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110 Cards in this Set
- Front
- Back
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hx of >4 pregnancies, long labor, and oxcytocin may lead to post partal hemorrhage d/t:
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uterine atony
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late decelerations are associtated with what?
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fetal hypoxia
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funus is firm and @ umbillicus ___a__hrs after birth and remains there for __b__hrs until involution begins.
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a) 6-12
b) 12 |
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bradycardia of ____ breaths/min is normal for 6-10 days post partum
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50-70
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if fetus is experiencing uteroplacental insufficency or if fetus is <32wks the NST will be:
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nonreactive d/t CNS immaturity
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this teat is used to i.d. a compromised fetus
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NST
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a complication of hormone replacement therapy is?
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DVT
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dilantin may cause this sensory impariment
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blurred vision
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beta- adrenergic blockers are used to:
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decrease IOP
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general adaption theory
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adapting to chronic stress may lead to neg. effects on body system
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stimulus based stress model
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used to i.d. stressors and predict responses to stress
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transactional stress model
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cognitive, emotional, and coping response to stress
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substance P acts on what?
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blood vessels
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bradykinin (what it does & where it takes place)
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it causes release of histamine and prostaglandins
it acts on nerve endings |
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TENS unit (3)
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1 does not stimulate opiate receptors.
2 it promotes release of endorphines or blocks passage of pain. 3 it acts locally to stimulate non pain receptors in the same area |
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gardnerella is a vaginal disorder caused by what?
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increased levels of PH
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flank pain and hematuria are S/S of?
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kidney infection
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pilocarpine is used to treat what?
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glaucoma.
it works by decreasing IOP |
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some s/e of pilocarpine are (2)
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1-tachycardia & hypertension
2-increase mobility of GI tract causing diarrhea |
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atropine is used for what?
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it is used to dialate pupils, & relax smooth muscle.
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gynecomastia
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breast enlargement in men R/T meds like digoxin.
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anterior pituitary gland secrets___ to produce sperm
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FSH
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progestin only birth control pills work by:
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thickening the cervix.
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emergency contraceptives are given when.
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within the first 72hrs, usually 12-14hrs after sex. meds are given 12hrs apart.
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atrophic vaginitis occurs after menopause r/t what?
also name some S/S. |
decrease levels of estrogen, which causes thinning of vag lining.
s/s: burning, itching and cheesey like d/c. |
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PID is characterized by what?
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abd pain, malaise, N/V & fever w leukocytosis.
foul purulent d/c if untreated may lead to backache constipation and menstrual disturbance. |
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incidence
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frequency of newly occurring disease cases
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prevalence
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total number of disease cases
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agency that deals w primary health concerns. it monitors incidence of diseases throughout world.
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W.H.O.
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the zygote enters the uterus and becomes a what?
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morula about 12-16 cells.
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once the morula's central cavity fills w fluid it becomes a what?
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blastocyst
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once the trophoblast attaches to uterine endometrium, the endometrium becomes this?
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decidua
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chorion is thick outer membrane that developes from throphoblast. it gives off this hormone _____ which does what?
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HCG
it signals the corpus luteum in the ovary to cont. to make estrogen and progestin. |
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the inner layer of the blastcyst is called the ____ which develops from ectoderm.
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amnion
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alcohol may lead to this while pregnant
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abruptio placentae.
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chorionic villus sampling is done at how many wks pregnant?
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10-12
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NST is done in what trimester
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3rd.
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chadwicks sign
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increase circulation to vag. area. vaginal and cervix area turns a bluish color.
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hegar's sign
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softening of uterus
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goodell's sign
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softening of the cervix
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estrogen is responsible for what during pregnancy?
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enlargment of uterus, breast, genitalia, vasodilation, and relaxation of joints.
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progesterone is responsible for what during pregnancy?
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relaxation of smooth muscle which decreases uterin contractility.
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oxytocin is secreted by what?
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pituitary gland
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epulis is caused by vaso dilarion brought on by what hormone during preg.
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estrogen
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blood glucose screen is done at how many wks of preg?
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24-28
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if blood glucose is over ____ then a 3hr glucose test is ordered.
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140mg/100ml
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placenta previa
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placenta implants low on the interior of the uterine wall, near the cervical os
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abruptio placentae
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premature separtion of a normally planted placenta.
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abruptio placentae is c/b what?
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PIH, smoking or cocaine use.
it causes shock or death to infant as well as brain damage r/t lack of O2. s/s dark red painful bleeding w continuos contractions, low b/p may also be noted. |
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PIH is c/b what? and may lead to what?
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damage to endothelieum which causes vasospasms throughout body.
may lead to cerebral hemorrhage, cardiac failure w pulm. edema |
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s/s of PIH include
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dyspnea, h/a, blurred vision, and n/v.
