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NURS 206 - OB / Peds - Child Bearing Family > Unit 1 > Flashcards

Unit 1 Flashcards

1
Q

12 weeks

A
  • Red blood cells are prodcued in the liver.
  • Fusion of the palate is completed.
  • External genitalia are developed to the point that sex of fetus can be noted with ultrasound.
  • Eyelids are closed.
  • Fetal heart tone can be heard by Doppler device.
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2
Q

16 weeks

A
  • Lanugo is present on head.
  • Meconium is formed in the intestines.
  • Teeth begin to form.
  • Sucking motions are made with the mouth.
  • Skin is transparent.
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3
Q

20 weeks

A
  • Lanugo covers the entire body.
  • Vernix caseosa covers the body
  • Nails are formed.
  • Brown fat begins to develop.
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4
Q

24 weeks

A
  • Eyes are developed. Alveoli form in the lungs and begin to produce surfactant.
  • Footprints and fingerprints are forming.
  • Respiratory movement can be detected.
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5
Q

28 weeks

A
  • Eyelids are open. Adipose tissue develops rapidly.

- The respiratory system has developed to a point that has exchange is possible, but lungs are not fully mature.

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6
Q

32 weeks

A
  • Bones are fully developed. Lungs are maturing.

- Increased amounts of adipose tissue are present.

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7
Q

36 weeks

A
  • Lanugo begins to disappear. Labia majora and minora are equally prominent.
  • Testes in upper portion of scrotum.
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8
Q

40 weeks

A

-Fetus is considered full term at 38 weeks. All organs/systems are fully developed.

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9
Q

Normal Menstrual Cycle Length

A

28 days according to NCLEX

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10
Q

At what day during the menstrual cycle does ovulation occur?

A

Day 14

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11
Q

Autosomal Dominant

A

Either have disease or healthy. Cannot be a carrier

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12
Q

Autosomal Recessive

A

can be a carrier

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13
Q

Risk Factors for male Infertility

A
  • Excessive alcohol use
  • Marijuana or Cocaine use
  • Advanced age
  • STI
  • Smoker
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14
Q

Risk Factors for Female Infertility

A
  • Diabetic
  • Excessive alcohol use
  • Obesity
  • Advanced age
  • STI
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15
Q

Post Operative Care

A
  • Saturated pad within one hour is a big NO NO
  • BP drop, HR increase = hemorrhage
  • Give pillow for abdominal incisions incase she has to cough
  • Pain is only the priority when it fixes the problem.
  • Should be no blood in urine
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16
Q

Fever above ____?

A

100.4 F or 38 C is issue!

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17
Q

Education for Post Op Hysterectomy

A

Keep vagina dry, no douche

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18
Q

Pelvic Inflammatory Disease (PID)

A

S&S: abnormal vaginal discharge with foul odor

  • Fever above 100.4
  • Elevated WBC and ESR
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19
Q

Treatment for PID

A
  • Test for STIs
  • Give antibiotic
  • Ibuprofen for pain
  • Make sure patient knows to complete the antibiotic regiment
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20
Q

Candidiasis

A
  • S&S: white, cheesy vaginal discharge
  • Tx: Miconazole, Tioconazole, Fluconazole
  • Education: avoid sex, warm water and soap to clean, wear cotton underwear
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21
Q

Bacterial Vaginosis (BV)

A
  • S&S: fishy vaginal smell; discharge may be white or grey, milky
  • Tx: Metronidazole, Miconazole;
22
Q

Chlamydia

A

Incubation: 1-3 weeks
S&S: Men- dysuria, frequent urination, watery discharge
Female: asymptomatic, thick discharge with acrid odor, pelvic pain, yellow-colored discharge, dysmenorrhea
Tx: Doxycycline Hyclate
Education: may cause female infertility; notify contacts

23
Q

Genital Warts / Condylomata acuminata

A

Incubation: 1-3 months
S&S: initially single, small papillary lesion, spreads into cauliflower-like cluster on perineum, vagina or penis; itching / burning sensation
Tx: Curettage, cryotherapy with liquid nitrogen or podophyllin resin; kerotyltic agents
Education: avoid intimate contact until lesions healed; notify contacts; atypical, pigmented or persistent warts should be biopsied, cervical carcinoma risk

24
Q

Genital Herpes

A 
Incubation:  3-14 days
    • Symptoms
        ○ Initially pinpoint vesicles on a erythematous base
        ○ Vesicles ulcerate and become painful, draining lesions
        ○ Difficulty urinating
        ○ Recurrent at times of stress, infection, or menses
    • Treatment
        ○ No cure
            § Symptomatic
                □ Sitz bath
            § acyclovir
    • Educate
    • Notify contacts
    • Precautions regarding vaginal delivery
    • Cervical carcinoma risk
    • Emotional support
25
Q

