Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Nursing of Women > Exam 1 > Flashcards

Exam 1 Flashcards

1
Q

1st prenatal visit - lab tests

A

urine dipstick baseline

urine culture

bloodwork

CBC

rubella

RPR

hepatitis B

sickle cell

HIV

CF

Jewish Panel

early sequential screening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

AI

A

artificial insemination

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

personal fable in middle asolescence

A

one is invincible and bad things won’t happen

one’s experiences/feelings are unique

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

teaching points for perimenopausal women

A

vasomotor instability

risk of heart dx

risk of gyn cancer

vaginal atrophy

osteoporosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

impact of teratogen depends on

A

timing

length

teratogen itself

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

areas of focus in older women physical assessment

A

functional assessment

ADLs

exercise

medications

nutrition

acute/chronic pain

sexuality

incontinence

smoking/alcohol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

after 4th stage of labor

A

vitals

assess uterus

assess bleeding (~350ccs)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

moderately premature

A

between 32 and 34 weeks gestation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

global post-abortion care

A

complication of bad abortion is 3rd leading cause of maternal death worldwide

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

infant mortality

A

before 1st birthday

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

sexuality and aging: issues

A

outliving partners

menopause

depression

loss of community

comorbidities

access to queer community

consent

discussing sexuality

STIs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

family in early adolescence

A

privacy

independence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

GBS

A

group beta strep

GI bacteria: can make baby really sick (respiratory distress)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

gestational carrying

A

donor egg and sperm in seprate mom

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

fetal development weeks 28-40

A

subcutaneous fat

skin

sleep-wake cycle

eyes

lungs - surfactant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

PMS

A

start in 2nd half of menstrual cycle and resolve with menses

breast tenderness

fullness

bloating

fatigue

headache

appetite increases

irritability

mood swings

depression

tearfulness

violence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

postpartum period

A

first 6 weeks after birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

labor support behavior of nurses

A

older/more experienced nurses more likely to have developed labor support skills

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

rapid plasma reagin

A

screening test for syphilis looks for antibodies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

herpes Tx

A

intiail outbreak: acyclovir

chronic outbreak: acyclovir or valcyclovir

chronic suppressive therapy: vacyclovir or acyclovir

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

peers in middle adolescence

A

intense peer group involvement

preoccupation w/ peer culture

peers provide behavioral examples

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

stress on teenage brain

A

regression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

gonorrhea patient education

A

side effects:

  • vaginal discharge
  • dysuria
  • pharyngitis with discharge
  • rectal discharge

re-test if using 2nd line tx

bring partners in (past 6 mo)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

contraception efficacy

A

real vs. ideal

ex: abstinence is 80% effective

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

physiology of menopause

A

atresia of ovarian follicles

FSH increases (ovaries unresponsive)

androstenedione –> estrone

progesterone decreases

testosterone decreases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

assisting older adults in own home

A

transportation

1st floor living

nutrition

home health aides (not always covered)

assitive devices

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

syphilis tx

A

primary: benzathine penicillin G 2.4 million units IM

doxy 100 mg bid x 14 w/ allergy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

ovulation

A

progesterone production

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Ps of labor

A

woman/fetus:

  • power
  • passageway
  • passenger
  • position
  • psyche

providers/support persons:

  • patience
  • persistence
  • practice/pain relief
  • psyche
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

vasectomy

A

most effective: can prove it worked via sperm count

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

natural family planning

A

check cervical mucus: tacky –> stretchy –> tacky

temperature

no hormones

can help to get pregnant

retrospective diagnosi

cervical opening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

warning signs during pregnancy

A

cramping, contractions

constant low back pain

leaking

bleeding

change in discharge

decreased fetal mvnmts

unrelieved headache

blurred vision, spots

severe swelling of face, hands

RUQ pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

umbilical cord

A

one vein with oxygenated blood and nutrients

two arteries with deoxygenated blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

PCOS management

A

lifestyle modification

OCPs

insulin sensitizers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

genetic diagnosis

A

karyotype

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

nutrition during pregnancy

A

no cold cuts or diet soda

important for patients who either don’t gain weight or are already overweight/obese when they become pregnant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

metronidazole side effects

A

NO ALCOHOL

metallic taste

nausea

vomiting

dark urine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

maternal tasks of pregnancy (Rubin)

