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Final Exam FNP
FNP I
140
Nursing
Graduate
08/10/2012

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Cards

Term
Primary Care
Definition
a delivery system; first point of entry into the health care system. Delivers holistic care in a collaborative manner; the activity of the health care provider
Term
Primary Health Care
Definition
accessibility and fairness; relevance to the needs of the population. Essential health care based on EBR, sound and socially acceptable methods, and technology made universally accessible to all
Term
Incidence
Definition
Proportion of population that is initially free of disease but develops over time
Term
Prevalence
Definition
Proportion of population possessing a clinical condition at a point in time
Term
Primary Prevention
Definition
prevents the onset of a targeted condition; health promotion, implement lifestyle changes
Term
Secondary Prevention
Definition
identify & treat asymptomatic ppl who have the risk factors, but the condition is not readily apparent
Term
Tertiary Prevention
Definition
care of established disease “maintenance”
Term
Strongest Predictor of Health Status
Definition
Literacy
Term
HbA1C, medications, INR/PT/PTT, med levels (theophylline, digoxin)
Definition
Tertiary Prevention
Term
Screening: BSE, mammography, colonoscopy, PAP, FOBT
Definition
Secondary Prevention
Term
Immunizations, Health protecting education: seat belts, helmets, etc
Definition
Primary Prevention
Term
Specificity
Definition
Negative predictor: the probability that the test will be negative among pts who do not have the disease
Term
Sensitivity
Definition
Positive predictor; the probability that the test is positive when given to a group of pts who have the disease
Term
Positive Predictive Value
Definition
the probability that the pt who tested positive for the disease actually has the disease
Term
Nagel’s Rule
Definition
Add 1 week to the 1st day of the LMP and subtract 3 months
Term
G Beta Strep
Definition
35-37 weeks from vagina
Term
Chadwicks Sign
Definition
bluish discoloration of vaginal mucosa
Term
Hegar's Sign
Definition
softening of the isthmus
Term
Goodells
Definition
softening of the cervix
Term
Height increases at basal rate: 5-6 cm/year Breast: Papilla elevation only Pubic Hair: Villus hair only No coarse, pigmented hair
Definition
Tanner Stage I
Term
Height increases at accelerated rate: 7-8 cm/year Breast: Breast buds palpable and areolae enlarge Age 10.9 years (8.9-12.9 years) Pubic Hair: Minimal coarse, pigmented hair mainly on labia Age 11.2 years (9.0-13.4 years)
Definition
Tanner Stage II
Term
Height increases at peak rate: 8 cm/year (age 12.5) Breast: Elevation of Breast contour; areolae enlarge Age 11.9 years (9.9-13.9 years) Pubic Hair: Dark, coarse, curly hair spreads over mons pubis Age 11.9 years (9.6-14.1 years) Other changes Axillary hair develops (13.1 years) Acne Vulgaris develops (13.2 years)
Definition
Tanner Stage III
Term
Height increases at 7 cm/year Breast: Areolae forms secondary mound on the Breast Age: 12.9 years (10.5-15.3 years) Pubic Hair: Hair of adult quality No spread to junction of medial thigh with perineum Age: 12.6 years (10.4-14.8 years)
Definition
Tanner Stage IV
Term
No further height increases after age 16 years Breast: Adult Breast contour Areola recesses to general contour of Breast Pubic hair: Adult distribution of hair Pubic hair spreads to medial thigh Pubic hair does not extend up linea alba
Definition
Tanner Stage V
Term
Height increases at basal rate: 5-6 cm/year Testes: Smaller than 4 ml or long axis <2.5 cm Pubic Hair: No coarse, pigmented hair Penis Stage: No growth
Definition
Tanner Stage I
Term
Height increases at basal rate: 5-6 cm/year Testes Size: 4 ml or long axis 2.5 to 3.2 cm Age 11.5 years (age 9.5 to 13.5 years) Pubic: Hair Minimal coarse, pigmented hair at base of penis Age 12.0 years (age 9.9 to 14.0 years) Penis Stage: Earliest increased length and width Age 11.5 years (age 10.5-14.5 years)
Definition
Tanner Stage II
Term
Height increases at accelerated rate: 7-8 cm/year Testes Size: 12 ml or long axis 3.6 cm Age 14.0 years (11.5-16.5 years) Pubic Hair: Coarse, dark curly hair spread over the pubis Age 13.1 years (11.2-15.0 years) Penis Stage: Increased length and width Age 12.4 years (10.1-14.6 years) Other Changes Gynecomastia may occur (age 13.2 years) Voice breaks (age 13.5 years) Muscle mass increases
Definition
Tanner Stage III
Term
Height increases at peak rate: 10 cm/year (age 13.8) Pubic Hair: Hair of adult quality Not spread to junction of medial thigh with perineum Age 13.9 years (12.0-15.8 years) Penis: Continued growth in length and width Age 13.2 years (11.2-15.3 years) Testes: Length 4.1 to 4.5 cm Other Changes Axillary hair (age 14.0 years) Voice changes (age 14.1 years) Acne Vulgaris (age 14.3 years)
Definition
Tanner Stage IV
Term
No further height increases after age 17 years Pubic Hair: Adult pubic hair distribution (15.3 years) Pubic hair spreads to medial thigh No hair spread to linea alba Penis: Mature genital size by 16.5 years Testes: Length >4.5 cm Secondary sexual characteristics Facial hair present on sides Mature male physique Gynecomastia disappears
Definition
Tanner Stage V
Term
True or False: BPH is a normal age variant?
