nur 124 exam 2
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| type one diabetes | no insulin, age 20 and below
🗑
|
||||
| type two | insufficient insulin receptors,have insulin, age 40 and up
🗑
|
||||
| fetal risks of diabetes | spontaneous abortion,stil birth, lethal congenital malformation, shoulder dystocia, birth injuries, dont produce surfactant
🗑
|
||||
| maternal risks of diabetes | preeclampsia, progression of retinopathy, infections. obstructed labor
🗑
|
||||
| best time to excersise | after meals BS is rising
🗑
|
||||
| infant BG should be | above 50
🗑
|
||||
| after birth baby still produces in excess of insulin to take care of in excess of glucose that has now stopped resulting in decreasing glucose after birth |
🗑
|
||||
| breast feeding decreases glucose in mom |
🗑
|
||||
| 28 wks estrogen, progesteron and HCl decrease insulin productionto allow more glucose for baby. Allows mom to have more energy for growing fetus |
🗑
|
||||
| failure to progress | bad contractions, bad passage
🗑
|
||||
| hypotonic dysfunction contractions | too weak from extended uterus, analgesia, anesthesia, bad pelvis
🗑
|
||||
| a pregnancy that ends before 20 wks and 500g wt, no surgical/medical intervention | spontaneous abortion
🗑
|
||||
| slight spotting, cramping, no passage of tissue, no dialation | threatened abortion
🗑
|
||||
| open cervical os, heavey bleeding, severe cramping, expulsion of fetus, retain placenta | incomplete abortion
🗑
|
||||
| expulsion all fetal tissue, cervix closed, light bleeding/cramping | complete abortion
🗑
|
||||
| tx for both incomplete/complete | dilation curettage. D n C
🗑
|
||||
| fetus died with conception products retained | missed abortion, tx medica/sirgocal termination
🗑
|
||||
| fertilized ovan attaches outside of uterus | ectopic preg, tx surgical removal, methotrexate for absorption of preg
🗑
|
||||
| ectopic preg causes | inf, scaring of falopian tubes causing more ectopic pregsz
🗑
|
||||
| eggs nucleus is deactivated, sperms nucleus replicates. resembles a unch of grapes | hydatidiform mole, tx pass on own or suction curettage. seem preg w hcg levels
🗑
|
||||
| placenta implanted in lower section of uterus | placenta previa
🗑
|
||||
| premature separation of placenta | placenta abruption
🗑
|
||||
| signs of placental previa | bleeding aftter 20wks, vs normal, tx ultrasound for placental placement, no vag exam, <36wks no activity monitor, at term c-section
🗑
|
||||
| risk factors for placental abruption | maternal hypertension, cocaine,
🗑
|
||||
| signs of placental abruption | bleeding, ab pain, contraction hypertonis, abn FHR increases, maternal hypovolemia/shock inc HR, dec BP, tx: amild prior 36wks=observation, if bad birth now
🗑
|
||||
| cure for gestational hypertension | birth
🗑
|
||||
| vasospasm that impeedes blood vlow to all the organs and increses BP. | preeclampsia
🗑
|
||||
| signs of preeclampsia | bp > 140/90 on 2 separate takings > 2hr apart, proteinuria 2 takings 6hr apart
🗑
|
||||
| used to prevent convulsions caused by pre and eclampsia. decreases neuromusclur irritability. dec contractions for preterm labor | magnesium sulfate
🗑
|
||||
| anecdote for magnesium sulfate | calcium glutenate
🗑
|
||||
| therapuetic level of magnesium sulfate | 4-8, always ngo through IV pump
🗑
|
||||
| produced by breakdown of red blood cells | bilirubin, toxic to body
🗑
|
||||
| unconjucted indirect bilirubin is released , not water soluable, liver changes it to conjucted direct by conjugation now can be excreted. |
🗑
|
||||
| excess unconjucted indirect bilirubin absorbed subQ tissue causing yellowing | jaundice
