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1230-002 Family Health Concepts I > Exam 1 ( Chapter 3 p. 47-73, Chapter 7 A&P of pregnancy, Chapter 8, Chapter 13, Chapter 14, Chapter 15, Chapter 16, Chapter 31 p. 882-904, Chapter 32 p 934-951, chapter 33 p 962-964, Chapter 34 p 996-1000, Chapter 35 p 1020-1028) > Flashcards

Exam 1 ( Chapter 3 p. 47-73, Chapter 7 A&P of pregnancy, Chapter 8, Chapter 13, Chapter 14, Chapter 15, Chapter 16, Chapter 31 p. 882-904, Chapter 32 p 934-951, chapter 33 p 962-964, Chapter 34 p 996-1000, Chapter 35 p 1020-1028) Flashcards

1
Q

Early Term labor is from __ weeks through __ weeks and _ days

A

37 weeks, 38 weeks and 6 days

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2
Q

Full term labor is from __ weeks through __ weeks and _ days

A

39 weeks, 40 weeks and 6 days

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3
Q

Late term is from __ weeks through __ weeks and _ days

A

41 weeks, 41 weeks and 6 days

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4
Q

Post term labor is from __ weeks and beyond

A

42 weeks

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5
Q

Most babies are delivered in the ____ term and the ____ term

A

Full term, Late term

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6
Q

It is ___ recommended to deliver post term

A

NOT

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7
Q

Between 37 and 39 weeks, the baby goes through development of what?

A

Brain, Lungs, Liver

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8
Q

__-__cm dilated is considered Latent phase

A

0-3cm

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9
Q

__-__% effacement occurs during Latent phase

A

0-40%

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10
Q

Contractions are every _-__ minutes during Latent phase

A

5-30 mins

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11
Q

Contractions LAST about __-__seconds during Latent phase

A

35-45 seconds

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12
Q

What will discharge/bloody show look like during the Latent phase?

A

Scant, mucoid, and blood tinged

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13
Q

What station will baby be in during the Latent stage?

A

-3-0 station

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14
Q

_-_cm dilated is considered Active phase

A

4-7cm

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15
Q

__-__% effacement occurs during Active phase

A

40-80%

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16
Q

Contractions are every _-_mins during Active phase

A

2-5mins

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17
Q

Contractions LASR about __-__seconds during Active phase

A

45-70 seconds

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18
Q

What will discharge/bloody show look like during the Active phase?

A

Scant, mucoid, and bloody

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19
Q

What station will baby be in during the Active phase?

A

-2 to +1/+2

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20
Q

_-__cm dilated is considered Transitional phase

A

8-10cm

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21
Q

__-___% effacement occurs during Transitional phase

A

80-100%

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22
Q

Transitional phase lasts about __-__ minutes

A

20-60minutes

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23
Q

Contractions are every - minutes during Transitional phase

A

2-3mins

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24
Q

Contractions will last about __-__seconds during Transitional phase

A

45-90 seconds

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25
Q

What will discharge/bloody show look like during Transitional phase?

A

Moderate to heavy bloody show

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26
Q

What station will baby be in during the Transitional phase?

A

0 to +2/+3

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27
Q

The first stage of labor includes the ______, ______, and the _________ phases.

A

Latent, Active, Transitional

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28
Q

The second stage is the time from ____ _______, to the ____.

A

Full dilation, birth of fetus

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29
Q

__cm is considered the Second stage of labor

A

10cm

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30
Q

___% effacement occurs in the Second stage of labor

A

100%

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31
Q

The Second stage of labor lasts ____ to ___.

A

10mins to several hours

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32
Q

Contractions are every __ to __ mins during the Second stage

A

1-3mins

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33
Q

Contractions last for about __to__seconds in the Second stage

A

60-90 seconds

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34
Q

Bloody show during the Second stage will be ______

A

Increased

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35
Q

What station is the baby in during the Second stage?

A

0 to +3 to birth of baby

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36
Q

The Third stage of labor lasts from the _____ to the ______.

A

Birth of the baby to the explosion of the placenta

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37
Q

_____ _____ are felt during the third stage of labor

A

Strong contractions

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38
Q

What will discharge/bloody show look like during the third stage?

A

Gushes of blood with the placental detachment

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39
Q

The Fourth stage of labor is the time immediately _____ ______ to about ___hours after.

A

Postpartum, 4 hours

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40
Q

B U B B L E-E stands for….

A

B-Breast
U-Uterus
B-Bladder
B-Bowel
L-Lochia & Legs
E-Episiotomy/Incision
E-Emotions
DON’T FORGET ASSESSMENT FOR DVT(legs)

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41
Q

You would perform a BUBBLE-E assessment after which phase of labor?

A

After the 4th stage of labor you perform a BUBBLE-E on the mother

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42
Q

What are some assessments you must do on the neonate?

A

Observe the newborn at rest for
-Breath sounds
-Signs of Respiratory Distress
-Bowel sounds
-Temperature (axillary)
-Fontanelles/head
-Face
-Eyes
-Mouth
-Abdomen
-Extremities
-Reflexes
-Pulses
-GI (meconium, urination)
-Feeding

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43
Q

You must always document the _____, _____, and ____.

