WCF Exam 1 Flashcards

1
Q

Family centered care

A

Entire family is involved in the patient’s care

Use therapeutic communication and include everyone in the decision making process

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2
Q

Barriers to family centered care

A

Communication, divorced parents, different caregivers, work schedules, and education level

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3
Q

Health promotion

A

Preventing illness/disease, increase well-being

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4
Q

Anticipatory guidance

A

Get them ready for the next stage of development

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5
Q

Increase in size

A

growth

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6
Q

Increase capabilities and ability to adapt

A

development

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7
Q

How pediatric patients grow & develop

A

physically, cognitively, socially, and emotionally

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8
Q

Cephalocaudal

A

head to tail

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9
Q

Proximodistal

A

Trunk to limbs & fingers/toes

-near to far
-midline to periphery

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10
Q

Gross motor to Fine motor

A

Walking, running, throwing to writing, buttoning a shirt, grasping small objects

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11
Q

Birth to 1 year

A

Infant

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12
Q

1 to 3 years

A

Toddler

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13
Q

3 to 5-6 years

A

Preschool

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14
Q

6 to 12 years

A

School-age

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15
Q

12 to 18 years

A

Adolescent

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16
Q

ERICKSON’S THEORY OF PSYCHOSOCIAL DEVELOPMENT

Trust vs Mistrust

A

Basic needs must be met, & trust must be learned
■ “Hold me, feed me, take care of me”

Birth to 1 year

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17
Q

ERICKSON’S THEORY OF PSYCHOSOCIAL DEVELOPMENT

Autonomy vs Shame

A

Controlling body excretions, “no”, balance independence &
self-sufficiency
■ “Watch me do this myself

1 to 3 years

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18
Q

ERICKSON’S THEORY OF PSYCHOSOCIAL DEVELOPMENT

Initiative vs Guilt

A

Exploring world, creating, resourcefulness to achieve & learn new things
■ “I want to help you; I can do it too”

3 to 6 years

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19
Q

ERICKSON’S THEORY OF PSYCHOSOCIAL DEVELOPMENT

Industry vs Inferiority

A

New activities, sports, school, sense of confidence
■ “I want to fit in” “What are the rules?”

6 to 12 years

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20
Q

ERICKSON’S THEORY OF PSYCHOSOCIAL DEVELOPMENT

Identity vs Role Confusion

A

New sense of identity, clear sense of self
■ “I just want my friends” “Who cares, so what”

12 to 18 years

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21
Q

PIAGET’S THEORY OF COGNITIVE DEVELOPMENT

Sensorimotor

A

Learns from sensory input, language skills
■ Looking, hearing, touching, mouthing, grasping

Infant to 2 years

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22
Q

PIAGET’S THEORY OF COGNITIVE DEVELOPMENT

Preoperational

A

Increasing verbal limitations in thought. Development of motor skills
■ Using words & images to represent things. Gradually evolves into pretend
play

2 to 6 years

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23
Q

PIAGET’S THEORY OF COGNITIVE DEVELOPMENT

Concrete operational

A

Organize thought in logical order. Manipulates objects
■ Grasping concrete analogies. Performing math operations

7 to 11 years

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24
Q

PIAGET’S THEORY OF COGNITIVE DEVELOPMENT

Formal operational

A

Mature, abstract thought & reasoning to handle difficult concepts
■ Looking at moral reasoning

12 years to adulthood

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25
Q

-No head control, flexed position, hands closed but has strong grasp
-Communicates by cooing, babbling, & crying

A

Newborn
Birth to 1 mos

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26
Q

-Birth weight doubled
-Holds head more erect
-Sits supported
-Rolls over
-Can move objects from hand to hand
-Discovers self- plays with hands, feet, mouth
-Begins to support self in tripod position
-Communicates by cooing, babbling

A

3 to 6 months

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27
Q

-Birth weight is tripled
-Head and chest circumference are the same
-Creeps, pulls self up on objects, teetering (begins to take steps with assistance)
-Uses pincer grasp
-Begins to hold and release objects (throw)
-Waves bye-bye
-Can understand “no,” say “mama” dada”
-Stranger anxiety

A

9 to 12 months

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28
Q

Solitary play

A

Infant

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29
Q

Parallel Play

-Imitate behaviors
-Trade toys and words

A

Toddler

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30
Q

-Gains about 1.4kg – 2.3kg per year
-Height increases about 3 inches per year
-Walks, climbs, runs, jumps
-Holds objects such as utensils, draws, begins to undress self

A

Physical changes of toddler

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31
Q

-Temper tantrums, “NO”
-Enjoys pictures, reading aloud & naming objects

Age 1: uses 1word commands, can follow 1 step direction
Age 2: uses 2 words and follows 2-word commands
Age 3: uses 3 words and follows 3-word commands

A

Cognitive and sensory function of toddler

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32
Q

What can a toddler play with?