A

ensuring safe passage

seeking acceptance of child by others

binding-in the child

learning to give of oneself

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

follow-up prenatal visits

A

BP: hypotensive at beginning and slightly hypertensive at end

urine dip: protein for preeclampsia

weight

fundal height

fetal heart tones

edema

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

paternal/partner adaptation to pregnancy

A

announcement phase

moratorium phase

focusing phase

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

exercise during pregnancy

A

nothing new

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

PCOS and obesity

A

insulin resistance

adrenal hyperandrogenism

abnormal androgen to estrogen ratio

risk for metabolic syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

genetic counseling

A

discussion about family and personal Hx/risk

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

fetal circulation

A

three shunts:

  • ductus venosus
  • ductus arteriosus
  • foramen ovale

bypass lungs and liver

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

PMDD

A

premenstrual dysphoric disorder

more severe: can impair fxn

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

abnormal uterine bleeding

A

outside of normal volume, duration, regularity, frequency

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

family in middle adolescence

A

control/independence

struggle for acceptance of greater autonomy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

thirst mechanism in older women

A

decreased

also:

decreased mobility

urinary incontinence

nocturia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

placental development

A

by 10 weeks

formed by joining of decidua basalis (maternal) and chorionic villi (fetal)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

frequent barrier to providing labor support

A

unnecessary medical interventions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

gonorrhea overview

A

neisseria gonorrhoeae

often asymptomatic (sometimes mimics UTIs)

dirty urine catch: nucleic acid test for bacterial DNA

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

depo-provera

A

large dose of progesterone

effective 6-10 mo after last dose

weight gain

decrease sex drive

depression

no period (thin endometrium)

bone loss

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

how does teen brain make decisions?

A

experiences hypersensitive to social/emotional information

extremely responsive to rewards and emotions

exaggerated response to rewards and novel information: bias decisions to get more rewards

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

artificial initiation of labor

A

cervical exam

stripping of membranes

prostaglandins

artifical rupture of membranes

sex

nipple stimulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

peers in late adolescence

A

peer group and values recede in importance

intamcy/possible commitment takes precedence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
56
Q

psyche

A

health care provider

support persons

woman giving birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
57
Q

sexuality in adolescence

A

interest in sexual anatomy

anxiety about genital changes

dating and intimacy?

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
58
Q

self concept identity formation in late adolescence

A

more stable body image

attractiveness

emancipation complete?

firmer identity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
59
Q

sexuality in late adolescence

A

consolidation of sexual identity

focus on intimacy and formation of stable relationships

planning for future and commitment

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
60
Q

treatment for menopausal S/Sx

A

HRT: progesterone and estrogen (increases breast cancer and heart dx)

ERT: estrogen only. less risk but uterine hyperplasia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
61
Q

initiation of labor: maternal factors

A

progesterone

estrogen

oxytocin

prostaglandin

psyche

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
62
Q

urinary discomfort tx during pregnancy

A

water: 8-10 glasses

vitamin C or cranberries

urinate frequently

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
63
Q

human error in birth control

A

higher rate of pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
64
Q

secondary amenorrhea overview

A

absence of menses for 6 mo after establishing regular cycles or missing 3 cycle intervals if Hx of irregularity

begin evaluation after 90 days in adolescents

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
65
Q

hippocampus

A

learning and memory WHEN safe

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
66
Q

no corpus luteum

A

no progesterone support

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
67
Q

where OW live

A

community

less multigen. living

moving towards aiding independent living

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
68
Q

surrogacy

A

sperm donor + surrogate’s egg (baby goes to sperm donor)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
69
Q

dissolving contraceptive

A

film of spermicide that melts inside vagina (use w. condom)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
70
Q

breastfeeding with HIV

A

in developing countries more likely to die of diarrhea from bad water than to contract HIV through breastfeeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
71
Q

initial prenatal education

A

visit schedule

nutrition counseling

lifestyle changes

sex

exercise

HIV counseling

childbirth education classes

prenatal vitamin prescription

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
72
Q

progesterone

A

smooth muscle relaxation

slow GI: increase nutrient absorption, relax uterus

relax venous valves: varicose veins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
73
Q

