolization: after the catheter is in place,
arteries are then filled (or 'embolized') with polyvinyl alcohol particles or tris-acryl gelatin that stop the blood supply to the fibroid(s) causing shrinkage of fibroids
116
Uterine Artery Embolization: post procedure
Higher incidence of pre-term births and C –sections
117
Uterine Fibroids: dietary prevention
lots of dairy
118
Uterine Fibroids: hormone tx
GnRH
119
Uterine Fibroids: surgical tx
Myomectomy – tumor removal
| Hysterectomy – partial or total
120
Partial Hysterectomy
uterus only
121
total Hysterectomy
uterus, ovaries and fallopian tubes
122
Pre-menopause is characterized by
irregular menstrual cycle
123
Peri-menopause includes these time periods
pre-menopause and menopause plus 1 year
124
Post-menopause
cessation of menses
125
Therapeutic menopause
artificial menopause as a result of oopharectomy
126
Menopause cause
decline in production of estrogen, progesterone
127
A couple clinical findings of menopause
Smaller breast tissue
| Bone loss
128
Menopause risks
increased risk for infection, heart disease, fractures
129
Menopause vitamin tx
D and Ca
130
Menopause: preventive testing
bone density testing
131
Menopause exercise
weight bearing and non weight bearing
| Kegel
132
Menopause: yearly implications
Gyn appointment (PAP test and HPV test)
133
Menopause: monthly implications
SBE
