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NURS 3800 > Easy Test Questions-STUDY!!! > Flashcards

Easy Test Questions-STUDY!!! Flashcards

0
Q

Triggers to lupus

A 
Estrogen
Cigarette
Infection
Stress
Pregnancy
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1
Q

Lupus

Systemic lupus erythematosus

A

Chronic, relapsing autoimmune disease of the connective tissue that can affect various organs

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2
Q

Lupus symptoms

A 
Swollen joints
Extreme fatigue
Oral ulcers
Skin rashes
Sensitivity to light
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3
Q

What are lupus flares during pregnancy like

A 
Preeclampsia
Miscarriage
Stillbirth
Iugr (intrauterine growth retardation) 
Preterm birth
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4
Q

How can you treat lupus during pregnancy

A

NSAIDs
Prednisone
Hydroxychloroquine (antimalarial agent)

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5
Q

A women that has lupus comes to you with desire to become pregnant. What should you advise her to do

A

Postpone conception until disease has been in remission for 6 months

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6
Q

If lupus is in remission what type of a pregnancy will the mother have

A

Still considered high risk but can have normal healthy pregnancy and baby

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7
Q

To maintain a healthy pregnancy during any autoimmune diseased pregnancy what should the mother do

A

Assessments of disease and affected body parts

Consult a doctor often and have frequent health assessments

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8
Q

Multiple sclerosis

A

Chronic inflammatory, demyelinating autoimmune disorder of the central nervous system

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9
Q

Are abortions, congenital abnormalities and fetal mortality higher, same, or lower in women with multiple sclerosis than general population

A

Same

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10
Q

Does a women with multiple sclerosis need different care during pregnancy

A

No, very few relapses in disease during pregnancy

Breast feeding is allowed as well

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11
Q

How can you assess Ms exacerbations from normal pregnancy related symptoms

A

Assess very carefully. The two are very similar

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12
Q

Why must a women with MS be cautious when trying to get pregnant if there is no risk

A

The medications she would be taking are not FDA approved for pregnancy

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13
Q

Methotrexate

A

Drug used for RA patients

FDA pregnancy category X

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14
Q

Rheumatoid arthritis

A

Joint inflammation and progressive disability and is one of the most common autoimmune diseases

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15
Q

The course of RA during pregnancy is usually _____

A

Benign

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16
Q

What happens to symptoms of RA during pregnancy

A

Lessen

17
Q

Adolescence age group

A

11-19. Onset of puberty to cessation of physical growth

18
Q

___% of teen pregnancies are unplanned

A

82%

19
Q

Who is least likely of all maternal age groups to get early and regular prenatal care?

A

Teens

20
Q

What does a nurse need to do when working with a pregnant adolescent?

A

Put aside ones moral convictions. Health care workers must be able to communicate with adolescents in a manner they can understand and respect them as individuals.

21
Q

What developmental tasks must adolescents accomplish to advance to next stage of maturity?

A

Seeking economic and social stability, developing a personal value system, building meaningful relationships, becoming comfortable with changing body, working to become independent from their parents, learning to verbalize conceptually

22
Q

One highest areas adolescents need to accomplish their developmental tasks and making a smooth transition to adulthood

A

Sexual Health

23
Q

What are adolescent mothers at a greater risk for

A

Preterm birth, low birth weight, child abuse, neglect, poverty, death

24
Q

What obstetric complications does adolescent pregnancy place them at high risk for

A

Preterm labor/birth, low birth weight infant, sexually transmitted infections, preeclampsia, iron deficiency anemia, poor eating habits, inadequate nutrition, postpartum depression

25
Q

The ___________ risk associated with early childbearing often have an even greater impact on mother, families, and society than obstetric and medical risk

A

Psychosocial *** domestic violence and substance abuse higher in pregnant adolescents

26
Q

Substance abuse—what is it ? What can it contribute to?

A

Cigarettes, alcohol, illicit drugs can contribute to low birth weight, IUGR, preterm births, newborn addiction, sepsis

27
Q

Poverty often contributes to what

A

Delayed prenatal care and medical complications related to poor nutrition, such as anemia

28
Q

What socioeconomic groups is pregnancy most common in

A

Poor women and those of minority backgrounds

29
Q

Is it necessary to ask the adolescent why she became pregnant? Why?

A

Yes because it is necessary to know why she became pregnant to help with development of adolescent and her ability to be a parent.

30
Q

What should you monitor to promote positive outcomes for fetus and mother?

A

Weight gain, sleep patterns, nutritional status

31
Q

Making ______ with the client is crucial no matter how complex their situation is

A

Connections

32
Q

What are some thorough teaching points teens require

A

Smoking cessation, body weight control, interpersonal violence, and need for folic acid

33
Q

What is term used to describe woman age 35 or older who are pregnant for first time

A

Elderly primip

34
Q

Increasing maternal age puts woman at risk for…

A

Infertility and spontaneous abortion, gestational diabetes, chronic HTN, preeclampsia, er term labor/birth, multiple pregnancy, genetic and chromosomal disorders, placenta previa, IUGR, low Apgar scores, surgical births

35
Q

Why is preconception visit important in mother over 35?

A

Identify chronic health problems that might affect the pregnancy and also to address lifestyle issues that may take time to modify

36
Q

Why should you prepare pregnant woman over 35 for laboratory and diagnostic testing

A

To establish a baseline for figure comparison

37
Q

Why is amniocentesis routinely offered to older pregnant women

A

Allow for detection of numerous chromosomal abnormalities, including Down syndrome

38
Q

What is the quadruple blood test screening looking for in older pregnant women? When is it drawn? Looking for ?

A

Alpha fetoprotein, hCG, unconjuncted estriol, and inhibin A( placental hormone)
Drawn between 15-20 weeks
Helpful in screening for Down syndrome and neural tube defects

39
Q

Being overweight increases obstetric and neonatal risks. Give some examples

A

Gestational diabetes, HTN, thromboembolism, macrosomia, difficulty fighting postpartal infections, remaining overweight, post term infant, increased risk of still birth, higher rate of C/S, increased risk maternal mortality, postpartum hemorrhage

40
Q

What should extra time promoting health practice be used for in obese patient

A

Issues of weight, diet, and exercise

NURS 3800 (19 decks)

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