maternity test 2 Flashcards
1
Q
what should temp be postpartumly
A
norm to 100.4 first 24 hours ok then norm
2
Q
What should desperations be
A
norm 12-20
3
Q
What should blood pressure be ?
A
same has throughout pregnancy
4
Q
What would high blood pressure indicate
A
pre clampsia
5
Q
Is it normal to have heart rate between 40-60
A
yes bradycardia first 2 weeks
6
Q
Why is bradycardia happen
A
increased blood flow to heart causing increased stroke volume
7
Q
What does a decreased blood pressure indicate
A
infection or hemorrhage
8
Q
What does tachycardia indicate
A
Bad hypovelmia dehyrdation hemorrhage
9
Q
uterus returing to pre pregnant state
A
involution
10
Q
Why does the fundus moe up first
A
to prevent bleeding clamps down
11
Q
Where is the fundus right after delivery
A
midway between symphsis pubis and umbilicus
12
Q
where is fundus 6-12 hrs after birth
A
at unblilcus
13
Q
How much does fundus drop a day
A
1cm
14
Q
What does a uterus displaced to the right mean
A
bladder full … void before assessment
15
Q
What does urinary relation cause
A
urine atony
16
Q
is exsessive enuris norm
A
yes getting ride of intravenous fluid anti direct effect .. decrease aldostrone
17
Q
What are the orders lochia presents in
A
rubra
serosa
alba
18
Q
what is lochia
A
vaginal discharge after birth
19
Q
deep red 3-4 days after delivery
A
lochia rubra
20
Q
pinkish brown… 3-10 days
A
lochia serosa
21
Q
white creamy… 10-14 days pp
A
lochia alba
22
Q
what does smell y lochia indicate
A
infection… bad
23
Q
what if lochia turns back to bright red
A
to activate … slow down
24
Q
what causes afterpains
A
unterus contracting back to normal
25
Why does breastfeeding trigger afterpains
the realease of oxytocin
26
Does amount of kids increase or decrease afterpains
increase .. uterus more distended
27
what changes sensation of elimination
epidural cath feels weird stretched altered sensation
28
Can you eat and drink after delivery
yes very due to so much energy used
29
What can you do for constipation
stool softner fiber hydration ambulation sits bath
30
why constipated
decreased perastalisis .. sluggish bowel.. not eaten..fears..dehyrdation
31
what does laceration mean
tear
32
what does episotomy mean
cutting
33
hemorrhoid care
not always visible .. blood in stool.. might need rectal exam
34
what does an episotomy look like
slight bruised no red discharge or edema..
35
large swollen bluish area
hematomas
36
purulent drainage of episotomy
infection
37
how much blood do you loose at delivery ?
500 vag 1000 c-sec
38
What happens to your WBC clount postpartum
elevated slightly
39
what is lactation
secretion of milk
40
What happens after delivery of placenta
estrogen and progesterone decrease
41
what stimulates growth of milk collection
estrogen
42
what triggers milk production
prolaction
43
what hormone triggers the let down ... or ejection
oxytocin
44
what is engorgment
sweeping of breast... first 3-5 days
45
what are ways to decrease pain of engorment if breastfeeding
hot/cold .cabage leaf. message. milk expression. between feedings cold compresses
46
ways to decrease breast pain if not breastfeeding
tight bra. ice. no sexual stimulation. no hot water on them .
47
what is the first fluid available to the newborn
chlostrum
48
how long until breastmilk is available
3-4 days
49
Should you bring baby to you
yes bring baby to breast
50
what are some good latch signs
nose and check pressed tightly
swallowing ears wiggle
suck on hold dark part areola
51
what causes engorgment
pressure from increased congestion of veins and lymphatics
52
what is stria
white silvery linded skin .. stretch marks
53
does stria ever go away?
no thin silver line
54
what is diastasis recti
splitting of abdominal muscles
55
how much weight do you lose in first 2 days
17 pounds ...lose of baby placenta and fluid
56
what is different with c-section delivery
more help.. football hold.. less bleeding... infection at wound site
57
what is cervix shape after delivery
pointy fish mouth shape .. softer to never goes back
58
how soon do you menstrate
6-10 weeks if not breastfeeding
59
what comes first ovulation or menstration
ovulation
60
if excessive breastfeeding how long mestrution delayed
3 months
61
what form of contraception should they be on
any safe IED best
62
What are reva rubin 3 phases
taking in
taking hold
letting go
63
what happens in the taking in phase
first 24 hours... others to meet her needs .. passive role.. identify baby features
64
what happens in taking hold phase
independence
care of baby
health concerned .
