CL1: Post partum nursing care Flashcards

1
Q

efers to the 6-week period after childbirth. It is a time of maternal changes that are both retrogressive (involution of the uterus and vagina) and progressive (production of milk for lactation, restoration of the normal menstrual cycle, and beginning of a parenting role

A

postpartal period, or puerperium

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2
Q

fluid discharges after delivery

A

lochia rubra

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3
Q

pink to brown drainage after delivery until 7 days

A

lochia serosa

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4
Q

pink to brown drainage after delivery until 7 days

A

lochia serosa

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5
Q

yellow to white drainage, 10 days to 4 weeks

A

lochia alba

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6
Q

5 cm saturation of pad in one hour = 10ml

A

scant lochia

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7
Q

10 cm saturation of pad within 1 hour = 10-25ml

A

light lochia

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8
Q

also called dorsi flexon sign test is a physical examination procedure that is used to test for Deep Vein Thrombosis (DVT

A

Homan’s Sign

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9
Q

when the blues moves to the point where mother cannot care for herself or the baby.

A

POST PARTUM DEPRESSION

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10
Q

severe form of depression that warrants immediate intervention. When mother harms herself or the neonate or consider doing so

A

POST PARTUM PSYCHOSIS

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11
Q

helps to decrease inflammation and relieve tension in the area.

A

cortisone-based cream or warm sitz bath

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12
Q

perineal stitches may be absorbed within

A

10 days

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13
Q

Coitus is safe as soon as woman’s lochia has turned

A

alba

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14
Q

Do not give acetaminophen

(Tylenol) for fevers during the first

A

6 to 8

weeks of life.

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15
Q

termination of care from a health care agency

A

discharge

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16
Q

process of identifying and preparing for a patient’s anticipated health care needs after they leave the hospital

A

discharge planning

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17
Q

M-E-T-H-O-D

A

Medication, Environment, Treatment, Health Teaching, Out patient referral and Diet

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18
Q

prenatal vitamins and iron must be continued everyday until

A

breast-feeding stop

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19
Q

study of chromosomes by light microscopy

A

cytogenetics

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20
Q

the child has an extra chromosome 13 and is severely cognitively challenged, midline body disorder

A

Trisomy 13 syndrome (47XY13/47XX13)

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20
Q

the child has an extra chromosome 13 and is severely cognitively challenged, midline body disorder

A

Trisomy 13 syndrome (47XY13/47XX13)

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21
Q

common finding in trisomy 13 syndrome

A

midline: cleft lip, palate, heart defects, abnormal genitalia
Microcephaly, microthalmos, cutis aplasia

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21
Q

common finding in trisomy 13 syndrome

A

midline: cleft lip, palate, heart defects, abnormal genitalia
Microcephaly, microthalmos, cutis aplasia

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22
Q

have three copies of chromosome 18 (edward syndrome)

A

Trisomy 18 syndrome (47XY18/47XX18)

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23
Q

common findings in trisomy 18 or edward syndrome

A

markedly low-set ears, congenital heart defects, misshapen fingers and toes

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24
Q

syndrome due to missing portion of chromosome 5; abnormal cry “cat-sound”

A

cri-du-chat syndrome (46XX5p/46XY5p)

25
Q

gonadal dysgenesis; small and nonfunctional ovaries, secondary sex charac not develop

A

Turner Syndrome (45X0)

26
Q

management of turner syndrome

A

administration of estrogen at 13 years of age for sex charac and prevent osteoporosis

27
Q

males with extra X chromosome; secondary sex characteristics not develop; small testes that produce ineffective sperm; Gynecomastia

A

Kunefelter Syndrome (47XXY)

28
Q

cognitive challenge in males; deficit in speech and arithmetic; hyperactive and autism

A

fragile X syndrome (46XY23q)

29
Q

occurs in 1 in 800 pregnancies, extra fold of tissue in the inner canthus

A

Down Syndrome (trisomy 21) (47XY21)

30
Q

lifespan is only 50-60; altered immune system and prone to RTI; atrioventricular defects

A

Down Syndrome

31
Q

females are more frequently affected

A

X linked dominant

32
Q

can both affect males and females but only passed on by females

A

Mitochondrial

33
Q

the gene in question is located on one of the numbered, or non-sex chromosomes

A

Autosomal

34
Q

single copy disease-associated mutation is enough to cause the disease

A

Dominant

35
Q

genetic trait or condition can be passed down from parents to children

A

Autosomal Dominant Inheritance

36
Q

two copies of abnormal gene must be present in order for the disease to develop

A

autosomal recessive

37
Q

strictly pass only through maternal

A

mitochondrial mode of inheritance

38
Q

condition that affects the development of the face; cleft lip/palate or both caused by variety of mutations in the IRF6 gene on chromosome 1

A

Van der Woude Syndrome

39
Q

both clinically and genetically heterogenous; mutations in cytochrome P4501B1 (CYP1B1) predominant caused by PCG (primary congenital glaucoma)

A

Congenital Cataract

40
Q

most common CHD

A

atrioventricular septal defect (AVSD), ventricular septal defect (VSD), ASD and PDA or patent ductus arteriosus and tetralogy of falot

41
Q

group of phenotypically and gnetically heterogenous heart malformations; triggered by trisomy 21

A

atrioventricular septal defect (AVSD)

42
Q

atrial defect associated with aneurysm of the interatrial septum and cardiac arrythmias

A

atrial septal defect (ASD6)

43
Q

caused by heterozygous mutation in the JAG1 gene

A

tetralogy of fallot (TOF)

44
Q

congenital cardiovascular malformation with both inherited and acquired causes

A

patent ductus arteriosus (PDA)

45
Q

decreased pulmonary flow: TOF, Tricuspid atresia

Increased pulmonary flow: transposition of great arteries

A

Cyanotic heart disease

46
Q

the first recognized genetic cause of CHD, occurs in 40-50% trisomy 21

A

Chromosomal aneuploidy

47
Q

involves a variety of non-progressive conditions that are characterized by multiple joint contractures

A

Arthrogyroposis/arthrogyroposis multiplex congenita (AMC)

48
Q

infants external genitalia dont appear

A

ambiguous genitalia

49
Q

boys where the opening of the urethra is not located at the tip of the penis

A

hypospadias

50
Q

bones in baby’s skulls join together too early

A

craniosynostosis

51
Q

varied and broad skull, face, and limb abnormalities

A

saethre-chotzen sysndrome

52
Q

severe malformation of extremities

A

phocomelia syndrome

53
Q

extremely rare; missing fingers or toes

A

roberts syndrome

54
Q

hole in the diaphragm

A

diaphragmatic hernia

55
Q

spine and spinal cord dont form properly; type of neural tube defect

A

spina bifida

56
Q

most common congenital bleeding disorder

A

von willebrand disease, hemophilia A and B (christmas disease)

57
Q

severe damage to the lungs; digestive

A

cystic fibrosis

58
Q

cancer of the blood and bone marrow

A

leukemia

59
Q

cancer that starts in certain very early form of nerve cells

A

neuroblastoma

60
Q

type of childhood cancer that starts in the kidneys

A

wilms tumor (nephroblastoma)

61
Q

most common cancer in children

A

rhabdomyosarcoma, retinoblastoma, bone cancer