Fine/gross motor play

A

building blocks, scribbling w/crayons, push & pull toys, up & down stairs

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33
Q

Associative play/playing together
Learns rules
Begins to pick up on gender differences

A

Preschooler

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34
Q

-Gains about 1.5kg – 2.5kg per year
-Height increases about 4-6cm (1.5-2.5 inches) per year
-Walks, climbs, runs, jumps easier
-Tie shoes, fasten buttons
-Draws stick figures
-Can use scissors

A

Physical changes of preschooler

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35
Q

-Visual acuity sharpens- can focus on letters and numbers
-Concrete thinking
-“Why”, enjoys rhymes, vocabulary 1500-2000 words

A

Cognitive and sensory function of preschooler

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36
Q

What can preschooler play with?

Fine/gross motor play

A

-Dramatic play, puppets
-Reading together (learning letters)
-Crafts, can use scissors
-Large motor activities
-Bicycle, climbing, swinging

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37
Q

-Gains about 4-6 pounds per year
-Height increases about 2 inches per year
-Walks, climbs, runs, jumps with precise coordination.
-Additional activities such as swimming, dancing
-Fine dexterity improves- writing, playing instruments, crafting

A

Physical changes of school age

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38
Q

-Thinking becomes more logical, solve problems
-“why” goes to “how”
-Visually acuity reaches 20/20
-Vocabulary 8,000 to 15,000 words

A

Cognitive and sensory function of school age

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39
Q

Cooperative play
Goal oriented (winning/losing)

A

School age

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40
Q

What can school age play with?

A

Puzzles, reading, games (card and board games)

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41
Q

-Weight: Girls about 15-55 pounds, Boys increases 15-66 pounds
-Height: Girls increase about 2-8 inches, Boys increase about 4-12 inches
-Secondary sex characteristics develop
-Endurance and coordination start to peak
-Fine dexterity sharpens allowing for effortless manipulation of objects

A

Physical changes of adolescents

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42
Q

-Can think in abstract terms, hypothesize
-Can use future time perspective
-Vocabulary of 50,000 words

A

Cognitive and sensory function of adolescent

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43
Q

Psychosocial development of adolescent

A

-Mainly guided by peer influence
-Push pull dynamic with parental/caregiver units
-Continues with cooperative play (bargaining, negotiating)

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44
Q

Components of pedi assessment

A

General health hx:
Nutrition
PMH including birth history
Play/activity/sleeping patterns
Family History
Social/Psychosocial history
Immunizations-UTD?
Developmental milestones

Physical exam:
Assessment
Vital signs
Measurements

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45
Q

Physical assessment should be completed with _________ invasive to _________ invasive.

A

least to most

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46
Q

Physical Assessment Approach

-Start with non-invasive procedures
-Save ears, throat, etc. for last
-Separation anxiety – always keep parent close
-Examine in parent’s lap for as much of exam
-Neurologic portion of exam will include several more reflex assessments

A

Infant

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47
Q

Physical Assessment Approach

Allow child to remain in parent’s lap
Let child get comfortable/used to being in room, before starting
Don’t ask for permission to perform exam
Give choices when possible.
Use distractions when needed.

A

Toddler

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48
Q

Physical Assessment Approach

More cooperative
Sense of body image
Fear of mutilation
Use simple explanations
Have child participate
Use games

A

Preschool

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49
Q

Physical Assessment Approach

Child should sit up on the table.
Explain what you are doing
Take the opportunity to teach about the body

A

School Age

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50
Q

Physical Assessment Approach

Do physical examination alone
Teen may request parent’s presence
Talk with teen throughout exam
Good opportunity to provide teaching about maturing body, physical changes.
Be non-judgmental
Confidentiality
Cover sensitive topics when parents are out of room.

A

Adolescent

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51
Q

Height is always documented in _________ and weight is always documented in ________.

