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Cathey Parkes > Maternity Nursing > Flashcards

Maternity Nursing Flashcards

1
Q

What is abstinence?

A

Not partaking in sexual intercourse.

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2
Q

What is withdrawal?

A

Pulling out of the penis before ejaculation.

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3
Q

What is natural family planning?

A

Avoiding and of course during fertile periods. Use calendar method and or daily assessment of basal body temperature or cervical mucus consistency. There is no STI production with the withdrawal or natural family planning method.

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4
Q

What is a diaphragm?

A

A flexible down placed over the cervix, usually use with spermicide.

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5
Q

How many hours before sex can you answer at the diaphragm?

A

Up to six hours before.

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6
Q

How long should you keep the diaphragm in place after sex?

A

Keep the diaphragm in place for at least six hours but no more than 24 total.

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7
Q

How often should you reapply spermicide?

A

Reapply spermicide around the room prior to each active intercourse.

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8
Q

When should you get re-fitted for a diaphragm?

A

Every two years, with the weight change of greater than 10 pounds, after pregnancy or abdomen and pelvic surgery.

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9
Q

What is the only method the office protection against STI’s when it comes to contraception?

A

Condoms.

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10
Q

How do you apply a male condom?

A

Pinch the tip of the condom during application to create a reservoir for ejaculation.

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11
Q

What are oral contraception’s?

A

Hormone based oral medications that suppress ovulation and prevent in plantation. Includes Combined oral contraceptive estrogen and progesterone and progestin only many pills.

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12
Q

What are the side effects of oral contraceptives?

A

Breast tenderness, breakthrough bleeding, fluid retention, nausea, HTN, headache.

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13
Q

What are the contra indications of oral contraception?

A

Smoking because it increases blood clot risk, pregnancy, history of blood clot’s, stroke, CAD, uncontrolled HTN. Combined oral contraceptives during breast-feeding.

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14
Q

What is the patient teaching for oral contraceptives?

A

Take pills near the same time each day.

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15
Q

What is a big thing to monitor for with oral contraception’s?

A

Look for the signs and symptoms of thromboembolic advance DVT. PE, stroke, or am I. Carefully follow instructions for Mixto says there is no STI protection

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16
Q

What are the only pills that are safe during breast-feeding for birth control?

A

Progesterone only pill’s are safe during breast-feeding, but are less effective than come up combination oral contraception.

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17
Q

How can we remember that contraceptives calls clots?

A

CCC

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18
Q

What is medroxyprogestetone (depp-provers)? 

A

Possession only I am or subcutaneous injection that suppresses ovulation, prevents implantation, and increase his viscosity of cervical mucus.

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19
Q

What are the side effects of the Depo shot?

A

Irregular periods you will have spotting, weight gain, decreased libido, decreased bone density, headache, nervousness.

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20
Q

What is the patient teaching for the Depo shot?

A

Get injections every 12 weeks to increase calcium and vitamin D intake, engage in weight bearing exercises. Remind her that there is no STI protection.

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21
Q

What is the transdermal patch contraception?

A

Estrogen and progesterone patch applied on lower abdomen, bodyaches, or upper body excluding the breasts.

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22
Q

How often do you apply transdermal patch?

A

Apply new patch to different site each week for three weeks, no patch for one week to allow for ministration.

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23
Q

What is the vaginal rain contraception?

A

Small, flexible ring that releases estrogen and progesterone.

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24
Q

How was the vaginal ring use?

A

Left in place for three weeks, taking out for the fourth week to allow for menstruation.

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25
Q

What is acceptable implant?

A

Progesterone only rod and planted under the skin in the upper arm using a local anesthetic.

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26
Q

How long does the implant last?

A

Three years.

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27
Q

What are the side effects for the transdermal patch, vaginal rain, sub dermal implant?

A

Breast tenderness, breakthrough bleeding, fluid retention, nausea, HTN, headache.

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28
Q

HTN?

A

Hypertension

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29
Q

What is an IUD?

A

T shade device inserted into the uterus via the cervix. Releases hormones or copper ions that harm sperm and prevent fertilization.

30
Q

What are the side effects of an IUD?

A

Increased risk for a topic pregnancy, pelvic inflammatory disease PID, uterine perforation, irregular periods, cramping.

31
Q

What is the patient teaching for an IUD?

A

Check the string length monthly.
Report to the provider: change and string links, abdominal pain, foul smelling discharge.
Does not protect against STDs.

32
Q

What is female sterilization?

A

Surgery that serves severs the fallopian tubes. Provides permanent sterilization, cannot be reversed.

33
Q

What is a vasectomy?

A

Surgery that severs the vast difference.

34
Q

What must you keep in mind about a vasectomy?

A

Requires follow-up testing of sperm count!
Utilize an alternative form of birth control until semen is free of sperm usually about 2 to 4 months.
Reversal may be possible.

35
Q

What is infertility?

A

The inability to conceive for at least one year.

36
Q

What are the Risk factors of infertility?

A

Older female, endometriosis, ovulation disorders, tubal occlusion, hormonal disorders, low sperm count, male with history of mumps. 

37
Q

What are the three ways we diagnose infertility?

A

Semen analysis
Hysterosalpingograpgy
Hysteroscopy 

38
Q

What is the semen analysis?

