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Maternal Health Final > Final Exam Review (maternal health > Flashcards

Final Exam Review (maternal health Flashcards

Maternal Health

1
Q

Pills: Education, contrindication, signs and symptoms of adverse reactions

A

Education: Take at the same time daily; effectiveness reduced by missed doses or certain antibiotics.Contraindication: Smokers over 35, history of thromboembolic disorders, liver disease.Adverse Reactions: Nausea, weight gain, mood changes, blood clots (e.g., leg pain, chest pain).

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2
Q

Patch: Education, contrindication, signs and symptoms of adverse reactions

A

Education: Apply to clean, dry skin on the abdomen, buttock, or arm; change weekly for three weeks, then one patch-free week.Contraindication: Same as pills; skin disorders at the application site.Adverse Reactions: Skin irritation, breast tenderness, headache, thromboembolism.

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3
Q

Injection: Education, contrindication, signs and symptoms of adverse reactions

A

Education: Administer every 12 weeks; maintain calcium intake due to risk of bone density loss.Contraindication: Liver disease, undiagnosed vaginal bleeding.Adverse Reactions: Weight gain, delayed return to fertility, menstrual irregularities.

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4
Q

Implant: Education, contrindication, signs and symptoms of adverse reactions

A

Education: Effective for up to three years; inserted in the upper arm.
Contraindication: Liver tumors, thromboembolic disorders.
Adverse Reactions: Irregular bleeding, mood changes, headache

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5
Q

Condoms: Education, contrindication, signs and symptoms of adverse reactions

A

Education: Use new condom for each act of intercourse; avoid oil-based lubricants with latex.
Contraindication: Latex allergy (use polyurethane).
Adverse Reactions: Rare; irritation or allergic reaction.

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6
Q

Diaphrams: Education, contrindication, signs and symptoms of adverse reactions

A

Education: Insert prior to intercourse; leave in place for 6-8 hours after. Use with spermicide.
Contraindication: History of toxic shock syndrome (TSS).
Adverse Reactions: Irritation, risk of TSS if left too long.

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7
Q

Natural Family Planning: Education, contrindication, signs and symptoms of adverse reactions

A

Education: Requires monitoring basal body temperature, cervical mucus, and calendar tracking.
Contraindication: Irregular menstrual cycles.
Adverse Reactions: None, but high failure rate if not used correctly.

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8
Q

IUD: Education, contrindication, signs and symptoms of adverse reactions

A

Education: Long-term contraception; check strings monthly to ensure placement.
Contraindication: Uterine abnormalities, PID, active STI.
Adverse Reactions: Cramping, spotting, risk of uterine perforation.

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9
Q

What roles do FSH, LH, Estrogen, Progesterone play in the Menstrual Cycle:

A

FSH: Stimulates follicle growth.
LH: Surge triggers ovulation.
Estrogen: Thickens the endometrial lining.
Progesterone: Maintains the lining for implantation.

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10
Q

What are the Signs of Ovulation

A

Cervical mucus becomes clear and stretchy.
Slight rise in basal body temperature.
Ovulation pain (Mittelschmerz).

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11
Q

What are the emotional aspects of infertility

A

Stress, depression, Guilt, relationship strain

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12
Q

What major organ systems develop and when in utero

A
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13
Q

What are the critical periods of devolopment for baby while in utero

A
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14
Q

What does GTPAL mean and example of it

A

G5T3P1A1L4
Gravida: Total pregnancies.
Term: Full-term births.
Preterm: Births before 37 weeks.
Abortions: Losses before viability.
Living: Current living children.

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15
Q

what is the first step of fertility testing and why

A

Male testing (e.g., semen analysis) is typically less invasive and easier than female testing.

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16
Q

How can the use of illicet drugs impact pregancy (Heroin)

A

Preterm labor, fetal growth restriction, neonatal abstinence syndrome (NAS).

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17
Q

What is a Biophysical Profile?

A

Ultrasound assessment of Fetal well- being

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18
Q

What are the components of BPP

A

Fetal breathing, movememnt, tone, amniotic fluid, and Nonstress test

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19
Q

What is an Amniocentesis

A

Extraction of amniotic fluid for genetic testing.