A

centimeters (cm), kilograms (kg)

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52
Q

The Hospitalized Pedi Family

Caregiver Issues

A

Anxiety/fear
Disrupts routines
Role changes
Financial strain
Discharge/caring at home

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53
Q

The Hospitalized Pedi Family

Sibling Issues

A

Little attention from parents
Perception of illness (Lack of understanding, Feel guilty)
Nightmares, behavioral problems

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54
Q

The Hospitalized Pedi Family

Patient Issues

A

Separation and/or stranger anxiety- fear of being alone
Immobilization
Sensory overload
Loss of control
Painful procedures
Fear of the dark
Loss of privacy/bodily functions
Fear of death
Fear of altered body image

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55
Q

Pediatric Coping Mechanisms

A

Regression, repression, rationalization, & fantasy

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56
Q

Comfort positions to reduce stress and anxiety for pedi pt

A

Back to chest bear hug, Frog hold, Chest to chest bear hug, and Side support hold

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57
Q

Pedi procedural support

A

Educate- Age-appropriate, allow questions & expression of fears

Appropriate Environment- Treatment rooms, positioning

Comfort- Caregivers at bedside, pain management, bottle feed

Play therapy- Role playing, role modeling, dolls, toys, distraction….utilize child-life specialist

Rewards & prizes

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58
Q

Safety is a major concern based on developmental level.

A

True

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59
Q

Pedi Med Admin 6 Rights

A

Same as adult

Right pt, drug, dose, route, time, and documentation

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60
Q

Can you administer a medication in a baby’s bottle?

A

No!

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61
Q

Skip generation

A

Grandparents parenting grandchildren

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62
Q

Bowen’s Family System Theory

A

Families tend to be dependent on each other to an extent.

What happens to one person will have a positive or negative impact on the other members, including their feelings and what their thinking about.

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63
Q

Primary Prevention/Intervention

A

Health promotion –> Disease prevention

Healthy habits, vaccines

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64
Q

Secondary Prevention/Intervention

A

Early detection

Pap smear, mammogram

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65
Q

Tertiary Prevention/Intervention

A

Health restoration

Inpatient or outpatient treatment, doula postpartum home care

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66
Q

Types of Minimal Intervention Contraceptive

A

Abstinence, fertility awareness (FAM), lactational amenorrhea method (LAM)

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67
Q

Effectiveness of minimal intervention contraceptives

A

71-75%
98% LAM

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68
Q

Advantages & disadvantages of minimal intervention contraceptives

A

Advantages: no tools needed, easy to start and stop
Disadvantages: planning/calculations, high failure rate, limited time of use

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69
Q

Types of Barrier Contraceptive

A

Condoms, Diaphragm/cervical cap, sponge

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70
Q

Effectiveness of barrier contraceptives

A

80-85%

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71
Q

Advantages & disadvantages of barrier contraceptives

A

Advantages: no meds, easy to start and stop
Disadvantages: fitting required, messy, planning, high failure rate

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72
Q

Types of Hormonal (Combined) Contraceptives

A

pills daily, patch weekly, ring monthly

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73
Q

Effectiveness of hormonal (combined) contraceptives

A

95%

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74
Q

Advantages & disadvantages of hormonal (combined) contraceptives

A

Advantages: cycle control, treatment for GYN disorders, easy to start and stop
Disadvantages: side effects, weight gain, mood changes, contraindications (Smokers increased risk of blood clots due to estrogen), no protection against STIs

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75
Q

Types of Hormonal (Progestin only) Contraceptives

A

Mini pill (POP) daily, Depo injection every 3 mos, Nexplanon impant every 3 yrs

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76
Q

Effectiveness of hormonal (progestin only) contraceptives

A

92-99%

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77
Q

Advantages & disadvantages of hormonal (progestin only) contraceptives

A

Advantages: no estrogen side effects, fewer contraindications, longer coverage (injection and implant)
Disadvantages: unpredictable bleeding, precise use required (POP), delay in fertility (Depo), requires placement/removal procedure (Nexplanon implant)

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78
Q

Types of IUDS Contraceptives

A

Progestin (Mirena, Skyla, Liletta, Kyleena) 3-5 yrs
Non-Progestin (Paragard) 10yrs

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79
Q

Effectiveness of IUDs contraceptives

A

98-99%

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80
Q

Advantages & disadvantages of IUDs contraceptives

A

Advantages: longer coverage, minimal bleeding (progestin), normal menstrual cycles (non-progestin)
Disadvantages: requires placement/removal procedure, side effects- weight gain & mood changes, risk of perforation, irregular menses (progestin), heavy & painful menses (non-progestin)

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81
Q

For pts with HA/migraines & hypertension, avoid contraceptive options with

A

estrogen

82
Q

Types of Permanent Contraceptive

A

Bilateral tubal ligation (BTL), Vasectomy

83
Q

Effectiveness of permanent contraceptives

A

96-99%

84
Q

Advantages & disadvantages of permanent contraceptives

A

Advantages: definitive procedure, no hormonal side effects
Disadvantages: requires placement procedure/surgery, definitive procedure, complications, side effects

85
Q

Can a vasectomy be reversed?