emergency contraception

A

within 72 hrs

75% effective

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
74
Q

maternal death

A

during pregnancy or within 42 days of termination of pregnancy related to/aggravated by pregnancy/management of pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
75
Q

self-concept identity formation in early adolescence

A

changing body

appearance/attractiveness

fantasy/present oriented

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
76
Q

no mid cycle LH surge

A

no ovulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
77
Q

victims of IPA during pregnancy

A

reported not being screened for emotional abuse

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
78
Q

initiation of labor: fetal factors

A

fetal cortisol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
79
Q

gastrointestinal system during pregnancy

A

pressure of uterus on stomach, relaxation of cardaic sphincter = heartburn

pressure of uterus on intestines and decreased intestinal motility = flatulence

decreased tone and mobility of GI tract muscles = constipation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
80
Q

physical changes in brain structures by end of adolescence

A

corpus callosum thickens: links btwn L and R brain

hippocampus and frontal area develop stronger links: integrate memory, experience, decision-making

prefrontal cortex developed and fxning: executive fxning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
81
Q

most effective person talking to teen about STI prevention

A

adult person in life

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
82
Q

cognitive/moral processing in early adolescence

A

concrete operations

unable to see long-term outcomes

conventional morality

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
83
Q

PMS tx

A

NSAIDs

diuretics

agnus castus fruit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
84
Q

BUBBLE PLEB

A
  • breasts
  • uterus
  • bladder
  • bowels
  • lochia
  • episiotomy
  • pain
  • legs
  • emotional status
  • bonding
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
85
Q

stages of maternal development (Tanner)

A
  1. pregnancy validation and acceptance
  2. fetal embodiment
  3. fetal distinction and role transition
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
86
Q

when/how to screen for IPA

A

list of screening questions

conscience vs law

referral and responses

take pictures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
87
Q

most common causes of death among older women

A

non-communicable diseases regardless of country’s economic development

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
88
Q

+4 station

A

labia separation and top of head

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
89
Q

GNRH

A

stimulates estrogen and LH, leading to ovulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
90
Q

24-28 wks prenatal visit

A

glucose tolerance: gest. diabetes

human placental lactinogin peaks at this time

family Hx

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
91
Q

post-partum contraception

A

need progesterone-only or local estrogen estrogen

can affect breast millk and aggravates clotting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
92
Q

fetal development weeks 11-12

A

external genitalia

facial development

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
93
Q

early sequential screening

A

genetic at 10-13 wks via ultrasound

blood work at same time and repeated later for Downs and neural tube defect

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
94
Q

supine hypotension

A

stay off vena cavas and descending aorta

lying on L side relieves hypotension (R side also ok)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
95
Q

placental membranes

A

chorion

amnion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
96
Q

plan of care for older adults

A

quality of life

maintain safety ideally in own home

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
97
Q

36-40 wks prenatal visit

A

group beta strep: bacteria in vagina of 10-30% pregnant women

antibiotics during pregnancy if positive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
98
Q

microperforate hymen

A

small opening in hymen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
99
Q

average fluid intake for older women

A

1500 ccs water

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
100
Q

menopausal Sx in other cultures

A

fewer/less severe Sx in culture that venerate elders

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
101
Q

after 3rd stage of labor

A

massage uterus to make it contract

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
102
Q

age-associated changes

A

most pronounced at 85 years and above

103
Q

adolescent risk taking

A

drive to be independent and take risk (feel rewards) in front of peers and friends

adaptive behavior: transition from childhood to adulthood

104
Q

trich Tx

A

metronidazole 2 gm x 2 OR 500 gm bid x 7

105
Q

contraindications for HRT

A

endometrial cancer

estrogen dependent tumor

unexplained vaginal bleeding

recent MI

recent thromboembolic event

stroke

pancreatic dx

active gall bladder dx

106
Q

chlamydia overview

A

friable cervix: oozes on touch

dirty urine catch: nucleic acid test for bacterial DNA

complications: ascending infection, septic joint, epididymitis, blood infection

abnormal vaginal discharge

burning w. urination

painful intercourse

Tx: azithromycin 1g PO x 1 OR doxy 100mg PO bid x 7

107
Q

minor’s access to confidential healthcare in PA

A

contraception w.o parental consent

pregnancy test and healthcare related to pregnancy w.o parental consent

reportable disease testing

108
Q

N/V tx during pregnancy

A

IV fluid

if bad check for ketones

small, frequent meals

potato chips and lemonade

109
Q

pregnancy-related cause of maternal death

A

maternal death during pregnancy or w/in 42 days of termination regardless of cause of death

