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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
What are hormonal factors of male infertility?
tumors obesity chronic illness nutritional deficiency
26
What are testicular factors of infertility?
Undescended STI Infection Trauma Anti-sperm
27
What are factors affecting sperm transport?
Drugs ED STI
28
What are nonmedical treatments of infertility?
Herbal Counseling Changes in lifestyle Not putting cell phone by waist Avoiding water-soluble lubricants
29
What is the assessment for female infertility?
Ovulation? Endometrial biopsy
30
What is the assessment of male infertility?
Semen analysis Ultrasound Hormone analysis
31
What is Hegar's, Chadwick's, and Goodell signs?
Hegar's: softening of uterus Chadwicks: blue color of cervix Goodell: softening of cervix All are probable signs of pregnancy
32
What is the timeline for embryo development?
15 days to 8 weeks
33
What are chorionic villi and decidua basalis?
CV - responsible for O2, nutrition, and waste DB - maternal blood vessels
34
What is human placental lactogen role for pregnancy?
Stimulates maternal metabolism Insulin resistance increase Facilitates glucose transport Stimulates breast development
35
What are maternal factors that influence fetal development?
Diabetes Infection Drugs Radiation Chromosomal Spontaneous developmental errors
36
What is GTPAL?
Gravida Term Preterm (20-36 6/7 weeks) Abortion (<20 weeks) Living
37
What are vagina and vulva changes during pregnancy?
Leukorrhea (discharge) increases Chadwick Sign Lower pH to protect from infections
38
What are changes of the cardiovascular system during pregnancy?
Increase blood volume and CO Decrease BP Lack of iron Increase plasma Decrease Hct and Hgb
39
What are PICA cravings?
clay ice laundry detergent
40
What is melasma?
hyperpigmentation of skin over mothers cheeks, nose, and forehead
41
What is stria gravidarum?
stretch marks
42
What is angiomatas?
small harmless red dots
43
What are medical conditions that affect pregnancy?
Diabetes HTN Renal disease Seizures Cardiac GI disease Blood disease Pulmonary disease
44
What categorizes a high risk pregnancy?
Multifetus Developmental abnormalities Low BP Diabetes
45
What education for self-management should the nurse give an expecting mother?
Find reliable information Nutritional intake increase Educate about food-borne illness and pica Avoid alcohol and limit caffeine
46
What s/s should a mother report in 1st tri.
Severe vomiting Chills/fever Burning during urination Diarrhea Cramping, bleeding
47
What are s/s of preeclampsia?
Visual disturbances Swelling of face and fingers Headaches Muscular irritability Heartburn/stomachache
48
What takes preeclampsia to eclampsia?
increase of BP New onset or increased proteinuria
49
Risk factors for preeclampsia?
Age (>35) Hx of preeclampsia Multifetal Chronic hypertension New paternity First pregnancy Obesity Race - blacks Chronic disease (diabetes, lupus, sleep apnea)
50
What is HELLP Syndrome?
Hemolysis Elevated Liver enzymes Low Platelet count
51
What is DIC?
Accelerated clotting leading to consumption of platelets and clotting factors causing uncontrollable bleeding
52

Mom Baby (27 decks)

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