Definition
True
Term
Negative ASC-US
Definition
repeat pap in 12 months
Term
Positive ASC-US with HPV
Definition
Colpo
Term
Women should not be pelvic screened regardless of the age of sexual initiation or other risk factors?
Definition
Under 21 years of age
Term
Recommends at what ages screening with cytology every 3 years.
Definition
21–29 years
Term
Recommends screening with cytology every 3 years or for women who want to lengthen the screening interval, screening with a combination of cytology and HPV testing every 5 years.
Definition
30–65 years
Term
Recommends against screening women who have had adequate prior screening and are not otherwise at high risk for cervical cancer.
Definition
Older than 65 years
Term
After hysterectomy
Definition
Recommends against screening in women who have had a hysterectomy with removal of the cervix and who do not have a history of a high-grade precancerous lesion (ie, CIN 2 or 3) or cervical cancer.
Term
Should women who have had the HPV vaccine continue to be screened?
Definition
Yes: Women who have been vaccinated should continue to be screened
Term
Visits should include personal history, blood pressure, body mass index (BMI), physical exam, preventive screening, and counseling how often
Definition
ages 18–21 Every 1–3 years, depending on risk factors 50+ Annually
Term
Colorectal Cancer
Definition

Colonoscopy at age 50 and then every 10 years, or annual fecal occult blood test (FOBT) plus sigmoidoscopy every 5 years, or sigmoidoscopy every 5 years, or double-contrast barium enema every 5 years

Unless high risk and then begin age 45

Term
Breast Cancer (Women)
Definition
18-40:Annual clinical breast exam and monthly self-exam 40+ Annual mammography at discretion of clinician
Term
Cervical Cancer (Women)
Definition
age 21 every 1–3 years, depending on risk factors
Term
Testicular and Prostate Cancer
Definition
18-40: Clinical testicular exam at each health maintenance visit and monthly self-exam 40+ PSA at risk only until age 50. Digital rectal annually.
Term
You have pap results what do you do now?
Definition
If no endo-cervical cells noted If previous Pap smears normal and woman is at low risk. May wait and repeat in one year If hx of abnormal pap smear, at risk or previous pap did not show endo-cervical cells, repeat in 3 months and pay attention to technique If organisms noted, treat appropriately.
Term
(ASC-US)
Definition
Epithelial cell abnormality: atypical squamous cells of undetermined significance
Term
(ASC-H)
Definition
Epithelial cell abnormality: atypical squamous cells, can’t rule out HSIL
Term
(AGUS)
Definition
Epithelial cell abnormality: glandular cells, atypical glandular cells
Term
(LSIL)
Definition
Epithelial cell abnormality: low grade squamous intraepithelial
Term
(HSIL)
Definition
Epithelial cell abnormality: high grade squamous intraepithelial lesion
Term
What do you do as the Np if you get the following result on a pap: ASC-US
Definition
HPV or Repeat in 6-12 months or Colpo
Term
Result: LSIL
Definition
Colpo in 21 and older in postmenopausal HPV or Repeat in 6-12 months or colpo
Term
Result: HSIL
Definition
Colpo or LEEP
Term
Result: ASC-H
Definition
Colpo without endocerv sampling in pregnant women.
Term
Result: AGC all subcategories
Definition
HPV, colpo and endoserv sampling
Term
When teaching about BC pills your pt tells you that she has forgotten to take 2 days worth of pills how do you advise her?
Definition
Continue taking pills as prescribed, but use additional form of birth control for the remainder of the cycle
Term
What time of the day do you teach patients to take OCP?
