Test 2 MISC Flashcards
Silverman Anderson Index for Resp Distress
Give Ranges…
10 Severe Resp Distress
7 or > Impending Resp Distress
0 No Respiratory Distress
Hyaline membrane disease is….
Respiratory Distress Syndrome
LEADING CAUSE OF PREMATURE DEATHS IN US
Lack of surfactant leads to RDS (#1 cause of premie deaths)
When does surfactant production begin?
22 weeks
50% infants 26 - 28 wks dev RDS
RDS (lack of surfactant) causes collapse of alveoli upon exhale.
Describe serious problems that can occur…
Atelectasis & hypoxia
When is a birth considered PostTerm…
> 42 weeks
TTN is caused by…
Reatianed fluid in lungs
TTN resolves itself in…
12 - 48 hrs
When to notify PEDS woth meconium stained fluidss…
Immediately
Extracorporeal membrane oxygenation happens with this problem…
Meconium aspiration
Cause of Polycythemia…
Poor Interuterine Oxygenation
Increase amount of RBC
Hypocalcemia happens in
Pre or Postterm…
Why….
Preterm 30- 90%
A Preterm has trouble increasing PTH parathyroid hormone to meet demands
NIPS score that requires intervention….
Describe categories of NIPS
4 or greater
Facial expression 0 -1
Breathing 0 - 1
Arms 0 - 1
Legs 0 - 1
Cry 0 - 2
State of arousal 0 - 1
Withdrawal signs start…
Alcohol withdrawal…
48 - 72 hrs
3 - 12 hrs alcohol
Finnegans scoring is used for…
Score that requires intervention…
Completed how often…
Finnegans is used for neonatal Abstinence Syndrome/ withdrawal
Score Above 8 requiere intervención
Q4h during withdrawal
Eat, Sleep, Console
Describe…
Can a baby Eat 1 oz / BF well
Sleep >1 hr
Consoled within 10 minutes
If not…Nonpharmacologal interventions
Then, morphine 0.05 mg / kg q 3h or increases dose by 0.01 mg/kg/dose
SS
Polyhydramnios
Frothing/Drooling
Unablr to pass catheter into stomach
Esophageal Atresia
Woth diaphragmatic hernia which side do you place infant on..
Affected side (Side with the organs)
VSD - MOST COMMON TYOE OF CONGENITAL HEART DEFECT
happens when ___ ventricle shunts blood to ____ ventricle
Risk factor for getting this heart problem…
Left - Right
Hypertrophy Right Ventricle
Blood flows from the higher pressure aorta to pulmonary artery & lungs
Left to Right Shunt.
Describe Effects of Prostaglandins / Indomethacin….
Name disease….
Patent Ductus Arteriosus
Prostaglandin No-No (May cause PDA)
Indomethacin / Ibuprofen (Prostaglandin inhibitor) closes ductus Arteriosus
Coarctation of heart causes Hypertrophy of…
LEFT VENTRICLE
Segments of DNA that direct production of products needed for structure or function…
Genes
Number & appearance of chromosomes in cell nuclei.
Put into arrangements
Karyotype
1 reason for miscarriage….
Numerical chromosomal abnormalities
Reason for cardiac defects….
Monosomy = miscarriage
Trisomy = Cardiac defects
Monozygotic twins AKA
Dizygotic twins AKA
Mono = Identical twins
Di = Fraternity
Menarche…
1st period
PMS recurs during this phase…
Symptom free during this phase…
Occurs during LUTEAL PHASE - After Ovulation
Symptom free during FOLLICULAR PHASE- Before Ovulation
Supplements for PMS (4)
Increase these types of foods…
Vitamin E
Evening primrose -breast pain
Calcium
Magnesium
Foods = Complex carbs, water, small frequent meals
Danasol…
Take for…
Steroid / breast pain
TSS has a “Sunburn like rash”
True
_____ reduces risk of endometrial cancer when estrogen is given post menopause
Doseage….
Medroxyprogestrone
5 - 10 mg PO 10 Days
Vitamin D Doseage
Healthy women…
Elderly….
Calcium doses
25 - 50 yrs old….
Postmenopausal….
400 IU Day
800 - 1000 IU Day
Premenopause 1000mg day
Postmenopausal 1200 - 1500 mg day
CORRECT ANSWER
Hysterscopy can…
Visualize fibroids inside uterus
Can Metronidazole be given when preggers…
No
Cefriaxone
Cefixime
Ciprofloxacin
Used to treat…
Gonorrhea
Caused by spirochete Treponema Pallidum…
Syphilis
Primary infection: Painful lesion, fever, malaise, enlarged lymph node…
HSV 1 & 2
HSV 1&2 remain dormant and reactive due to…
Stress, fever, menses
Veneral warts are associated with an increased risk of…
Cervical Cancer
Gardasil 9 vaccine protects from…
Ages…
Adminstion…
9 types of HPV: Cervical, vag, vulvar / head & neck cancers
2 IM younger
3 IM older (15 - 45)
Does pap test also screen for HPV?
Yes
Does fibrocystic breast changes (Thickening of normal breast tissue) have woth it a greater risk of developing cancer…
Yes
Breast biopies that are malignant
Percentage…
1:8
ACS
Women starting at forty should get a Mamogram every year until the age of 55….
False
From 40 - 44 women may chose to be screened.
Starting at 45 they should be screened every year
FSH stimulates ___ which causes maturation of the follicles.
Ovary
Common finding for reason of infertility in females…
Tx….
Lack of FSH
Clomiphen- blocks brain from recognizing estrogen & produces more FSH
PCOS
May have amenorrhea, irregular periods, heavy bleeding.
Tx…
Clomid, Femara
DES Diethylstibestrol given to prevent spontaneous abortion had this SE…
Uterine malformation
Incocarcinoma
Faulure rate of BBT is…
25%
Describe BBT if conception occurs….
Stays higher
Infertility
Progesterone helps with…
Implantation
