Reproductive/ Pregnancy Flashcards
Which two infections Causes pelvic inflammatory disease and infertility?
Human papilloma virus and syphilis
What does misoprotolol used for labor
Cervical softening
What are the Contra indications for Mistropolol?
Tachycardia foetal heart rate, uterine surgery, oxytocin infusion
What to teach for pts with triamonias is vaginal infection?
This is a sexual infection, teach the patient to complete antibiotic regimen, inform their partner about the infection, do not have any alcohol for three days , Abstain from sexual intercourse, urine me turn brown or red.
What is contra indicated in a radical prostatectomy?
Enemas stool softener they should be taught to have interventions with their stools.
What is the appropriate weight gain in pregnancy?
25 to 35 pounds
What do you do when the shoulder is wedged between the perineum in labor?
Press down on the symphysis pubis called mc Robert
What is an ectopic pregnancy?
When a pregnancy occurs outside the uterus such as the fallopian tube’s
What are the signs and symptoms of an ectopic pregnancy?
Symptoms of shock, and a referred pain to the shoulder stupid
What should should you provide when someone is going through a preterm labour?
Preterm means before 34 weeks.
IM gluccocorticoids to stimulate the lungs
Antibiotics - to prevent strep B
IV Mag Sulfate, to protect neuro if less than 32 weeks
Tocoloytic Meds - to supress uterine activity.
Monitor labs for UTI / Strep B.
What is contra indicated for mistropolol ?
The infusion of oxytocin, history of uterine surgery for example a caesarean pregnancy,And of normal foetal heart rate of tachycardia
What do you teach to your patient who has a sexually transmitted disease such as trichomoniasis?
Have your partners treated, abstain from sexual intercourse, avoid alcohol intake for at least three days after completing antibiotic treatment, Inform client that you’re in maybe dark in colour
What is contra indicated for someone who just had a Prostatesectomy?
Enema, they are taught to avoid straining
What is the appropriate weight gain range in pregnancy?
25 to 35 pounds
What is shoulder dystocia?
When the foetal Shoulder is wedged in the perineum
Often caused by big baby.
What should you do if shoulder dystocia occurs ?
Used the mcroberts maneuver. Press down on the symphysis pubis.
What is IV magnesium sulphate used for?
It is used for preeclampsia, and seizure activity
What are the negative affects of IV magnesium sulfate?
Decrease in deep tendon, decrease in respirations, decrease heart rate
How do you treat for the negative affects of IV magnesium sulfate?
IV calcium gluconate
What is an ectopic pregnancy?
When the egg implanted outside of the uterus for example it would be please in the fallopian tube’s.
What are the signs and symptoms of ectopic pregnancy?
Signs of shock, with a referred pain to the shoulder, and abdominal pain
What are the signs that a child is demonstrating hearing deficit?
Child speaks in a monotone,loud, difficult to understand, child looks dreamy,May appear with drawn and avoid the social interaction.
How do you do a testicular examination?
The testes are to be palpated during a warm shower, at the same time and same day of the month,Palpate with hands separately examining if egg shaped
it is normal for one testicle to be slightly larger or hang lower than the other
What is cervical cerclage?
Used to prevent preterm labour placed 12-13 weeks removed at 23 weeks. This is for people with short cervix
What should you teach a patient with cervical cerclage to be careful of ?
Signs of labour back pain etc.
What is placenta previa?
It is when the placenta is very close to the cervix and can rupture causing major blood loss for the mother resulting in hemorrhage
What is an intervention for placenta previa?
Additional ultrasound at 36 weeks, a cesarean birth
What is an emergency contraceptive?
It is utilize, After unprotected intercourse occurs Should be taken within five days but it’s Efficacy only lasts three days
What is uterine inversion?
It is a medical emergency in which the fundus collapses
What is the intervention for uterine in version?
Mechanical reconstruction and at this case all utertonic medications should be stop. Tocolytic May be given to help relax uterus
What is umbilical cord prolapse?
When the court slips and causes impaired oxygen this is an a medical emergency and requires a C-section
How do you relieve any umbilical cord prolapse?
Place the patient in Trendelenburg, provide IV fluid’s and oxygen
What is Priya prism?
An erect penis due to sickle cell anemia which is bluish in color indicating ischemia
What is an amino infusion?
Isotonic fluids for the lack of fluids in an amniotic sac
What are the signs and symptoms of the foetal alcohol syndrome?
Diminish or ill-defined philtrum, thin upper lip, flat face palpable fissures
What is a vaginal ring?
It is a contraceptive the takes seven days to work and wish it absorbs the hormones If it is removed it should be placed back within three hours as they can cause withdrawal bleeding
What is placenta accreta?
The placenta does implant in the myometrium not endometrium. Two IV bores are needed and crossmatch
What is the bishop score?
active/latent part of labour and delivery determining the cervix whether it is soft and whether it is dilated
What vaccinations are contraindicated in pregnancy?
MMR vaccine because it is a live vaccine
What should you do when a patient has had an epidural and is feeling light headed?
Take blood pressure
What is placental abruption?
When the placental prematurely deattatches itself causing hemorrhage
What are the signs and symptoms of placental abruption ?
Abd pain, contractions, tachycardia and dark red bleeding
What are the signs and symptoms of a vaginal hematoma?
Severe vag pain or feeling of fullness the fundus will be at midline and firm
What is the order in assessing a child?
Weight, Auscultations heart and lungs, take vitals
When should common allergic foods be introduced to the baby?
4-6months
When and what kind of milk should children transition to?
Whole milk at 12 months
What does green bile mean when a child is vomiting ?
There is a blockage in the intestines and the child is not able to defecate so it will come back up as green
What are the signs and symptoms of shaken baby syndrome?
vomiting irritability lethargy inability suck or eat seizures inconsolable crying
What medication is contraindicated for high blood pressure in pregnancy?
Methylergonovine causes vasonconstriction
Ace
ARBS
What prevents SIDS?
Smoking cessation
breastfeeding
up-to-date vaccinations
pacifier use
What is spinal bifida?
Neural Tube defect
What will use see to determine spina bifida?
Tuft hair
hemaniona
dimple on base of spine
What are the a/e of oxytocin?
abn fetal HR
emergency c-section
pph
water intoxication
What is anencephaly?
neural tube defect little-to-no brain tissue
what are the positive signs of pregnancy
Ultrasound visualization
fetal HR
fetal movement by HCP
What are the questions to be asked in a precipitous birth?
how many babies are being born
what color was the fluid when it broke
what medications were last taken in 4hrs
when is your due date?
What is intrahepatic cholestasis?
A liver disorder exclusive to pregnancy with generalized itching but no rash
Worsens at night
This increases risk of intrauterine fetal demise
What is impetigo?
Highly contagious bacterial skin infection occuring in hot humid weather
Signs and Symptoms of Impetigo?
Itchy burning honey colored crusts
How to treat impetigo?
Antibiotics
How to decrease transmission of impetigo?
Handwashing Wash clothes in hot water Keep fingernails short Avoid close contact w/ others Cover infected area with gauze Wash with mild antibacterial soal
What is fetal tachycardia rate?
> 160 for >10min which requires continued surveillance
What are the three things you can tell about placental previa?
they can go home after bleeding stops
additional ultrasound at 36 weeks
remain pelvic rest
csection
What is uterine atony?
Boggy uterus which can lead to early PPH
What are the risk factors for PPH?
Hx of pph uterine distention due to: multiple gestation excess amniotic fluid macrosomic infant Uterine fatigue Use of meds: Mag sulfate Oxytocin Inhaled anesthesia
What is a cause of trisomy 21?
Advanced maternal age
What are the characteristics for t21?
single palmar crease
short neck
excess skin
What can valporate do?
Control seizures and is contraindicated in pregancy
Why is valproate contraindicated?
cause neural tube defects
What are the expected physical changes in 2nd trimester?
Quickening
weight gain
increase in iron rich food
What are the diagnostic tests in second trimester?
ultrasound
screening gestational diabetes
What is neonatal abstinence syndrome?
Opioid withdrawl 24-48 hrs after birth
S+s of opioid withdrawal with neonate
irritability jitteriness high-pitch cry diarrhea vomitting
When does quickening occur?
It occurs at 18-20 weeks.
What are the s/s of bacterial meningitis in children?
Nucchal rigidity high pitched cry vomitting seizures poor feeding bulging fontanelles
GTPAL?
Gravita - the number of pregnancies including present one
Term - Number of pregnancies longer than 37
Preterm - Num preg. before 37
Abortion - Miscarriage / abortion before 20 wks.
Living - num current living children
Toys for 0-6
musical mobile
Toys for 6-9 (obj permanence)
Large wooden box
Toys 9-12 months?
Purposeful with objects
NO build, stack, make, and construct
Toys for 1-3 and what skill?
Push pull Parallel play - Gross motor
What type of toys you avoid for toddlers?
Control and finger dexterity
Preschoolers toys?
Fine motor and balance
Type of play for preschoolers?
Cooperative play
Type of game for 7-11
3C’S
Creative Competitive Collective
S/S of Hip Dysplasia?
Extra inguinal or thigh folds
Laxity of the hip joint
How to open airway for children when doing cpr?
Keep neutral smelling position, place towel behind shoulders.
What does Ptosis indicate?
Pupil below the level of the pupil indicates paralysis
What is cryptorchidism?
Undescended testes, that descends by 6 months
What is IUD complication?
PAINS Period abnorm Abd pain Infection Not feeling well Strings longer, shorter or missing
What is marfan syndrome?
slender body, increased risk for aortic dissection/rupture
Important aspect to teach to marfan pt?
Use reliable birth control
Why are NSAIDS contraindicated in pregnancy?
Risk for premature closure of ductus arteriosus.