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meiosis
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cell division. decrease in # of chromosomes 23 from each partner.
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FHR >160bpm >10min may result from?
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fever or dehydration
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FHR <160bpm >10min may be c/b
what 3 things? |
hypoxia d/t anesthetic, maternal hypotention
umb, cord compression. |
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late decelerartions
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FHR<100bpm occurs as contractions peaks. has a long recovery time.
may be c/b uteroplacental insuff., hypertention, DM, or pitocin adm. |
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variable decelerations
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anoxia d/t cord compression.
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after birth palpate the fundus q what?______
the nurse should also make sure that______to avoid hemorrhage. |
palpate the fundus q 15 min.
make sure the bladder is empty to avoid hemorrage |
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menstration begins @ about ____wks for non breastfeeding mothers and @ about _____wks for breastfeeders
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6 &24
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reddish area between eyes and neck that blanch under pressure (goes away after 2yrs)
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stork bites
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posterior fontenelles close @ ____, while anterior fontenelles close @_____
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8-12wks
18mos |
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flat red marks on eyelids between eyes and neck
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telangiectatic nevi flat
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a breast fed baby may have ________ (stools)
while a bottle fed baby may have_________ |
3-4 golden yellow stools
1-2 white yellow stools |
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fluid needs for a newborn
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2-3oz/lbs
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HELLP syndrome
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r/t PIH
liver enzymes increase as well as albumin. urine out on the other hand may decrease. |
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theraputic range for magnesium
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4-8mg/dl
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hydatiifom mole
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change in placenta causes chroinic villi to turn into grape like clusters.
may cause hyperemessis, hcg increases PIH large uterus |
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treatment for hydatiifom mole may include
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abortion, hysterectomy, monitor hcg for 1yr.
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terbutaline sulfate
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prevents contractions.
may cause hypotention and tachycardia |
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celestone
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given 24-48hrs after birth to increase lung maturity.
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med used to soften cervix
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laminoria
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leopold's manever is used to asses what
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fetal lie
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CST monitors resp. function of what?
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placenta
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proprioception is responsible for what?
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body's balance. can be effected by DM or arthritis.
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tonometry is used to meassure IOP, a normal reading would be what?
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between 12-21mmhg
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myopia
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nearsightedness
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presbyopia
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ability to focus on near objects diminishes w age.
c/b lack of elasticity causes person to need bifocals. |
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hyperopia
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farsightedness
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macular degeneration
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leads to central vision loss.
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corticosteroids may lead to what eye condition?
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cateracts
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accutane may lead to what sensory imparment?
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Increase in IOP and damage to optic nerve.
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TB meds may be damaging to what?
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Rods and cones
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anticholoinergics used to dilate pupils
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mydriatics and cycloplegics
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hydrocortisone should be given NASAIDs because it
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may cause IOP
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glaucoma meds may include
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steroids and cycloplegics to decrease inflamation and dilate pupils
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progressive hearing loss is known as what?
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presbycusis
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treatment for otosclerosis
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stapedectomy
be sure to check for meningitis or facial paralysis |
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failure of muscle coordination, present w vestibular disease
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ataxia
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with the gate control theory activation of the A fibers:
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close gate
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with the gate control theory activation of the C fibers:
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opens gate
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A fibers are what?
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myelinated
large fibers fast sharp and localized |
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five biochemical mediators are?
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serotonin
histamine potassium bradykinin sub p |
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biochemical mediator that causes inflamation
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sub p
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ascending modulation
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large sensory fibers (A fiber) controlled by massage, heat, cold, tens, opiods.
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descending modulation
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release of endorphins, bio chemical inhibitors and distraction
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ghonorrhea (meds)
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treated with PCN or rocephin
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trajectory model
crisis phase |
symptoms pose a threat
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trajectory model
acute phase |
hospitilization required
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trajectory model
unstable phase |
changes in recovery
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trajectory model
downward phase |
focus on adaption of interventions to promote coping and stabilty.
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s/s of lead poision
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blue line @ base of gums,
wt loss h/a insomnia |
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mag sulfate is used for
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tocolytic therapy or eclampsia
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ritrodrine
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tocolytic works by relaxing uterin muscle.
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kernictures
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yellow staining on brain cause by hyperbilirubinemia
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hyperbilirubinemia
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can cause yellow staining on brain
c/d rh incompatibility |
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yolk sac and amniotic cavity is formed by what?
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blastocyst
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during early stages of pregnancy the corpus lueteal is maintained by what?
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LH
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romberg test
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indicates loss of sense of position.
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mag sulfate toxicity may lead to
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absence of deep tendon reflexes
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alpha-fetoprotien test is done at___wks to determine what?
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15-18
neural tube defects |
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NSAIDs work @ a peripheral level to do what?
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inturrupted prostaglandins
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