406 1 Flashcards
most important role of the nurse is
educator
Common Side Effects of vaccinations
Fever – low grade
Local discomfort
Lasting 24 hrs or less
vaccination side effect tx: Administer ____ as per health practitioner directions
Tylenol
vaccination side effect tx: Apply ___ compress to affected site
cool
vaccination side effect tx: activity level?
they should rest
vaccination Contraindication:
anyone who is immunosuppressed or has a fever/infection
If you’re immunosuppressed you should esp avoid the ___ vaccines
varicella (because it’s a live virus)
Vaccines have no link to
No link to autism
No link to getting the disease
Autosomal Dominant
One gene for character
Autosomal Recessive
2-genes for character
Or one as carrier
X-link Dominant
Character on X chromosome
X-link Recessive
Character on X chromosome and displayed & carrier
Rh factor in blood is Autosomal ___
Dominant
Autosomal Dominant is non
gender specific
Autosomal Recessive is also non
gender specific
Sickle Cell Disease and Cystic Fibrosis are Autosomal ___
Recessive
X-Linked Inheritance: Dominant: X chromosome ___ ___
displays character
X-Linked Inheritance: Recessive: Carried on
1 X chromosome
X-Linked Inheritance: Males with affected X __ ___
display character
X-Linked Inheritance: Females are ____
carriers
Genetic Mutation is more common in what ages
female over 40, male over 65
common Chromosomal disorder
Down Syndrome
blood test done for all newborns
PKU
Teratogens are most harmful during
2-6 wks gestation
TORCH
toxoplasmosis, other, (like HIV) rubella, cytomalovirus, herpes
Pregnancy can be detected at this time
2 – 8 weeks gestation
Embryo
2 – 8 weeks gestation
Organ systems form
Heart, lungs, skin, gut, neural tube
2 – 8 weeks gestation
Fetus
8-38 weeks gestation
During this time, you can perform genetic testing
Chronic villi sampling
Amniocentesis
Sonogram
Fetus (8-38 weeks gestation)
___ weeks is premature
21 to 37
____ weeks is full term
38-40
___ weeks is postmature
over 40
Rhogam
prevents antibody formation if Rh negative at 28 wks. Or within 72 hrs post-partum each pregnancy
Genetic screening is best done at ___ weeks
15 to 18 weeks
Coombs Test
Rh factor
Amniocentesis: Extraction of __ __ cells in amniotic fluid
fetal skin cells
Amniocentesis time
Week 15-20
2 complications of Amniocentesis
Preterm birth
Fetal demise
(among others, like bleeding)
the chorion is the ___ side of the placenta
fetal side
Chorionic Villi Sampling time
10 to 12 weeks
Chorionic Villi Sampling complications
same as Amniocentesis
POSSIBLE sign of pregnancy: Positive URINE test for
HCG
PROBABLE sign of pregnancy: Positive Blood test for
HCG
Sonogram, US, and Leopold’s are ___ signs of pregnancy
positive signs
Nagel’s Rule
(Date of LMP) - (3 months) + (7 days)
less than 20 wks. gestation
Abortion
Miscarriage:
spontaneous abortion
Live Births:
full or pre-term
Gravida
pregnant woman
Multigravida
pregnant more than once
Para
births after 20 wks either live or stillborn
Multipara
2 or more births live or stillborn
Nullipara
no births past 20 wks. gestation
A woman is 28 weeks pregnant tells the nurse that she has three children, one set of twin boys who were born at 35 weeks and one daughter born at 40 wks. She had a miscarriage at 12 weeks after the boys were born.
The nurse would document Gravida:
4
A woman is 28 weeks pregnant tells the nurse that she has three children, one set of twin boys who were born at 35 weeks and one daughter born at 40 wks. She had a miscarriage at 12 weeks after the boys were born.
The nurse would document Para:
2
A woman is 28 weeks pregnant tells the nurse that she has three children, one set of twin boys who were born at 35 weeks and one daughter born at 40 wks. She had a miscarriage at 12 weeks after the boys were born.
The nurse would document Term:
1
A woman is 28 weeks pregnant tells the nurse that she has three children, one set of twin boys who were born at 35 weeks and one daughter born at 40 wks. She had a miscarriage at 12 weeks after the boys were born.
The nurse would document Pre-term:
1
A woman is 28 weeks pregnant tells the nurse that she has three children, one set of twin boys who were born at 35 weeks and one daughter born at 40 wks. She had a miscarriage at 12 weeks after the boys were born.
The nurse would document Abortions:
1
A woman is 28 weeks pregnant tells the nurse that she has three children, one set of twin boys who were born at 35 weeks and one daughter born at 40 wks. She had a miscarriage at 12 weeks after the boys were born.
The nurse would document Living:
3
Rhogam- to prevent antibody formation:
Give at 28 wks. Or within 72 hrs post-partum
Weight during the 1st trimester
common to lose 5 or 10 pounds
Appetite increasing during the __ trimester
2nd
pregnancy starts to show at
20th week
besides weight gain, manifestations of 2nd trimester
lordosis
skin color changes
manifestations of 3rd trimester
broader hips
diaphragm displaced (makes it hard to breath)
foot swelling at the END of the day
3 things you definitely want in your diet
folic acid,
calcium,
iron
3 good types of exercise
Walking
Cycling
Swimming
Four Ps of L&D
Position
Presentation
Powers
Psychological
Four Ps of L&D: Position
maternal pelvic measurements and fetal position in the womb (fetal lie)
Four Ps of L&D: Presentation
vertex, breech
Four Ps of L&D: Powers
woman’s abdominal, uterine and vaginal muscles
– descent of fetal presenting part in relation to ischial spine
Station
largest diameter of fetal presenting part passes thru pelvic inlet and into pelvic cavity. Prior to or during labor
Engagement
False Pelvis –
above the brim