2nd-3rd day
65
what happens in letting go phase
routine .. new normal
| after 3rd day
66
what are the father attachment phases
expectations
reality
mastery
67
what happens during expectation phase
thinks everything has to be perfect . eye opening
68
what happens during reality
overwhelemed ...sad ambivalence frustation
69
what happens during mastery
excepatance.. occurs to new role..
70
how often do you do post partum assment
15 min first hour
30 min second hour
4hrs first 24hrs
8hrs after 24 hours
71
what do you access
```
BUBBLE EEE
breast
uterus
bladder
bowels
lochia
epsiotmy
epidural
emotional
extremeties
```
72
whats a sign of a boggy or relaxed uterus
sign of uterine atony
73
what is a peribottle
squeeze bottle filled with warm water spray over perinumem
74
what is a sitz bath
basin sits on toilet bag filled warm water cleans
75
How long no urine before cath
4-6hrs
76
what is postpartum blues
transient emotional distrubances 1st week.. crying anxious insomnia
77
what is to much blood loss for a vaginal birth
more than 500 ml
78
what is to much blood loss for c section
1000 ml
79
diaphoresis
increased cap refill
cool extremities
maternal anxiety
mild shock.. less than 20% blood loss
80
tachycardia postual hypotension
| oligoria
moderate shock.. 20-40% blood loss
81
hyptension
agitation/confusion
hemodynamic instability
severe shock... greater than 40% blood loss
82
failure of uterus to contact
utirne atony
83
failure of uterus to return to its norm size after birth
subinvolution
84
what are causes of PP hemorrhage
```
subinvolution
utirne atony
episotomy/laerations
unterine inversion
couagulation disorders
hematoms
```
85
prolapse of cervix. uterus inside out
uterine inversion
86
your uterus should stay what
firm
87
what causes uterine atony
distended bladder
fibroids
pieces of placenta left in
88
```
tone
tissue
trauma
thrombin
traction
```
5 T for causes of hemorrage
89
uterine atony, distended bladder
tone
90
retatined placenta and clots
tissue
91
vaginal or cervical or uterine injury
trauma
92
cougluation prob
thrombin
93
uterine lacerations
traction
94
Ways to manage hemorrage
massage,oxytocin,breastfeeding, underlying cause, antibodies, pain med, remove fragments from placenta, monitor for shock
95
during PP nursing assent of hemmorage look at
risk factors uterine tone and vaginal bleeding
96
whats the uterus feel like if uterine atony occurs
soft and boggy
97
DVT causes
pain sweeling heat
| calf pain, edema , venous distention
98
DVT can dislodge and cause what
pulmonary embolism
99
How do you prevent DVT
prevention .. adequate circulation . education ..stockings.. heparin
100
infection of endometrium, decidua, and adjacent myometrium
metritis
101
inflammation of the breast
mastitis
102
what things help with mastitis
empty breast. control infection.. hydration
103
what is REEDA used for and what stand for
redness edema ecchymosis discharge approximation
| used for perineal healing assessment
104
what does smelly lochia indicate
metritis
105
can you continue breastfeeding if blood in breastmilk
yes
106
what are signs of baby blues
```
anxiety
irratable
mood swings
senstive
overwhelmed
tired
peaks day 3-4 PP gone by day 10
```
107
what are signs of postpartum depression
```
restless
worthless
quilty
hopeless
moddy
sad
los of joy
crying
no sex
NEEDS TREATMENT
gets progressively worst
evident within first 6 weeks PP
```
108
signs of postpartum psychosis
```
mood labilaty
delusions
hallucinations
disorganized thinking
bad
don't leave alone with baby
will be hospitalized
evident within first 3 months
```
109
What are the signs of hemmorage
drop blood pressure. increasing pulse, decreasing urinary output
110
inflammation of blood vessel lining caused by a thrombosis
thromboplhebitis
111
Chlymadia during pregnancy
effected during delivery..