110
Q

syphilis overview

A

primary and secondary infections

rash (2nd) can imitate other things

111
Q

fetal development weeks 13-27

A

kidneys

GI system

hematologic system

hair

senses

fetal movement

brown fat

112
Q

vaginal atrophy

A

vagina holds up bladder - important for urinary continence

113
Q

HIV/AIDS

A

PReP: antiretroviral for people at risk but w.o HIV screening

114
Q

peers in early adolescence

A

same sex peer affiliation

115
Q

gonorrhea tx

A

2 antibiotics

ceftriaxone 250 mg IM x 1 azithromycin 1 g PO x 1

can’t take meds to partner anymore

116
Q

imperforate hymen

A

completely covers vaginal opening

117
Q

1st prenatal visit - physical exam

A

full history

last menstrual period

vital signs, height, weight

pelvic exam

pap smear

baseline cervical cultures (STIs)

118
Q

trich diagnosis

A

wet mount

rapid trich test

119
Q

position

A

common: semi-sit
best: squat, whatever makes descent happen
worst: flat

120
Q

syphilis diagnosis

A

serologic blood tests: venereal disease

research lab and rapid plasma reagin AND treponemal tests

121
Q

patch

A

localized

122
Q

0 station

A

baby at ischial spines

123
Q

middle adolescence

A

15-17

124
Q

why not juice for UTI during pregnancy

A

sugar - insulin resistance (caused by human placental lactogin)

125
Q

bleeding too much postpartum

A

massage fundus

breastfeed

void bladder

get help

BP will decrease, HR will increase

126
Q

nuvaring

A

localized

increased clotting risk

127
Q

primary dysmenorrhea Tx

A

NSAIDs

combined hormonal contracptives

exercises

128
Q

chloasma

A

mask of pregnancy

129
Q

etiology of STIs in adolescents

A

access to condoms

physiological development (vagina in transition)

cognitive development

access to info

adolescent health-seeking behaviors

confidentiality

power differential

homelessness

abuse/violence

130
Q

urinary system during pregnancy

A

bladder compressed by uterus

increased vascularity and edema of bladder (estrogen)

compression of ureters by uterus increased kidney size - urine stasis

UTI risk

increased GFR to clear toxins

131
Q

estrogen

A

secondary sex characteristics (adolescence and pregnancy - enhanced breast tissue)

increased vascularization

132
Q

diaphragm

A

spermicide: leave in a few hours after sex

133
Q

adrenarche

A

pubic hair growth 2-6 mo after thelarche

134
Q

Tanner sequence intervals

A

first breast bud (Tanner 2) to menarche is ~ 2 yrs

menarche to complete adult height and physical maturation: 2-2.5 yrs

135
Q

hematological changes during pregnancy

A

fibrin and plasma fibrinogen rise AND decreased fibrinolytic activity

increased risk for phlebitis, clots

estrogenic effect: vascular inflammation

increased blood volume (150%) that peaks at 28 wks (serum increases)

136
Q

pregnancy outcomes: hospital vs. home

A

hospital better in developing countries

home better in developed countries

137
Q

power: influences

A

uterine force

nutrition and fluids

rest/fatigue

138
Q

model of hormonal changes

A

changes in body, system by system

changes support or maintain pregnancy

each change causes a common discomfort of pregnancy

requires Tx and education

139
Q

sequence of pubertal events: female

A
  • breast 2
  • pubic hair 2
  • PHV
  • breast 3
  • pubic hair 3
  • pubic hair 4
  • breast 4
  • menarche
  • pubic hair 5
  • breast 5
140
Q

