Unit 1/Test 1/Maternal Child Stressors Flashcards
Amenorrhea
Absence of period
Amenorrhea can be caused by:
- hormonal disturbance
- Endocrine disorder
- Medication induced
- Stress induced
- Low fat to lean ratio
Dysmennorhea
Painful periods (always had cramps). Initiation of painful cramps later in life. Over all most common GYN problem. 80% of women. Common during puberty, and improves after childbirth
Primary Dysmenorrhea Self help management:
- Increased rest
- Application of heat and cold
- OTC Tylenol and Motrin for cramping
- Relaxation techniques
- Increase in exercise
Secondary Dysmenorrhea:
(Later onset of painful cramps)
- Fibroid tumor
- Endometriosis
Fibroid Tumor:
Patho-Physiological response: Non-malignant mass of the uterus
Endometriosis:
*Patho-Physiological response: Growth of uterine tissue outside uterus
Endometriosis: Pathophysiological response:
- Hormonal driven
* Swells with cycle
Endometriosis: Diagnostic-
- Pelvic exam
- Laparoscopy with biopsy
- Report of symptoms
Endometriosis: Diagnostic: Primary prevention
- Behavioral response
- Begin having painful menstrual cramps in early 20’s to 30’s
- Infertility
- Painful intercourse
Endometriosis: Experiential Response:
*Choosing therapy
*Hormonal therapy
-birth control pill
-Lupron injection
–GnRh agonists
–menopausal symptoms
–potential decreased bone density
*Laser surgery
Apply Diagnostic Reasoning- found when women wants to get pregnant-fear and anxiety
Endometriosis: Establish Nursing Diagnoses:
- Exchanging- impaired tissue integrity
- Valuing- spiritual distress
- Choosing- Ineffective management of therapeutic regimen
- Perceiving- body imagine disturbance- pain fear
- Danozol
Develop Individual Plan of Care: Family Centered:
- Identify anticipatory guidance needed
- Teaching-treatment modalities
- Pre-op
- Post-op
Identify Interventions- no prevention-unknown cause
- Implement treatment regimen
- Alternative treatments
- dietary changes
- allergy management
- homeopathy
- -chinese medicine- accupuncture
- -herbal remedies
Endometriosis: Evaluation of responses:
- Where outcomes met:- decrease pain
- Tertiary prevention:- Pregnancy or menopause/hysterectomy
- Complications:-women who should not take oral contraceptives
Endometriosis: Member of discipline-treatment
*Frustrating inadequate-caring, support groups
Mettrorrhagic:
- Intra menstrual cycle
- bleeding-mittlestaining
Menorrhagic:
*Excessive menstrual- bleeding- uterine lining ablation
Menopause:
*Natural cessation of menstrual cycle