| opthamlmic neaturom.. LBW, PROM
112
gonorrhea
effected during delivery
| opthamic neatomarum, miscarriage, preterm, PROM
113
Herpes type 2
can be effected during delivery
retartation. preterm,LBW deat
want c section
114
Syhpilis
all women get tested for during pregnancy
can be passed in utero.. crosses placenta
effects baby organs.. infant or fetal death
115
Trichomonias
effected in utero.. LBW PROM preterm death
116
HIV
doesn't cross placenta. blood exchange needed
| baby not treated can die of AIDS
117
pelvic inflammatory disorder
extopic pregnacy
118
improperly implanted placenta in to lower uterine segment. with painless bright red bleeding
placenta previa
119
premature separation of normally implanted placenta from uterine wall.. possible no bleeding
abruption placenta
120
bleeding that builds up behind placenta. fundal height goes up . very painful . uterus turns blue
couvelaire uterus
121
chronic villi attach directly to myometrium of uterus
acreta
122
myometrium invaded
increta
123
myopmetruim penetrated
percerta
124
artifical rupture of membranes .
amniotomy
125
bolus of amniotic fluid enters maternal circulation and then in the lungs
fluid embolism
126
technique of introducing warmed sterile saline into the uterus through IUPC
amniofusion
127
softens breakdown of collagen fibrils and effaces
cervical ripening
128
what are ways of cerival ripening
prostaglandin . cervidil. mechanial methods. surgical methods
129
score used to evaluate cervical reediness for labor
bishop score
130
irregular contractions low amplitude. ..protracted labor
hyptonic labor
131
uterus never relaxes between contractions
hypertonic labor
132
Preciputous labor
to fast. dilation greater than 5cm per hour
133
post term pregnancy
after 42 weeks
134
cessation of mess for a year or more. greater than 40
meopause
135
if before year mark or around menopause
perimenopause
136
what changes in brain during menopause
hot flashes sleep mode memory
137
what changes in heart during menopause
lower levels HDl, increased risk of CVD
138
what change in bone after menopause
bone density loss , increased risk for osteoporosis
139
what changes to breast after menopause
duct and gland tissue replaced by fat... less dense better for mamogram
140
what changes in GU after menopuase
vaginal dryness, stress, inconctinence
141
GI changes after menopause
less CA absorbed , increased fractures
142
Skin changes after menopuase
dry, thin, collagen decreases
143
what causes all these effects on the body system
decrease in estrogen
144
absence of menses during reproductive years
amenorrhea
145
absence by age 14 with no sex characteristics... or by age 16 with sexual characteristics
primary amenorrhea
146
absence of mess of 3 cycles or 6 months in women who have previously menstrated
secondary amenorrhea
147
painful menstration
dysmenorrhea
148
what causes primary dysmenorrhea
increased prostaglandin production
149
what causes secondary dysmenorrhea
pelvic or uterine pathology
150
irregular abnormal bleeding occurs with no other anatomic pathology
dysfunctional uterine bleeding
151
inaiblity to conceive a child after 1 year regular sexual activity
infertility
152
what does male infertility assessment consit of
semen anaylais
153
female infertility assessment consit of
ovarian function, pelvic organs
154
what is sign of endometriosis
pelvic pain
155
bits of functioning endometrial tissue are located outside of normal cite
endometriosis
156
risk factors for endometrious
high age, history, long flow, short period, fat diet, young start of period, no prego
157
decrease constellation of recurrent symptoms that occur during lethal phase
PMS or more sever PMDD
158
home ovulation kit
change in LH
159
clomphine citrate
FSH
160
hysterosalpinogram
dye in tubes
161
laparoscopy
incision in abdominal wall
162
refers to abnormal descent or herniation of pelvic organs
Pelvic organ prolapse
163
when rectum sags and pushes against or into posterior vaginal wall
rectocele
164
small intestine bulges through posterior vaginal wall
enterocele
165
posterior bladder wall protrudes downward through anterior vaginal wall