A

Often the first test performed because it is non-invasive and less expensive to see if that is the cause of the infertility.

39
Q

What is hysterosalpingograpgy?

A

Contrast dye is used to assess the paint and see at the fallopian tubes. Assess for allergies to start shellfish and I don’t prior to the procedure.

40
Q

What is a hysteroscopy,

A

Visual exam via camera to assess the uterus.

41
Q

What is the treatment of infertility?

A

Intrauterine insemination, in vitro fertilization IVF, embryo transfer ET, donor eggs embryo sperm, gestational carrier surrogate. 

42
Q

What are the three categories of signs of pregnancy?

A

Presumptive, probable, positive.

43
Q

What are the presumptive signs of pregnancy?

A

Fatigue, nausea, vomiting, urinary frequency, amenorrhea , breast changes, quickening.

44
Q

Why are they called presumptive signs?

A

The signs could be explained by other conditions other than pregnancy.

45
Q

What is amenorrhea? 

A

No period.

46
Q

What is quickening?

A

Sensation of fetal movement , may just be gas.

47
Q

What are the probable signs of pregnancy?

A 
Chadwicks Sign 
Goodwills sign 
Hegars sign 
Ballottement 
Positive pregnancy test 
48
Q

How do you remember the probable signs of pregnancy?

A

All the signs are the probable signs.

49
Q

What is Chadwick sign?

A

Chadwick’s sign is an early sign of pregnancy. It occurs when blood flow to the cervix and vagina increases around the fourth week of pregnancy, causing those tissues to become purplish-red.

50
Q

What is Goodells sighn?

A

It is a significant softening of the vaginal portion of the cervix from increased vascularization.

51
Q

Hegar’s Sign

A

It is demonstrated as a softening in the consistency of the uterus, and the uterus and cervix seem to be two separate regions.

52
Q

Ballottement

A

a technique of feeling for a movable object in the body, esp confirmation of pregnancy by feeling the rebound of the fetus following a quick digital tap on the wall of the uterus.

53
Q

What are the positive signs of pregnancy?

A

Fetal heart sounds, fetal movement felt by a healthcare provider, ultrasound visualization of the fetus. These are the definite signs for pregnancy.

54
Q

What is a sentence that will help you remember the positive signs of pregnancy?

A

Baby can be heard, felt or seen!

55
Q

What are the respiratory changes during pregnancy?

A

Increased oxygen requirements and respiratory rate, decreased lung capacity.

56
Q

What are the cardiovascular changes during pregnancy?

A

Increase cardiac output, heart rate, blood volume, RBCs, coagulation factors.

57
Q

What happens to a woman’s hemoglobin and hematocrit during pregnancy?

A

They decrease due to dilution of RBCs and increase plasma physiologic anemia.

58
Q

What is true anemia?

A

True anemia is if the hemoglobin is less than 11. In the first and third trimesters. Or a hemoglobin less than 10.5 in the second trimester.

59
Q

What does it increase in coagulation factors during pregnancy mean for the woman?

A

Increased risk of blood clots.

60
Q

What are the musculoskeletal changes during pregnancy?

A

Pelvic joint relaxation, lordosis which is an increased N-word curvature of the lumbar spine.

61
Q

What are the endocrine changes during pregnancy?

A

Production and secretion of hormones from the placenta such as HCG, progesterone, estrogen.

62
Q

What are the Gastro intestinal changes during pregnancy?

A

Decreased peristalsis and gastric emptying. This can contribute to nausea vomiting, constipation, heartburn.

63
Q

Why do women have nausea vomiting, constipation, heartburn during pregnancy?

A

There is a decrease in peristalsis and gastric emptying.

64
Q

What are the renal changes during pregnancy?

A

Increase blood flow to the kidneys, urinary frequency.

65
Q

What are the reproductive changes during pregnancy?

A

The uterus and breast increase in size. Cervix softens and becomes blue/purple. Ariola‘s darken.

66
Q

A heavier uterus can compress the inferior vena cava in the supine position, causing a drop in blood pressure also known as supine hypotensive syndrome. What should we advise the patient to do?

A

Advise patient to rest in the side lying position or with a pillow under one hip.

67
Q

What are the integumentary changes during pregnancy?

A

Chloasma (brown patches on face)
Striae geavidarum (stretch marks)
Línea nigra (line from navel to pubic bone).

68
Q

When should the first prenatal care visit Be?

A

Within the first 12 weeks of pregnancy.

69
Q

What should be done during the first prenatal visit?

A

Obtain office in the Tronic history, GTPAL.
Calculate estimated day of delivery.
Labs.
Transvaginal ultrasound to confirm pregnancy, site of implantation, and gestational age.
Maternal teaching
After this point, fetal heart rate will be accessed via Doppler and vital sign wait will be obtained at each visit.

70
Q

What labs do you get during the first prenatal care visit?

A

CBC, urinary analysis, STI testing, Pap test, blood typing including Rh factor, rubella tighter, happy, HIV. For high-risk patients hCG levels.

71
Q

How often do you have prenatal visits?

A

Monthly until 28 weeks.

72
Q

Left off on card 13

A

Left off on card 13

Cathey Parkes (4 decks)

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