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Level 3 Variations In HEALTH MIDTERM > VH3 FINAL > Flashcards

VH3 FINAL Flashcards

1
Q

Location of in the abdomen of the fundus 24 hours Post delivery

A

Midline

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2
Q

Drug most commonly used for bipolar

A

Lithium

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3
Q

These valves in the heart can be detrimentally affected by rheumatic fever

A

Mitral

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4
Q

Enlarged head with pressure changes within the brain due to excessive fluid

A

Hydrocephalus

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5
Q

Spinal cord normal, defect and bony canal, meningese protrude through this defect

A

Meningecele

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6
Q

Increase spinal caricature in the lumbar region

A

lordosis

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7
Q

Higher levels of this in vaginal secretions for both the growth of candida

A

Glycogen

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8
Q

Inherited disease that caused dysfunction of exocrine glands and effects multiple systems especially respiratory

A

Cystic fibrosis

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9
Q

Congenital defect that has four distinctive features

A

Tetralogy of fallot

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10
Q

Deformity in babies which characterize limitation of abduction asymmetrical skin folds shortened femur

A

Hip dysplasia

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11
Q

Culturing this area in the pharynx for rheumatic fever

A

Throat

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12
Q

Protrusion of membranes and cords through opening and spine

A

Meningomyalocele

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13
Q

Hormone that causes morning sickness abbrevi

A

HCG

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14
Q

Separation of abdominal muscles in later stages of pregnancy

A

Diastasis recti

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15
Q

Chadwicks and Goodell’s sign cause changes here

A

Cervix

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16
Q

Defects that occur during fetal development

A

Congenital

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17
Q

Enlarged blood vessels due to slow venous return during pregnancy

A

Vericose

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18
Q

What is cystic fibrosis

A

-serious chronic lung disease in children
-most common fatal genetic disease
-affects children and young adults
-no cure
-is an inherited recessive trait, with both parents carrying a gene for the disease
Defect: an exocrine gland dysfunction
1)increased viscosity (thickness) of mucous gland secretions
2)a loss of electrolytes in sweat b/c of an abnormal chloride movement

Affects:
-respiratory, digestive, reproductive system and skin (sweat glands)

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19
Q

Name three things you can include in a care plan with someone that has cystic fibrosis

A

-Monitor O2 sats every 4 hours
-Order and administer bronchdilators and expectorants
-Encourage/monitor adequate fluid intake

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20
Q

Explain Bipolar

A

1–> must have at least one manic episode;experience highs, mania episode; experiences euphoria, elevated self-esteem, reckless and impulsive behavior and then depression can set in once the high quickly fades

2–>highs are hypomanic, rather than manic;

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21
Q

Common treatments for bipolar

A

Lithium(bipolar II)
Therapy

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22
Q

Complications of treatment for bipolar

A

Most people need to remain on medication for their entire lives

If illness is not severe, meds and therapy can often be enough

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23
Q

Explains schizophrenia

A

-initial symptoms may include delusions and hallucinations; blunted affect
No cure
Medications help

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24
Q

Common treatments for schizophrenia

A

Medications are the most important part of treatment;can eliminate the psychotic symptoms

Therapy helps to learn better coping skills and improve social and occupational skills