cystocele
166
uterus descends through pelvic floor and into vaginal wall
uterine prolapse
167
Symptoms of prolapse
feeling of dragging lump in vagina something coming down
168
synthetic dévide inserted in vagina for support and bladder
pessaries
169
Management of prolapse
kegel, diet, pessaries, surgery
170
what fixes cystocele and rectocele
colporrhapy
171
what fixes uterine prolapse
vaginal hysterectomy
172
involuntary loss of urine that represents a hygienic or social problem
urinary incontinence
173
what are common causes of UI
urge, stress and mixed
174
what is urge UI
detrusor or muscle contractions
175
stress UI
inadequate sphincter
176
with UI asses what
onset frequency severity .. nuero rectal exam uranaylsis culture
177
Management for Urge UI
bladder training, legal, pessary, anticholengerics, surgery
178
management for stress UI
weight loss, smoking cessation, avoid constipation, Kegel , pessaries, vaginal cones, dulxetine, estrogen
179
small usually benign growth frequently caused by infection
polyp
180
where is most common spot for polyp
cervix and uterus
181
Management of polyps
remvoal via forceps, hysterectomy, laser vaporatzation
182
what color are endocervical polups
cherry red
183
what color are cervical polyps
grayish white
184
symptoms of polyps
abnormal vaginal bleeding or discharge
185
how do you diagnosis polyps
when visualized through speculum
186
benign tumors composed of smooth muscle and fibrous connective tissue in uterus
Fibroids
187
classifications of fibroids
suberosal; underneath perotineal layer
| intramural; within wall uterus
188
surgical treatments for fibroids
myomectomy; fibroid removed
laser surgery; destroying small fibroids
hysterectomy; removal of uterus
189
abnormal opening between GU tract and another organ such as urinary or GI tract
Genetial Fistula
190
vesisovaginal
bladder to GI
191
urethrovaginal
urethra to vagina
192
rectovaginal
rectum to vagina
193
swollen guild filled sac like structure that results when 1 of the ducts become blocked
Bartholins cyst
194
how do you diagnosis bartholins cyst
when mass is located
195
Fluid filled sac that forms on the ovary
ovarian cyst
196
types of ovarian cysts
follicular; failure of the ovarian folic to rupture at ovulation
corpus letum; when corpus letup becomes cystic or hemorragic fails to degenerate
theca lutein; increased HCG
197
involves the presence of multiple inactive follicle cysts within the ovary that interfere with ovarian function
polycystic ovary syndrome
198
signs and symptoms of POS
hirsutism,alpoceia, infertility , ovesity, insulin restiatnt, cancer risks
199
typically not diagnosed . no adequate screening test
ovarian cancer
200
symptoms of ovarian cancer
bloating, fatigue, vague abdominal pain, urinary frequency, constipation, diarrhea,
201
symptoms of endometrial cancer
unexpected bleeding after menopause. change in size and shape of uterus
202
changes in cellular lining at squamous columnar junction
cervical cancer
203
procedure used to obtain cells from the cervix for cytology screening
PAP test... cervical cancer
204
symptom of cervical cancer
abnormal vaginal bleeding after sexual intercourse
205
signs of vaginal cancer
painless vaginal bleeding, abnormal discharge, dysuria, constipation
206
abnormal growth on external female genetial
vulvar cancer
207
symptoms of vulvar cancer
persistant itching, burning, edema, raised fleshy lesion
208
management of vulvar cancer
no tight garments, examine self, condoms, no smoking
209
painless sores. only one that crosses placenta .. treat with penicillin
syphilis
210
treat with doxycoline
chlymadia
211
itching. vaginal dishrage
trichomoniasis
212
if live HPV outbreak at delivery
infant can get
213
most common bacterial STI
chylamydia
214
neonatal conjuctivitis
gonorhea and chylamdia
215
reccurnt lifelong viral infectin
herpes
216
treat with penicillin
syphilis
217
inflammatory state of upper female GU tract involves uterine lining tubes
PID pelvic inflammatory disorder
218
symptoms of PID
lower stomach tenderness, adnexal tenderness
219
most common viral infection
HPV