A

Yes

86
Q

Clinical termination of pregnancy (abortion) procedures

Performed to deliberately end a pregnancy before the fetus reaches a viable age

A

Meds: Mifeprex/Methotrexate
Usually done < 9 weeks

Surgical: Vacuum aspiration
Usually done by 12 weeks

87
Q

Average time of conception

A

6 months

88
Q

Considered __________ with active cycle monitoring after one year.

A

infertile

89
Q

Pre-conceptual health promotion

A

-med evaluation
-prenatals
-genetic factors

90
Q

Female fertility factors

A

-ovulation
-anatomy/uterus

91
Q

Male fertility factors

A

-azoospermia (no measurable sperm in semen)

92
Q

Treatment for infertility

A

-Address inhibiting factors
-Facilitation/team approach
-Assisted reproduction: Invitro Fertilization (IVF) Intrauterine insemination (IUI)

93
Q

Presumptive signs of pregnancy

A

What does the pt feel?

P- period absent (amenorrhea)
R- really tired (fatigue)
E- enlarged breast
S- sore breast
U- urination increased
M- movement of fetus in uterus (quickening or fluttery sensation in lower abdomen; 20th week in first-time moms, maybe a little earlier in 2nd time moms)
E- emesis and nausea

94
Q

Probable signs of pregnancy

A

What does the provider observe?

P- positive pregnancy test
R- returning of fetus against fingers when uterus is pushed during palpation) “eternal ballottement”
O- outline of fetus can be palpated
B- Braxton Hicks contractions (false labor)
A- a softening of the cervix (“Goodell’s sign”)
B- bluish color to the vulva, cervix, vagina (“Chadwick’s sign”)
L- lower uterine segment becomes soft (“Hegar’s sign”)
E- enlarged uterus

95
Q

Positive signs of pregnancy

A

What do the tests confirm?

F- fetal movements felt by provider
E- electronic device detects fetal heart sounds (Doppler)
T- the delivery of baby
U- ultrasound detects fetus
S- see visible movement of baby by provider

96
Q

What is Nagele’s Rule?

A

1st day LMP –> Minus 3 months –> Plus 7 days

97
Q

What is an EDD?

A

Estimated Delivery Date Pregnancy Wheel

98
Q

Pre-embryonic period

A

First 2 weeks after conception

Rapid cellular multiplication and differentiation

99
Q

Fertilization

A

Cellular multiplication

100
Q

Embryonic period

A

From 3rd week after fertilization through end of 8th week

Fetus at 8 weeks

101
Q

Carries oxygenated blood from placenta to fetus

A

umbilical vein

102
Q

Removes waste, deoxygenated blood from fetus to placenta

A

umbilical artery

103
Q

Placenta does

A

EVERYTHINGGGGGGGG

Protects fetus
Provides oxygenation, nutrition, waste elimination, and hormones

104
Q

Placenta is fully functional at

A

12 weeks

105
Q

Early protective structures

A

amniotic membranes

106
Q

Fetal urine and lung secretions primary contributors

A

amniotic fluids

107
Q

Conception to 12 weeks

A

First Trimester

108
Q

Can hear heartbeat on doppler by

A

week 10

109
Q

Face with recognizable features by

A

week 10

110
Q

13 to 27 weeks

A

Second Trimester

111
Q

Fluttery feeling, similar to gas

A

quickening

112
Q

Lubricant for the lungs, prevent alveoli from collapsing

A

surfactant

113
Q

Quickening and lanugo by

A

week 20

114
Q

Fetal respiratory movements and surfactant production by

A

week 24

115
Q

28 to 40 weeks

A

Third Trimester

116
Q

Uterine changes

A

Increased vascularity- more blood flow
Dilation of blood vessels
Hyperplasia (Increase in uterine tissue by increased number of cells)
Hypertrophy (Increase in uterine tissue by increased size of cells)
Development of decidua (Thick uterine membrane lining

