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SET 1 > Reproductive/ Pregnancy > Flashcards

Reproductive/ Pregnancy Flashcards

1
Q

Which two infections Causes pelvic inflammatory disease and infertility?

A

Human papilloma virus and syphilis

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2
Q

What does misoprotolol used for labor

A

Cervical softening

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3
Q

What are the Contra indications for Mistropolol?

A

Tachycardia foetal heart rate, uterine surgery, oxytocin infusion

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4
Q

What to teach for pts with triamonias is vaginal infection?

A

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.

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5
Q

What is contra indicated in a radical prostatectomy?

A

Enemas stool softener they should be taught to have interventions with their stools.

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6
Q

What is the appropriate weight gain in pregnancy?

A

25 to 35 pounds

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7
Q

What do you do when the shoulder is wedged between the perineum in labor?

A

Press down on the symphysis pubis called mc Robert

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8
Q

What is an ectopic pregnancy?

A

When a pregnancy occurs outside the uterus such as the fallopian tube’s

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9
Q

What are the signs and symptoms of an ectopic pregnancy?

A

Symptoms of shock, and a referred pain to the shoulder stupid

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10
Q

What should should you provide when someone is going through a preterm labour?

A

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.

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11
Q

What is contra indicated for mistropolol ?

A

The infusion of oxytocin, history of uterine surgery for example a caesarean pregnancy,And of normal foetal heart rate of tachycardia

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12
Q

What do you teach to your patient who has a sexually transmitted disease such as trichomoniasis?

A

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

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13
Q

What is contra indicated for someone who just had a Prostatesectomy?

A

Enema, they are taught to avoid straining

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14
Q

What is the appropriate weight gain range in pregnancy?

A

25 to 35 pounds

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15
Q

What is shoulder dystocia?

A

When the foetal Shoulder is wedged in the perineum

Often caused by big baby.

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16
Q

What should you do if shoulder dystocia occurs ?

A

Used the mcroberts maneuver. Press down on the symphysis pubis.

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17
Q

What is IV magnesium sulphate used for?

A

It is used for preeclampsia, and seizure activity

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18
Q

What are the negative affects of IV magnesium sulfate?

A

Decrease in deep tendon, decrease in respirations, decrease heart rate

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19
Q

How do you treat for the negative affects of IV magnesium sulfate?

A

IV calcium gluconate

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20
Q

What is an ectopic pregnancy?

A

When the egg implanted outside of the uterus for example it would be please in the fallopian tube’s.

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21
Q

What are the signs and symptoms of ectopic pregnancy?

A

Signs of shock, with a referred pain to the shoulder, and abdominal pain

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22
Q

What are the signs that a child is demonstrating hearing deficit?

A

Child speaks in a monotone,loud, difficult to understand, child looks dreamy,May appear with drawn and avoid the social interaction.

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23
Q

How do you do a testicular examination?

A

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

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24
Q

What is cervical cerclage?

A

Used to prevent preterm labour placed 12-13 weeks removed at 23 weeks. This is for people with short cervix

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25
Q

What should you teach a patient with cervical cerclage to be careful of ?

A

Signs of labour back pain etc.

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26
Q

What is placenta previa?

A

It is when the placenta is very close to the cervix and can rupture causing major blood loss for the mother resulting in hemorrhage

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27
Q

What is an intervention for placenta previa?

A

Additional ultrasound at 36 weeks, a cesarean birth

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28
Q

What is an emergency contraceptive?

A

It is utilize, After unprotected intercourse occurs Should be taken within five days but it’s Efficacy only lasts three days

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29
Q

What is uterine inversion?

A

It is a medical emergency in which the fundus collapses

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30
Q

What is the intervention for uterine in version?

A

Mechanical reconstruction and at this case all utertonic medications should be stop. Tocolytic May be given to help relax uterus

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31
Q

What is umbilical cord prolapse?

A

When the court slips and causes impaired oxygen this is an a medical emergency and requires a C-section

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32
Q

How do you relieve any umbilical cord prolapse?

A

Place the patient in Trendelenburg, provide IV fluid’s and oxygen

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33
Q

What is Priya prism?

A

An erect penis due to sickle cell anemia which is bluish in color indicating ischemia

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34
Q

What is an amino infusion?

A

Isotonic fluids for the lack of fluids in an amniotic sac

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35
Q

What are the signs and symptoms of the foetal alcohol syndrome?

A

Diminish or ill-defined philtrum, thin upper lip, flat face palpable fissures

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36
Q

What is a vaginal ring?

A

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

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37
Q

What is placenta accreta?

A

The placenta does implant in the myometrium not endometrium. Two IV bores are needed and crossmatch

38
Q

What is the bishop score?

A

active/latent part of labour and delivery determining the cervix whether it is soft and whether it is dilated

39
Q

What vaccinations are contraindicated in pregnancy?

A

MMR vaccine because it is a live vaccine

40
Q

What should you do when a patient has had an epidural and is feeling light headed?

A

Take blood pressure

41
Q

What is placental abruption?

A

When the placental prematurely deattatches itself causing hemorrhage

42
Q

What are the signs and symptoms of placental abruption ?

A

Abd pain, contractions, tachycardia and dark red bleeding

43
Q

What are the signs and symptoms of a vaginal hematoma?

A

Severe vag pain or feeling of fullness the fundus will be at midline and firm

44
Q

What is the order in assessing a child?

A

Weight, Auscultations heart and lungs, take vitals

45
Q

When should common allergic foods be introduced to the baby?

A

4-6months

46
Q

When and what kind of milk should children transition to?

A

Whole milk at 12 months

47
Q

What does green bile mean when a child is vomiting ?

A

There is a blockage in the intestines and the child is not able to defecate so it will come back up as green

48
Q

What are the signs and symptoms of shaken baby syndrome?

A 
vomiting
irritability
lethargy 
inability suck or eat
seizures
inconsolable crying
49
Q

What medication is contraindicated for high blood pressure in pregnancy?

A

Methylergonovine causes vasonconstriction
Ace
ARBS

50
Q

What prevents SIDS?

A

Smoking cessation
breastfeeding
up-to-date vaccinations
pacifier use

51
Q

What is spinal bifida?

A

Neural Tube defect

52
Q

What will use see to determine spina bifida?

A

Tuft hair
hemaniona
dimple on base of spine

53
Q

What are the a/e of oxytocin?

A

abn fetal HR
emergency c-section
pph
water intoxication

54
Q

What is anencephaly?

A

neural tube defect little-to-no brain tissue

55
Q

what are the positive signs of pregnancy

A

Ultrasound visualization
fetal HR
fetal movement by HCP

56
Q

What are the questions to be asked in a precipitous birth?

A

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?

57
Q

What is intrahepatic cholestasis?

A

A liver disorder exclusive to pregnancy with generalized itching but no rash

Worsens at night

This increases risk of intrauterine fetal demise

58
Q

What is impetigo?

A

Highly contagious bacterial skin infection occuring in hot humid weather

59
Q

Signs and Symptoms of Impetigo?

A

Itchy burning honey colored crusts

60
Q

How to treat impetigo?

A

Antibiotics

61
Q

How to decrease transmission of impetigo?

A 
Handwashing 
Wash clothes in hot water
Keep fingernails short
Avoid close contact w/ others
Cover infected area with gauze
Wash with mild antibacterial soal
62
Q

What is fetal tachycardia rate?

A

> 160 for >10min which requires continued surveillance

63
Q

What are the three things you can tell about placental previa?

A

they can go home after bleeding stops
additional ultrasound at 36 weeks
remain pelvic rest
csection

64
Q

What is uterine atony?

A

Boggy uterus which can lead to early PPH

65
Q

What are the risk factors for PPH?

A 
Hx of pph
uterine distention due to:
multiple gestation 
excess amniotic fluid
macrosomic infant
Uterine fatigue
Use of meds:
Mag sulfate
Oxytocin
Inhaled anesthesia
66
Q

What is a cause of trisomy 21?

A

Advanced maternal age

67
Q

What are the characteristics for t21?

A

single palmar crease
short neck
excess skin

68
Q

What can valporate do?

A

Control seizures and is contraindicated in pregancy

69
Q

Why is valproate contraindicated?

A

cause neural tube defects

70
Q

What are the expected physical changes in 2nd trimester?

A

Quickening
weight gain
increase in iron rich food

71
Q

What are the diagnostic tests in second trimester?

A

ultrasound

screening gestational diabetes

72
Q

What is neonatal abstinence syndrome?

A

Opioid withdrawl 24-48 hrs after birth

73
Q

S+s of opioid withdrawal with neonate

A 
irritability
jitteriness
high-pitch cry
diarrhea
vomitting
74
Q

When does quickening occur?

A

It occurs at 18-20 weeks.

75
Q

What are the s/s of bacterial meningitis in children?

A 
Nucchal rigidity
high pitched cry
vomitting 
seizures
poor feeding 
bulging fontanelles
76
Q

GTPAL?

A

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

77
Q

Toys for 0-6

A

musical mobile

78
Q

Toys for 6-9 (obj permanence)

A

Large wooden box

79
Q

Toys 9-12 months?

A

Purposeful with objects

NO build, stack, make, and construct

80
Q

Toys for 1-3 and what skill?

A

Push pull Parallel play - Gross motor

81
Q

What type of toys you avoid for toddlers?

A

Control and finger dexterity

82
Q

Preschoolers toys?

A

Fine motor and balance

83
Q

Type of play for preschoolers?

A

Cooperative play

84
Q

Type of game for 7-11

A

3C’S

Creative Competitive Collective

85
Q

S/S of Hip Dysplasia?

A

Extra inguinal or thigh folds

Laxity of the hip joint

86
Q

How to open airway for children when doing cpr?

A

Keep neutral smelling position, place towel behind shoulders.

87
Q

What does Ptosis indicate?

A

Pupil below the level of the pupil indicates paralysis

88
Q

What is cryptorchidism?

A

Undescended testes, that descends by 6 months

89
Q

What is IUD complication?

A 
PAINS 
Period abnorm
Abd pain 
Infection 
Not feeling well
Strings longer, shorter or missing
90
Q

What is marfan syndrome?

A

slender body, increased risk for aortic dissection/rupture

91
Q

Important aspect to teach to marfan pt?

A

Use reliable birth control

92
Q

Why are NSAIDS contraindicated in pregnancy?

A

Risk for premature closure of ductus arteriosus.

SET 1 (19 decks)

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