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405 4 Flashcards

1
Q

Kids with defects are more likely to

A

be abused because of the added stress

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2
Q

Physical neglect definition

A

withholding or failing to provide

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3
Q

Between ages 6 and 16

A

you MUST go to school or be home schooled

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4
Q

Phys neglect compared to Phys abuse

A

neglect is slightly less bad

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5
Q

Signs of emotional abuse

A
  • Child is a bully or bullied
  • Withdrawn
  • Conduct disorder
  • Learning disability
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6
Q

Failure to thrive

A

Not growing enough enough

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7
Q

Failure to thrive is sometimes caused by

A

not feeding enough

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8
Q

Munchausen

A

mother pretends child is sick or purposely makes him sick

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9
Q

When do you report suspected abuse?

A

immediately

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10
Q

Do you need proof to report abuse?

A

Not really, just reasonable cause

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11
Q

Social Hold

A

There’s no phys reason, but you hold them for other reasons

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12
Q

The role of a nurse in a court case

A

Nurse usually doesn’t go to court, but the documentation does

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13
Q

You could be liable if

A

you fail to report abuse

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14
Q

Fetal Alcohol Syndrome has __ and ___ components

A

phys and mental

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15
Q

Fetal Alcohol Syndrome baby has small head but not

A

microcephaly

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16
Q

Fetal Alcohol Syndrome baby size

A

SGA

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17
Q

Fetal Alcohol Syndrome baby might have messed up ___ reflex

A

moro reflex

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18
Q

Fetal Alcohol Syndrome baby might not get a perfect APGAR score because

A

they have diminished moro reflex

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19
Q

Fetal Alcohol Syndrome baby eating consideration

A

They are poor feeders

Might need an NG tube

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20
Q

Fetal Alcohol Syndrome emotional consideration

A

they cry a lot so they need a lot of attention

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21
Q

Fetal Alcohol Syndrome baby might need medication for

A

antiseizure

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22
Q

Fetal Alcohol Syndrome: start assessing for cognitive problems at

A

early toddler period

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23
Q

Fetal Alcohol Syndrome need what kind of interdisciplinary help

A

OT and PT

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24
Q

Fetal Alcohol Syndrome: a good way to stimulate cognition is

A

play

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25
Q

Fetal Alcohol Syndrome: a condition that often goes along with it

A

ADHD

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26
Q

Teen pregnancies have a higher rate of

A

pre terms

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27
Q

Teen pregnancy: they might be bad about

A

getting prenatal care

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28
Q

2nd stage of Grief

A

Anger

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29
Q

3rd stage of Grief

A

Bargaining

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30
Q

Grief: early verse late miscarriage

A

either way it’s still a loss

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31
Q

Grief and loss: you need to give the parents enough

A

time

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32
Q

How might a 9, 10, or 15 year old express themselves

A

drawing

writing

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33
Q

Visiting rules for a dying patients

A

might be more lenient with the rules

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34
Q

A helpful strategy for explaining death to pre schoolers

A

pictures/objects

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35
Q

The approach for dealing with grieving family

A

use a combination of giving them space and being supportive

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36
Q

Dying process: Encourage ___ __ ___ for as long as possible

A

connections with friends

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37
Q

Difference between beating and spanking

A

beating leaves marks (phys or emotional)

