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Maternity test 2 > maternity test 2 > Flashcards

maternity test 2 Flashcards

1
Q

what should temp be postpartumly

A

norm to 100.4 first 24 hours ok then norm

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2
Q

What should desperations be

A

norm 12-20

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3
Q

What should blood pressure be ?

A

same has throughout pregnancy

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4
Q

What would high blood pressure indicate

A

pre clampsia

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5
Q

Is it normal to have heart rate between 40-60

A

yes bradycardia first 2 weeks

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6
Q

Why is bradycardia happen

A

increased blood flow to heart causing increased stroke volume

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7
Q

What does a decreased blood pressure indicate

A

infection or hemorrhage

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8
Q

What does tachycardia indicate

A

Bad hypovelmia dehyrdation hemorrhage

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9
Q

uterus returing to pre pregnant state

A

involution

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10
Q

Why does the fundus moe up first

A

to prevent bleeding clamps down

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11
Q

Where is the fundus right after delivery

A

midway between symphsis pubis and umbilicus

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12
Q

where is fundus 6-12 hrs after birth

A

at unblilcus

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13
Q

How much does fundus drop a day

A

1cm

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14
Q

What does a uterus displaced to the right mean

A

bladder full … void before assessment

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15
Q

What does urinary relation cause

A

urine atony

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16
Q

is exsessive enuris norm

A

yes getting ride of intravenous fluid anti direct effect .. decrease aldostrone

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17
Q

What are the orders lochia presents in

A

rubra
serosa
alba

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18
Q

what is lochia

A

vaginal discharge after birth

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19
Q

deep red 3-4 days after delivery

A

lochia rubra

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20
Q

pinkish brown… 3-10 days

A

lochia serosa

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21
Q

white creamy… 10-14 days pp

A

lochia alba

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22
Q

what does smell y lochia indicate

A

infection… bad

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23
Q

what if lochia turns back to bright red

A

to activate … slow down

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24
Q

what causes afterpains

A

unterus contracting back to normal

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25
Q

Why does breastfeeding trigger afterpains

A

the realease of oxytocin

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26
Q

Does amount of kids increase or decrease afterpains

A

increase .. uterus more distended

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27
Q

what changes sensation of elimination

A

epidural cath feels weird stretched altered sensation

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28
Q

Can you eat and drink after delivery

A

yes very due to so much energy used

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29
Q

What can you do for constipation

A

stool softner fiber hydration ambulation sits bath

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30
Q

why constipated

A

decreased perastalisis .. sluggish bowel.. not eaten..fears..dehyrdation

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31
Q

what does laceration mean

A

tear

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32
Q

what does episotomy mean

A

cutting

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33
Q

hemorrhoid care

A

not always visible .. blood in stool.. might need rectal exam

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34
Q

what does an episotomy look like

A

slight bruised no red discharge or edema..

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35
Q

large swollen bluish area

A

hematomas

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36
Q

purulent drainage of episotomy

A

infection

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37
Q

how much blood do you loose at delivery ?

A

500 vag 1000 c-sec

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38
Q

What happens to your WBC clount postpartum

A

elevated slightly

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39
Q

what is lactation

A

secretion of milk

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40
Q

What happens after delivery of placenta

A

estrogen and progesterone decrease

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41
Q

what stimulates growth of milk collection

A

estrogen

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42
Q

what triggers milk production

A

prolaction

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43
Q

what hormone triggers the let down … or ejection

A

oxytocin

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44
Q

what is engorgment

A

sweeping of breast… first 3-5 days

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45
Q

what are ways to decrease pain of engorment if breastfeeding

A

hot/cold .cabage leaf. message. milk expression. between feedings cold compresses

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46
Q

ways to decrease breast pain if not breastfeeding

A

tight bra. ice. no sexual stimulation. no hot water on them .

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47
Q

what is the first fluid available to the newborn

A

chlostrum

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48
Q

how long until breastmilk is available

A

3-4 days

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49
Q

Should you bring baby to you

A

yes bring baby to breast

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50
Q

what are some good latch signs

A

nose and check pressed tightly
swallowing ears wiggle
suck on hold dark part areola

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51
Q

what causes engorgment

A

pressure from increased congestion of veins and lymphatics

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52
Q

what is stria

A

white silvery linded skin .. stretch marks

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53
Q

does stria ever go away?

