Study Guide For Exam 1

Front 1

Conversion Disorder

Back 1

Neurological symptoms, (ie paralysis or weakness), which cannot be currently attributed to neurological diseases

Front 2

Bowlby's Theory

Back 2

With regard to loss
Numbness
Emotional
Cognitive
Reorganizing

Front 3

Kubler Ross

Back 3

Denial
Anger
Bargaining
Depression
Acceptance

Front 4

Signs of Placental Seperation

Back 4

Gush or trickle of blood
Cord lengthens
Uterus becomes round (globular)
Uterus rises above abdomen
Treat with o2 after placenta arrives

Front 5

Late Decelerations

Back 5

Begin after contraction begins, often worst after contraction
Baby is in trouble, little or no variability to contraction
Turn mother to left, give IV boulus, stop uterine stimulant, prepare c/s

Front 6

Bloody Show

Back 6

Expulsion of mucous plug and blood

Front 7

Braxton Hicks contractures

Back 7

Irregular contraction
no change in intervals
no change in intensity
abdominal discomfort
walking helps relieve pain

Front 8

Phenylketonuria (PKU)

Back 8

Defective protein metabolism in baby
Test done after baby has formula or breastmilk. Can be done at birth and 2 to 6 weeks.
Untreated = Mental retardation

Front 9

Talipes

Back 9

club foot

Front 10

Nevus Pilosus

Back 10

Hairy nerve @ spine... associated with spina bifida

Front 11

Erythema toxicum

Back 11

transient maculopadular rash
It goes away on its own

Front 12

Teleangiectatic nevi

Back 12

Stork bites
flat reddened vascular area on back of neck and front face

Front 13

Nevus flameus

Back 13

Portwine stain, below dermis. It is purple and red in color, taken off with laser surgery

Front 14

Nevus vasculosus

Back 14

Strawberry mark, no treatment necessary

Front 15

Ortolani's Manuveur

Back 15

+ if click felt on abduction of hips. Treatment is;
Frejka pillow
Pavlik harness
triple diaperes

Front 16

APGAR

Back 16

Appearance (color)
Pulse (heart rate)
Grimace (reflex)
Attitude (muscle tone)
Respirations

Front 17

IgA

Back 17

From breastmilk...If not breastfeeding, keep baby at home for first 6-8 weeks. After that, baby begins making own

Front 18

Intrinsic factor

Back 18

Mom's nutrition passed directly to baby

Front 19

Extrinsic factor

Back 19

Emotions, etc, that baby picks up on it's on. Their environment

Front 20

IgG

Back 20

Crosses placenta, from mom. Passive acquired immunity against bacterial toxins. Infant makes own during first 3 months of life, to compensate for moms.

Front 21

IgM

Back 21

Fetus makes IgM by 20th week. If it is high in a newborn, indicates infection

Front 22

Erythroblastosis Fetalis

Back 22

Jaundice Mom's (RH+) crosses placenta and destroys baby's RBC's.
S/S Anemia
Jaundice
Hepatodplenomegaly

Front 23

Hydrops fetalis

Back 23

Usually fetal death...
S/S Blanch skin, sclera yellow, stools
green and squirty
TX Phototherapy, administer albumin by IV, it binds with bilirubin, O- blood

Front 24

Babinski Reflex

Back 24

Used to check for Kernicterus and other things.

Inverted "J" curve from the heel, upward.
Newborn fans toes out

Front 25

Moro Reflex

Back 25

Used to check for Kernicterus and other things
Lower head about 1 inch, baby abducts, finger in a "C" postion, then arms come up and embrace and protect themselves

Front 26

Transient Strabismus

Back 26

Crossed eyes

Front 27

Anti-Depressants

Back 27

Reduce Panic Attacks

Front 28

Schizophrenia

Back 28

Gross distortion of reality, withdrawal from social interactions.

