Final Exam Study Guide & Tutoring Flashcards
Most common form of violence against women
Intimate partner violence
When is a woman at greatest risk for intimate partner violence?
during pregnancy
What is the dose for Methergine?
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0.2 mg IM every 2-4 hours
- Side effect = diarrhea
- HOLD for HTN
- hold for HTN
What is the dose for Hemabate?
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0.25 mg IM
- Side effect = diarrhea
- HOLD for Asthma
- Hemabate = hold for asthma
Interventions for Engorgement in women who are NOT breastfeeding
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- ice packs
- tight bra
- cabbage leaves
Interventions for Engorgement in women who ARE breastfeeding
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- feed infant 8-12 times within 24 hours
- hand expression
- do NOT pump (otherwise more milk is produced)
CCHD Screening Parameters
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Exam 2
Oxygen Saturation with Less than 3% difference to pass, must be above 95%
- monitor placed on R hand (preductal) & either foot
Where are O2 monitors placed for CCHD Screening?
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- R hand (pre-ductal)
- Either foot (post-ductal
3 Phases of Walker Cycle Theory of Violence
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- Tension building
- Acute battering incident
- Loving contrition (“honeymoon” phase)
3 Phases of Rape Trauma Syndrome
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- Disorganization
- Outward adjustment
- Reorganization
What substance use disorder is the most common cause of cognitive impairment for a fetus?
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Alcohol use
What is the 2nd most common STI?
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Gonorrhea
What is the most serious complication of chlamydia & leads to an increased risk for ectopic pregnancy?
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Pelvic Inflammatory Disorder (PID)
The risk of neonatal infection is highest when the primary outbreak of this virus is at or near term.
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Herpes Simplex Virus Type 2 (HSV-2)
Perinatal transmission of what virus is most threatening to the fetus & neonate?
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Hepatitis B
What is the name of the group of infections that cna affect a pregnant woman, her fetus, and cross the placenta?
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TORCH Infections
- Toxoplasmosis
- Other Agents (Hep A, Hep B, varicella zoster virus, HIV, etc.)
- Rubella
- Cytomegalovirus
- Herpes Simplex Virus
Maternal & Fetal Affects of various Drugs
- Tobacco
- Alcohol
- Opioids
- Cocaine
- Methamphetamines
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- Tobacco = growth restriction
- Alcohol = cognitive delay
- Opioids = NAS
- Cocaine = Placental abruption
- Methamphetamines = Placental abruption
How does maternal use of tobacco impact a fetus?
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Growth Restriction
How does maternal use of alcohol impact a fetus?
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Cognitive delay
How does maternal use of opioids impact a fetus?
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NAS
How does maternal use of cocaine impact a fetus?
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Placental Abruption
placenta detaches from uterus early
How does maternal use of methamphetamiens impact a fetus?
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Placental abruption
placenta detaches from uterus
What is the most common type of solid breast mass?
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Fibroadenoma
- discrete
- solitary lumps < 3 cm in diameter
What are leiomyomas? How are they managed?
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Benign fibroids
- Medical Management: medications & uterine artery embolism (UAE)
*
- Surgical Management: laster surgery, myomectomy, hysterectomy
Cystocele / Prolapsed Bladder
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- Difficulty emptying bladder
- Slow urine stream
- Urge to urinate right after peeing
What are the 3 types of urinary incontience?
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- Stress
- Urge
- Mixed
Primary Dysmenorrhea
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Condition associated with ovulatory cycles
- excessive release of prostaglandins causes pain
Secondary Dysmenorrhea
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Acquired menstrual pain that develops later in life; usually after age 25
- usually associated with pelvic pathology
Endometriosis
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Presence & growth of endometrial tissue OUTSIDE of the uterus
*
Signs & Symptoms:
* dysmenorrhea
* deep pelvic dyspareunia
* ainful intercourse
Primary Amenorrhea
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Absence of both menarche & secondary sexual characteristics by age 13
OR
Absence of menses by age 16 regardless of presence of normal growth & development
Secondary Amenorrhea
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6+ month absence of menses after a period of menstruation