A

no thin silver line

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54
Q

what is diastasis recti

A

splitting of abdominal muscles

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55
Q

how much weight do you lose in first 2 days

A

17 pounds …lose of baby placenta and fluid

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56
Q

what is different with c-section delivery

A

more help.. football hold.. less bleeding… infection at wound site

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57
Q

what is cervix shape after delivery

A

pointy fish mouth shape .. softer to never goes back

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58
Q

how soon do you menstrate

A

6-10 weeks if not breastfeeding

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59
Q

what comes first ovulation or menstration

A

ovulation

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60
Q

if excessive breastfeeding how long mestrution delayed

A

3 months

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61
Q

what form of contraception should they be on

A

any safe IED best

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62
Q

What are reva rubin 3 phases

A

taking in
taking hold
letting go

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63
Q

what happens in the taking in phase

A

first 24 hours… others to meet her needs .. passive role.. identify baby features

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64
Q

what happens in taking hold phase

A

independence
care of baby
health concerned .
2nd-3rd day

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65
Q

what happens in letting go phase

A

routine .. new normal

after 3rd day

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66
Q

what are the father attachment phases

A

expectations
reality
mastery

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67
Q

what happens during expectation phase

A

thinks everything has to be perfect . eye opening

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68
Q

what happens during reality

A

overwhelemed …sad ambivalence frustation

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69
Q

what happens during mastery

A

excepatance.. occurs to new role..

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70
Q

how often do you do post partum assment

A

15 min first hour
30 min second hour
4hrs first 24hrs
8hrs after 24 hours

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71
Q

what do you access

A 
BUBBLE EEE
breast 
uterus 
bladder
bowels
lochia
epsiotmy 
epidural
emotional 
extremeties
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72
Q

whats a sign of a boggy or relaxed uterus

A

sign of uterine atony

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73
Q

what is a peribottle

A

squeeze bottle filled with warm water spray over perinumem

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74
Q

what is a sitz bath

A

basin sits on toilet bag filled warm water cleans

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75
Q

How long no urine before cath

A

4-6hrs

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76
Q

what is postpartum blues

A

transient emotional distrubances 1st week.. crying anxious insomnia

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77
Q

what is to much blood loss for a vaginal birth

A

more than 500 ml

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78
Q

what is to much blood loss for c section

A

1000 ml

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79
Q

diaphoresis
increased cap refill
cool extremities
maternal anxiety

A

mild shock.. less than 20% blood loss

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80
Q

tachycardia postual hypotension

oligoria

A

moderate shock.. 20-40% blood loss

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81
Q

hyptension
agitation/confusion
hemodynamic instability

A

severe shock… greater than 40% blood loss

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82
Q

failure of uterus to contact

A

utirne atony

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83
Q

failure of uterus to return to its norm size after birth

A

subinvolution

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84
Q

what are causes of PP hemorrhage

A 
subinvolution
utirne atony
episotomy/laerations
unterine inversion
couagulation disorders
hematoms
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85
Q

prolapse of cervix. uterus inside out

A

uterine inversion

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86
Q

your uterus should stay what

A

firm

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87
Q

what causes uterine atony

A

distended bladder
fibroids
pieces of placenta left in

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88
Q 
tone 
tissue
trauma 
thrombin
traction
A

5 T for causes of hemorrage

89
Q

uterine atony, distended bladder

A

tone

90
Q

retatined placenta and clots

A

tissue

91
Q

vaginal or cervical or uterine injury

A

trauma

92
Q

cougluation prob

A

thrombin

93
Q

uterine lacerations

A

traction

94
Q

Ways to manage hemorrage

A

massage,oxytocin,breastfeeding, underlying cause, antibodies, pain med, remove fragments from placenta, monitor for shock

95
Q

during PP nursing assent of hemmorage look at

A

risk factors uterine tone and vaginal bleeding

96
Q

whats the uterus feel like if uterine atony occurs

A

soft and boggy

97
Q

DVT causes

A

pain sweeling heat

calf pain, edema , venous distention

98
Q

DVT can dislodge and cause what

A

pulmonary embolism

99
Q

How do you prevent DVT

A

prevention .. adequate circulation . education ..stockings.. heparin

100
Q

infection of endometrium, decidua, and adjacent myometrium

A

metritis

101
Q

inflammation of the breast

A

mastitis

102
Q

what things help with mastitis

A

empty breast. control infection.. hydration

103
Q

what is REEDA used for and what stand for

A

redness edema ecchymosis discharge approximation

used for perineal healing assessment

104
Q

what does smelly lochia indicate

A

metritis

105
Q

can you continue breastfeeding if blood in breastmilk

A

yes

106
Q

what are signs of baby blues

A 
anxiety 
irratable
mood swings
senstive
overwhelmed
tired
peaks day 3-4 PP gone by day 10
107
Q

what are signs of postpartum depression

A 
restless
worthless
 quilty
hopeless
moddy
sad
los of joy
crying
no sex
NEEDS TREATMENT 
gets progressively worst
evident within first 6 weeks PP
108
Q

signs of postpartum psychosis

A 
mood labilaty
delusions
hallucinations
disorganized thinking
bad 
don't leave alone with baby
will be hospitalized
evident within first 3 months
109
Q