Disorganized and fragmented thougts

Front 29

Mastis

Back 29

An infection frequently associated with a break in skin surfaces

Front 30

Severe pre-eclampsia treatment

Back 30

Magnesium sulfate

Knee jerk reflex disappears if too much is given

Front 31

During second trimester, BP usually?
increases
decreases
stays the same
can either go up or down

Back 31

decreases, by 5-10 mm

Front 32

Chloasma

Back 32

Darkening of the face during pregnancy, particularly in the forehead, cheeks, and nose

Front 33

Signs and Symptoms of Pregnancy Induced Hypertension

Back 33

Higher BP, eclampsia, gestational proteinuria

Front 34

Leukorrhea

Back 34

Whiteish, viscous vaginal discharge, or an increase in normal vaginal discharge, caused by higher estrogen levels, and increased blood supply to the vagina

Front 35

For a child more than 3 years of age, pull pinna __________ before giving medication in external hear.
forward and upward, back and downward, forward and downward, back and upward

Back 35

back and upward

Front 36

During an exam, a blueish discoloration of the cervix and vaginal mucosa is observed. This is a sign of pregnancy, and is documented as???

Back 36

Chadwicks Sign.

uterus, cervix, and isthmus soften, and the cervix and vagina appear to be a blueish color

Front 37

Avoid administering more than -_________ of medication in a singe injection when giving IM injection to small children. .5, .75, .25, 1ml

Back 37

1 ml

Front 38

For infants, the ____________ muscle is preferred for IM injections
Deltoid, ventrogulteal,
dorsogluteal, vastus lateralis

Back 38

vastis lateralis

Front 39

Vulvar Pruritus

Back 39

Tenderness of, or discharge, from external genitals of female

Front 40

Antepartum

Back 40

Maternal well being from conception to the onset of labor

Front 41

PIH

Back 41

Pregnancy Induced Hypertension
S/S Gain more than 2 lbs/week
swelling of face or fingers
flashing of lights or dots eyes
dimness or blurring of vision
severe continous headache
decreased urine output

Front 42

Show

Back 42

The release of the cervical plug, (operculum), that formed during pregnancy.

Front 43

Excess energy

Back 43

Occurs as part of the body's physiologic preparation for labor

Front 44

Effleurage

Back 44

The technique of gentle abdominal massage

Front 45

Coombs Testing

Back 45

Determination if Rh antibodies are present in an Rh negative mom. If titers are not elevated, Rh negative mom will receive RhIG at 28 weeks, and also after any procedure that might cause placental bleeding, for example an amniocentesis

Front 46

Aspirin
(acetylsalicylic acid)

Back 46

Never given during labor, it increases the risk for bleeding

Front 47

Meperidine

Back 47

Analgesic in labor, plus has additional qualities of sedative and antispasmatic actions

Front 48

Demerol

Back 48

Peaks in fetus 2-3 hours after administration.
So if baby delivered 1 after giving drug, monitor closely for next 4 hours, for respiratory distress

Front 49

Naloxone Hydrochloride
Narcan

Back 49

Counteracts the effects of narcotic analgesics

Front 50

Intrathecal Narcotics

Back 50

Injected into spinal cord
Morphine, fentanyl citrate

Front 51

Diazepam (valium)

Back 51

Anticonvulsant..used in emergencies with anesthetic leaking into blood from epidural block

Front 52

Oxytocin

Back 52

Given to shorten labor. Also given in C/S to increase uterine contraction and reduce blood loss

Front 53

PDPH

Back 53

Postpartal dural puncture headache
From spinal anethesia
NX.. Drink much H20, lie flat, administer analgesic

Front 54

Epidural anethesia

Back 54

Between L3 and L4, into epidural space. If placed wrong, S/S Hypotension, slurred speech, rapid pulse, BP less than 100 or BP decreases by more than 20

Front 55

Placenta previa

Back 55

Low implanation of the placenta

Front 56

Placenta accreta

Back 56

An unusually deep attachment of the placenta to the uterine myometrium

Front 57

Human chorionic gonadotropin hormone

Back 57

Present when small or large part of the placenta is still present after delivery

Front 58

DIC
Disseminated Intravascular Coagulation

Back 58

Deficiency in clotting ability caused by vascular injury

miscarriage or fetal death

Front 59

Subinvolution

Back 59

Incomplete return of the uterus to its prepregnant size

Front 60

Perineal Hematomas

Back 60

Collection of blood in the subcutaneous layer of the skin

Front 61

Endometritus

Back 61

Infection of the endometrium, the lining of the uterus

Front 62

Peritonitis

Back 62

An extension of endometritis.