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25
Complications of treatment for schizophrenia
Due to condition stops taking medication because they feel they don't need it anymore
26
Why do we use defense mechanisms
To protect ourselves from feelings of inadequacy or psychological threat
27
State three things learned in class about the uterus with regards to pregnancy
1)it's a small, muscular, pear shaped pelvic organ 2)weighs 60g; 3)capacity of 10mL 4)temporarily becomes an abdominal organ at the end of the first trimester 5)it expands, exerting pressure upward on diaphram;rises about 4cm
28
State the categories of stressors
Physiological Biological Psychological
29
Signs and symptoms of anemia in pregnancy
SOB Palpitations Rapid pulse
30
Explain Down syndrome
Most common chromosomal abnormalities 9 in 10,000 births Have mild to severe mental challenges and generally some physical abnormalities Trisomy 21 syndrome Mosaicism Translocation of a chromosome
31
Explain cleft lip
A fissure or opening in the upper lip Result of the failure of the maxillary and median nasal processes to unite during embryonic development (7-8 wks gestation) Occurs more often in boys than girls Affects infants sucking ability and appearance Surgically repaired (@3months) -->cheiloplasty
32
Explain cleft palate
A fissure in the midline of the roof of the mouth -Complicates feeding, -can lead to infections of respiratory tract, and middle ear, and -speech difficulties later on in life
33
Signs of cardiac pathology in children
Failure to thrive or poor weight gain Cyanosis, pallor Clubbing of fingers Dyspnea Fatigue during feeding or activity Irregular pulse rate
34
Explain anorexia nervosa
Distorted body image, sees themselves as overweight despite overwhelming evidence to contrary Strong familial undercurrent; overcontrolling, where nurturance is lacking Sexual abuse survivors more prone 90% females Fear of losing control of weight or getting fat Tx: focused on improving health
35
Explain RH incompatibility
Occurs if mom is Rh negative and fetus is Rh positive Exposure to Rh- positive blood causes the person to make antibodies to destroy Rh- positive erythrocytes, and destroy and future Rh-positive erythrocytes that enter the circulation Won't usually affect 1st baby but any baby afterwards; sensitized to destroy Rh-positive blood cells Mom is given RhoD immune globulin at 28 weeks and within 72 hours after birth of an Rh-positive infant or after a miscarriage or abortion
36
Why is RH incompatibility important to understand
Important if mom wants to have any more children in the future, prevents complications and possible miscarriage/abortions
37
Are supplements important during pregnancy
They are essential! Calcium, folic acid, (prenatal vitamins)
38
State three complementary Therapies
Relaxation therapy Massage Acupuncture
39
The nurse is working in a substance abuse centers. She realizes substance abuse is common. Substance abuse occurs most commonly between what ages?
16-25 years of age
40
The nurse is taking care of a client with a serious mental illness and an addiction to drugs. The client's two conditions are known as what?
Substance dependency and Dual diagnosis
41
The client has been taking an especially potent form of heroin. What is the drug called?
Black tar
42
The nurse is caring for a client who regularly uses MDMA, which is commonly known as what
Ecstacy
43
The nurse is caring for a client who is taking a medication daily because she is a nonpracticing (dry) alcoholic. What is the medication known as?
Antabuse
44
Surfactant
A mixture of lipoproteins secreted in the alveoli and air passages that reduces the surface tension within the alveoli and contributes to the expansion of the lungs
45
Bupivacaine
46
Pitocin
47
Misoprostol
48
Theophylline
A bronchodilator that works directly on Airway muscles not commonly used in treatment of asthma
49
Oxytocin
Upton ordered to contract the uterus
50
Cervidil
51
Ropivacaine
52
Premature labour drugs
53
Progesterone
54
Terbutalaine
55
Nifedipine
56
Magnesium sulfate
Preterm labour related to pre-eclampsia
57
BUBLLEE
Breast
58
Episiotomy
Surgical enlargement of vaginal opening during birth
59
Braxton Hicks
Free labor contractions are irregular painless uterine contractions that begin in the second trimester they give the sensation the abdomen is being hard and tense
60
Colostrum
The secretion from the Press before the onset of true lactation has high protein content provides immune properties and cleanses the newborns intestinal tract of mucus and meconium
61
Gravida
The number of times a woman has been pregnant
62
Nagele's rule
A method for determining the estimated date of birth after obtaining the first day of the last menstrual period on 7 Days and count forward 9 months
63
Quickening
First fetal movements built by the pregnant woman usually occurring between 16 and 18 weeks of gestation for a primigravida
64
Preeclampsia eclampsia
An increase in blood pressure that occurs during pregnancy the accompanied by proteinuria protein in the urine
65
GTPAL
'G' stands for gravida - how many pregnancies the woman has had there is a history of four pregnancies 'T' stands for term birth this woman has had one child born at 39 weeks which is considered term 'P' stands for preterm born before 37 weeks gestation this woman has had one child born at 34 weeks gestation preterm 'A' stands for abortion this woman reports a pregnancy that terminated at 16 weeks gestation 'L' stands for living, this woman has two living children