1st method of birth control

A

Egyptian

sea sponge in vagina + alligator dung (changed pH)

141
Q

why teens feel out of control

A

amygdala unfamiliar to growth spurt

testosterone receptors form on amygdala

prefrontal cortex not fully attached

142
Q

PID

A

abdominal pain (sometimes back) - worse when walking

fever

many S/Sx

Tx: outpatient w/ antibiotics (ceftriaxone 250 mg IM x 1 + doxy +/- metronidazole)

143
Q

effect of decreased progesterone

A

endometrial hyperplasia

144
Q

trichomoniasis overview

A

vaginitis/urethritis Sx:

frothy yellow green discharge w. strong odor

burning w. urination

painful intercourse

itching

145
Q

18-20 wks prenatal visit

A

anatomy and ultrasound tests

146
Q

constipation tx during pregnancy

A

water, exercise

147
Q

linea nigra

A

black marks on belly

148
Q

amygdala

A

concerned w/ safety

149
Q

pregnancy breast changes

A

estrogen (size)

prolactin (milk)

melanin (toughens and darkens skin (areola))

150
Q

complete dilitation

A

feel top of baby’s head

151
Q

indications for HRT

A

osteoporosis prevention/Tx

urogenital atrophy

vasomotor Sx

menopausal with amenorrhea 3-6 mo post oophorectomy

menorrhagia

menopausal Sx w. FSH

152
Q

body wants estrogen for as long as possible

A

testosterone converts to estrogen as ovaries atrophy (aromatizing)

need estrogen to protect skin, bones, etc.

153
Q

IUGR

A

intrauterine growth restriction

need 10lbs weight gain by 20 wks to decrease risk

154
Q

late premature

A

between 34 and 36 weeks gestation

155
Q

ROM

A

rupture of membrane

156
Q

neurocircuitry

A

90 second rule

thoughts - emotions - physiologic response

157
Q

ovarian unresponsiveness to gonadotropins

A

decreased estrogen

vaginal dryness/atrophy

hot flashes (vasomotor insufficiency/instability - vascular system dilates/contracts randomly)

158
Q

perimenopause

A

transition from normal ovulation to anovulation to loss of ovarian fxn

5-7 years

159
Q

prenatal visit schedule

A

monthly

then every 2 wks after 30 wks

then every wk in last month

160
Q

pubertal growth spurt

A

20-25% of linear growth

50% of ideal adult body weight

earlier in girls: stops 2-2.5 yrs after menarche

161
Q

Erikson’s stages of development: adolescence

A

identity vs role confusion

intimacy vs isolation

162
Q

HPV tx

A

3 dose vaccine can cause fainting

genital warts won’t reappear after Tx: podofilox

imiquimod (aldara)

podophyllin

trichloroacetic acid

cryotherapy

163
Q

IVI

A

intrauterine insemination

164
Q

menorrhagia

A

excessive amount and increased duration of uterine bleeding occurring regularly

165
Q

urine dipstick during pregnancy

A

ketones for hydration

protein for kidney fxn

nitrates for infection

166
Q

why is progesterone considered hormone of pregnancy?

A

maintains uterus for implantation of fertilized egg

167
Q

station

A

baby’s relationship to ischial spines

168
Q

false labor

A

braxton-hicks contractions

do not lead to progressive cervical change

169
Q

social teen brain

A

medial prefrontal cortex more active in adolescence and decreases by adulthood

mid adolescence: remember rule and apply it BUT ability to see other perspective not fully developed

170
Q

after 2nd stage of labor

A

10 units pitocin after baby and before placenta

171
Q

sexuality in middle adolescence

A

testing ability to attract partner

initiation of relationships and sexual activity

questions sexual orientation

172
Q

latent syphilis

A

untreated can last for years 10-20 yrs after acquired

damage to organs

paralysis

blindness

numbness

dementia

difficulty coordinating muscle movements

death

173
Q

TPAL

A

T: # term pregnancies

P: # preterm pregnancies

A: # abortions

L: # living children

174
Q

most important considerations in choosing birth control for women

A

privacy

locus of control

175
Q

brain remodeling in adolescence

A

massive reorganization (back to front)

synaptic pruning

cortex becomes thinner and faster and more sophisticated

176
Q

cervical ectopy

A

increased estrogen causes increased epithelial lining and increased resistance to some infections but also decreased resistance to others