Infection of the peritoneal cavity. Very serious....infection spreads thru lymphatic system, or thru fallopian tube

Front 63

Lithotomy position

Back 63

Stirrups

Front 64

Breast feeding with drugs

Back 64

Heparin == good
Coumadin == not good, passed on in
milk

Front 65

Mastitis

Back 65

Infection of the breast

Front 66

Baby's Blood Values

Back 66

Erythrocyte > 6 million
Hemoglobin 17-18g
Hematocrit 45-50
WBC 15,000-30,000

Front 67

Periodic Respirations

Back 67

Short periods of apnea, without cyanosis, in newborn

Front 68

Grey Color of skin in Newborn

Back 68

Sign of infection

Front 69

Umbilical cord breakthru time of baby

Back 69

Usually with 6 to 10 days

Front 70

Craniotabes

Back 70

Localized softening of the cranial bones, usually gone within 3 months, mothers milk helps with this

Front 71

Caput Succedaneum

Back 71

Edema of the scalp @ the presenting part of the head. It disappears by itself

Front 72

Milia

Back 72

Sebaceous immature glands on nose and chin Disappear by 2-4 weeks

Front 73

Prenatal visits should be
every month
Q 4weeks until 28, Q 2 wks until 36, q 1 week till delivery
Q 6 weeks until 36, q 1 week until delivery
Q 4 weeks until 24, q 2 wke till 32, then weekly

Back 73

every 4 weeks until 28 weeks, q 2 weeks until 36, then every 1 week until delivery

Front 74

Physiologic of anemia pregnancy
Decrease in red blood cell production during pregnancy
Increase in maternal blood volume during pregnancy
Hemolysis fo maternal red blood cells by fetal antibodies that cross the plancenta

Back 74

Increase in maternal blood volume during pregnancy

Front 75

First sign of fluttering in womb is called?

Back 75

Quickening

Front 76

PICA

Back 76

Influenced by cultural beliefs, an appetite or craving for non-food substances, such as clay or ashes

Front 77

Hyperemesis Gravidarum

Back 77

excessive vomiting disorder of pregnancy

Front 78

Naegele's Rule

Back 78

7 days added to the first day of last menestrual period, 3 months subtracted and 12 months then added

Front 79

Pitocin

Back 79

Uterine smooth muscle stimulant
Affects uterine myofibril activity.
It enhances lactation
Assess baseline for vitals
Can cause tachycardia, hypotension

Front 80

Methergine

Back 80

Uterine stimulant
Also prevention of postpartum, post abortion hemorrhage due to atony
side effects nausea, uterine cramping

Front 81

"Baby Dropping"

Back 81

Lightening

Front 82

Teach children to _______________
when they hold their breath for 10 seconds after installing medication
smile, giggle, count on fingers, laugh

Back 82

count on fingers

Front 83

Pavlik Harness

Back 83

Splinting device that holds an infants hips flexed, abducted, and externally rotated. For hip dysplasia

Front 84

What hormone makes pregnancy tests positive??
Human chorionic gonadotropin
Estrogen
Progesterone
Follic-stimulating hormone

Back 84

Human chorionic gonadotropin

Front 85

When administering eye medications, position an infant or child ___________
on his side
supine
with head tilting forward
prone

Back 85

supine

Front 86

When administering ear medications, position an infant or child _________.
prone
supine
on his side
with head tilted forward

Back 86

on his side

Front 87

For a child less than 3 years of age, pull pinna _______ before placing medication in external ear.
forward and downward, back and downward, forward and upward, back and upward

Back 87

back and downward

Front 88

When administering medications in liquid form to an infant, deposit medication along side the ________.
back of throat, tongue, lips, inner cheek

Back 88

inner cheek

Front 89

Avoid administering more than _______
of medication in a singe injection when giving an IM injection to small infants.
.75ml, .5ml, .25ml, 1.0ml