66
LMP
Last menstrual period
67
EDB
Estimated date of birth
68
Postpartum blues
A normal fluctuation of mood occurring within two weeks of birth
69
PPT depression
70
Haploid
Single set of chromosomes that are not paired in the human this is 23
71
Diploid
Some organisms beginning inside of internal and a set of internal chromosomes in human being 46
72
Bipolar symptoms and diagnosis
Meet full criteria for both mania snd major depressive episode
73
Bipolar drug
Lithium Fluoxetine
74
Non-pharma tx for bipolar
Lifestyle Changes eating healthy foods like Flamingo 3 fatty acids mind and body practices supplements
75
Will cannabis products work for Bipolar
Not necessarily can potentially worsen manic symptoms and interact with other bipolar occasions for some can help relieve some symptoms of bipolar disorder
76
S&S of schizophrenia
Delusions Hallucinations Disorganized speech Grossly disorganized/catatonic behavior Flat affect/ negative symptoms
77
Drugs for schizophrenia Why are they risky? State side effects
Antipsychotics (quetiapine, olanzapine, risperidone) Risky if too sedated; monitor vitals Dizziness and sedation
78
When is cystic fibrosis diagnosed?
2 week old infants; sweat test
79
Cystic fibrosis symptoms & treatment
Trouble breathing, wheezing, trouble growing or gaining weight Meds-antibiotics, bronchodilators, Anti-inflammatory meds,
80
Cystic fibrosis pharmaceutical treatments. Are they affordable? Outcome?
Can be expensive; manage symptoms, not curable Can live longer, 30s, but never goes away
81
When does Hemolytic disease develop?
Fetus
82
Pathology of hemolytic disease(4)
Caused when Rh negative mother and RH positive father produce an RH positive fetus fetal and maternal blood doesn't mix small leaks into mothers circulation sensitizing mother mother produces antibodies across placental and Destroy fetal blood cells causing anemia possible heart failure protective administration of Rh immune globulin (RhoGam)
83
Treatment for hemolytic disease
Intrauterine blood transfusion of red blood cells into baby's circulation After birth: blood transfusion IV Oxygen, surfactant
84
How can hemolytic disease be prevented in the future?
By giving mom antibodies to 'Rh sensitize' her
85
How does Down syndrome develop? What parents are at higher risk?
Most common chromosomal abnormalities increases in one in 365 of mothers greater than the age of 35 maternal age greater than 55 years is also a factor
86
Phenotypes of Down Syndrome
1) Trisomy 21 syndrome: most common; 95% of patients; three number 21 chromosomes 2) Mosaicism: non-destruction occurs late in development both Normal and abnormal cells are present less severely affected 3) Translocation of a chromosome: a piece of chromosome and pair #21 breaks away and attaches to another chromosome
87
Physical challenges for someone with Down syndrome
Typical facial appearance of an infant upward slant of cancel fold of eyes protruding tongue and short thick neck straight Simeon crease in the palm of the hand short fifth finger tip does not extend to the distal joint of the adjoined finger
88
Developmental challenges for someone with Down syndrome
May have mild to severe mental retardation and some physical abnormalities
89
Community resources for individuals with Down syndrome? Will they be ok?
Vancouver island Down Syndrome Society has lots of resources to events, membership CDSS-Canadian down syndrome society Yes, they will be ok with community support
90
Rheumatic fever attacks what parts of the body? And destroy?
Collagen disease disorder distraction of connective tissues causing scarring of mitral valves
91
Population most affected to become infected by rheumatic fever
5 to 15 years old
92
Fastest way to diagnose rheumatic fever. Treatment and prevention
Test for C-reactive protein measures the amount of inflammation in the body it's a protein they measure the levels of that protein in the body -Reduce the work of the heart - improve respiratory functioning - promote good nutritional balance practices -prevent infections -reduce parental anxiety -support growth and development
93
Risks to other people around someone that has rheumatic fever
No you cant give it to other people
94
Causes for Anorexia
Unknown Genetic changes Environmental/socio cultural Psych factors : Difficulty handling stress excessive worrying and feeling scared or don't feel about the future perfectionism having feelings of obsession and compulsion
95
How can a nurse care for someone who is anorexic? What to monitor for?
Monitoring adequate nutritional intake correcting fluid and electrolyte imbalance Assist patient develop realistic body image improve self-esteem Monitor input and output
96
Treatments for anorexia
Antidepressants fluoxetine and amitriptyline to reduce symptoms of depression therapy counseling to recognize underlying issues and helping them to cope with a condition well encouraging to successfully deal with emotions collaborate and create a healthy diet pattern or plan
97
Side effects for anorexia
Thin appearance Abnormal blood counts dizziness or fainting bluish discoloration of the fingers hair that thins breaks or falls out dehydration Malnutrition

Level 3 Variations In HEALTH MIDTERM (3 decks)

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