117
Q

Cervical changes

A

Chadwick’s sign
Leukorrhea
Hager’s sign
Goodell’s sign

118
Q

Chadwick’s sign

A

violet-blue color of mucosa and cervix

119
Q

Leukorrhea

A

white discharge

120
Q

Hager’s sign

A

softening of lower uterine segment

121
Q

Goodell’s sign

A

softening of cervical tip

122
Q

Vaginal prep for eventual delivery

A

Thicker mucosa
Looser connective tissue
Hypertrophy muscles
Lengthening of vaginal vault

123
Q

Colostrum

A

1st breastmilk, rich w/nutrients and fats

124
Q

Breast changes

A

Fullness
Heaviness
Vessel dilation
Heightened sensitivity
Areolae more pigmented
Montgomery’s tubercles
Colostrum

125
Q

Integumentary (skin) changes

A

Chloasma
Linea nigra
Striae gravidarum

126
Q

Chloasma

A

the mask of pregnancy, can be permanent

127
Q

Neurological changes

A

Decreased attention span/concentration/memory
Headaches/Carpal tunnel syndrome/sciatica
Syncope

128
Q

Musculoskeletal changes

A

Lordosis
Diastasis recti abdominis

129
Q

Cardiovascular changes

A

BP changes (supine hypertension)
Stasis of blood in lower extremities
Cardiac hypertrophy
Palpitations
Anemia
Increased plasma

130
Q

Respiratory changes

A

Increased O2 consumption
Elevated diaphragm
Increased chest circumference –> dyspnea
Nasal stuffiness, congestion
Epistaxis

131
Q

Renal changes

A

Enlarged renal pelvis

Kidneys work harder to filter increased blood volume

132
Q

Upper GI changes

A

N/V in early pregnancy
Pica- non-food eating
Gums bleeding
Difficulty swallowing
Heartburn

133
Q

Lower GI changes

A

Abd discomfort
distention, cramping, constipation, gas, pelvic pressure

134
Q

Total # of pregnancies

A

Gravida

135
Q

Total # of viable pregnancies after 20 weeks

A

Para

136
Q

Nulligravida

A

woman has never experienced a pregnancy

137
Q

Primigravida

A

woman pregnant for the first time

138
Q

Multigravida

A

woman is pregnant for the third (or more) time

139
Q

GTPAL

A

G=Gravidity (# of pregnancies)
T=Term (37-42 weeks)
P=Preterm (20-36.6 weeks)
A=Abortion (miscarriage or abortion 0-19.6 weeks)
L=Living (# of children)

140
Q

When is the first prenatal visit?

A

During 4-8 weeks

141
Q

Frequency of prenatal visits during first trimester

Conception to 12 weeks

A

every 4 weeks

142
Q

Frequency of prenatal visits during second trimester

13 to 27 weeks

A

every 4 weeks

143
Q

Frequency of prenatal visits during third trimester

28 weeks to birth

A

every two weeks until 36 weeks, then it changes to every week

144
Q

Common pregnancy misconception re: diet

A

Eating for two

145
Q

How much water should you drink during pregnancy

A

8-10 glasses per day

146
Q

Caloric increase during pregnancy

A

300kcal/day

147
Q

Recommended weight gain for underweight women during pregnancy

A

28-40lbs

148
Q

Recommended weight gain for normal weight women during pregnancy

A

25-35lbs

149
Q

Recommended weight gain for overweight women during pregnancy

A

12-25lbs

150
Q

Recommended weight gain for obese women during pregnancy

A

11-20lbs

151
Q

Health promotion for pregnant women

A

Continue exercising- low impact, non-contact
Lifestyle- low stress, safe environment, discontinue smoking/alcohol use, substance abuse
Meds- caution

152
Q

First Trimester Testing

A

Screening Tests
-DNA testing
-Dating ultrasound
-H&H
-Blood type/Rh factor
-Syphilis test (RPR)
-Rubella
-Hep B screen
-HIV

Diagnostic Tests
-CVS

153
Q

Second Trimester Testing

A

Screening Tests
-MSQS
-Anatomy scan (U/S)

Diagnostic Tests
-Amniocentesis

154
Q

Third Trimester Testing

A

Screening Tests
-Fetal kick counts
-GTT
-GBS
-H&H
-Blood type
-Syphilis test (RPR)

Advanced Fetal Assessment
-Ultrasound/growth
-NST/BPP
-Doppler studies

155
Q

Diagnostic testing will be completed if there are

A

abnormal findings during screening

156
Q

Screening

A

Identify if pt is at risk

157
Q

Diagnostic

A

more invasive & confirmation of presence of disorder

158
Q

Screening completed at first OB appointment

A

H&H and Syphilis test (RPR)

159
Q

Is free fetal DNA testing routine?