What are the signs of hemmorage

A

drop blood pressure. increasing pulse, decreasing urinary output

110
Q

inflammation of blood vessel lining caused by a thrombosis

A

thromboplhebitis

111
Q

Chlymadia during pregnancy

A

effected during delivery..

opthamlmic neaturom.. LBW, PROM

112
Q

gonorrhea

A

effected during delivery

opthamic neatomarum, miscarriage, preterm, PROM

113
Q

Herpes type 2

A

can be effected during delivery
retartation. preterm,LBW deat
want c section

114
Q

Syhpilis

A

all women get tested for during pregnancy
can be passed in utero.. crosses placenta
effects baby organs.. infant or fetal death

115
Q

Trichomonias

A

effected in utero.. LBW PROM preterm death

116
Q

HIV

A

doesn’t cross placenta. blood exchange needed

baby not treated can die of AIDS

117
Q

pelvic inflammatory disorder

A

extopic pregnacy

118
Q

improperly implanted placenta in to lower uterine segment. with painless bright red bleeding

A

placenta previa

119
Q

premature separation of normally implanted placenta from uterine wall.. possible no bleeding

A

abruption placenta

120
Q

bleeding that builds up behind placenta. fundal height goes up . very painful . uterus turns blue

A

couvelaire uterus

121
Q

chronic villi attach directly to myometrium of uterus

A

acreta

122
Q

myometrium invaded

A

increta

123
Q

myopmetruim penetrated

A

percerta

124
Q

artifical rupture of membranes .

A

amniotomy

125
Q

bolus of amniotic fluid enters maternal circulation and then in the lungs

A

fluid embolism

126
Q

technique of introducing warmed sterile saline into the uterus through IUPC

A

amniofusion

127
Q

softens breakdown of collagen fibrils and effaces

A

cervical ripening

128
Q

what are ways of cerival ripening

A

prostaglandin . cervidil. mechanial methods. surgical methods

129
Q

score used to evaluate cervical reediness for labor

A

bishop score

130
Q

irregular contractions low amplitude. ..protracted labor

A

hyptonic labor

131
Q

uterus never relaxes between contractions

A

hypertonic labor

132
Q

Preciputous labor

A

to fast. dilation greater than 5cm per hour

133
Q

post term pregnancy

A

after 42 weeks

134
Q

cessation of mess for a year or more. greater than 40

A

meopause

135
Q

if before year mark or around menopause

A

perimenopause

136
Q

what changes in brain during menopause

A

hot flashes sleep mode memory

137
Q

what changes in heart during menopause

A

lower levels HDl, increased risk of CVD

138
Q

what change in bone after menopause

A

bone density loss , increased risk for osteoporosis

139
Q

what changes to breast after menopause

A

duct and gland tissue replaced by fat… less dense better for mamogram

140
Q

what changes in GU after menopuase

A

vaginal dryness, stress, inconctinence

141
Q

GI changes after menopause

A

less CA absorbed , increased fractures

142
Q

Skin changes after menopuase

A

dry, thin, collagen decreases

143
Q

what causes all these effects on the body system

A

decrease in estrogen

144
Q

absence of menses during reproductive years

A

amenorrhea

145
Q

absence by age 14 with no sex characteristics… or by age 16 with sexual characteristics

A

primary amenorrhea

146
Q

absence of mess of 3 cycles or 6 months in women who have previously menstrated

A

secondary amenorrhea

147
Q

painful menstration

A

dysmenorrhea

148
Q

what causes primary dysmenorrhea

A

increased prostaglandin production

149
Q

what causes secondary dysmenorrhea

A

pelvic or uterine pathology

150
Q

irregular abnormal bleeding occurs with no other anatomic pathology

A

dysfunctional uterine bleeding

151
Q

inaiblity to conceive a child after 1 year regular sexual activity

A

infertility

152
Q

what does male infertility assessment consit of

A

semen anaylais

153
Q

female infertility assessment consit of

A

ovarian function, pelvic organs

154
Q

what is sign of endometriosis

A

pelvic pain

155
Q

bits of functioning endometrial tissue are located outside of normal cite

A

endometriosis

156
Q

risk factors for endometrious

A

high age, history, long flow, short period, fat diet, young start of period, no prego

