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
What obstetric complications does adolescent pregnancy place them at high risk for
Preterm labor/birth, low birth weight infant, sexually transmitted infections, preeclampsia, iron deficiency anemia, poor eating habits, inadequate nutrition, postpartum depression
The ___________ risk associated with early childbearing often have an even greater impact on mother, families, and society than obstetric and medical risk
Psychosocial *** domestic violence and substance abuse higher in pregnant adolescents
Substance abuse—what is it ? What can it contribute to?
Cigarettes, alcohol, illicit drugs can contribute to low birth weight, IUGR, preterm births, newborn addiction, sepsis
Poverty often contributes to what
Delayed prenatal care and medical complications related to poor nutrition, such as anemia
What socioeconomic groups is pregnancy most common in
Poor women and those of minority backgrounds
Is it necessary to ask the adolescent why she became pregnant? Why?
Yes because it is necessary to know why she became pregnant to help with development of adolescent and her ability to be a parent.
What should you monitor to promote positive outcomes for fetus and mother?
Weight gain, sleep patterns, nutritional status
Making ______ with the client is crucial no matter how complex their situation is
Connections
What are some thorough teaching points teens require
Smoking cessation, body weight control, interpersonal violence, and need for folic acid
What is term used to describe woman age 35 or older who are pregnant for first time
Elderly primip
Increasing maternal age puts woman at risk for…
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
Why is preconception visit important in mother over 35?
Identify chronic health problems that might affect the pregnancy and also to address lifestyle issues that may take time to modify
Why should you prepare pregnant woman over 35 for laboratory and diagnostic testing
To establish a baseline for figure comparison
Why is amniocentesis routinely offered to older pregnant women
Allow for detection of numerous chromosomal abnormalities, including Down syndrome
What is the quadruple blood test screening looking for in older pregnant women? When is it drawn? Looking for ?
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
Being overweight increases obstetric and neonatal risks. Give some examples
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
What should extra time promoting health practice be used for in obese patient
Issues of weight, diet, and exercise
