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43 Cards in this Set
- Front
- Back
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Why does a pregnant mother get varicose veins?
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Weight of the uterus pushes on the superior vena ceva, restricting blood flow and descending aorta.
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Why would you want to have the head of the bed always elevated regarding the pregnant mothers oxygenation?
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Baby pushes up on the diaphragm and progesterone relaxes smooth muscle of the respiratory tract.
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What does the mom want to eat for nausea and avoid during pregnancy?
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Avoid spicy foods and have dry toast, crackers before rising in the morning for nausea. Avoid eating or drinking at bedtime.
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What can the mother do to help with urinary incontenance during 3rd trimester?
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Kegel exercises
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What should be increased nutrition wise during pregnancy for the mother?
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300 extra calories.
Folic acid for anemia and spina bifida (leafy green vegetables). Give an iron supplament w/ vitamin C since the vitamin helps it be absorbed in the body. |
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What are indications on the child for spina bifida?
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Dimple and tuft of hair near the sacrum
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What pre-natal labs might be ordered for a patient?
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CBC
H&H GBS Rh factor VDRL Rubella Hep B HIV AFP |
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How much weight should a mother gain during pregnancy?
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First trimester: 2 to 5 pounds
Second and third trimester 1 pound per week |
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Why would you need a urine test on a mother?
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To measure her:
glucose wbc (a sign of infection) spilling protein (a sign of hypertension) keytones (a sign of diabetic ketoacidosis) |
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Why would you give a mother mag sulfate?
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1. Stop preterm labor
2. Pre-eclampsia |
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Whats the loading dose of magnesium sulfate?
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4 - 6 grams
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Why do you want to assess VS every hour while giving mag sulfate?
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CNS and Respiratory depression
Vasodialator |
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Why is urine output a big issue while giving mag sulfate?
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Renal function goes down.
Must be peeing out 30mL per hour. |
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Why are you so worried about pre-eclampsia that you would give a patient mag sulfate?
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pre-eclampsia mothers are at risk for seizures.
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What is the ONLY cure for pre-eclampsia? How long are these patients at risk?
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Giving birth. Up to 24 hours after giving birth.
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In addition to mag sulfate, what are you going to do for you pre-eclampsia
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Seizure precautions such as a dark room, no tv, etc
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Besides high bp, what are the other 2 signs that a patient is having pre-eclampsia?
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Super hyperactive deep tendon reflexes
Spilling protein Headache Blurred vision Edema in face and hands |
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(Star) What is the antidote for mag sulfate?
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Calcium gluconate
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What are the different classes of abortions?
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Spontaneous and Therapeutic
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What are the different kinds of therapeutic abortions and when are they used?
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D & C (four to twelve weeks)
D & E (2nd trimester, breaking up fetus and vacuuming it out) D & X (when baby is fully formed towards end of second trimester, babies brain is punctured and suctioned out) Instillation abortion - (16 to 24 weeks) injecting toxins urea, prostagladin, and saline into the uterus to induce labor early so the baby dies |
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What are common discomforts of pregnancy?
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1. Nausea Vomiting due to increased hormone progesterone.
2. Heartburn since everything is pushing up on the stomach 3. Back strain (dont wear high heels) 4. GI motility (increase water and fiber) 5. Ankle edema (support stockings, elevate extremities, and decrease salt) |
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If a mom has trouble with hemorrhoids what do you give her?
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Sitz bath
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If a mom gets nose bleeds what do you want her to avoid?
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Nasal sprays
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If a mom has hypotension what do you want a mother to do?
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Get up slowly
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What happens if a mom has a headache? What is another sign of this condition?
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A sign of pre-eclampsia. Facial and hand swelling.
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What would increase the risk of breast cancer when it comes to having a baby?
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Risk is increased if they are having a baby for the first time late in their life. Also increased risk if they have taken the pill.
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What are the S&S of breast cancer?
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Dimpling of the breast
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(Star) When does the woman do her self breast exam?
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The week after her period
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How do you screen for syphilis? How do you treat syphilis?
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VDRL
Penicillin |
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Why do we put erythromycin in the babies eyes?
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To prevent conjunctivitis if the mom has chlamydia or gonnhorea
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If std's go untreated what can occur for the mother long term?
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PID and infertility due to uterine scarring
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(Star) with STD's you treat _____ partners
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Both partners
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2 treatments for gonnohrea
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zepheraxin and erythromycin
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Do STD's cross the placenta?
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No (except for STD's)
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What are the main 4 STD's
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Chlamydia, Herpes, Syphilis, Gonorrhea
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What can HIV mothers not do for their babies?
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Breastfeed
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When do you give a mamogram?
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For sure after age 35
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What is the risk of depoprevara shot? How often do you get it?
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Bone density decreases. Every 3 months.
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How long do you leave the diaphragm in after intercourse?
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6 hours after
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If a guy gets a vasectomy, what must he do afterwards?
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Must get semen tested 3 times to see if they still have sperm in it.
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What is it called when a mother has her tubes tied?
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Tubaligation
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Endometriosis vs Endometritis
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- Endometriosis is when the endometrium is growing outside of the uterus.
- Endometritis is inflmmation of the endometrium |
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(STAR) What is infertility?
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Inability of a couple to conceive after 1 year of intercourse 2 - 3 times per week
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