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47 Cards in this Set
- Front
- Back
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the effects of the uterus
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-causes SOB because of the amount of pressure of the aorta (venacave syndrome)
-Lay on Left side (20 wks) |
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effects of the heart
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- (cardiomeglia) heart enlarges and shifts to the left causing a systolic murmar, Lub- Dub Swish(2nd trimester)
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What happens to the Blood Vol., stroke vol. and cardiac outut?
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it increases, RBCs carry O2 and estrogen enlarges the cells because you will loss alot of blood at birth.
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what happens to Hemoglobin?
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it decreases begin to concern when lowers 2 points,
-Female 12-16 -male 14-18 |
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What happens to the BP in each trimester?
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1st- stays the same (normal)
2nd- BP decreases 3rd- returns back to normal or increases -Bp decreases due to projesterone, it relaxes and dilates the vessels |
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effects of Kidneys while pregnant?
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increase GFR
-small amounts of protein and sugar in urine -urinarystasis and ureter expantion- -pH is off (acidotic) |
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Why do you urinate frequently in the 1st trimenster but not as much in the 2nd and 3rd?
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BC in the 1st your uterus is sitting on ur bladder then you "lighting" your uterus rises out of the pelvic area which decreases frequency of urination
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A 16 yr old girl is complaing of morning sickness, a missed period and a positive pregnacy test WHO AM I?
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presumptive symptoms- reasons why she thinks she is pregnant
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A 16 yr old girl has a change in the uterus, a fetal heart beat and a pos. pregnacy test. WHO AM I?
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Probable symptoms-things that tell us she is pregnant
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what changes are seen in the skin?
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-stretching caused by estrogen
-swelling -hyperpigmentation=linergia black line -Chlasma- dark mask on face (avoid sun and use sun screen) |
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Resp. System
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-O2 stats do not change
-SOB, increase CO2(Alklosis) -diaphram moves up so they breath out with a lung expantion of 1 to 1 -flair of the ribs |
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When do PEs occur?
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-post opp. after a c/s
-obesity |
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Endorine System changes
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-HpL pregnancy hormone occurs after 28 wks.
-anti-insulin absorbs glocose for baby so mom doesnt use it all (serves as a filter) |
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Metabolism changes?
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-increase intake of CARBS and PROTEIN (eat meat, bread)
-2300 cal./day -total wt. gain 25-35 bs. -gain 10 lbs. at 20 wks. and a lb. a wk after that -increase follic acid bc it decreases neuro tubular defects |
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GI system changes
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-increase gas and constipation
-slug ball cholecysticisis= inflammation of gallbladder -pain, referred pain, vomiting -sore gums bleed often -INCREASE salvstion= ptyalism (spitting in a cup) |
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Musculoskeletal
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-Lordosis, woddled gait
-center of gravity off -need to use proper body mechanics -sore joint bc of the relaxation in projestin -Joint Pain |
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Neuro Changes
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-baseline
-hyper-reflexia -numbness and tingling due to decrease purfusion, dilation an swelling -carpotunnel syndrome |
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In which trimester is the mother most likely to be abused, depressed and have mood swings?
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1st--it is every important to listen and allow them to talk in the 1st trimester
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which trimester is the mother most acceptance of the pregnancy?
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2nd
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what is the G and P system
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-gravity, number of pregnacies
-parity, # of pregnancies reaching viability |
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What is GTPAL and whats it used for?
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-used to provide more specific infor about a womans ob history
-G=gravity -T=term 38 to 42 weeks -P=preterm <38 wks >20 wks -A=Abortion/misscarriage <20 wks -L=Living |
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if a woman only once gives birth at 34 wks. and the infant survives what is the GTPAL?
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1-0-1-0-1 pg. 334
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what is BRAIDED
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Benefits
Risks Alternatives Inquires Decisions Explanations Documentation (used for ALL contraceptives |
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What does an Antepartum assesment consist of?
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-vitals-
-draw labs -blood type, Rh -know all current meds. and allergies -health history |
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IgG
IgM |
-chronic and small can cross the placenta
-acute and large can not cross the placenta |
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what would you do if the mother had a type negative blood?
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-she does not have antibodies against B so you would give Rogam 28 wks before labor
-Rogam lasts 13 wks |
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When do you give Rogam?
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-if mom has neg. blood type
OR -when any bleeding or trama occurs during the pregnancy (you have a 72 hr. window after the bleeding occurs to give rogam) |
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When do you give Rogam?
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-if mom has neg. blood type
OR -when any bleeding or trama occurs during the pregnancy (you have a 72 hr. window after the bleeding occurs to give rogam) |
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What would be your action if after the baby was born an you drew blood and he had a negative type blood?
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-you would NOT give the mother a rogam shot
IF -the babys blood was positive you WOULD give the mother the rogam shot |
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why would you draw a CNS
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UTI (cutrurein sensitivity)
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CBC means?
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checks the RBC and WBC count, WBC count will be higher
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other antepartum tests?
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-pap smear
-ultrasouns -vaginal culture -rebella |
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at 16 wks. where is the fundus of the uterus?
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between the symphysis pubis and embilicus
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at 36 wks where is the fundus of the uterus?
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xiphoid process
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at 20 wks where is the uterus
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embilicius
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the funfus is at the symphysis pubis at..
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12 wks
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when do you go for monthly visits?
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1st and 2nd trimester <28 wks
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how often are office visits in the 3rd trimester?
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every two weeks
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you have Dr. visits twice a wk at..
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40 wks
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CVS
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carriotyping, can tell you if there are birth defects (downs)
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quadscreening blood test?
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-done at 18-22 wks
-4 hormones -high levels indicate neuro tubular defects -low levels indicate downs |
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when would you do a group beta strep.?
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35 wks
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What are the Drug classes?
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A- FDA tested SAFE
B-questionable, tested on animals but not humans -C- questionable, not tested on humans or animals -D questionable, last resort -x- not tested NOT SAFE |
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inteactable vomiting is when...
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you cant hold anything down.. anerxic
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hypertension developes after 20 wks. along with proteinuria. a vasospastic disorder. WHO AM I
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Preeclampsia
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gestational diabetes is described as..
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onset hypertension without proteinuria,transient or chronic in nature
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cardiac related difficulties include
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...dont know.. need to know substance abuse aswell!!!!
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