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38
Q

Gestational DM baby size

A

could be LGA

Could also be SGA because of vasoconstriction

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39
Q

Macrosomia

A

LGA

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40
Q

Women who are DM or Gestationally DM often need

A

C section because the baby is LGA

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41
Q

Which ethnicities have the most Gestational DM

A

all non-white

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42
Q

Bethamethasone

A

drug that makes the fetus’ lungs mature faster

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43
Q

Gestational DM tx

A

try diet and exercise

If that doesn’t work try insulin or oral med

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44
Q

Treatment for Gest DM woman after she delivers

A

Standard care except that they need blood sugar testing

It’s possible mom could get type 2 DM

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45
Q

If you’ve had Gest DM, the chances of getting it again

A

are high

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46
Q

Gest DM: Newborn care

A

They will be hypOglycemic

Give them oral glucose by bottle

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47
Q

Gest DM: babies are born preterm, watch out for

A

respiratory distress

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48
Q

HypOglycemia is more effected by

A

food amount than exercise level

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49
Q

HTN in pregnancy: need to find out the mother’s

A

baseline

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50
Q

HTN in pregnancy: assess for

A

vision changes and headache

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51
Q

Worse BP than in pregnancy HTN

A

preclampsia

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52
Q

Preclampsia patients need rest to prevent

A

seizures

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53
Q

clonus

A

muscular spasm involving repeated, often rhythmic, contractions.

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54
Q

Preclampsia: assess for ____ and ____ to help detect seizures

A

clonus and hyper-reflexes

55
Q

Preclampsia positioning

A

lay on left side to promote circulation to fetus

56
Q

A muscle relaxant that can prevent seizures and prevent early labor

A

magnesium sulfate

57
Q

magnesium sulfate

A

A muscle relaxant that can prevent seizures and prevent early labor

58
Q

Tocolytics

A

one use is to prevent early labor

59
Q

CCB

A

too much could cause a problem with labor bc the muscles are blocked from contracting

60
Q

Spontaneous abortion; ask the patient

A

if she has any of the tissue that passed

61
Q

Ectopic pregnancy: ask the patient

A

what the discharge looked like and was there an odor

62
Q

Ectopic pregnancy: do 2 tests

A

blood test

sonogram

63
Q

Ectopic pregnancy: administer

A

methotrexate to kill the pregnancy

64
Q

Ectopic pregnancy signs

A

pelvic pain

maybe pain when urinating

65
Q

Hydatidiform mole: test

A

sonogram

66
Q

Hydatidiform mole: sign

A

bleeding

67
Q

Hydatidiform mole: procedure

A

D and C

68
Q

Hydatidiform mole: administer

A

methotrexate

69
Q

Infertility definition

A

inability to conceive after one year of active unprotected intercourse

70
Q

a mental cause of infertility

A

stress

71
Q

Sexual Abstinance effectiveness rate

A

anywhere from 10 to 100%

72
Q

Calendar method

A

Subtract 18 from shortest and 10 from longest

73
Q

Natural Method: Monitor Temperature –

A

low prior to ovulation

74
Q

Natural Method effectiveness

A

80%

75
Q

Spermacides: Use with condom or diaphragm

A

may interfere with integrity of latex/rubber

76
Q

Spermacides alone: effectiveness

A

50%

77
Q

Pill/patch contraceptions

A

High BP, CVD, smoking, DM

78
Q

Mifepristone and Mistopristol

A

Abortion Pills

79
Q

when is the Abortion Pill taken

A

Early Pregnancy – 63 days or 9 weeks

97% effective

80
Q

Mifepristone: how does it work

A

Blocks progesterone and encourages endometrial sloughing

81
Q

Mistopristol: how does it work

A

empties the uterus of conception (cramping and bleeding)

82
Q

Mistopristol, side effects

A

cramping and bleeding

83
Q

Mistopristol, how long does it take to work

A

30 min to 5 hours

84
Q

is a Vasectomy permanent

A

usually it is

85
Q

Vasectomy: Residual sperm remains in vas deferens for

A

4 - 6 wks

86
Q

is a Tubal ligation permanent

A

Yes

87
Q

HPV: prevent it by administering

A

vaccine

88
Q

HPV: Early screening should be done using

A

PAP test

89
Q

Pre-menstrual Syndrome: recommended activity level

A

rest, exercise in moderation

90
Q

Pre-menstrual Syndrome: medication

A

antidepressants

91
Q

Pre-menstrual Syndrome: diet

A

High Carb
low salt,
caffiene,
vitamin B, E, Ca, Mg

92
Q

Pre-menstrual Syndrome: Nurses’ Role

A

listen,
take complaints seriously,
make referrals prn

93
Q

Magnesium foods

A

Green vegetables
Legumes & nuts
Whole grains

94
Q

Magnesium functions

A

muscle and nerve function,
keeps heart rhythm steady,
supports a healthy immune system,
keeps bones strong