2 cell types on ectocervix border:

squamous columnar jxn

increase GC susceptibility and ascending infection

177
Q

edema during pregnancy

A

increased fluid

pressure on vessels

valve relaxation (progesterone)

mucosal inflammation (estrogen)

178
Q

primary amenorrhea causes

A

chromosomal

congenital

chronic illness

polycystic ovarian syndrome

pregnancy

179
Q

male condom

A

only one that really protects against STDs human error

180
Q

biological process of puberty

A

pulsatile release of GnRH, LH, and FSH during sleep

corresponding increases in gonadal androgens and estrogens

181
Q

cycle beads

A

not every woman has 28 day cycle

can get pregnant outside of peak ovulation period

182
Q

relationship to society in middle adolescence

A

gauging skills and opportunities

183
Q

relationshp to society in late adolescence

A

career decisions

184
Q

suspecting STI

A

signs of abuse

sex w/o protection

zip code matters

access to healthcare

4+ partners especially

185
Q

late maternal death

A

more than 42 days after termination of pregnancy from direct/indirect obstetrical cause

186
Q

true labor

A

contractions lead to cervical change and encourage fetal descent through pelvis

187
Q

increased plasma during pregnancy

A

increased circulation to/from baby (efficiency)

leads to: anemia, increased BP, SOB, varicose veins

188
Q

primary amenorrhea overview

A

no spontaneous bleeding by 16 yo

absence of menses within 3 yrs of thelarche

referral to genetics/endocrine/adol GYN necessary

189
Q

anovulation

A

leads to deceased progesterone production

bleeding problems (endometrial hyperplasia)

cause of majority of AUB in adolescents –painless (organic causes won’t be)

190
Q

primary dysmenorrhea overview

A

painful menstrual cramps

prostaglandins from endometrium cause vasoconstriction and myometrial contraction which results in pain

191
Q

intimate partner abuse during pregnancy

A

3x more likely of becoming a victim of attempted or successful homicide during pregnancy

192
Q

15-18 wks prenatal visit

A

genetic screening

193
Q

GIFT

A

gamete intrafallopia transfer

not common anymore b/c of risk of ectopic pregnancy

194
Q

cognitive/moral processing in late adolescence

A

future oriented w/ sense of perspective

idealism, absolutism

think things thru independently

195
Q

obesity risk during pregnancy

A

diabetes

C section (big baby)

baby gets stuck

tough to monitor FHR and growth

fertility issues (too much estrogen)

196
Q

Piaget’s theory of development: adolescence

A

concrete operational to and through formal operations

197
Q

imaginary audience in middle adolescence

A

self-consciousness in which they believe everyone is as focused on their own behavior as they are

198
Q

passenger

A

size

number

position

cardinal movements

descent

flexion

199
Q

septate hymen

A

septum in middle of hymen

200
Q

effects of decreased testosterone

A

decreased:

  • libido
  • sexual fantasies
  • masturbation
  • muscle mass
201
Q

passageway

A

clinical pelvimetry

soft tissues: cervix, vagina, perineum

202
Q

heartburn tx during pregnancy

A

small, frequent meals

stop eating by 4:30 pm

203
Q

primary challenge for independent older adults

A

chronic illnesses:

CHD

HTN

cancer

arthritis

DM

204
Q

gender equality

A

more education = fewer babies

205
Q

hormones during menopause

A

less responsive to gonadotropins which leads to less ovulation and less progesterone (first hormonal decrease)