A

No

160
Q

When can fetal DNA testing be completed?

A

as early as 10 weeks

161
Q

What does fetal DNA testing check for?

A

Trisomy 13, 18, and 21

162
Q

Indications for fetal DNA testing

A

High risk pt
-maternal age 35 or older
-hx of chromosomal anomalies
-suggestive results from U/S
-positive results from other serum tests

163
Q

When is nuchal translucency (NT) by ultrasound completed?

A

11-14 weeks

164
Q

Increased risk of trisomy 13, 18, and 21 if the measurement is greater than

A

3mm

165
Q

Does NT check for neural tubes defect?

A

No, still need AFP testing

166
Q

Is chronic villus sampling (CVS) routine?

A

No, it is a diagnostic test

167
Q

What does CVS check for?

A

genetic disorders

168
Q

Does CVS check for neural tube defects?

A

No

169
Q

Is CVS non-invasive?

A

It is very invasive and only completed if absolutely necessary

170
Q

Risk of CVS

A

spontaneous abortion

171
Q

When is CVS completed?

A

10-13 weeks

172
Q

When is Maternal Serum Quad screening completed? Is it routine?

A

Valid results from 15-22 weeks, yes

173
Q

If AFP results are high, think

A

NTDs

174
Q

If AFP results are low, think

A

down syndrome

175
Q

Why is AFP not usually used in multiple pregnancies?

A

Hormone levels are high in cases of pregnancies of multiples (twins/triplets/etc)

176
Q

Is a positive AFP test diagnostic?

A

No, requires further follow up such as amniocentesis

177
Q

What hormones are being looked at in MSQS?

A

Estradiol, Inhibin-A, Hcg, and AFP

178
Q

When is the anatomy scan completed? Is it routine?

A

18-22 weeks, yes

179
Q

Diagnostic testing completed during second trimester (15+ weeks)

A

Amniocentesis

180
Q

What does amniocentesis check for?

A

Trisomy 13, 18, and 21
Open NTDs
Hemolytic disease

181
Q

Risks of amniocentesis

A

Spontaneous abortion (miscarriage) and infection

182
Q

When is Gestational Diabetes (GTT) screening completed? Is it routine?

A

24-28 weeks, yes

183
Q

What does GTT check for?

A

gestational diabetes

184
Q

When is a 3hr GTT completed?

A

If failed 1hr GTT

185
Q

Thresholds of GTT

A

<130-140mg/dL no GDM
>130-140mg/dL then 3hr GTT needs to be completed

186
Q

Is 3hr GTT non fasted- or fasted?

A

fasted

187
Q

If two values are above the designated thresholds

A

GDM

188
Q

When is GBS screening completed? Is it routine?

A

36-37 weeks, yes

189
Q

For GBS, what is swabbed?

A

vagina and butt

190
Q

What does GBS screening check for?

A

overgrowth of group B streptococcus

191
Q

What is fetal kick counts used for?

A

monitor fetal movements and well-being

192
Q

How early can FHR be heard on doppler?

A

@ 10 weeks

193
Q

Advanced fetal assessment

A

NST (start here)
BPP (biophysical profile)
Doppler studies

194
Q

Are advanced fetal assessments routine? Why is it completed?

A

Not routine; fetus not growing, decreased movement

195
Q

Do you want a reactive or non-reactive stress test result?

A

REACTIVE

196
Q

Reactive NST

A

2 or more accelerations of 15 BPM lasting 15 seconds within a 20min time frame

197
Q

Normal FHR

A

110-160 BPM

198
Q

Non-reactive NST

A

Doesn’t meet criteria for reactivity, indicates the need for further testing –> biophysical profile

199
Q

Perfect score of BPP

A

8/8

200
Q

Fetal Parameters of BPP

A

Muscle tone, movement, breathing pattern, amniotic fluid volume, and reactive NST

201
Q

BPP score of 4/8 means

A

baby is in distress