Easy Test Questions-STUDY!!! Flashcards
Triggers to lupus
Estrogen Cigarette Infection Stress Pregnancy
Lupus
Systemic lupus erythematosus
Chronic, relapsing autoimmune disease of the connective tissue that can affect various organs
Lupus symptoms
Swollen joints Extreme fatigue Oral ulcers Skin rashes Sensitivity to light
What are lupus flares during pregnancy like
Preeclampsia Miscarriage Stillbirth Iugr (intrauterine growth retardation) Preterm birth
How can you treat lupus during pregnancy
NSAIDs
Prednisone
Hydroxychloroquine (antimalarial agent)
A women that has lupus comes to you with desire to become pregnant. What should you advise her to do
Postpone conception until disease has been in remission for 6 months
If lupus is in remission what type of a pregnancy will the mother have
Still considered high risk but can have normal healthy pregnancy and baby
To maintain a healthy pregnancy during any autoimmune diseased pregnancy what should the mother do
Assessments of disease and affected body parts
Consult a doctor often and have frequent health assessments
Multiple sclerosis
Chronic inflammatory, demyelinating autoimmune disorder of the central nervous system
Are abortions, congenital abnormalities and fetal mortality higher, same, or lower in women with multiple sclerosis than general population
Same
Does a women with multiple sclerosis need different care during pregnancy
No, very few relapses in disease during pregnancy
Breast feeding is allowed as well
How can you assess Ms exacerbations from normal pregnancy related symptoms
Assess very carefully. The two are very similar
Why must a women with MS be cautious when trying to get pregnant if there is no risk
The medications she would be taking are not FDA approved for pregnancy
Methotrexate
Drug used for RA patients
FDA pregnancy category X
Rheumatoid arthritis
Joint inflammation and progressive disability and is one of the most common autoimmune diseases
The course of RA during pregnancy is usually _____
Benign
What happens to symptoms of RA during pregnancy
Lessen
Adolescence age group
11-19. Onset of puberty to cessation of physical growth
___% of teen pregnancies are unplanned
82%
Who is least likely of all maternal age groups to get early and regular prenatal care?
Teens
What does a nurse need to do when working with a pregnant adolescent?
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.
What developmental tasks must adolescents accomplish to advance to next stage of maturity?
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
One highest areas adolescents need to accomplish their developmental tasks and making a smooth transition to adulthood
Sexual Health
What are adolescent mothers at a greater risk for
Preterm birth, low birth weight, child abuse, neglect, poverty, death