Back 89

.5ml

Front 90

Avoid using a needle longer than ______ when giving an IM injection to infants and children.
1 inch, 3/4 inch, 1/2 inch, 1 1/2 inches

Back 90

1 inch

Front 91

Select a tubercline syringe to measure medication volume less than
1ml, 2ml, 5ml, 10ml

Back 91

1ml

Front 92

Woman experienced in childbirth, but without professional credentials, who can assist in labor

Back 92

Doula

Front 93

Meconium

Back 93

First baby stool, Sticky tarlike, blackish green color, and odorless

Front 94

Cause of bright green baby stools

Back 94

From under the bilirubin light, it's caused by increased bilirubin excretion

Front 95

APGAR Scoring

Back 95

Heart rate 0 <100 >100
Respiratory 0 Slow Good
Muscle Tone Flaccid Some Well Flexed
Reflex 0 Grimace Cough/Cry/Sneez
Color Blue Blue Extrem Normal

Front 96

Kenicterus

Back 96

Increased levels of bilirubin, about 20mg/100ml, interfere with chemical synthesis of brain cells. Can cause permanent damage

Front 97

Developmental tasks of 1st trimester?
Accept fact of pregnancy
Accept fetus as distinct and seperate
Prepare realistically for pregnancy
Acknowledge she will be a good mom

Back 97

Accept fact of pregnancy

Front 98

How should female gain weight?
2 lbs per week
1/2 of weight by end of 1st trimester
Amount is more critical than pattern
2-5 pounds should be gained in 1st trimester

Back 98

2-5 pounds should be gained in 1st trimester

Front 99

Approximate weight gain during pregnancy?
15 lbs, 15-25 lbs, 25-35 lbs, 28-40lbs

Back 99

25-35 lbs

Front 100

Plan of care for pregnancy?
Risk for injury due to medications
Imbalanced nutrition<body requirements due to nausea and vomit
Imbalanced nutrition<body requirements related to poor knowledge
Deficient fluid volume, related to nausea and vomiting

Back 100

Imbalanced nutrition <body requirements due to nausea and vomiting

Front 101

Which of the following alleviate poor nutrition?
Eat a big breakfast
Eat small, frequent meals
Eat dry toast or crackers at bedtime
Drink plenty of fluid when feeling nausea

Back 101

2 and 3

Front 102

Pitocin

Back 102

Labor inducing medication

Front 103

Which of the following is considered a positive sign of pregnancy that could be present at 8 weeks?
Fetal cardiac activity or body movement noted on ultrasound
Palpitation of fetal movements
Ballotment noted on vaginal discharge
Uterine soufte noted by Doplar

Back 103

Fetal cardiac activity or body movement noted on ultrasound

Front 104

Intrauterine pregnancy

Back 104

In the uterus, (the womb). Normal pregnancies are intrauterine

Front 105

Fetal Demise

Back 105

Fetal death in uterus

Front 106

Intrauterine growth restriction
IUGR

Back 106

A condition in which a fetus is unable to achieve its genetically determined potential size

Front 107

Intrauterine pressure catheter
IUPC

Back 107

Used in labor induction to help measure the exact force of the contractions during labor. Helps doctor determine the amount of pitocin to be used

Front 108

Psychosomatic

Back 108

Stress and/or emotions are causing physical symptoms of illness

Front 109

Pregnancy Induced Hypotension
PIH

Back 109

Development of NEW arterial hypertension in a woman after 20 weeks of pregnancy

Front 110

Eclampsia

Back 110

A serious complication of pregnancy and is characterized by convulsions before, during, and after labor

Front 111

Eclamptic Convulsion

Back 111

4 Stages
Premonitory..Woman rolls eyes and facial and hand muscles twitch
Tonic..Twitching turns into clenching arms and legs. Rigind
Clonic...Spasm stops but muscles jerk violently
Comatose..Deep unconciousness and make sure patient has patent airway to breath

Front 112

Heroin withdrawal..S/S

Back 112

Pupillary dilation and diaphoresis

Front 113

Newborn baby has ______creases on sole of foot?

Back 113

3/4 of foot has creases