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20
Q

Nursing Considerations for Amniocentesis

A

Monitor for infection, leakage, and contractions.

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21
Q

Presumptive signs of Pregancy

A

Missed period, nausea, fatigue.

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22
Q

Proable signs of Pregancy

A

Positive pregnancy test, Hegar’s sign

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23
Q

Positive signs of Pregancy

A

Fetal heartbeat, ultrasound confirmation.

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24
Q

Using Nagele’s Rule what is the estimated delivery date (EDD) for a women who’s LMP was Oct. 14, 2024

A

LMP + 7 days - 3 months + 1 year.
Oct. 14 (+7days) - 3 Months= July 21st 2025

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25
Q

What are the levels of Folic acid, iron, and calcium you need during pregancy

A

Folic acid
iron
calcium

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26
Q

What are common pregancy discomforts how might they be releived

A
27
Q

When during pregancy should you call the physician (dangers)

A
28
Q

Stages of Labor

A

Cervical Dialation (latent, Active, transition)
Fetal Expulsion
Placental delivery
Post Partum Recover

29
Q

Nonpharmacological pain management options for labor pain

A

Breathing, massage, hydrotherapy, counter pressure, repositioning

30
Q

Pharmacologic Pain management for Labor pain

A

IV analgesics (fent), epidural anesthesia

31
Q

Nursing interventions for fetal tone decelerations

A
32
Q

Placental abruption management and risks

A

Placenta detaches from the uterus- Painful bleeding- fetal distress, r/4 hemmorrhage

33
Q

Placenta Previa management and risks

A

Placenta is close to or covers the Cervix- Painless bleeding- requires C/S

34
Q

PPH causes

A

Uterine Atony, retained placenta

35
Q

PPH Medications

A

Pitocin, Methergin, Hemabate

36
Q

Engorgement treatment

A

Use of ice packs, cabbage leaves, well fitting bra- propeer latching

37
Q

What is proper latching for breast feeding

A
38
Q

How to care for mastitis

A

Antibiotics, cont to breast feed or pump

39
Q

What is the difference between post partum blues and depression

A

Blues resolve in 2 weeks, depression starts to devolop at 2 weeks- and becomes presistent depression which needs treatment

40
Q

Normal Newborn Vitals

A

HR: 120-160 bpm
RR: 30-60/min
Temp: 97.7-99.5°F.

41
Q

What are newborn reflexes that should be present at birth

A

Rooting: head turns in direction of touch- opens mouth for feedings
Moro: baby extends arms and palms up
Babinski: toes fan back and out when foot is stroked

42
Q

Hypoglycemia symptoms in a newborn

A

Jitteriness, poor feeding, low blood sugar (<40 mg/dL).

43
Q

Circumcision care for boys

A

Gomco: Use petroleum jelly.
Plastibell: Allow ring to fall off naturally.

44
Q

Assessment of preterm newborn

A

Thin skin, underdeveloped fat.

45
Q

Assessment of Term newborn

A

Pink, flexed posture

46
Q

Assessment of post-term newborn

A

Dry skin, long nails

47
Q

Pitocin: purpose, side effects, education, contrindications

A
48
Q

Cytotec: purpose, side effects, education, contrindications

A
49
Q

Methergine: purpose, side effects, education, contrindications

A
50
Q

Hemabate: purpose, side effects, education, contrindications

A
51
Q

Bathamethasone: purpose, side effects, education, contrindications

A
52
Q

Nubain: purpose, side effects, education, contrindications

A
53
Q

Epidural:purpose, side effects, education, contrindications

A
54
Q

Narcan: purpose, side effects, education, contrindications

A
55
Q

Lactated Ringer’s: purpose, side effects, education, contrindications

A
56
Q

Assessment for vaginal delivery

A
57
Q

Assessment for c/s delivery

A
58
Q

Post partum asssessment

A
59
Q

Newborn Assessment normals

A
60
Q

Maladaptation vs adaptation

A
61
Q

preeclamspia complications and education

A
62
Q

Hyperemesis complication, education

A
63
Q

Insulin changes for diabetics during pregancy

A
64
Q

Gestation diabetes management

A

Maternal Health Final (2 decks)

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