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MCHN II > Pregnancy Complication > Flashcards

Pregnancy Complication Flashcards

1
Q

Labor that occurs after 20th week and before 37th week of gestation

A

Preterm Labor

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2
Q

What is administered to clients having premature labor to primarily prevent the labor?

A

Tocolytics
(Magnesium Sulfate, Ritodrine)

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3
Q

A tocolytics medication that is given to the asthmatic patient

A

Terbutaline hydrochloride

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4
Q

This corticosteroids enhances fetal lung maturity and prevents atelectasis.

A

Dexamethasone

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5
Q

Prolonged difficult labor and delivery because of problems with the factor in labor (4Ps)

A

Dystocia

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6
Q

4Ps includes

A

Fault of the:
- Passenger
- Passages
- Primary Power
- Person.Client

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7
Q

This is encountered in latent phase in labor and this is strong and painful

A

Hypertonic Uterine Inertia

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8
Q

Contractions characterized by weak and infrequent contractions which are insufficient to dilate the cervix

A

Hypotonic Uterine Intertia

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9
Q

What should be administered for hypotonic uterine inertia to augment labor?

A

Oxytocin

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10
Q

Rupture of the membrane before term/labor

A

Premature Rupture of Membranes

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11
Q

One of the diagnostic test of PROM wherein the change in color of nitrazine paper from yellow to blue color because of neutral to slightly alkaline amniotic fluid

A

Nitrazine Test

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12
Q

A diagnostic test of PROM wherein the amniotic fluid, a high in sodium content, will assume a ferning pattern when dried on the slide

A

Ferning Test

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13
Q

A diagnostic test of PROM wherein the direct visualization of fluid from cervical os is the most reliable diagnosis of PROM

A

Sterile Speculum Examination

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14
Q

Short Labor that lasts for 2 - 3 hours or less

A

Precipitate labor

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15
Q

2 Categories of Precipitate labor

A

Dilatation - progressing 5 cm or more per hour
Descent - progressing 5 cm in nulli and 10 cm in multipara

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16
Q

Fetal condition resulting from fetal hypoxia

A

Fetal Distress

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17
Q

What are the triad symptoms of fetal distress?

A
  1. FHR above 160/below 120 BPM
  2. Meconium stained amniotic fluid
  3. Fetal hypermobility
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18
Q

How can we correct hypotension in mother? (3 possible interventions)

A
  1. Elevate the legs
  2. Increase oral fluids
  3. turn the mother to her left side
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19
Q

Excessive bleeding from the genital tract at anytime following delivery up to 6 weeks

A

Postpartum Hemorrhage

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20
Q

This type of postpartum hemorrhage is when bleeding is present during the 3rd stage of labor to within the 1st 24 hours of delivery.

A

Primary Postpartum Hemorrhage

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21
Q

Bleeding persists after 24 hours until the 6th week postpartum

A

Secondary Postpartum Hemorrhage

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22
Q

3 high risk factors of the postpartum hemorrhage

A
  1. Uterine Atony “Overdistention of uterus”
  2. Lacerations
  3. Retained Placental Membranes
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23
Q

There are two types of postpartum psychosis namely

A

Acute Postpartum Psychosis and Postpartum Depression

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24
Q

This may lasts for 3 - 6 months and starts at 2 weeks after delivery

A

Postpartum Depression

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25
Symptoms typically begin 2 - 3 days after delivery and period of highest risk for developing is within 1 month delivery
Acute Postpartum Psychosis
26
Every newborn has needs (physiologic needs)
1. To breathe normally 2. To be warm 3. To be protected 4. To be Fed
27
How many seconds should we dry the newborn after delivery
The first 30 seconds
28
What is the signal that a newborn have a normal circulation and respiration
Crying
29
This is a white, creamy, naturally occurring biofilm covering the skin of fetus and plays an important role in body temperature
Vernix Caseosa
30
What are the benefits of early STSC?
BLEST B - Breastfeeding Success L - Lymphoid Tissue System Stimulation E - Exposure to maternal skin flora S - Sugar T - Thermoregulation
31
This should be established first before we provide initial feeding to avoid hypoglycemia
Good swallowing and sucking reflex
32
What does properly timed cord clamping prevents?
1. Prevents anemia 2. Prevents bleeding in the brain
33
If we hear this in a newborn, report immediately as this suggest lung collapse
Grunting
34
What to do if we don't have our thermometer around?
Use of sense of touch
35
This is the physical change and quantitative increase in the size of the whole body
Growth
36
The best index of growth is
Weight
37
The two indicators of growth are
Weight and Height
38
There is a rapid growth in the age groups of
Infant and Adolescent
39
Rapid growth in limbs in age group of
School age
40
Rapid growth in trunk in age group of
Adolescents
41
Slow growth rate in age groups of
Toddlers Preschoolers School Age
42
A full term infant should have a normal weight not below
2,500 grams
43
During this month the baby should have a doubling of birth weight
6 months
44
During this month the baby should have tripling of birth weight
12 months/1 year
45
Quadruple in birth weight during this age
2 years and half (2.5 years old)
46
What is the age bracket for Infant?
0 - 1 year
47
What is the age bracket for Preschooler?
3 - 6 years
48
What is the age bracket for Adolescents?
12 - 18 years
49
What is the age bracket for toddlers?
1 - 3 years
50
What is the age bracket for School Age?
6 - 12 years
51
This is involves changes that mark the increase in function and completely or progress of skills to function and a qualitative process and increase
Development
52
5 Types of Development
1. Motor 2. Personal, Social, Adoptive 3. Emotional 4. Cognitive 5. Spiritual
53
______ of the child means the readiness of the child and involves an intrinsic process of development genetically and organically
Maturation
54
Three theories for development of newborns
1. Sigmund Freud psychosexual development 2. Erik Erikson psychosocial development 3. Jean Piaget theory of cognitive development
55
During infancy period for three theories
Psychosexual: - Oral Stage Psychosocial: - trust vs mistrust Cognitive: - Sensorimotor stage
56
During Toddler period for three theories
Psychosexual: - Anal stage Psychosocial: - Autonomy vs shame & doubt Cognitive: - Preconceptual and Preoperational
57
During Preschool period
Psychosexual: - Phallic Stage Psychosocial: - initiative vs guilt Cognitive: - preoperative
58
During School age for three theories
Psychosexual: - Latency Period Psychosocial: - Industry vs inferiority Cognitive: - Concrete operational stage
59
Milestones of an infant: social smile
2 months
60
Milestones of an infant: eruption of the lower central incisor, doubling the birth weight and sit with support
6 months
61
Milestones of an infant: strong palmar reflex and always check for foreign objects
1 month
62
Milestones of an infant: they can stand alone
11 months
63
Milestones of an infant: complete head control and laugh aloud
4 months
64
Milestones of an infant: beginning of the stranger anxiety
7 months
65
Milestones of an infant: Can do walk alone
15 months
66
Milestones of an infant: they start to creep/crawl and beginning to pull themselves to stand
9 months
67
Milestones of an infant: This is the peak of stranger anxiety and can sit alone
8 months
68
Milestones of an infant: roll over from prawn to supine position
5 months
69
Milestones of a toddler: Daytime bladder control and best time to start bladder training
24 months (2 yr)
70
Milestones of a toddler: there should be a completion of their 20 milk teeth.
30 months (2.5 years)
71
Milestones of a toddler: Start of the bowel control
18 months (1.5 yrs)
72
What is the growth hormone for female
Estrogen
73
What is the growth hormone for male
Testosterone
74
This is the increase with the size of breast
Thelarche
75
Normal weight and height in filipinos
47 - 53 cm in length and 6 - 7 lbs. in weight
76
Normal head circumference
33 - 35 cm
77
Normal chest circumference
31 - 33 cm
78
Normal Temperature
36.6 - 37 C
79
The characteristics of respiration in newborn is irregular with short period of apnea; however at which seconds it is still acceptable?
below 15 secs (if above 15 secs, there is a problem in respiration)
80
It shunts the oxygenated blood from the right to the left atrium bypassing the lungs
Foramen Ovale
81
If foramen ovale remains open, it will lead to
atrial septal defect
82
It shunts oxygenated blood from umbilical vein to the inferior vena cava bypassing the liver
Ductus Venosus
83
It shunts oxygenated blood from the pulmonary artery to the aorta bypassing the lungs
Ductus Arteriosus
84
If ductus arteriosus remains open, it will lead to
Patent Ductus Arteriosus
85
These are opening at points of union of skull bones
Fontanels
86
The startle reflex and the most sensitive index of CNS
Moro
87
A positive reflex is elicited by stroking the lateral sides of the sole of the feet from the heel upwards resulting in dorsiflexion
Babinski Reflex
88
Also known as fencing reflex as the arms and legs extended towards the direction of where the head is turned
Tonic Neck
89
Sign of Newborn Distress
Cyanosis
90
This color may indicate infection
Gray
91
It is the down hair on the skin
Lanugo
92
Only present in the asian babies and it is the bluish pigmentation on the lower back or buttocks
Mongolian Spots
93
Coming from the mother and protects child from common childhood disease (if premature newborns, they don't have this)
IgG (Immunoglobulin G)
94
Produced by the fetus at about 12 weeks/4 months
IgM (Immunoglobulin M)
95
It is coming from breast milk that strengthen immune system
IgA (Immunoglobulin A)
96
Common Behavioral problems in schoolers
Lying, Cheating, Stealing

MCHN II (2 decks)

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