Definition
Take OCP at the same time every day to ensure efficacy
Term
Lipid screening
Definition
Begin screening high risk persons at age 20, men at 30 and women at 45
Term
What to do with elevated PSA?
Definition
Repeat and know what to tell patient when they come back for repeat labs (no intercourse, bike riding, anything that would cause trauma) always draw PSA prior to DRE 
Term
What is the difference between monophasic, biphasic and triphasic OCP?
Definition
Monophasic is one with steady rate of hormones, biphasic and triphasic mimics normal cycle (triphasic more closely mimics normal phase)
Term
A patient comes in with c/o breast tenderness after beginning an OCP what should you do?
Definition
Wait 12 weeks as these symptoms may resolve.
Term
When teaching a pt about what to do after taking osteoporosis medications you would teach...?
Definition
Maintain upright for at least 30 minutes, full glass of water, reflux and nausea are common side effects
Term
Dubowitz exam
Definition
A standardized scale for the estimation of newborn gestational age by neurological examination. The full exam is very extensive and scores 33 specific responses in four major areas: habituation (response to repetitive light and sound stimuli), movement and tone, reflexes, and neurobehavioral items.
Term
Spiritual interventions...
Definition
touch of hand, nod of affirmation, look of full/complete attn. (exuding presence). Does not allow for provision of spiritual practices.
Term
Stages of Change
Definition
• Precontemplation (Not Ready)-"People are not intending to take action in the foreseeable future, and can be unaware that their behavior is problematic" • Contemplation (Getting Ready)-"People are beginning to recognize that their behavior is problematic, and start to look at the pros and cons of their continued actions" • Preparation (Ready)-"People are intending to take action in the immediate future, and may begin taking small steps toward behavior change” i.e.: Concrete steps of cutting down on smoking • Action – "People have made specific overt modifications in modifying their problem behavior or in acquiring new healthy behaviors" • Maintenance – "People have been able to sustain action for awhile and are working to prevent relapse" • Termination – "Individuals have zero temptation and they are sure they will not return to their old unhealthy habit as a way of coping Preparation stage (Identify what patient actions represent stage)
Term
When teaching a pregnant woman about Mercury, what fish should she avoid?
Definition
Avoid: Fish/shellfish: shark, swordfish, king mackerel, or tilefish, & albacore tuna
Term
Patterns of relating tend to repeat themselves; focus is on various actions of the family
Definition
Bowens Family Theory
Term
A more simplified maturity rating scale for estimating newborn gestational age. It consists of six evaluation areas for neuromuscular maturity and seven items of observed physical maturity. It is the scale probably most often used in the nursery.
Definition
Ballard
Term
Ability of a test to distinguish who has a disease and who does not.
Definition
Test Validity
Term
Study of the distribution and determinants of health-related states or events in specified populations and the application of this study to the control of health problems.
Definition
Epidemiology
Term
Morbidity
Definition
Number of new cases of “D” disease divided by the total population at risk
Term
Mortality
Definition
Number of deaths from “E” disease divided by the total population at risk
Term
3 Key Elements of Environmental Exposure
Definition
1.PHYSICAL: physical characteristics equate to biomarkers, blood test, and chemicals that are screened through blood testing. Sometimes s/s are a result of an envm exposure & not necessarily family history. 2.BIOLOGICAL ELEMENTS: exposure to a chemical in the envm. (lead/pesticides) 3.SOCIOECONOMIC STATUS: evidence that indicates ppl living in lower level of socioeconomic statuses are more likely to exposures & are more likely to have chronic diseases & to die as a result of these envm exposures
Term
APN responsibility in regards to environment
Definition
assess & identify the risk and prevent exposures
Term
Emphasizes the organization or structure of the family and how this structure facilitates family functioning. Examines the relationship btwn family members as they relate to carrying out family functions.
Definition
Structural/Functional
Term
Emphasis on the identification of actual and potential problems & delineation of intervention strategies that maximize efficient and effective system operation. Systems can be OPEN or CLOSED.
Definition
Systems Theory
Term
Focuses on present interactions; to modify the present not focus on the past.
Definition
Minuchins theory
Term
Longitudinal; emphasizes growth, development, & maturation. Focus on: identification of actual and potential developmental problems & delineation of intervention strategies to foster maximum growth & development. Major thrust is change; and the change is directional
Definition
Development Theory
Term
Duvall’s Family Life Cycle 8 STAGES:
Definition
1. Beginning Family 2. Childbearing Family 3. Family w/ preschool children 4. Family w/ school age children 5. Family w/ teens 6. Family launching young adults 7. Family w/ middle-age parents 8. Family in retirement & old age
Term
Limitations of developmental theory
Definition
Doesn’t address situational stressors or unusual events. Assumes the family is homogenous, middle class, & stable in each stage. Doesn’t describe the processes in between stages that allow the family to change.
