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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

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2
Q

Risk factors for LATE Post Partum Hemorrhage

A

Retained placenta
SUBINVOLUTION - pelvic tenderness
Metritis

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3
Q

Signs and sx of Hypovolemic Shock

A 
Increased HR
Decreased BP
Decrease CO
Diaphoresis
Decreased UOP
Changes in Mental Status
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4
Q

Nursing Interventions during hemorrhage

A

Fundal massage
Assess bladder for distention
Catheter PRN

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5
Q

Risk Factors for Metritis

A

Overweight
C-Section
PROM

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6
Q

How to treat/prevent Mastitis

A

Early, frequent feedings

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7
Q

Sx of Puerperal Infection

A

Low grade fever x 2 days

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8
Q

Bereavement - What to do…

A

Facilitate confirming the loss

  • Offer greaving box
  • Allow to hold the baby
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9
Q

Difference between depression and blues

A

Length of time

Depression REQUIRES intervention

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10
Q

Etiology of depression

A 
Hormone Shifts
Discomfort/Fatigue
Role Transition
Social Support
Life Stress
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11
Q

Polycythemia Sx

A

Plethora - Ruddy (bloody)/Beefy appearance

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12
Q

Hyperbilirubinemia - Pathological

A

Sx appear in less than 24 hours

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13
Q

Hyperbilirubinemia - Physiological

A

Sx appear after 24 hours

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14
Q

Hyperbilirubinemia - Nursing Intervention

A

Phototherapy - patient prone to dehydration ~ Monitor I&O

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15
Q

Sepsis Sx

A

Low temperature

Poor feeding tendencies

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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

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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)

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18
Q

Common SE with Fosimax

A

Gastritis - GI Problems

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19
Q

Contraindications of ERT/HRT

A 
Hypertension
Breast pathology
DVT
Smoking Hx
AMA
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20
Q

Increased Estrogen and Progesterone lead to

A

Decreased GnRH and decreased FsH and LH = no ovulation

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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
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22
Q

Multiphasic pills most closely mimics

A

Natural menstrual cycle

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23
Q

Diaphragm is huge risk for

A

Toxic shock syndrome

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24
Q

Early IUD Warning Signs

A 
P eriod late/abnormal spotting
A bdominal pain
I nfection
N ot feeling well
S tring missing
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25
Natural family planning
Basal Body Temperature- | Temperature rises after ovulation due to increased progesterone levels (.4-.8 shift)
26
Fertile mucus characteristics
Thin, very stretchy, clear
27
Secondary infertility is
when a couple has conceived before, but are unable to conceive after previous pregnancy
28
Begin any infertility appointment with
A complete H&P
29
Increased number of leukocytes in semen indicate
Presence of infection
30
Clomid is used in men to
Increase sperm count
31
Patient teaching after mastectomy
DO NOT move effect arm into a dependent position
32
Characteristic of invasive ductal
Dimpling (peau d'orange)
33
Arimedex is an Aromatase inhibitor used for
Postmenopausal ER and breast tumors
34
Cardinal sign of uterine prolapse
BACKACHE
35
Medication used for Endometriosis
Danasol/Danocrine
36
Infertility correlates with
Endometriosis and gonorrhea
37
PID can lead to
infertility due to buildup of scar tissue
38
A priority for PCOS is
weight management
39
HPV 6 and HPV 11 are responsible for 90% of
Genital warts cases
40
Gardasil is a vaccine to prevent
HPV - it is given in a series of 3 injections
41
Cervical Cancer Etiology
HPV
42
Risk Factors for Cervical Cancer
``` Low SES *Early Sexual Activity* *Multiple partners* Hx of smoking Exposure to DES in utero-babies can develop cervical cancer ```
43
Signs/Sx of Cervical Cancer
intermenstrual bleeding thin-watery discharge post coital bleeding
44
Risk Factors for Ovarian Cancer
``` Age Genetics *HIGH FAT DIET* hx of other cancers *NULLIPARITY* infertility ```
45
Signs/Sx of Ovarian Cancer
GI Symptoms (HUGE)
46
HSV Teaching
Proper hand hygiene Air dry lesions Condom use
47
Signs/Sx of pre-term newborn
``` decreased muscle tone thin skin/decreased fat Labia minora and clitoris > labia majora undescended testicles small, smooth scrotum ```
48
Respiratory complications with pre-term
Decreased surfactant = increased effort
49
Most accurate way to determine gestational age
Physical assessment
50
Small for gestational age does not mean
Preterm - SGA baby at risk for RDS ~ subtle signs/sx
51
Any stress increases the need for
O2 - keep low stimulation environment for baby
52
What baby is at risk for Transient Tachypnea of Newborn
Baby born by c-section with no mechanical compression of lungs
53
Which complication correlates with high arterial O2 levels
Retinopathy of prematurity
54
Best assessment for Nectrotizing Enterocolitis
Measure abdominal girth
55
Reasons for altered parenting
Parents intimidated by setting
56
SGA term baby at risk for
High risk for Hypoglycemia d/t no reserve/stores | Hypothermia - no brown fat
57
LGA term baby at risk for
Hypoglycemia | Birth Injuries
58
Post term baby at risk for
Hypoxemia | Malnourishment d/t IUGR
59
Meconium aspiration etiology
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
Most accurate way to determine gestational age
Physical Assessment
61
IV antibiotics are indicated with
+GBS - Group B Strep
62
A c/section is indicated if a pt has active
HSV lesions
63
Fiber recommendations and types of foods
25-35 grams/ day Fruits veggies whole grains lean proteins
64
Characteristics of cervical mucus during fertile period
stretchy, clear
65
Fibrocystic disease – what age group is likely to develop this
Teens and Twenties

Maternal/Child (2 decks)

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