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22 Cards in this Set

  • Front
  • Back
Post partum Affective changes include post partum ?, ?, ?
blues,
depression,
psychosis
A mild transient mood distrubance that frequently starts on the 3rd pp day and lasts 2-3 wk that coincides with normal physiological drops in estrogen/progesterone is ? S/S include irritability, crying spells, sleeplessness, moodiness, anger. Tx includes ?, ?
Post partum Blues,
rest,
supportive caring family
Exaggerated and prolonged irritability, withdrawal, unable to feel pleasure or love, little interest in food are all S/S of ? The Tx for this is ?-therapy,?-support,?
post partum depression,
psychotherapy,
social support,
medication
A pt that has become psychotic in the first 3 months pp has hallucinations or phobias is suffering from ? Tx is ?,? therapy, ? support, ECT(?), and ?
post partum psychosis,
hospitalization, psychotherapy,
social, electroconvulsive, medication.
Nursing Dx for pp Affective changes: Impaired ? t. postpartum ?
adjustment,
depression
Meds for pp Affective disorders include ?'s and ?'s they may take up to ? weeks to be effective and may be used for ?-? months.
Tricyclic antidepressants,
Selective Serotonin re-uptake inhibitors,
4,
9-12
Most ? pregnancies are unplanned. Fortunately the teen birth rate has ? since 1971. Unfortunately the cycle is often ?
teen,
decline,
repeated
Children of teens show a higher incidence of impaired ? functioning and poor school ?
intellectual,
adjustment
Pregnant teenagers are at increased risk for pregnancy induced ?, anemia and nutritional deficiencies b/c the growth needs of the ? are competing with those of the ? The ? mortality rate is higher. There a higher rate of ? transmitted disease. Infants born to teen moms are more prone to 2 complications ? and ?
hypertension,
adolescent, baby,
maternal, sexually,
prematurity, low birth weight
Factors associeted with teen pregnancy include lack of accurate contraceptive use ?, limted access to ? devices, fear of reporting sexual activity to ? The intercourse was not ?, Low ?, lack of appropriate ? models.
information,
contraceptive,
parent,
planned, self-esteem, role
There are 2 goal for sex educatioin: #1 Teach how to set ?'s on sexual activity. #2 Instruct in effective ? and prevention of ?'s
limits,
contraception,
STD's
The 3 options when pregnancy occurs ?, ?, ?
continue with preg and keep baby,
continue with preg and put baby up for adoption,
terminate,
How can a nurse help a pregnant teen: Avoid negative ?'s and personal ? Communicate with ? and ? Provide ?
attitudes, bias,
kindness, respect,
education
Nsg Dx for pregnant teen: Low ?-? r/t feelings of ? by family and friends.
self-esteem,
rejection
With advanced maternal age > ? yrs old. there is increased risk for gestational ?, uterine ?, pregnancy induced ?, multiple ?, preterm ?
35y.o.,
DM, fibroids,
hypertension,
gestation, labor
With advanced maternal age the risk for Down Syndrome at the age of 40 is ?:? risk compared to a 20y.o. at ?:?
1:100,
1:1400
If a woman wait until she is of an appropriate age for pregnancy she has the advantages of psychosocial ?, more likely to be ? secure, have well developed ? system.
maturity,
financially,
support
With women using drugs during pregnancy drugs pass through the ? to the fetus. 1 in 10 infants is exposed to one or more ? altering drugs during pregnancy.
placenta,
mood
The most common form of substance abuse during pregnancy is use of ?
Tobacco
The leading cause of mental retardation is ? and it is ?
fetal alcohol syndrome,
preventable
The drug ? stimulate uterine contractions and ? of placental vessels. It is a CNS ? for the mom but can kill the fetus.
Cocaine,
vasoconstriction,
Stimulant
In order to manage substance abuse during pregnancy the RN needs to get a detailed ? hx. If positive hx we need to R/O ?'s, evaluate ? effects, get ? care early in pregnancy.
prenatal,
STD's,
fetal,
prenatal