Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Maternal/Child > Test #3 > Flashcards

Test #3 Flashcards

1
Q

Risk factors for EARLY Post Partum Hemorrhage

A

Uterine Atony ~ over distention, prolonged labor, induction
Lacerations/Trauma
Hematoma - persistent perianal/rectal pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Risk factors for LATE Post Partum Hemorrhage

A

Retained placenta
SUBINVOLUTION - pelvic tenderness
Metritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Signs and sx of Hypovolemic Shock

A 
Increased HR
Decreased BP
Decrease CO
Diaphoresis
Decreased UOP
Changes in Mental Status
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Nursing Interventions during hemorrhage

A

Fundal massage
Assess bladder for distention
Catheter PRN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Risk Factors for Metritis

A

Overweight
C-Section
PROM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

How to treat/prevent Mastitis

A

Early, frequent feedings

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Sx of Puerperal Infection

A

Low grade fever x 2 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Bereavement - What to do…

A

Facilitate confirming the loss

  • Offer greaving box
  • Allow to hold the baby
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Difference between depression and blues

A

Length of time

Depression REQUIRES intervention

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Etiology of depression

A 
Hormone Shifts
Discomfort/Fatigue
Role Transition
Social Support
Life Stress
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Polycythemia Sx

A

Plethora - Ruddy (bloody)/Beefy appearance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Hyperbilirubinemia - Pathological

A

Sx appear in less than 24 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Hyperbilirubinemia - Physiological

A

Sx appear after 24 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Hyperbilirubinemia - Nursing Intervention

A

Phototherapy - patient prone to dehydration ~ Monitor I&O

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Sepsis Sx

A

Low temperature

Poor feeding tendencies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Baby fussy and shaky, hypoglycemia ruled out and not hungry - nursing intervention

A

Obtain urine sample (PUC) for drugs to diagnose abstinence syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Patients who are NOT candidates for ERT

A

Patient with hx of Breast CA
Patient who still has a uterus
Patient at high r/f uterine cancer

Not candidates for ERT, but HRT (Estrogen and Progesterone)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Common SE with Fosimax

A

Gastritis - GI Problems

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Contraindications of ERT/HRT

A 
Hypertension
Breast pathology
DVT
Smoking Hx
AMA
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Increased Estrogen and Progesterone lead to

A

Decreased GnRH and decreased FsH and LH = no ovulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Absolute / Relative Contraindications to the pill

A 
A bdominal Pain
C hest pain
H eadache
E ye (visual disturbances)
S evere calf pain
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Multiphasic pills most closely mimics

A

Natural menstrual cycle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Diaphragm is huge risk for

A

Toxic shock syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Early IUD Warning Signs

A 
P eriod late/abnormal spotting
A bdominal pain
I nfection
N ot feeling well
S tring missing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Natural family planning

A

Basal Body Temperature-

Temperature rises after ovulation due to increased progesterone levels (.4-.8 shift)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Fertile mucus characteristics

A

Thin, very stretchy, clear

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Secondary infertility is

A

when a couple has conceived before, but are unable to conceive after previous pregnancy

28
Q

Begin any infertility appointment with

A

A complete H&P

29
Q

Increased number of leukocytes in semen indicate

A

Presence of infection

30
Q

Clomid is used in men to

A

Increase sperm count

31
Q

Patient teaching after mastectomy

A

DO NOT move effect arm into a dependent position

32
Q

Characteristic of invasive ductal

A

Dimpling (peau d’orange)

33
Q

Arimedex is an Aromatase inhibitor used for

A

Postmenopausal ER and breast tumors

34
Q

Cardinal sign of uterine prolapse

A

BACKACHE

35
Q

Medication used for Endometriosis

A

Danasol/Danocrine

36
Q

Infertility correlates with

A

Endometriosis and gonorrhea

37
Q

PID can lead to

A

infertility due to buildup of scar tissue

38
Q

A priority for PCOS is

A

weight management

39
Q

HPV 6 and HPV 11 are responsible for 90% of

A

Genital warts cases

40
Q

Gardasil is a vaccine to prevent

A

HPV - it is given in a series of 3 injections

41
Q

Cervical Cancer Etiology

A

HPV

42
Q

Risk Factors for Cervical Cancer

A 
Low SES
*Early Sexual Activity*
*Multiple partners*
Hx of smoking
Exposure to DES in utero-babies can develop cervical cancer
43
Q

Signs/Sx of Cervical Cancer

A

intermenstrual bleeding
thin-watery discharge
post coital bleeding

44
Q

Risk Factors for Ovarian Cancer

A 
Age
Genetics
*HIGH FAT DIET*
hx of other cancers
*NULLIPARITY*
infertility
45
Q

Signs/Sx of Ovarian Cancer

A

GI Symptoms (HUGE)

46
Q

HSV Teaching

A

Proper hand hygiene
Air dry lesions
Condom use

47
Q

Signs/Sx of pre-term newborn

A 
decreased muscle tone
thin skin/decreased fat
Labia minora and clitoris > labia majora
undescended testicles 
small, smooth scrotum
48
Q

Respiratory complications with pre-term

A

Decreased surfactant = increased effort

49
Q

Most accurate way to determine gestational age

A

Physical assessment

50
Q

Small for gestational age does not mean

A

Preterm - SGA baby at risk for RDS ~ subtle signs/sx

51
Q

Any stress increases the need for

A

O2 - keep low stimulation environment for baby

52
Q

What baby is at risk for Transient Tachypnea of Newborn

A

Baby born by c-section with no mechanical compression of lungs

53
Q

Which complication correlates with high arterial O2 levels

A

Retinopathy of prematurity

54
Q

Best assessment for Nectrotizing Enterocolitis

A

Measure abdominal girth

55
Q

Reasons for altered parenting

A

Parents intimidated by setting

56
Q

SGA term baby at risk for

A

High risk for Hypoglycemia d/t no reserve/stores

Hypothermia - no brown fat

57
Q

LGA term baby at risk for

A

Hypoglycemia

Birth Injuries

58
Q

Post term baby at risk for

A

Hypoxemia

Malnourishment d/t IUGR

59
Q

Meconium aspiration etiology

A

Happens with a stress reaction - anal sphincter weakens and if aspirated - thick, sticky, NASTY meconium is released. Baby will develop RDS as a consequence.

60
Q

Most accurate way to determine gestational age

A

Physical Assessment

61
Q

IV antibiotics are indicated with

A

+GBS - Group B Strep

62
Q

A c/section is indicated if a pt has active

A

HSV lesions

63
Q

Fiber recommendations and types of foods

A

25-35 grams/ day

Fruits
veggies
whole grains
lean proteins

64
Q

Characteristics of cervical mucus during fertile period

A

stretchy, clear

65
Q

Fibrocystic disease – what age group is likely to develop this

A

Teens and Twenties

Maternal/Child (2 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions