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NURS 2156 OB 2 > Test 2 MISC > Flashcards

Test 2 MISC Flashcards

1
Q

Silverman Anderson Index for Resp Distress

Give Ranges…

A

10 Severe Resp Distress

7 or > Impending Resp Distress

0 No Respiratory Distress

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2
Q

Hyaline membrane disease is….

A

Respiratory Distress Syndrome

LEADING CAUSE OF PREMATURE DEATHS IN US

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3
Q

Lack of surfactant leads to RDS (#1 cause of premie deaths)

When does surfactant production begin?

A

22 weeks

50% infants 26 - 28 wks dev RDS

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4
Q

RDS (lack of surfactant) causes collapse of alveoli upon exhale.

Describe serious problems that can occur…

A

Atelectasis & hypoxia

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5
Q

When is a birth considered PostTerm…

A

> 42 weeks

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6
Q

TTN is caused by…

A

Reatianed fluid in lungs

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7
Q

TTN resolves itself in…

A

12 - 48 hrs

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8
Q

When to notify PEDS woth meconium stained fluidss…

A

Immediately

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9
Q

Extracorporeal membrane oxygenation happens with this problem…

A

Meconium aspiration

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10
Q

Cause of Polycythemia…

A

Poor Interuterine Oxygenation

Increase amount of RBC

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11
Q

Hypocalcemia happens in

Pre or Postterm…

Why….

A

Preterm 30- 90%

A Preterm has trouble increasing PTH parathyroid hormone to meet demands

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12
Q

NIPS score that requires intervention….

Describe categories of NIPS

A

4 or greater

Facial expression 0 -1
Breathing 0 - 1
Arms 0 - 1
Legs 0 - 1
Cry 0 - 2
State of arousal 0 - 1

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13
Q

Withdrawal signs start…

Alcohol withdrawal…

A

48 - 72 hrs

3 - 12 hrs alcohol

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14
Q

Finnegans scoring is used for…

Score that requires intervention…

Completed how often…

A

Finnegans is used for neonatal Abstinence Syndrome/ withdrawal

Score Above 8 requiere intervención

Q4h during withdrawal

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15
Q

Eat, Sleep, Console

Describe…

A

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

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16
Q

SS

Polyhydramnios
Frothing/Drooling
Unablr to pass catheter into stomach

A

Esophageal Atresia

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17
Q

Woth diaphragmatic hernia which side do you place infant on..

A

Affected side (Side with the organs)

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18
Q

VSD - MOST COMMON TYOE OF CONGENITAL HEART DEFECT

happens when ___ ventricle shunts blood to ____ ventricle

Risk factor for getting this heart problem…

A

Left - Right

Hypertrophy Right Ventricle

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19
Q

Blood flows from the higher pressure aorta to pulmonary artery & lungs

Left to Right Shunt.

Describe Effects of Prostaglandins / Indomethacin….

Name disease….

A

Patent Ductus Arteriosus

Prostaglandin No-No (May cause PDA)

Indomethacin / Ibuprofen (Prostaglandin inhibitor) closes ductus Arteriosus

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20
Q

Coarctation of heart causes Hypertrophy of…

A

LEFT VENTRICLE

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21
Q

Segments of DNA that direct production of products needed for structure or function…

A

Genes

22
Q

Number & appearance of chromosomes in cell nuclei.

Put into arrangements

A

Karyotype

23
Q

1 reason for miscarriage….

Numerical chromosomal abnormalities

Reason for cardiac defects….

A

Monosomy = miscarriage

Trisomy = Cardiac defects

24
Q

Monozygotic twins AKA

Dizygotic twins AKA

A

Mono = Identical twins

Di = Fraternity

25
Q

Menarche…

A

1st period

26
Q

PMS recurs during this phase…

Symptom free during this phase…

A

Occurs during LUTEAL PHASE - After Ovulation

Symptom free during FOLLICULAR PHASE- Before Ovulation

27
Q

Supplements for PMS (4)

Increase these types of foods…

A

Vitamin E
Evening primrose -breast pain
Calcium
Magnesium

Foods = Complex carbs, water, small frequent meals

28
Q

Danasol…
Take for…

A

Steroid / breast pain

29
Q

TSS has a “Sunburn like rash”

A

True

30
Q

_____ reduces risk of endometrial cancer when estrogen is given post menopause

Doseage….

A

Medroxyprogestrone

5 - 10 mg PO 10 Days

31
Q

Vitamin D Doseage

Healthy women…

Elderly….

Calcium doses

25 - 50 yrs old….

Postmenopausal….

A

400 IU Day

800 - 1000 IU Day

Premenopause 1000mg day

Postmenopausal 1200 - 1500 mg day

CORRECT ANSWER

32
Q

Hysterscopy can…

A

Visualize fibroids inside uterus

33
Q

Can Metronidazole be given when preggers…

A

No

34
Q

Cefriaxone
Cefixime
Ciprofloxacin

Used to treat…

A

Gonorrhea

35
Q

Caused by spirochete Treponema Pallidum…

A

Syphilis

36
Q

Primary infection: Painful lesion, fever, malaise, enlarged lymph node…

A

HSV 1 & 2

37
Q

HSV 1&2 remain dormant and reactive due to…

A

Stress, fever, menses

38
Q

Veneral warts are associated with an increased risk of…

A

Cervical Cancer

39
Q

Gardasil 9 vaccine protects from…

Ages…

Adminstion…

A

9 types of HPV: Cervical, vag, vulvar / head & neck cancers

2 IM younger

3 IM older (15 - 45)

40
Q

Does pap test also screen for HPV?

A

Yes

41
Q

Does fibrocystic breast changes (Thickening of normal breast tissue) have woth it a greater risk of developing cancer…

A

Yes

42
Q

Breast biopies that are malignant

Percentage…

A

1:8

43
Q

ACS

Women starting at forty should get a Mamogram every year until the age of 55….

A

False

From 40 - 44 women may chose to be screened.

Starting at 45 they should be screened every year

44
Q

FSH stimulates ___ which causes maturation of the follicles.

A

Ovary

45
Q

Common finding for reason of infertility in females…

Tx….

A

Lack of FSH

Clomiphen- blocks brain from recognizing estrogen & produces more FSH

46
Q

PCOS

May have amenorrhea, irregular periods, heavy bleeding.

Tx…

A

Clomid, Femara

47
Q

DES Diethylstibestrol given to prevent spontaneous abortion had this SE…

A

Uterine malformation

Incocarcinoma

48
Q

Faulure rate of BBT is…

A

25%

49
Q

Describe BBT if conception occurs….

A

Stays higher

50
Q

Infertility

Progesterone helps with…

A

Implantation

NURS 2156 OB 2 (12 decks)

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