🗑
|
||||
| staining of tissues of brain causing permant damage | kernicterus
🗑
|
||||
| jaundice occuring p 24hr stopping in 7 days or 48hr p birth for 9 days | physiological jaundice, unconj bill<= 12,direct bil <= 1.5,
🗑
|
||||
| jaundice more likely to cause brain damage, shows before 24hr and lasts for 7-10 days | pathologioc
🗑
|
||||
| tx for jaundice | feeding, phototherapy, eye protection, hydration, no lotions, check temp
🗑
|
||||
| TORCH | toxoplasmosis, other, rubella, cytomeglovirus, herpes
🗑
|
||||
| virus in mom from cat feces, uncooked meat, causes swollen glands fatigue, muscle pains | toxoplasmosis
🗑
|
||||
| virus in fetus/nb toxoplasmosis | abortion, asymptomatic at birth, neurologic damage years later
🗑
|
||||
| TORCH "other" | HIV, hepatitis B, gonorrhea, parvovirus B19, syphilis, varicella
🗑
|
||||
| HIV | mom=decrease immune, nb=asymptomatic at birth
🗑
|
||||
| Hepatits B | mom=v, ab pain, jaundice, fever, rash, painful jts; nb=HBiG at birth, hepatitis B vac at birth and scheduled
🗑
|
||||
| parvovirus B19 | older children 5th desease, during preg inf results in miscarriage, hydrops, internal uterine growth retardation, anemia
🗑
|
||||
| moms w HIV | cannot breat feed, keep membranes intact, c-sec, will give med during labor to prevent transmission
🗑
|
||||
| group B strep | causes neonatal sepsis, vag/rectal culture at 34-36wks, penicillian drug choice
🗑
|
||||
| rubella | droplet contact, nasopharyngeal secreation, immune=1:8>, live MMR vac give w/i 15 mins of draw up subq, DO NOT GET PREG W/I 28 DAYS.
🗑
|
||||
| rubella | mom=rash, fever, malaise, nb=worse in 1st tri, deafness, cataracts, heart defects, retardation
🗑
|
||||
| cytomeglovirus | form of herpes, in urine, saliva, vaginal secretions, semen, breast milk, feces, common in daycares, use good hand hygene
🗑
|
||||
| cytomeglovirus effects | mom=asymptomatic, cold symptoms, no tx, nb=most asymptomatic, deafness, blindness, seizures, retardation, some symptoms dont show for years
🗑
|
||||
| herpes | mom=vesicles/shallow ulcers, crust over in genital areas, if active during labor=c-sec, tx=acyclovir during preg, nb=mortality rate w/o antiviral 25%
🗑
|
||||
| aspiration of amniotic fluid to test lung maturity 2/3 tri | amniocentesis, good lungs= 1:2, need consent
🗑
|
||||
| inj used to decrease contractions | tribulitine, breatherine
🗑
|
||||
| maternal serum triple/quad screen | test for downs, neural tube defects, trisomy 18, AFP, 16-18 wks gest
🗑
|
||||
| NST nonstress test | 32 wks gest, for adequate oxygenation of fetus, for non movement, prior still borns, baby not growing, Need 15 beats above base x 15 sec and have 2 of those in 20-30 min time period. want it to be "reactive"
🗑
|
||||
| CST contraction stress test | after 34 wks, IV pitocin/nipplen stim; reg=good no decelerations w or wo contractions, pos=bad decelerations w contractions. need to deliver soon, c-sec, baby cant tolerate contractions
🗑
|
||||
| biophysical profile BPP | NST=2(reactive), ultrasound 2pts for each..fetal movements, FHR, fetal resp, amniotic fluid index (AFI) 8-10=normal, <6 need to deliver
🗑
|
||||
| dep-provera | inj progesterone q 11-13wks, doesnt effect lactation, lose bone density, delays fertility 18th after quitting, take w vit D, hair loss
🗑
|
||||
| essure | implants into fallopian tube results in scarring 99% effective
🗑
|
||||
| implanon | preogestin continous release, rod in place x3yrs, irregular bleeding, reversible
🗑
|
||||
| ortho evra | patch, chnage q wkx3wks, 1wk patch free,
🗑
|
||||
| nuvaring | releases med continously, insert sun p menes remove in 3wks, ring free 1wk, vag irritation
🗑
|
||||
| oral contraceptives | synthetice estrogen, progesterone, supresses ovulation, protects against ovarion/endometral cancer, decreases effectiveness of antiterburculosous drugs, anticonvulsants, antifungals, anti HIV
🗑
|
||||
| intrauterine contraceptives, mirena | inplace all times, long erm low cost, reversible, can b expelled wo knowledge, increases pid,
🗑
|
||||
| chemical birth control barriers | spermicidal and foam
🗑
|
||||
| hormonal barriers | OCPs, inj, transdermal, vaginal,
🗑
|
||||
| mechanical barriers | condum, IUD, diaphragm, cervical cap, sponge
🗑
|
||||
| clamydia | yellow dc, painful urination tx: both partners
🗑
|
||||
| gonorrhea | bacterial gr- diplococcus, direct contact w inf mucosa, vag dc, dysuria, tx: cephalosporins
🗑
|
||||
| trichomonas | vag inf by protozoa, yellow-green dc, itching, strawberry cervix tx: flagyl, no ETOH
🗑
|
||||
| syphilis | painless shankers, any tissue, treponema pallidum spirochette, contact, penicillian
🗑
|
||||
| HSV1 | oral, sunlight triggers them
🗑
|
||||
| HSV2 | genital
🗑
|
||||
| postpartum hemorrhage | vag-500ml, c-sec 1000ml
🗑
|
||||
| causes of hemorhage | uterine atony,trama, placental fragments, terus not returning to normal size
🗑
|
||||
| assessment of hemorhage | check fundus, void, remove clots, bleeding, vitaql signs,
🗑
|
||||
| hemorrhage drugs |
🗑
|
||||
| Pitocin |
🗑
|
||||
| methergine | contraomdocated in hypertension
🗑
|
||||
| carboprost (HEMABATE) | prostoglandin used in extreme cases
🗑
|
||||
| cytotec | now used more than methergine
🗑
|
||||
| inf of hte uterine lining | metritis
🗑
|
||||
| perineal or if c-sec could ber incisional | wound inf
🗑
|
||||
| caused by staph aureus or e coli, spread by moms hands staff or babys mouth | mastitis
🗑
|
||||
| LAS | inflammation at the site with drainage. Pain at site. foul smelling urine. inflamed berasts
🗑
|
||||
| GAS | temp 100.4 or higher, WBC above 20,000. aching and flu like symptoms
🗑
|
||||
| PGAS | states feels unable to cope
🗑
|
||||
| transient. doesnt seriously afffect mothes ability to give care tgo nbor herself | postpartum blues
🗑
|
||||
| difficulty taking care of herself or nb. irritability | postpartum depression
🗑
|
||||
| very serios, delusional, manic, poor judgemenmt | postpartum psychosis
🗑
|
||||
| obstruction of airway causing pneumonitis | meconium aspiration
🗑
|
||||
| lack of surfactant production | resp distresstransient tachypnea, babys resp symptom get worse
🗑
|
||||
| failure to progress | contraction probs, passage prob
🗑
|
||||
| coordinated, but wek infreqeunt and brief contractions | hypotonic dysfunction from overextended uterus, analgesia
🗑
|
||||
| artificial rupture of the amniotic sac | amniotomy-probs prolapse cord, inf
🗑
|
||||
| increase effecticveness of contractions that are already present | augumentation
🗑
|
||||
| contractions are not present. causing contractions to occur | inductions
🗑
|
||||
| head is born, anterior shoulder cannot pass under pubic arch | shoulder dystocia
🗑
|
||||
| rapid acting insulin | onset: wi 15 min, peak: 2-3hr, dur: 3-4hr
🗑
|
||||
| short acting insulin | onset: 30 min, peak: 3-4hr, dur: 6-8hr
🗑
|
||||
| intermediat acting | onset: 2-4hr, peak: 4-12hr, dur: 12-24hr
🗑
|
||||
| long acting | onset: 3-4, peak: 14-24, dur: 24-36hr
🗑
|
||||
| best time to excersie is after meals, BS is rising |
🗑
|
||||
| 1hr glucose test | >140
🗑
|
||||
| 3hr glucose test | >100
🗑
|
||||
| maintain BG level at 110 |
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
vstein
Popular Nursing sets