Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
20 Cards in this Set
- Front
- Back
|
A deficiency of ? can cause neural tube defects, this is a vitamin ? complex that is essential for all cell growth. All women of child bearing age should consume ?mcg/day especially prior to ?
|
folic acid,
B, 400mcg, pregnancy |
|
|
If pregnant women are deficient in folic acid they are at increased risk for ? abortion, ? placenta.
|
spontaneous,
abruptio |
|
|
The #1 trauma in pregnancy if ? accidents, most maternal deaths are r/t ? injury and intra-? hemorrhage. ? death may be secondary to maternal death, Fetal loss occurs in at least ?% of critically injured women. In the 1st trimester the fetus is protected from blunt force trauma by the ?, ? fluid. Later in pregnancy the fetus is more ? due to having grown out of the pelvis.
|
automobile,
head, abdominal, fetal, 40%, pelvis, amniotic, vulnerable |
|
|
? and ? wounds are the most common penetrating injury during pregnancy. Mortality rates from penetrating wounds in pregnant women is ? than those of non-pregnant women b/c the ? acts as a shiled for abdominal structures.
|
Gunshot, knife,
less, uterus |
|
|
Managing trauma in pregnancy is similar to ? pts. We should ? and ? Use resuscitation if necessary in the ?,?,? order. Try to avoid ? position by using a wedge to displace the ?. Use ? to monitor the fetus. Rhogam administration if mom is ?
|
nonpregnant,
assess, stabilize, C.A.B., supine, Uterus, FHRM, Rh- |
|
|
There are 3 major categories of UTI's. ? baceriuria, ?, acute ? These can increase the chances of ? labor
|
asymptomatic,
cystitis, pyelonephritis, preterm |
|
|
Cytomegalovirus(CMV) is a form of the ? virus. It is ? it eventully infects most humans. This pt will be under ? precautions. Most pregnant women will be ? It can have severe effects on the neonate if infected such as ?, mental ?, ?,?, ? abnormalities.
|
Herpes,
widespread, contact, asymptomatic, deafness, retardation, seizures, blindness, dental |
|
|
Rubella is also known as ? measles, it is transmitted from person to person by ? or through direct contact with articles contaminate with ? secretions.
|
German,
droplets, nasopharyngeal |
|
|
Rubell infection after birth is a ? disease but congenital rubella may have ? consequences for the newborn. Common S/S are ?, general ?, and a characteristic maculopapular ? that begins on the face and migrates over the body.
|
mild,
permanent, fever, malaise, rash |
|
|
The greatest risk for a newbor to develop congenital rubella is in the ? trimester 1/3 will be spontaneously ?
Prevention of Rubella includes getting ? When tested for immunity a titer of ≥ ?:? indicates immunity. |
1st,
abort, vaccinated, 1:8 |
|
|
Women with rubella require no special therapy other than mild ? and ? if the neonate is infected then it must be ? A woman should not get pregnant with ? months after receiveing the vaccine.
|
analgesics, rest,
isolated, 3 |
|
|
Varicella Zoster virus is more commonly known as ? it is a member of the ? family it is contracted through ? contact, respiratory ?, trans-?, the pts are contagious ? hrs prior to onset of rash. The incubation period is ?-? days.
|
chicken pox, herpes,
direct, tract, placental, 48hrs, 10-21 |
|
|
The Varicell Zoster Virus(chicken pox) becomes latent in the nerve ganglia of the ?
|
spinal cord
|
|
|
If the fetus is exposed to chicken pox at < 20 wks gestation there is a chance for potential ? reduction, IUGR, ? in the eyes and a small head known as ? If infected the pt must be ? There is a ? to improve immunity. If a woman get the vaccination she should avoid getting pregnant for ? months.
|
limb,
cataracts, microcephaly, isolated, vaccination, 3 |
|
|
Herpes virus type 1 and type 2: Genital herpes is one of the most common ? may be caused by type 1 or type 2. It is contracted by direct ? contact or ? membrane lesion. The virus is shed until lesions are ? healed.
|
STD's,
skin, mucous, COMPLETELY |
|
|
The herpes virus is a ? infection and people may shed the virus without knowing. Vertical transmission can occur from mom to baby if there are open ? A Dx of herpes is confirmed via ? If mom has Herpes then the baby will be delivered via ?
|
recurrent,
lesions, culture, C/S |
|
|
Maternal effects of herpes: If the pregnant woman is infected within the first ? weeks, it may result in ? abortion, I???, or preterm ?
|
20wks,
spontaneous, Intrauterine Growth Restriction, labor |
|
|
Neonatal effects of herpes are ? but potentially devastating. We may see limited ? lesions. The death rate is approx. ?% and a higher risk if mother has primary infection during pregnancy. If the baby is infected they will show S/S usually in the ? week and they progress rapidly.
|
uncommon,
skin, 50%, 1st |
|
|
Nursing management of Herpes: There is no known ?, Antiviral Chemotherapy meds such as ? can reduce symptoms/ shorten duration of outbreaks.
If mom has no lesions during labor the baby can be delivered ?, If lesions then ? |
cure,
acyclovir, vaginally, C/S |
|
|
After delivery if pt is positive for herpes ? of baby from mom is not indicated. Staff should use good ? washing and avoid contact with ? Breastfeeding is ok if no ? are present.
|
Isolation,
hand, lesions, lesions |