157
Q

decrease constellation of recurrent symptoms that occur during lethal phase

A

PMS or more sever PMDD

158
Q

home ovulation kit

A

change in LH

159
Q

clomphine citrate

A

FSH

160
Q

hysterosalpinogram

A

dye in tubes

161
Q

laparoscopy

A

incision in abdominal wall

162
Q

refers to abnormal descent or herniation of pelvic organs

A

Pelvic organ prolapse

163
Q

when rectum sags and pushes against or into posterior vaginal wall

A

rectocele

164
Q

small intestine bulges through posterior vaginal wall

A

enterocele

165
Q

posterior bladder wall protrudes downward through anterior vaginal wall

A

cystocele

166
Q

uterus descends through pelvic floor and into vaginal wall

A

uterine prolapse

167
Q

Symptoms of prolapse

A

feeling of dragging lump in vagina something coming down

168
Q

synthetic dévide inserted in vagina for support and bladder

A

pessaries

169
Q

Management of prolapse

A

kegel, diet, pessaries, surgery

170
Q

what fixes cystocele and rectocele

A

colporrhapy

171
Q

what fixes uterine prolapse

A

vaginal hysterectomy

172
Q

involuntary loss of urine that represents a hygienic or social problem

A

urinary incontinence

173
Q

what are common causes of UI

A

urge, stress and mixed

174
Q

what is urge UI

A

detrusor or muscle contractions

175
Q

stress UI

A

inadequate sphincter

176
Q

with UI asses what

A

onset frequency severity .. nuero rectal exam uranaylsis culture

177
Q

Management for Urge UI

A

bladder training, legal, pessary, anticholengerics, surgery

178
Q

management for stress UI

A

weight loss, smoking cessation, avoid constipation, Kegel , pessaries, vaginal cones, dulxetine, estrogen

179
Q

small usually benign growth frequently caused by infection

A

polyp

180
Q

where is most common spot for polyp

A

cervix and uterus

181
Q

Management of polyps

A

remvoal via forceps, hysterectomy, laser vaporatzation

182
Q

what color are endocervical polups

A

cherry red

183
Q

what color are cervical polyps

A

grayish white

184
Q

symptoms of polyps

A

abnormal vaginal bleeding or discharge

185
Q

how do you diagnosis polyps

A

when visualized through speculum

186
Q

benign tumors composed of smooth muscle and fibrous connective tissue in uterus

A

Fibroids

187
Q

classifications of fibroids

A

suberosal; underneath perotineal layer

intramural; within wall uterus

188
Q

surgical treatments for fibroids

A

myomectomy; fibroid removed
laser surgery; destroying small fibroids
hysterectomy; removal of uterus

189
Q

abnormal opening between GU tract and another organ such as urinary or GI tract

A

Genetial Fistula

190
Q

vesisovaginal

A

bladder to GI

191
Q

urethrovaginal

A

urethra to vagina

192
Q

rectovaginal

A

rectum to vagina

193
Q

swollen guild filled sac like structure that results when 1 of the ducts become blocked

A

Bartholins cyst

194
Q

how do you diagnosis bartholins cyst

A

when mass is located

195
Q

Fluid filled sac that forms on the ovary

A

ovarian cyst

196
Q

types of ovarian cysts

A

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
Q

involves the presence of multiple inactive follicle cysts within the ovary that interfere with ovarian function

A

polycystic ovary syndrome

198
Q

signs and symptoms of POS

A

hirsutism,alpoceia, infertility , ovesity, insulin restiatnt, cancer risks

199
Q

typically not diagnosed . no adequate screening test

A

ovarian cancer

200
Q

symptoms of ovarian cancer

A

bloating, fatigue, vague abdominal pain, urinary frequency, constipation, diarrhea,

201
Q

symptoms of endometrial cancer

A

unexpected bleeding after menopause. change in size and shape of uterus

202
Q

changes in cellular lining at squamous columnar junction

A

cervical cancer

203
Q

procedure used to obtain cells from the cervix for cytology screening

A

PAP test… cervical cancer

204
Q

symptom of cervical cancer

A

abnormal vaginal bleeding after sexual intercourse

205
Q

signs of vaginal cancer

A

painless vaginal bleeding, abnormal discharge, dysuria, constipation

206
Q

abnormal growth on external female genetial

A

vulvar cancer

207
Q

symptoms of vulvar cancer

A

persistant itching, burning, edema, raised fleshy lesion

208
Q

management of vulvar cancer

A

no tight garments, examine self, condoms, no smoking

209
Q

painless sores. only one that crosses placenta .. treat with penicillin

A

syphilis

210
Q

treat with doxycoline

A

chlymadia

211
Q

itching. vaginal dishrage

A

trichomoniasis

212
Q

if live HPV outbreak at delivery

A

infant can get

213
Q

most common bacterial STI

A

chylamydia

214
Q

neonatal conjuctivitis

A

gonorhea and chylamdia

215
Q

reccurnt lifelong viral infectin

A

herpes

216
Q

treat with penicillin

A

syphilis

217
Q

inflammatory state of upper female GU tract involves uterine lining tubes

A

PID pelvic inflammatory disorder

218
Q

symptoms of PID

A

lower stomach tenderness, adnexal tenderness

219
Q

most common viral infection

A

HPV

Maternity test 2 (1 decks)

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