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OB Final > Exam Two Content > Flashcards

Exam Two Content Flashcards

1
Q

Symmetrical IUGR

A

Proportional
Long term conditions

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2
Q

Asymmetrical IUGR

A

Disproportional
Impaired uteroplacental blood flow

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3
Q

Complications IUGR

A

Hypo-oxia, thermia, gylcemic
Polycythemia

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4
Q

Complications LGA

A

Birth Trauma, Induction, C/S

Hypoglycemia, polycythemia, hyperviscosity

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5
Q

Risks for diabetic newborn

A

Low calcium, blood sugar
High RBC, bilirubin

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6
Q

Respiratory distress syndrome

A

Diabetic babe

L:S + P:G factors affected by DM of mom

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7
Q

Hypoglycemia in babe

A

Less than 40-45mg/dl

Seizure, cyanosis, cold stress, poor feeds

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8
Q

What is prematurity

A

beofre 38 weeks

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9
Q

What are we concerned about prematurity

A

RDS, cold stress, poor nutrition, hyperbilirubinemia, cranial hemorrhage

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10
Q

Apnea

A

cessation of breathing for 20sec, cyanosis

Stimulate baby!

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11
Q

How to care for premie

A

monitor!, growth and development, nutition (fluid/electrolytes) warm!

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12
Q

Post maturity concerns

A

hypoglycemia
meconium aspiration

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13
Q

Fetal alcohol syndrome presentation

A

short stature, microcephaly, thin

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14
Q

Fetal alcohol syndrome concerns

A

impulsive, cognitive involvement, speech issues, learning debilities

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15
Q

Drug abuse concerns

A

Asphyxia, infection, low APGAR, withdrawal

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16
Q

Care for baby of substance abusing mother

A

PNC, tox screen, social services, withdrawal, abstinence, small feeds, decrease stimulaion

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17
Q

Metabolic Screening

A

PKU cognative disability

Gala - carbs

Homo, hypothyroid, sickle cell, cystic fibrosis

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18
Q

Hypoxia can lead to

A

meconium aspiration

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19
Q

Respiratory interventions

A

Celestone, surfactant

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20
Q

Transient Tachypnea of Newborn

A

GFR, cyanosis, acidosis

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21
Q

What to do meconium apsiration

A

No stimulation –> take to warmer for suctioning

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22
Q

Cold stress results in (3)

A

decreased surfactant, acidosis, hypoglycemia

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23
Q

When is jaundice concerning

A

within first 24hr

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24
Q

Concern for jaundice

A

kernicterus - in brain

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25
Q

What is hydrops

A

anemia - severe edema –> organ failure

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26
Q

When is hydrops frequently seen

A

RH-
ABO sensitivity

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27
Q

Jaundice management

A

Phototherapy
Transfusion

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28
Q

What is considered a post partum hemorrhage

A

Over 500ml

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29
Q

Vitals + finding of PPH

A

decrease BP
increase pulse
decrease UOP

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30
Q

Early PPH causes

A

atony, laceration, retained placenta, hematoma, rupture

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31
Q

Atony causes

A

distention, grandparity, meds, preeclampsia

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32
Q

Atony management

A

massage, crystalloid, blood products, embolization, methergine, packing

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33
Q

Bright red blood, firm uterus indicative of

A

Laceration

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34
Q

Findings relating to late PPH

A

high fundal height
rubra, brown lochia
backache

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35
Q

How to treat subinvoliution

A

methergine, antibiotics

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36
Q

Puerperal Infection

A

Reproductive tract

Morbid - >38*C for 2/10 days PP

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37
Q

Endometritis sx/tx

A

Bloody/foul d.c
tenderness
tachycardia

TX” antibiotic

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38
Q

Med for pyelonephritis

A

Pyridium

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39
Q

Urinary tract infection

A

Retention, bacteria, trauma

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40
Q

Mastitis presentation

A

red, painful, swollen breasts

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41
Q

Mastitis causes

A

Milk stasis, trauma, obstruction, failure to empty

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42
Q

Mastitis intervention

A

frequent feeds, antibiotics, supportive bra

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43
Q

Why do pregnant women’s blood clot easily? Concern.

A

Protective mechanism

Increase risk for blood clot

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44
Q

Superficial thrombophlebitis

A

tender, warm, no temp

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45
Q

Deep vein thrombosis

A

edema, pale limb, fever, chills

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46
Q

Interventions for blood clots

A

heat, elevation, analgesic, bed rest, compression sock, no massage

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47
Q

Dual process

A

Loss and restoration

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48
Q

Attachment theory

A

intensity = attachment to pregnancy

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49
Q

Meaning reconstruction

A

redefining life after loss

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50
Q

Caring theory

A

knowing
being with
doing for
enabling
maintaining

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51
Q

Infertility teaching

A

Days 7-17 fertile
no lube
sex every other day
prenatal vitamins

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52
Q

Ovulatory factors

A

high temp
FSH
LH

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53
Q

Ovulatory dysfunction factors

A

progesterone
prolactin
TSH
androgen

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54
Q

Endometrial biopsy

A

progesterone/receptivity

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55
Q

transvag us

A

follicles, endo development

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56
Q

Hysterosalpingogram

A

uterine structure/ fallopian tube

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57
Q

Hysteroscopy

A

size, shape, location of uterus

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58
Q

Laparoscopy

A

endometriosis, adhesion, tumor

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59
Q

Varicocele

A

dilation of scrotal vein, atrophy

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60
Q

Induce ovulation by stimulating hypothalamus

A

Clomid

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61
Q

Directly stimulate follicle development

A

Gonadotropin

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62
Q

Increases endo receptivity d/t luteal phase defect

A

Progesterone

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63
Q

Inhibit prolactin **

A

Parlodel

TERATOGENIC

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64
Q

Drug therapy for PCOS

A

Metformin

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65
Q

Drug therapy for endometriosis

66
Q

Therapeutic Insemination

A

sperm placed at cervical opening

67
Q

IVF

A

eggs extracted from ovaries –>

fertilized in lab –>

into uterus

68
Q

Gamete Intrafallopian Transfer

A

collected by u/s and guided to fallopian tube

69
Q

Zygote Intrafallopian Transfer

A

collected by u/s FERTILIZED and guided to fallopian tube

70
Q

Gestational carrier V Surrogate

A

G - baby not her own
S - carrier/oocyte donor

71
Q

Intracytoplasmic Sperm Injection

A

sperm into oocyte

72
Q

LH

A

triggers egg release from ovary

73
Q

FSH

A

Stimulates growth of eggs

74
Q

Oviarian cycle

A

FSH - 1-14
LH - 14-28

75
Q

Menstrual cycle

A

Menstrual 1-6 degration of endo
Proliferative 6-14 follicle reaching maximum devleopment - estrogen released
Secretory 14-26 progestin released -to prepare for fertilization
Ischemic 26-28 if fertilization doesnt take place

76
Q

Estrogen

A

builds lining

77
Q

Progesterone

A

maintains pregnancy with thick lining

78
Q

Awareness methods

A

Calender - ov (12-16)

High body temp - day-3daypost

Cervical mucus - fetile - SPINBARKITE - stretchy

79
Q

Diaphragm

A

High in vag with spermicide, worn 24hr, keep in 6-8hr post

**TSS

80
Q

Copper/Mirena

A

highly effective, last years
**Cramping, bleeding, uterine rupture
*check for sting

81
Q

Estrogen-Progestin Pill

A

21 days on 7 off
same day, decrease with antibio

***CI pregnancy, clotting

82
Q

Progestin Pill

A

for women with hx clotting, HTN

Breastfeeding moms

83
Q

Depo Provera

A

suppress ovulation/thicken mucus

3 months

**bone demineralization, wt gain, hair loss, irregular bleeds

84
Q

Plan B

A

post 24-72hr

85
Q

Ella

A

5 days, prescription needed

86
Q

Sterilization

A

Reversal is 50/50

87
Q

Vasectomy

A

6-36 ejaculations to clear, sperm count

88
Q

Vaginitis SX

A

Foul odor, itch/irritation, painful intercourse

(Sex on the beach! - fishy, itchy, painful)

89
Q

Vaginitis cause

A

Bacteria - pH rises above 4.5 (BASIC)

90
Q

Vaginitis treatment

A

Flagyl, Clindamycin

91
Q

Vaginitis concern

A

preterm labor

92
Q

Candidiasis SX

A

red rash, cheese like discharge

93
Q

Candidiasis TX

A

TOPICAL ANTIFUNGAL
Diflucan, nystatin

94
Q

Candidiasis concern

A

newborn thrush

95
Q

Trichomonas SX

A

frothy discharge, strawberry spots

Rich strawberry milkshake (frothy, strawberry)

96
Q

Trichomonas TX

97
Q

Chlamydia SX

A

dull pelvic pain, cervical inflammation

**infertility

98
Q

Chlamydia TX

A

Azithromycin
Doxycycline

99
Q

Concern chlamydia

A

eye infection, ectopic pregnancy

100
Q

Gonorrhea SX

A

purulent d/c, frequency, swelling, pelvic pain, eroded cervic

101
Q

Gonorrhea TX

A

Ceftriaxone
Azithromycin

102
Q

Herpes SX

A

visible vesicles, pain, inflammation, flu-like

103
Q

Herpes TX

104
Q

Syphilis SX

A

fever, wt loss, malaise, condylomata, arthritis

105
Q

Syphilis TX

A

Benzathine
Pen G

“george is friends with ben and pen”

