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Family Nursing > Exam 2 Power Point > Flashcards

Exam 2 Power Point Flashcards

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1
Q

What can affect protein , ketones and specific gravity in urine ?

A

Dehydration/ warm climate/caffeine

Teach moms to stay hydrated

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2
Q

Softening of consistency of uterus

A

Hegars sign

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3
Q

Bluish color of cervix, vagina , labia from increased blood flow

A

Chadwick’s sign

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4
Q

Four most important vitamins in pregnancy

A

Protein
Calcium
Folic acid
Iron

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5
Q

How many calories to increase in pregnancy?

A

300

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6
Q

What foods should pregnant patients not eat?

A 
Undercooked foods 
Fish
Sushi 
Unwashed fruits and veggies 
Unpasteurized dairy
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7
Q

Protein sources?
Calcium ?
Iron?
Folic acid?

A

Meat , eggs
Cheese, oj, yogurt , beans
Liver , meat, cereals, bread
Leafy greens , asparagus, (tea interferes) broccoli, citrus fruits

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8
Q

TPALM *

A 
Term infants born
Preterm infants born 
Aborted infants 
Living children
Multiple births
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9
Q

Primigravida

Nulligravida

Multi Gravita

A

Someone who has been pregnant once

Never preganant

Multiple preganancys

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10
Q

How to treat heart burn

A

Milk, tums, calcium based antacid

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11
Q

With implantation often comes what?

A

Spotting

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12
Q

Fhr is detectable with a Doppler at weeks

A

10-12

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13
Q

After week ?, blood through the placenta to fetus is established

A

Four

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14
Q

Bladder is where in relation to uterus ?

A

Below cervix and uterus

Crammed by baby head and puts pressure on bladder

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15
Q

When is implantation?

A

First week after fertilization

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16
Q

Movement of Low concentration to high concentrations

Transfusion of particles

Spontaneous passive transport

  • fetal circulation works by these ?
A

Osmosis

Diffusion

Facilitated transport

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17
Q

When is circulation of blood to fetus established?

A

4th week of pregnancy

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18
Q

Advantages of birthing centers ?

Disadvantages

A

Lower cost
More say in care
Less c sections and forceps use
Anyone can attend

D- 
Screening of who is eligible 
May need transportation to hospital if complications occur 
No pediatrician 
No rest - early discharge
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19
Q

Advantages of hospital birth

Disadvantage

A

Safest
Have all equipment if needed c section
Around the clock help for mother/baby

Disadvantages- 
Less privacy
Less say in care
Increase risk of c section and forceps birth 
Illness occurs there 
Impersonal 
Routine separation with mother 
Not much rest 
Rules / policies
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20
Q

Miscarriage symptoms

A

Fluids, blood, tissue passing from vagina , pain in belly or lower back , feeling sad , grief

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21
Q

Macrosomnia complications

A 
Labor problems (wedged) 
Genital lacerations 
Bleeding after delivery 
Large new born 90 percentile 
Decreased bs
Respiratory distress syndrome
22
Q

Types of miscarriage?

Threatened -

Inevitable-

Compete-

Incomplete-

Missed-

A

Threatened - little bleeding but stops

Inevitable - dilation of cervix, bleeding, cramping

Complete - delivers fetus and placenta

Incomplete - just fetus delivery and not placenta

Missed- baby dies in utero

23
Q

What is a boggy uterus ?

Reasons for it ?

A

Not firm (soft) massage to contract

Uterine atony and adenomyosis (grows into uterine wall)

24
Q

Deviated uterus

Reasons ?

A

Cut in half

Genetic , labor , pelvic surgery

25
Q

Fundus assessment

A

One hour after delivery to check if it is firm I

26
Q

A condition in which one or both tested fail to descend ?

A

Cryptorchidism

27
Q

Stages of labor ?

Early labor :
Active:
Transitional:

A
  • Time of onset of labor until 3cm
  • 3cm-7cm
  • 7cm till 10cm
28
Q

Post op care for hernia ?

A

Don’t shower for 2 days
Keep wound dry
Sponge bath
Need of sutures or staples

29
Q

Post op care or appendectomy?

A 
Vital signs 
Manage pain 
Monitor GI status 
S&S of infection
Antibiotics 
Mobility
30
Q

A buildup of fluid in cavities deep within the brain causing the headache and in large to head

Precautions to take ?

A

Hydrocephalus

Keep head and neck safe, safety equipment, helmets, surgery for shunt to drain fluid

31
Q

S/S of respiratory distress?

A

Severe SOB, unable to breathe on own with out ventilator

32
Q

Treatment for heart burn

A

Milk, tums

33
Q

Priority assessment before epidural?

A

Bp, bladder scan

34
Q

Prenatal teaching about contractions ?

A

May have them through out pregnancy . May not even notice

35
Q

What can cause IGUr?

A

Smoking

36
Q

What to report to dr.?

A

WT gain, ruptured membrane , vision changes, headache, contractions become regular or painful , diarrhea, lack of fetal movement after rest for 1 hour

37
Q

Gestational diabetes increased risk of ?

A

Polyhydrinos (too much amniotic fluid)

Still born

Macrosomnia

Immature fetal lungs

Respiratory problems

38
Q

Painful dark red bleeding

Board like abs - may need emergency c- section

A

Abruption of placenta

39
Q

Thinning of cervix

A

Effacement

40
Q

Preterm is considered before ?

Post term?

A

37 weeks

After 42 weeks

41
Q

If infant has high pulse in womb do what?

A

Turn mom on left side and call nurse

42
Q

TACO

A

Time amount color Oder

43
Q

Pitocin contractions should be closer than how long?

A

Two to 3 min

44
Q

Bubblehe

A

Breasts/ feeding

Uterus - midnline of abs

Bladder - empty

Bowel - move for dc

Lochia- vag discharge after delivery
Rubra- 3 days red
Serosa- pink mucus 10 days
Alba- colorless clear 10-21 days after

Episiotomy- incision to make vag bigger

Homans sign - don’t do

Emotional support - depression assessment

45
Q

Vegetarian and Vegas should eat more what?

A

Foods in vit b such as cereal and bread

46
Q

How many calories needed for breast feeding ?

A

200-400

47
Q

What to assess in baby?

A 
Palate 
Moving 
Extremities 
Penis 
Vagina 
Hip checks 
Tone 
Nemo thorax
48
Q

Extrophogy of bladder

A

On outside

49
Q

When does appetite decrease and slower growth

A

School age

50
Q

Therapeutic nursing tip

A

Don’t tell something they are not asking

Family Nursing (5 decks)

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