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75 Cards in this Set

  • Front
  • Back
Intractable pain
In(neg) tracto(to draw or haul)
Often seen with Cancer
A natural substance produced in the brain that binds to opiod receptors -dulls perception of pain.Primarily activated through non nociceptor peripheral fibers
Peripheral Nervous System receptors that transnmit pain
Gate Theory
1.)Large diameter Fibers inhibit transmission of pain impulses 2.)Small diameter nerve fibers carry pain through the gate 3.) Synapse in Dorsal Horn close to keep impulses from reaching the brain
Placebo effect
A true physiological response to pain
Emerging STD in USA
HIV/AIDS & chlamydia
Cultural Universals
Incude:Family, Work, Parenting Roles and Education
Functional Health Practices
facititate optimal health
Intial responses with a dx
Chronic Illness of a child
Denial then Guilt/accusation
The Basic attribute of an effective Community
Patterned social interactions
Primary Focus of Community based Nrsg
Individual & Family
ANA standards for CHN
Ids the level of requirements for excellence in CHN
Involves everything possible to prevent disease developement or progression of disease.
3 Government Tiers of Public Health
Federal-oversees medicare tanf etc.
State( primarily responsible for health matters)
Local- oversees + impliments ordinences etc.
Healthy People 2010 objectives are important
They allow the Government to focus valuable resources in the right places
Disease Casuality
The act of relating one event to the effects it produces
Involves populations in widespread geographical areas of the world
Goodells Sign
softening of the uterus & cervix
physical assessment to manuever + determine size & shape of an organ
Chadwicks Sign
bluish discoloration of cervix & vagina * a sign of pregnancy
The probability that an event will occur
Measurement of the frequency of an event in a defined population(denominator=# of events/ numerator=population @risk X by 10 or another factor)
Risk Assessment
1.) Susceptibility
2.)Exposure Potential
3.) Relative risk ratio
Mortality Rate
=Death Rate
Morbidity Rate
Proportion of People w/ a particular disease during a given year, per a given unit of population (ie:prevalence vs incidence)
Number of Cases of a disease evisting in a given population@ a specific amount time
Primary Prevention
Precedes disability or dysfunction. Focuses on health promotion, healthy lifestyles & reducing major risk factors
Secondary Prevention
Focus on early detection & prompt treatment. Intervention + care ie: CA,MI,DM,obesity,infectious diseases
Restoration of health, Rehab and Prevent reoccurance
Nageles Rule
Add 7 days to first day of LMP
Count back three months
Add one year
Presumptive signs of pregnancy
Amennorhea,breast changes,nausea, quickening,chadwicks sign, sleepiness/fatigue, frequent urination
Probable signs of pregnancy
Presence og HCG,enlarged uterus,Hegers sign(softening of lower uterus),braxton hicks,ballottement,palpation of fetal outline
Positive objective signs of Pregnancy
fetal heartbeat on fetoscope~17-20wks,fetal movement actively palpable by trained examiner ~20wks,fetal US ~4-5 wks gestational sac= fetal heart and parts~8wks
First Trimester
wt gain average 3.5-5 lbs
Second Trimester
13-24th weeks
wt gain ~1 lb weekly
Third Trimester
25-40 weeks
wt gain ~1 lb weekly
Uterine enlargement
from hypertrophy and limited hyperplasia
Braxton Hicks
Assist in placental circulation
During pregnancy cariac output increases
During Pregnancy blood volume increases
Lying on the Left side during pregnancy
Prevents Pregnancy Induced hypotension syndrome
Pregnancy is intial retained at conception by hormones produce from
The Corpus Luteum
The return of an enlarged organ to normal size
During pregnancy the pulse may
increase 10-15 beats or remin normal
During pregnancy thr b/p may
decrease slighly, usually lowest during the second trimester and near prepregnancy near term
Fibrin levels during pregnancy
Increase by as much as 40% at term and has been known to increase as much as 50%. Which cause a rise in sed rate
Medication used to stop labor
Magnesium Sulfate
Tocolytic and Used for preeclampsia
Containdicated w/myocardial damage,dx mnyasthenia gravis, heart block r/t effects of nerve transmission and muscle contration. Antidote Calcium gluconate
Tocolytic relaxes smooth muscles of uterus, brochial tree and arterioles.
Most effective 20-36 wk-can cause fluid excess especially w/glucocorticoids. Less freq used r/t significant Adverse Rxs
Terbutaline Sulfate(Brethine)
Not FDA approved as a tocolytic, however prefered for use.
Betamethasone Sodium Phosphate (Celeston)
Contains glucocorticoid hormones. Capable of inducing pulmonary maturation in preterm infants. Recommended used Q week up to 34 wks gestation
removal of 15-20mls fluid
performed ~15-17 weeks gestation
checks for chromosomal abnormalaties and may contain biochemical markers for
inherited disease
Cocaine use during pregnancy=risk for
Abrupto Placenta
First Stage of Labor
begins with onset of reg contractions-end with 10cm dilation of cervix
First Stage of Labor
*Latent Phase
regular contractions,some effacement, little or no fetal descent.SROM usually occurs Nullipara ~8.6 hrs*shouldn't exceed 20 hrs
Multiparas ~5.3hrs *shouldn't exceed 14hrs- Contactions mild ~20-30sec Q 3-30mins
First Stage of Labor
**Active Phase
4-7cms cervical dilation
Fetal descent progressive ~1.2cm hr multi & 1.5cm nulli
First stage of Labor
***Transition Phase
Last part of 1st stage of labor. 1cm hr nulli- no longer than 3hrs & 2cm hr multi no longer than 1 hr*epidural can increase time though. Contractions Q 2-5 min, duration ~40-60sec.Increased anxiety
Second stage of Labor
begins with 10cm dilation ends with birth of infant.Average 2hr for prima
and 15 min for multi.Contractions 1.5-2min duration 60-90 seconds
Third Stage
Begins with Birth of the baby
ands with birth of placenta
Cardinal Movements of Labor
3.)Internal Rotation
4.) External Rotation
When is the Nurse most likely to see Postpartum depression
1 month postpartum
A Premonitory sign of Labor is
Bloody show
The Amniotic fluid
contols embryo temperature, permits symetrical growth of fetus & provides freedom of movement
The Placenta is involved in
Metabolic transport and Endocrine activities
below 10 percentile
Responsible for arousal response
Retcular activating system
cause contraction of pupil
paralysis of ciliary muscles of the eyes
RHIgG (Rhogam)
For RH neg moms carrying RH positive babies- Must be given within 72 hrs after childbirth
Methylergonovine Maleate (Methergine)
Stimulate uterine to contract postpartally & enhance uterine involution.Containdicated w/ hx of cardiac, renal disease, HTN.Use caution w/lactation.NEVER use during pregnancy or labor.
Debris from Birth:Rubra is dark red last 2-3 days,Serosa is pinkish brown last 3rd-10th day,Alba final discharge mostly leukocytes.
Cervix postpartum
appears flabby, formless and may look bruised. Returns to original form w/i few hours
Ovarian Cycle
cyclical changesin ovaries= Follicular phase-begins after menses and ends mid uterine cycle.Luteal Phase begins w/ graafian follicle ruptures and ovum is released. Menstuations occurs ~ 15 days after ovulation.
Untreated Hyperbilirubinemia affects
Nervous system
Estrogen tx for postmenopause is containdicated with which
elevated serum labs?