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45 Cards in this Set
- Front
- Back
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CHAPTER EIGHTEEN and NINETEEN
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(Ignore this card)
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At what time PP does the patient undergo a period of acquaintance with her newborn?
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2-6 weeks PP
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At what point does the patient achieve a sense of maternal identity?
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Around the 4th month PP
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What are the three stages of development of the father-infant bond?
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(1) making a commitment - the father takes the responsibility of parenting; (2) Becoming connected - the father experiences feelings of attachment to the infant, and (3) Making room for the infant - the father modifies his life to include the care of the infant
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How long should the PP patient wear a well-fitting bra continuously after birth?
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For the first 72 hours
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To relieve breast engorgement, how often should the infant nurse?
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every 2 hours
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For breast engorgement, when should cool compresses be allowed and when should warm compresses be used?
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Cool compresses between (i.e., following) feedings; warm compresses prior to feedings
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How can the patient make her nipples more erect if she has flat nipples for breastfeeding
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roll the nipples between her fingers just before breastfeeding
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What is the basic Tx for sore nipples
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apply a small amount of breast milk and allow it to air dry after feeding
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The PP patient should not perform housework requiring heavy lifting for at least how many weeks PP?
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3
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The PP patient should not lift anything heavier than
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her infanat
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The PP patient should not drive for how long?
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2 weeks PP
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Encourage women sho are lactating to add an additional how many calories/day to their prepregnancy diet?
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500
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CHAPTER TWENTY
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(Ignore this card)
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A DVT is more likely in a multiparous or nulliparous
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multiparous woman
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DVT is more common at what age?
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> 35 y/o
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DVT is more common with what chronic disease?
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DM
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To prevent a DVT, what should the patient do with her legs when sitting?
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elevate them
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What is the antidote to heparin?
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Protamine sulfate
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What is the antidote to warfarin?
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Phytonadione (Vitamin K)
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ETOH inhibits which medication r/t DVT?
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warfarin (Because soldiers who drink ETOH are not going to fight as well in a war!)
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List the S/S of a PE
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chills, tachypnea, hemoptysis, heart murmurs, distended neck veins, elevated temperature, hypotension
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What sort of Tx is used with a PE?
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thrombolytic therapy - Alteplase (Activase) or Streptokinase (Streptase) - to break up blood clots
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ITP
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Idiopathic Thromocytopenic Purpura - a coagulopathy that is an autoimmune disorder in which the life span of platelets is decreased by antiplatelet antibodies
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Risk factors for ITP are
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genetic factors inherited from parents
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Risk factors for DIC are
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abruptio placentae, amniotic fluid embolism, missed abortion, fetal death in utero, severe preeclampsia or PIH, septicemia, cardiopulmonary arrest, hemorrhage, hydatidiform mole
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What happens to urine output with DIC?
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oliguria
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What happens to fibrinogen levels with DIC/ITP
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decrease
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What happens to PT with DIC/ITP
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increase
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What happens to fibrin split product levels with DIC/ITP
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increase
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What is the Tx if ITP does not respond to medical management
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splenectomy
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What surgery may be performed if DIC occurs?
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hysterectomy
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Administration of what may cause PPH?
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magnesium sulfate during labor
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S/S of water intoxication
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lightheadedness, nausea, vomiting, headache, malaise; can progress to seizures, coma, and death
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Do not administer Methergine if
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HTN
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What happens to heart rate and B/P with uterine atony
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tachycardia, hypotension
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Are nulliparous or multiparous women more likely to have inversion of the uterus
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multiparous
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Fundal implantation of the placenta may lead to
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inversion of the uterus
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Leiomyoma
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a benign uterine fibroid tumor
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Complete inversion of the uterus is evidenced by
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a large, red, rounded mass that protrudes 20-30 cm outside the introitus
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Partial inversion of the uterus is evidenced by
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palpation of a smooth mass through the dilated cervix
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Retained placenta is more common
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in preterm births between 20-24 weeks gestation
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Terbutaline (Brethine) is a
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tocolytic
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What is the distinguishable symptom of hematomas
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pain, rather than bleeding
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What sort of women have less distensible tissue?
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Women with light skin, especially those with reddish hair
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