Test 3 Flashcards

Question

What are some risk factors for genetic disease?

Answer 1

``` maternal age 35+ balanced translocation hx of genetic disorder hx of infertility or repeated pregnancy loss family hx unknown ```

Answer 2

macrosomia, immaturity/early delivery. operative delivery. hypoglycemia after delivery. risk of diabetes later in life.

Answer 3

``` denial of pregnancy - late/absent PNC nutritional deficits pre-eclampsia C/S LBW babies fetal/neonatal mortality ```

Answer 4

``` increased chance of LBW increased chance of SGA increased risk for SIDs increased risk for SABs respiratory effects: asthma, acute lower respiratory symptoms, chronic respiratory symptoms, middle ear infections ```

Answer 5

A.... no risk (thyroid meds) B.... no adverse effects in animals, no human studies (penicillin) C... animal studies show adverse reaction, no human studies (betablockers, Colace) D... definite fetal risks (lithium, some chemo drugs) X... absolute fetal abnormalities (Accutane, Pitocin, estrogen)

Answer 6

any drug under certain circumstances may be detrimental to the fetus the fetus is in greatest danger at the beginning of pregnancy (5-8 weeks) drugs with lowest molecular weight cross over and produce greatest damage

Answer 7

craniofacial anomalies growth restriction brain, spinal, and cardiac defects behavioral disturbances, developmental, & intellectual disabilities

Answer 8

``` late PNC, failure to keep prenatal appts inconsistent follow-through w/recommendations poor grooming inadequate weight gain defensive or hostile reactions anger or apathy regarding pregnancy ```

Answer 9

diaphoresis, increased BP, Temperature irregular respirations dilated pupils PTL - sudden onset, severe painful contractions, possible abruptions fetal tachycardia, excessive fetal activity anger, caustic, abusive reactions & paranoia

Answer 10

maternal well being reduction of perinatal transmission consider early delivery: c/s vs vaginal

Answer 11

``` no fetal movement - 4x/30 min chills or fever sudden swelling epigastric pain vaginal bleeding - filling pad in 1 hr painful urination headache abdominal pain leaking fluid - filling pad in 1 hr severe or prolonged vomiting- >12 hr blurred vision chest pain ```

Answer 12

``` pain/tingling in breasts urinary frequency nausea/vomiting, ptyalism nasal stuffiness, epistaxis fatigue mood swings ```

Answer 13

``` enlarged abdomen vascular spider nevi constipation groin pain headaches food cravings heartburn leucorrhea striae gravidarum supine hypotension leg cramps ```

Answer 14

``` vaginal bleeding fever nausea/vomiting swelling of face or fingers headache, visual disturbances epigastric pain abdominal pain or cramping reduction in or absence of fetal movement burning or painful urination ```

Answer 15

comfort measures for discomforts anticipatory guidance S/S of PTL choices of prenatal education classes

Answer 16

``` dyspnea/SOB Braxton-hicks contractions indigestion, pyrosis vaginal discharge back ache leg & feet cramps pedal edema urinary frequency insomnia constipation fatigue ```

Answer 17

``` visual disturbance headache, fever hand & facial edema vaginal bleeding abdominal pain, uterine contractions PROM - most common concern ```

Answer 18

S/S of labor/PTL when to call health care provider when to go to hospital/birthing center comfort measures for trimester related discomforts anticipatory guidance regarding duration of present discomforts reinforce and reiterate previous teaching

Answer 19

``` good nutrition and folic acid educate to seek early and regular PNC teach S/S of PTL employers modify work conditions out reach education for foreign-born populations screen all women for abuse promote community awareness programs ```

Answer 20

maintenance of maternal-fetal health accurate determination of gestational age ongoing risk assessment & risk-appropriate intervention women/family education about pregnancy, birth, parenting rapport with the childbearing family referral to appropriate resources