A

voids (bowel, urinary), feedings, # of diaper changes

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44
Q

What are signs of Respiratory distress in a neonate?

A

Nasal flaring, intercostals retracting, use of accessory muscles

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45
Q

You must assess a neonates RR for how long?

A

1 full minute

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46
Q

You must assess a neonates apical HR for how long?

A

1 full minute

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47
Q

During the 1st stage of Placental separation, it moves more _______ and is accompanied by some _____.

A

Central, bleeding

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48
Q

During the 2nd stage of Placental separation it changes from a ______ shape to a _____ shape.

A

Discoid, globular

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49
Q

During the 3rd stage of Placental separation it _____ the ______ _____.

A

Enters the lower uterus

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50
Q

During the 4th and final stage of Placental separation it _____ the ______.

A

Enters the vagina

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51
Q

In the Fourth stage of labor, you must assess the __ every __ mins for the first ____.

A

BP, 15 minutes, first hour

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52
Q

In the Fourth stage of labor, you must assess the ____ for ____ & ____ every ___ mins for the first ____.

A

Pulse
Rate & Regularity
15 mins
first hour

53
Q

At the beginning and at the end of the recovery period, you must also assess the ______ .

A

Temperature

54
Q

V E A L C H O P stands for…

A

V-Variable —–> C-Cord compression
E-Early ——-> H-Head compression
A-Acceleration—-> O-OK
L-Late ————–> P-Placenta Problems

55
Q

What is a normal pulse rate for a neonate?

A

110-160 beats per min

56
Q

What is a normal pulse for a postpartum woman?

A

50-90 beats per min

57
Q

Where should the uterine funds be palpable 1 hour after delivery?

A

Level of the umbilicus

58
Q

One day after delivery, where should the fundus be palpable?

A

Approximately 1cm (1 finger width) under the umbilicus.

59
Q

When will the uterus become a pelvic organ again?

A

About 10-14 days after delivery

60
Q

The uterus will be back to pre-pregnancy size _____ weeks after delivery

A

6 weeks

61
Q

What is lochia?

A

Lochia is the normal uterine discharge after birth

62
Q

What are the three types of lochia?

A

Rubra
Serosa
Alba

63
Q

Lochia Rubra is from - days after birth and is ___ in color

A

1-3 days, dark red

64
Q

Lochia Serosa is from __-__ days after birth and is _____ in color

A

4-10 days, brown/red/pink

65
Q

Lochia Alba is from ___ days after birth, and is ____ in color

A

10+ days, yellow/white

66
Q

What is a normal hemoglobin range for a newly delivered postpartum woman? _-__g/dL

A

6-11g/dL

67
Q

What is the normal RR for a newborn?

A

30-60 breaths per minute

68
Q

____ is how often _____ occur.

A

Frequency
Contractions

69
Q

_____ is how long between the _____ and the ___ of a single contraction

A

Duration
Onset
End

70
Q

______ is the peak of a contraction

A

Intensity

71
Q

What is the WORST position for a pregnant mom to lie in?

A

Supine

72
Q

What is the BEST position for a pregnant mom to lie in?

A

Left Lateral (most effective and preferred)
Or Right Lateral

73
Q

What would describe a reassuring fetal monitor tracing?

A

Reactive to the NST

74
Q

Infertility is the diagnosis given to couples who have not conceived after trying for ______ of regular unprotected intercourse when the woman is less than ____ years of age

A

1 year
35

75
Q

Infertility is diagnosed to woman over 35 if they have been trying for ___ months and have not yet achieved pregnancy.

A

6 months

76
Q

Pregnancy induced hypertension is the onset of hypertension ______ proteinuria after __ weeks of pregnancy

A

without
20 weeks

77
Q

A blood pressure of ____/___ is considered hypertension

A

140/90 and above

78
Q

Gestational diabetes occurs in the ____ part of pregnancy around the ___th week

A

second
24th

79
Q

In gestational diabetes, mom’s glucose levels _____ and insulin resistance _____.

A

rise
increases

80
Q

What is abruptio placenta?

A

Placental separation that occurs because of changes in the body’s contours as a result from the force of something else
(think car accident, etc)

81
Q

What is placenta previa?

A

Placenta previa is when the placenta is implanted in the uterine segment in such a way that it either partially or completely covers the cervix. This causes bleeding and problems during dilation and effacement

82
Q

What is an ectopic pregnancy?

A

When a fertilized egg implants itself outside of the uterus

83
Q

What is spontaneous abortion?

A

A loss of pregnancy before the 20th week

84
Q

Congenital anomalies occur ______ birth

A

before and happen during fetal development

85
Q

Genetic disorders are _______

A

hereditary (alterations in genetic makeup)

86
Q

Intrauterine growths…..

A

could be cause for concern of the baby in terms of growing to maximum weight/length

87
Q

_______ occur when the baby is stimulated during fetal monitoring

A

accelerations

88
Q

________ is an abrupt increase in the baseline HR

A

acceleration

89
Q

___ more beats above baseline is acceleration

A

15 beats

90
Q

Acceleration is a ______ sign

A

reassuring

91
Q

Early decelerations are caused by ________

A

head compressions

92
Q

Early decelerations cause a ____ in the FHR

A

drop

93
Q

Early decelerations occur ____ the peak of a contraction

A

before

94
Q

Early decelerations DO or DO NOT require interventions..

A

Do not. Early decelerations are a benign sign

95
Q

Variable decelerations are caused by _______

A

cord compression

96
Q

Variable decelerations cause an abrupt ______ in FHR

A

decrease

97
Q

What are some interventions for variable deceleration? (5 things)

A

-Change mom’s position
-administer 8-10L oxygen via nonrebreather
-stop oxytocin
-notify physician
-assess for cord prolapse

98
Q

What does it mean if there are repetitive variable decelerations?

A

Oxygen supply to baby is impaired which is BAD!

99
Q

How would a variable deceleration be seen on a monitor?

A

U, V, or W shape

100
Q

Late decelerations are caused by ________

A

Placenta problems

101
Q

What interventions could you do for late decelerations? (7 things)

A

-Change maternal position
-Elevate mom’s legs
-Increase IVs
-Stop oxytocin
-Administer 8-10L oxygen via nonrebreather
-Consider internal monitoring
-Notify physician

102
Q

How long should you EXCLUSIVELY breast feed for?

A

12 months

103
Q

When can complementary foods be introduced?

A

6 months

104
Q

What are the benefits of breast feeding for mom?

A

-Enhanced uterine involution
-Delayed resumption of ovulation
-Earlier return to pre-pregnancy weight
-Reduced risks of osteoporosis, ovarian cancer, premenopausal breast cancer, and RA
-Enhanced mother-infant attachment
-Enhanced self-esteem

105
Q

What are the benefits of breast feeding for the baby?

A

-Natural and Optimal source for growth and development
-Decreased incidence/severity for infection
-Potential Protective effects (SIDS, allergies, adult hypertension)
-Less gastric reflux less constipation
-Potential for enhanced cognitive development

106
Q

Colostrum is ____ protein, ____ calorie

A

HIGH protein
LOW calorie

107
Q

Colostrum _____ the intestines and provides ________.

A

Coats
Antibodies

108
Q

What does T P A L stand for?

A

T-Term pregnancies
P-Preterm (pregnancies that have been carried to 20 weeks)
A-Abortions
L-Living children

109
Q

What does the G stand for?

A

Gravida

110
Q

What does gravida mean?

A

The number of times a woman has been pregnant

111
Q

What does the para mean?

A

How many times the mom has given birth

112
Q

Cercival cancer screening is recommended in women __ to __ years every __ years

A

21-65years cervical
Every 3 years

113
Q

Cervical cancer screening can also be done every _years in women who are __-__yrs with a pap

A

5 years
30-65 years old

114
Q

Prostate cancer screening is ______ recommended

A

NOT recommended

115
Q

Ovarian cancer screening is _____ recommended

A

NOT recommended

116
Q

Colorectal screening is recommended for people __-__years old and is NOT recommended for people __-__ yrs

A

50-75 years old
NOT for 76-85yrs

117
Q

Skin cancer screenings have ________ evidence

A

Insufficient evidence

118
Q

Breast cancer screening should be done on women aged __-__ years old and done every __ years

A

50-74years
Every 2 years

119
Q

Testicular cancer screenings are ____recommended

A

NOT recommended

120
Q

Coronary heart disease screening is ____ recommended

A

NOT recommended

121
Q

Chlamydia screening is recommended in girls aged ____ and ____ if sexually active

A

24 years and younger
*gonorrhea also tested with this

122
Q

Depression screening is recommended for ____ adults

A

ALL adults
*pregnant woman especially
*need accurate diagnosis and proper follow-up

123
Q

Diabetes mellitus screening should be done in persons aged ___-__ years old when they are _____ and ______

A

40-70yrs
obese & overweight

124
Q

Obesity screening should be done in persons aged __-__years and in ___ adults

A

6-18 yrs
all adults

125
Q

Osteoporosis screening should be done in ____ aged ___ and older, or younger women if they have hx of fractures

A

women aged 65+

126
Q

Folic acid is recommended for ____women and they need to take ____ –____ mg daily

A

all women planning/able to become pregnant
0.4-0.8mg daily

127
Q

Rh incompatibility must be screened at the____visit, and the Rhogam shot should be given at ____weeks for prophylaxis, if mom is _____ and baby is _____ at birth, she will get another Rhogam shot after birth.

A

First visit
28 weeks
Rh negative, + baby

128
Q

Gestational diabetes should be screened for ___ pregnant women at ___ weeks

A

ALL
24 weeks

129
Q

Alcohol misuse screenings should be done on all adults aged ___ and over

A

18+

1230-002 Family Health Concepts I (2 decks)

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