106
Q

Syphilis concern

A

IUGR, premie, still birth, psych implication

107
Q

HPV SX

A

genital warts
Cervical dysplasia

108
Q

HPV TX

A

Podophyllin (TERATOGENIC)

PPP Podophylin for hPv not for Pregnant

109
Q

HPV vaccine

A

Gardasil (6,11,16,18)
Cevarix

110
Q

HIV/AIDS SX

A

wasting syndrome
candidiasis

111
Q

HIV/AIDS TX

A

Antiretroviral therapy

112
Q

HIV/HPV/AIDS delivery

A

c/s, no breastfeeding

113
Q

HIV infant

A

immunosuppression
failure to thrive
neuro problems

114
Q

When are perinatal infections most harmful to fetus?

A

first trimester

115
Q

Toxoplasmosis causes

A

cat litter
undercooked meat

116
Q

Toxoplasmosis TX

A

Spiramycin

117
Q

Toxoplasmosis concern

A

death, coma, micro/hydrocephalus, growth restriction

118
Q

Rubella TX

A

prevention, MMR vaccine

119
Q

Rubella concern

A

Cataracts, deafness, heart defects, mental retardation, cerebral palsy

120
Q

Cytomegalovirus TX

121
Q

Cytomegalovirus concern

A

death, retardation, hearing issues, cephaly, hemolysis

122
Q

When is group B strep tested

123
Q

Group B Strep TX

A

PCN, ampicillin

124
Q

Concern for Group B strep

A

infection, stillbirth, death

125
Q

Parvovirus 19 SX

A

slapped cheek –> red rash

slapped the dogs

126
Q

Parvovirus B19 concern

A

abortion, anemia, hydrops

127
Q

Cocaine use

A

abortion, abruption, IUGR, premie, stillbirth

128
Q

PCP use

A

HTN, hyperthermia, diuresis, coma

129
Q

Ecstasy use

A

learning/memory impairment

130
Q

Heroin

A

withdrawal, IUGR, premies

131
Q

Assessment of abused

A

HA, painful intercourse, abortion, fibromyalgia, anxiety, eating disorder, accidents, trauma, fractures, neglect

132
Q

Power Rape

A

asserting dominance

133
Q

Anger Rape

A

wrongs against

134
Q

Sadistic Rape

A

torture and mutilation motive

135
Q

Acquaintance rape

A

trust to initiate

136
Q

Stranger Rape

A

do not know eachother

137
Q

RTS - acute

A

First 3 weeks
Disorganization

Fear, unclean, bad sleep, guilty

138
Q

RTS - outward adjustment

139
Q

RTS - reorganization

A

depressed anxiety, phobia, nightmares

140
Q

Nurse practice acts

A

explains scope of practice
Hospitals can limit, not expand

141
Q

Standard of care - minimum criteria

A

ANA - publish standards

142
Q

Clinical practice guidelines

A

care plans, interventions, expected outcomes

malpractice if needs not met

143
Q

Roe VS Wade

A

Abortion legal

144
Q

Heartbeat bill

A

illegal abortion after detected heartbeat

145
Q

Can nurses deny abortion patient’s care?

A

Yes, but required to find replacement nurse. CANNOT ABANDON PATIENT

146
Q

How will a patient deliver when hx of intrauterine surgery?

A

need of c/s d/t classical incision

147
Q

Intrauterine insemination

A

gives sperm better chance, legal problems

148
Q

IVF

A

embryo transfer

149
Q

Stem cell research

A

Cord blood
Cardiac cells, RBC< skin cells, neurons

150
Q

Stats

A

Health - objective ways

Descriptive - describe/summarize

Inferential - draw conclusion

151
Q

Nuclear family

A

bio parents and children

152
Q

Binuclear

A

divorced, co parenting

153
Q

Acculturation

A

modify ones culture to fit in dominate

154
Q

Assimilation

A

adopt/incorporate trait of new culture within one’s practice

155
Q

Christian

A

no medical intervention

156
Q

Jehovah’s Witness

157
Q

Catholic

A

no contraception

158
Q

Agnostic

A

offended by reference to god

159
Q

Homeopathy

A

treat with small doses of med that would cause illness

160
Q

Nautropathy

A

combo of traditional and current advances

161
Q

Maternal mortality risks

A

low SES, over 15 year old

severe bleeding, infection, HTN, unsafe abortion

OB Final (5 decks)

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