Term
The stage of change when the patient is not considering change.
Definition
Precontemplation
Term
The Contemplation Stage
Definition
Patient shows awareness of a problem.
Term
Stage when the patient says, “I've got to do something.”
Definition
Determination
Term
Stage when patient stops smoking.
Definition
Action
Term
Stage at which patient sustains change.
Definition
Maintenance
Term
Relapse Stage
Definition
when slips occur
Term
4 A's of Smoking Assessment
Definition
Ask about smoking at every visit. Advise patients of the health benefits of quitting smoking (e.g., “As your health care provider, I must advise you to stop smoking now”). Assist the patient in stopping. Identify and remove any barriers to treatment. Arrange a follow-up visit.
Term
defined as a set of “patterns, explicit and implicit, of and for behavior.” It is “acquired and transmitted by symbols” and is based on “traditional (i.e., historically derived and selected) ideas 
Definition
Culture
Term
Caput succedaneum
Definition
Swelling of the scalp in a newborn. It is most often brought on by pressure from the uterus or vaginal wall during a head-first (vertex) delivery. Can cross suture lines.
Term
Cephalhematoma
Definition
This is a collection of blood from broken blood vessels that builds up under the scalp. Does not cross suture lines.
Term
Red Flags of the Neonate
Definition
• Birthweight less than 2500g or greater than 4000g • Birth before 37 or after 42 weeks GA • Small or large for GA • Hypoglycemia • Tachypnea, cyanosis • Congenital malformations • Pallor, Plethora, Petechiae
Term
Parents of a 3 months old child come into the office stating that child has a bulge on her bellybutton. You assess and note that the child has an umbilical hernia, what would be appropriate teaching of these parents in regards to umbilical hernias?
Definition
• Most umbilical hernias resolve spontaneously by 1 year old, but can take up to 4-5 years. • Counsel parents to avoid taping coins or placing bellybands over the umbilicus because these efforts do not help and can contribute to infection.
Term
A mother brings her 3 year old son into the office and you notice that the child has multiple bruises in various stages of healing to shins and even a large bruise to forhead, what do you suspect about this child?
Definition
These are normal bruising patterns for this developmental age group.
Term
When would you screen a child for anemia?
Definition
12 months.
Term
Components of the HEADSS exam
Definition
• H: Home • E: Education • A: Activities • D/D: Drugs/drinking • S: Sex and sexuality • S: Suicide and mental health thoughts
Term
Anticipatory Guidance: Adolescents
Definition
Accident prevention: Correct and consistent use of helmets, seat belts, and proper sports equipment should be taught and encouraged. Weapons: Access to guns and other weapons should be restricted, with emphasis on safety and responsibility.
Term
A 16 year old female comes into the office for a well exam upon looking through her chart what is one of the things that you would recommend for this age group for primary prevention.
Definition
HPV vaccine
Term
The 3 main causes of death in young adulthood are
Definition
unintentional injury (MVA death is #1 & greater in men than women), homicide (highest in men & African Americans), suicide (5 times higher in men than women).
Term
Ideal contraception is:
Definition
reliable, easy to use, easily available, not related to intercourse, safe, reversible and cost effective.
Term
A couple come into your clinic after the husband has undergone a vasectomy. You would provide what teaching in regards to birth control immediately following this procedure?
Definition
Use barrier/alternative method for a few months after as it takes awhile for the sperm to be ejaculated or reabsorbed. Must have sperm analysis with sperm count of zero before discontinuing use of alternative method
Term
An 18 year old female presents to the clinic for her depo shot stating that she had to miss her follow up injection 3 weeks ago because she was out of town. What would be the most appropriate action of the NP?
Definition
Perform a pregnancy exam, if negative give injection.
Term
A 19 year old female patient presents to the clinic after obtaining the Depo shot 4 weeks ago stating she has been gaining weight, having irregular periods and depression. How would you advise this pt?
Definition
Nothing can be done to reverse but should wear off in 12-14 weeks
Term
Contraindications of OCP?