206
Q

immature HPO axis

A

poor feedback system

207
Q

HPV overview

A

most prevalent viral infection

80% sexually active women will acquire it

after 11 times, 100% of all types passed to partner

208
Q

rubella testing during pregnancy

A

can be teratogenic if positive

209
Q

considerations in choosing contraception method

A

risk

efficacy

locus of control

health

personality

culture

privacy

210
Q

sex during pregnancy

A

acceptable until water breaks

211
Q

effects of decreased estrogen

A

hot flashes

sleep disturbances

mood swings

cognitive difficulties

joint aches

perimenstrual headaches

palpitations

loss of lipido

212
Q

location of STIs

A

vagina

urethra

cervix

pharynx

anus

skin lesion

213
Q

condom use in Philly

A

trending down slightly

214
Q

main goal of adolescence

A

to develop into independent, thinking, responsible adult

215
Q

postpartum nursing role

A

promote mother/baby well-being

are we moving forward? why/why not

216
Q

tubal ligation

A

most popular worldwide permanent

can be private

217
Q

thelarche

A

appearance of breast bud

9-13.5 yo

218
Q

female condom

A

expensive

less liked by male partners

219
Q

fundal height

A

uterus is growing measured each visit after 20 wks in cm

(should = gestation)

fetal growth

220
Q

cognitive/moral processing in middle adolescence

A

emergence of abstract thought
may perceive future implications but may not apply in decision-making

questioning mores

221
Q

unopposed estrogen

A

continued proliferation

222
Q

PCOS symtpoms

A

hirsutism

cystic acne

acanthosis nigricans (marks on neck - insulin resistance)

223
Q

ART

A

assistive reproductive technology

224
Q

VLBW

A

less than 1500 g

225
Q

secondary amenorrhea causes

A

pregnancy

stress

chronic illness

PCOS

anorexia nervosa

meds

substance abuse

thryoid disease

athlete triad

226
Q

PEGT

A

preembryonic genetic testing

227
Q

indirect obstetric death

A

due to preexisting disease or disease that develops during pregnancy with no direct obstetrical cause

likely aggravated by pregnancy

228
Q

effacement

A

length of cervix

229
Q

lactation amenorrhea

A

sole breastfeeding may result in no ovulation for 5-6 mo

family spacing

230
Q

prenatal care

A

promote healthy outcome

ritual vs. evidence

culturally appropriate

women don’t need/want to be seen as often as they are

231
Q

lochia

A

vaginal discharge

232
Q

oral contraception pill

A

90% efficacy

increase clotting risk

high attrition rate

233
Q

spermicidal suppositions

A

w. condom

inside vagina

increases risk for micro tears and HIV

234
Q

fxn of placenta

A

metabolism

endocrine

exchange and transfer

235
Q

menstrual cycle changes during menopause

A

irregular close/skipped periods

heavier flow

prolonged menses

intermenstrual spotting

236
Q

HPL

A

human placental lactogen

insulin resistance

237
Q

abnormal uterine bleeding tx goals

A

stop/prevent bleeding

identify underlying disease

prevent long-term sequelae

provide reassurance

anemia management

238
Q

integumentary system during pregnancy

A

increased sweat and oil

increased hair/nail growth

striae

linea nigra

chloasma

239
Q

early adolescence

A

11-14

240
Q

cardiovascular changes during pregnancy

A

heart size

heart position (up and left)

heart rate (+10-15bpm)

heart murmur (by 2nd trim.)

241
Q

other causes of abnormal bleeding

A

pregnancy

infection

meds

242
Q

prenatal vitamins during pregnancy

A

all should have a prescription + folic acid

243
Q

relationship to society in early adolescence

A

middle school adjustment

244
Q

IOL

A

induction of labor

245
Q

type of organisms in STI

A

bacterial

viral

protozoa

246
Q

late adolescence

A

18-25

247
Q

losses that older adults face

A

physical control of body

vision/hearing

community

contact w. family

intimacy

248
Q

family in late adolescence

A

emotional/physical separation from family

increased autonomy

249
Q

direct obstetric death

A

complications during pregnancy, labor/birth, and/or postpartum from interventions, omission of interventions, or incorrect tx

250
Q

genetic screening

A

marker screen

sequential screen

251
Q

secondary syphylis

A

rash

sore throat

fever

swollen glands

patchy hair loss

headache

weight loss

fatigue

252
Q

pimary syphylis

A

chancre: single or multiple firm, round, painless, small

heals w/o tx

253
Q

best predictor of when you will enter menopause

A

when your mother did

254
Q

LBW

A

between 1500 and 2500 g

Nursing of Women (6 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions