Review Flashcards

Going through class notes and pulling what I need to review

1
Q

What is family dynamics (unit 1)

A

Support from others for emotional, practical, and social aspects of their life.

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2
Q

How does family cultures and 21st nursing relate?

A

Allowing care for the whole family
Family cultures influence the type of care the patient receives and when they receive it

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3
Q

What are culture norms for hispanics and native americans?

A

Hispanic - mother more involved, wont breastfeed within the first couple days
Native American - herbal supplements, wont hold baby as much, multi-generational care

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4
Q

What is cultural competence?

A

The nurse respects and meets patients needs and beliefs
Gain an understanding of family roles

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5
Q

What are 4 steps of a family interview?

A

Therapeutic - ask questions about expectations, challenges, and concerns; involve the patient in decision making
Manners - ask about relation in room
Genogram and Ecomaps
Commandment - point out two ways the family has been supportive

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6
Q

What are ways to promote positive family dynamics?

A

Education
Participation - help the family identify learning needs
Media messages

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7
Q

What are health disparities for maternity care?

A

Lack of access - financial, transportation
Age - adolescents, older women
Homeless
Race
Incarcerated
Immigrants
Migrants

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8
Q

What are efforts to decrease health disparities?

A

Education for adolescents and older women
Migrant health centers
Translators provided

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9
Q

What is sexual orientation?

A

How one regards their gender

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10
Q

What is sexual health?

A

Having experiences with sexuality, hopefully positive

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11
Q

What are risk factors for sexual problems?

A

Culture
Politics
Education
Psychological

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12
Q

What is secondary dysmenorrhea?

A

Endometriosis or PID
Diagnosis: pelvic exam, ultrasounds, endometrial biopsy

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13
Q

What is endometriosis?

A

Endometrial tissue growth outside normal area
S/S: Infertility, painful intercourse, dysmenorrhea
Tx: surgery or medication

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14
Q

What is Menorrhagia?

A

excessive bleeding

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15
Q

What is ED causes and treatment?

A

Causes: medication, age, stress, HTN
Tx: counseling, medication, education

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16
Q

What are the 4 types of sexual dysfunction?

A

Arousal
Pain
Desire
Orgasm

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17
Q

What is the difference between HIV, HSV, and HPV

A

HIV is shown by a fever, rash, body aches, etc.
HSV has painful lesions + flu-like symptoms; it also increases miscarriage rates and chances of cervical cancer
HPV is genital warts; there isn’t an effective treatment

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18
Q

What are ethical issues surrounding nursing?

A

Chromosomal/genetic modification
Access to care
Life support
Stopping life-saving medication
Nurse and pt decisions are not aligned

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19
Q

What is Sex Chromosome Abnormalities?

A

Turner (x): webbed neck, short, low hair line, low set ears
Klinefelter (XXY): small testes, infertile, lack of body/facial hair, delayed puberty

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20
Q

What are X-linked Recessive traits?

A

Color-blindness
Hemophilia

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21
Q

When does conception start?

A

When the sperm fertilizes the egg

22
Q

What are risk factors for reproduction problems?

A

Age (adolescents)
Poverty

23
Q

What are nursing interventions for infertility?

A

Educate about possible treatments
Provide emotional support

24
Q

What are ovarian factors of infertility?

A

no ovulation

25
Q

What are hormonal factors of male infertility?

A

tumors
obesity
chronic illness
nutritional deficiency

26
Q

What are testicular factors of infertility?

A

Undescended
STI
Infection
Trauma
Anti-sperm

27
Q

What are factors affecting sperm transport?

A

Drugs
ED
STI

28
Q

What are nonmedical treatments of infertility?

A

Herbal
Counseling
Changes in lifestyle
Not putting cell phone by waist
Avoiding water-soluble lubricants

29
Q

What is the assessment for female infertility?

A

Ovulation?
Endometrial biopsy

30
Q

What is the assessment of male infertility?

A

Semen analysis
Ultrasound
Hormone analysis

31
Q

What is Hegar’s, Chadwick’s, and Goodell signs?

A

Hegar’s: softening of uterus
Chadwicks: blue color of cervix
Goodell: softening of cervix

All are probable signs of pregnancy

32
Q

What is the timeline for embryo development?

A

15 days to 8 weeks

33
Q

What are chorionic villi and decidua basalis?

A

CV - responsible for O2, nutrition, and waste
DB - maternal blood vessels

34
Q

What is human placental lactogen role for pregnancy?

A

Stimulates maternal metabolism
Insulin resistance increase
Facilitates glucose transport
Stimulates breast development

35
Q

What are maternal factors that influence fetal development?

A

Diabetes
Infection
Drugs
Radiation
Chromosomal
Spontaneous developmental errors

36
Q

What is GTPAL?

A

Gravida
Term
Preterm (20-36 6/7 weeks)
Abortion (<20 weeks)
Living

37
Q

What are vagina and vulva changes during pregnancy?

A

Leukorrhea (discharge) increases
Chadwick Sign
Lower pH to protect from infections

38
Q

What are changes of the cardiovascular system during pregnancy?

A

Increase blood volume and CO
Decrease BP
Lack of iron
Increase plasma
Decrease Hct and Hgb

39
Q

What are PICA cravings?

A

clay
ice
laundry detergent

40
Q

What is melasma?

A

hyperpigmentation of skin over mothers cheeks, nose, and forehead

41
Q

What is stria gravidarum?

A

stretch marks

42
Q

What is angiomatas?

A

small harmless red dots

43
Q

What are medical conditions that affect pregnancy?

A

Diabetes
HTN
Renal disease
Seizures
Cardiac
GI disease
Blood disease
Pulmonary disease

44
Q

What categorizes a high risk pregnancy?

A

Multifetus
Developmental abnormalities
Low BP
Diabetes

45
Q

What education for self-management should the nurse give an expecting mother?

A

Find reliable information
Nutritional intake increase
Educate about food-borne illness and pica
Avoid alcohol and limit caffeine

46
Q

What s/s should a mother report in 1st tri.

A

Severe vomiting
Chills/fever
Burning during urination
Diarrhea
Cramping, bleeding

47
Q

What are s/s of preeclampsia?

A

Visual disturbances
Swelling of face and fingers
Headaches
Muscular irritability
Heartburn/stomachache

48
Q

What takes preeclampsia to eclampsia?

A

increase of BP
New onset or increased proteinuria

49
Q

Risk factors for preeclampsia?

A

Age (>35)
Hx of preeclampsia
Multifetal
Chronic hypertension
New paternity
First pregnancy
Obesity
Race - blacks
Chronic disease (diabetes, lupus, sleep apnea)

50
Q

What is HELLP Syndrome?

A

Hemolysis
Elevated Liver enzymes
Low Platelet count

51
Q

What is DIC?

A

Accelerated clotting leading to consumption of platelets and clotting factors causing uncontrollable bleeding

52
Q
A