95
Q

Vitamin B foods

A

liver,
eggs,
spinach,
avocados

96
Q

Vitamin E foods

A

Fish

Nuts

97
Q

Vitamin B and E function

A

supports immune system

98
Q

Endometriosis definition

A

presence of endometrial tissue outside the uterus (young adults)

99
Q

Endometriosis Etiology:

A

unknown, but it is R/t delayed pregnancy

100
Q

Endometriosis Risk factors

A

obesity,
DM-II,
High BP

101
Q

Endometriosis Pathology

A

tissue overgrowth during luteal phase of menstrual cycle.

Tissue adhesion to reproductive organs,

inflammation of tissue

102
Q

Endometriosis Clinical Findings

A

genitourinary pain, infertility

103
Q

Endometriosis Dx testing

A

sonogram

104
Q

Endometriosis tx medications:

A

oral contraceptives,
testosterone
GnRH to decrease ovulation

105
Q

Endometriosis side effects of tx medications:

A

infertility, artificial menopause

106
Q

Endometriosis tx when it involves cancerous cells

A

Hysterectomy

107
Q

Uterine Fibroids/Leiomyomas definition

A

benign tumors of uterus

108
Q

Uterine Fibroids/Leiomyomas Etiology

A

unknown, but r/t estrogen levels

109
Q

Uterine Fibroids/Leiomyomas: how do they change over time?

A

increase in size during childbearing years, atrophy during menopause

110
Q

Uterine Fibroids/Leiomyomas Clinical Findings:

A
  • discomfort on surrounding tissue/organs with increased size
  • excessive menstrual bleeding
111
Q

Uterine Fibroids/Leiomyomas Dx test:

A

sonogram

112
Q

Uterine Fibroids/Leiomyomas complications

A

anemia, hemorrhage

113
Q

Uterine Artery Embolization definition

A

Insertion of a catheter into the common femoral artery to access the arteries to the uterus.

114
Q

Uterine Artery Embolization is used to treat

A

Fibroids

115
Q

Uterine Artery Embolization: after the catheter is in place,

A

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
Q

Uterine Artery Embolization: post procedure

A

Higher incidence of pre-term births and C –sections

117
Q

Uterine Fibroids: dietary prevention

A

lots of dairy

118
Q

Uterine Fibroids: hormone tx

A

GnRH

119
Q

Uterine Fibroids: surgical tx

A

Myomectomy – tumor removal

Hysterectomy – partial or total

120
Q

Partial Hysterectomy

A

uterus only

121
Q

total Hysterectomy

A

uterus, ovaries and fallopian tubes

122
Q

Pre-menopause is characterized by

A

irregular menstrual cycle

123
Q

Peri-menopause includes these time periods

A

pre-menopause and menopause plus 1 year

124
Q

Post-menopause

A

cessation of menses

125
Q

Therapeutic menopause

A

artificial menopause as a result of oopharectomy

126
Q

Menopause cause

A

decline in production of estrogen, progesterone

127
Q

A couple clinical findings of menopause

A

Smaller breast tissue

Bone loss

128
Q

Menopause risks

A

increased risk for infection, heart disease, fractures

129
Q

Menopause vitamin tx

A

D and Ca

130
Q

Menopause: preventive testing

A

bone density testing

131
Q

Menopause exercise

A

weight bearing and non weight bearing

Kegel

132
Q

Menopause: yearly implications

A

Gyn appointment (PAP test and HPV test)

133
Q

Menopause: monthly implications

A

SBE

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