Gonorrhea

A 
ncubation:  2-7 days
    • Symptoms
    • Women
    • May be asymptomatic
    • Purulent discharge, dysuria, dyspareunia
    • Men
    • Painful urination
    • Yellow-green discharge
    • May cause male or female sterility
    • Greenish-yellow or white vaginal discharge
    • Dysuria
    • Lower abdominal or back pain
    • Treatment
    • Ceftriaxone
    • doxycycline hyclate
    • Educate
    • Monitor for PID
    • Notify contacts
26
Q

Hepatitis B

A 
Symptoms
    • Fever
    • Fatigue
    • Loss of appetite, nausea, vomiting
    • Abdominal and/or joint pain
    • Dark Colored urine
    • Clay-colored stools
    • Jaundice
    • Treatment
    • No cure
27
Q

Syphilis

A

Incubation: 10-90 days
• Primary syphilis
• Painless chancre disappears within 4 weeks
• Secondary syphilis
• “Copper penny” rash on palms and soles, low-grade fever
• Tertiary syphilis
• Cardiac and CNS dysfunction
• Diagnose with rapid plasma reagin (RPR) or Venereal Disease Research Laboratory (VDRL) tests
• Treatment
• Penicillin G

28
Q

Trichomoniasis

A

Symptoms
• Females
• Erythema, edema, pruritus of the external genitals
• Frothy gray or greenish-yellow vaginal discharge with a strong odor
• Treatment
○ metronidazole

29
Q

Total Normal Weight Gain for Pregnancy

A

24-28 pounds

30
Q

First Trimester Weight Gain

A

2-4 pounds

31
Q

Second Trimester Weight Gain

A

12-14 pounds

32
Q

Third Trimester Weight Gain

A

8-12 pounds

33
Q

Foods for the anticipating mom to avoid

A
  • Raw/undercooked meat
  • Processed foods: hot dogs, lunch meat, listeria is bacteria present
  • Smoked seafood
  • Soft cheese: Mexican cheese, feta
  • Fish with high levels of mercy: shark, swordfish, sushi, king marcel; can have salmon tuna and catfish
  • Raw eggs: cookie dough
  • Caffeine: none is best but 200 mg/day during pregnancy
  • Alcohol: NONE
  • Unwashed vegetables: avoid, wash even if from own garden
34
Q

How soon should you stop oral contraceptives before trying to become pregnant?

A

2-3 months before trying to become pregnant, use other contraceptive meds

35
Q

Chadwick’s sign

A

increased blood flow to vaginal area looks bluish around 6-8 weeks gestation

36
Q

Goodell’s sign

A

softening of the cervix

37
Q

Hegar’s sign

A

softening of the lower uterus

38
Q

Definitive Signs of Pregnancy

A
  • Fetal heart heard separate from mothers (higher number than mother’s; heard around 8-12 weeks gestation)
  • Fetal movements felt by examiner (HCP feels actual movement, tumors will not kick you; 20-24 weeks gestation)
  • Visualization of fetus (on ultrasound, around 4-6 weeks gestation)
39
Q

First Trimester

A

First day of Last Menstrual Period (LMP) through 14 completed weeks
-weight gain 2-4 pounds

40
Q

Second Trimester

A

15 weeks through 28 completed weeks

-weight gain 12-14 pounds

41
Q

Third Trimester

A

29 weeks through 40 completed weeks (this period stops when labor starts)
-weight gain 8-12 pounds

42
Q

Prenatal Vitamins

A

take at night time with snack to avoid sickness feeling

43
Q

Folic Acid

A

B-vitamin, decrease the rss koi neural tube defects, like Spinal Bifida; 400 mcg/day
-Comes from leafy green veggies, citrus fruits, cereal (fortified)

44
Q

Para

A

number of pregnancies that have reached viability, regardless of whether the infants were born alive

45
Q

Gravida

A

woman who is or has been pregnant

46
Q

Primigravida

A

woman who is pregnant for the first time

47
Q

Primipara

A

woman who has give birth to one child past age of viability

48
Q

Multigravida

A

woman who has been pregnant previously

49
Q

Multipara

A

woman who has carried two or more pregnancies to viability

50
Q

Nulligravida

A

woman who has never been and is not currently pregnant

51
Q

Presumptive signs of pregnancy

A
  • thing she feels: have them describe
  • amenorrhea
  • N&V
  • stria gravidarum (stretch marks)
52
Q

Probably signs of pregnancy

A
  • Objective: urine lab test, HCG hormone, can be false positive, psychotropic drugs can cause this;
  • Urine pregnancy tests are 95-98% accurate

NURS 206 - OB / Peds - Child Bearing Family (1 decks)

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