Definition
• Known or suspected pregnancy • Undiagnosed abnormal vaginal bleeding • Migraine with aura • Uncontrolled/poorly controlled HTN • Gallbladder disease • Hyperlipidemia (very high triglycerides and cholesterol can be worsened by estrogen) • Smokers over the age of 35 • Impaired liver function/hepatic disease • Clotting disorders, including a close family history • Known or suspected breast cancer
Term
Warning signals to watch for while on pill
Definition
A: abdominal pain (severe) Blood clot in pelvis or liver, benign liver tumor/gallbladder disease C: Chest pain (severe) Blood clot in lungs, heart attack, angina, breast lump H: Headaches (severe) Stroke, migraine with aura, high BP E: Eye problems (severe) Stroke, blurred vision, migraine with aura, blood clot in eye S: Leg pain (severe) Calf or thigh, inflammation or blood clots in vein of leg
Term
Progestin Only OCP
Definition
Causes endometrium to thin and cervical mucus to thicken. Must be taken daily at exact same time every day. Immediate return to fertility May take while breast feeding. Okay in pts with migraine/aura, clot history, smoker
Term
Colorectal Screening
Definition
Annual Fecal Occult blood test (FOBT) • Flexible sigmoidoscopy (every 5 years) • Annual FOBT (fecal occult blood test) and sigmoidoscopy (every 5y – ACS) • Double contrast barium enema (every 5 yr) • Colonoscopy (every 10 years)
Term
Cardiovascular Risks
Definition
 Cigarette smoking/sedentary lifestyle/obesity  Lifestyle modifications  Hypertension (BP > 140/90mmHg or on antiHTN medication) (increased risk)  Low HDL cholesterol (<40mg/dl)  Diabetes Mellitus  Increased prevalence of lipid abnormalities  Postmenopausal women w/ Type 2 DM 3xs more likely to develop CVD/stroke & 4xs more likely to die from MI
Term
Testing for DM in asymptomatic adults
Definition
 Begin testing at 45 y.o. for all  Test younger if BMI >24kg/m2 & have one or more of the following factors:  Sedentary lifestyle  Family hx  High risk heritage (ie: native American, Hispanic)  Hx of gestational DM or delivery of baby >9lbs  HTN (>140/90)  Dyslipidemia (HDL <35mg/dL; TGL >250mg/dL)  Presence of polycystic ovary syndrome (PCOS)  Presence of ancanthosis nigricans  Hx of cardiovascular dx  Previous HbA1c ≥5.7% or hx of pre-DM
Term
When is Rhogam given?
Definition
Rhogam given at 28 weeks and within 72 hours of delivery.
Term
Folic Acid Recommendations
Definition
The recommended dosage for primary prevention is 0.4 mg per day. For secondary prevention in women with a previous fetus or child with a neural tube defect, the dosage is 4 mg per day
Term
Gestation Diabetes Screening
Definition
recommend that all pregnant women be screened for gestational diabetes at 24 to 28 weeks' gestation,
Term
When would a clinician be concerned if lactation has not occurred in a new mother?
Definition
After 72 hours.
Term
Signs of a poor latch
Definition
• Maternal pain
• Trauma to the breast or nipple tissue
• Infant’s nose touching the breast
• Frequent moving of the infant’s head
• Indentation of the infant’s cheeks
• Infant’s lips are not flanged
Term
What would be appropriate teaching for a breastfeeding mother in regards to bowel movements in the infant?
Definition
Colostrum is a natural laxative that helps the infant pass the first stool. Meconium is the first stool after birth. This stool is black, thick and tarry. Within 2-3 days the stools will look greenish in color and within 4-5 days after birth the stool should be yellow or golden in color as in the image below. These stools will appear "seedy" in texture. There may be small bowel movements after each feed or 1-2 large bowel movements in 24 hours.
Term
What are the 3 criteria for LAM? Lactational Amenorrhea Method.
Definition
1. Less than 6 months postpartum
2. Amenorrhea
3. Exclusively breastfeeding
Term
What are the best choice BC methods in lactating women?
Definition
Barrier methods, IUDs and Progestin only
Term
A breastfeeding mother comes into the clinic reporting redness, swelling and severe pain to left breast with flu-like symptoms you determine that she has Mastitis. What would you teach the mother in regards to nursing?
Definition
Nurse frequently on the affected side.
Term
Contraindications to breastfeeding
Definition
• The infant has been diagnosed with galactosemia*
• The breastfeeding mother:
- Has been infected with the human immunodeficiency virus (HIV)
- Is taking antiretroviral medications
- Has untreated, active tuberculosis infected with human T-cell lymphotropic virus (HTLV), Type I or Type II
- Is using or are dependent upon an illicit drug
- Is taking prescribed cancer chemotherapy agents, such as antimetabolites that interfere with DNA replication and cell division
- Is undergoing radiation therapies; however, such nuclear medicine therapies require only a temporary interruption in breastfeeding.
Term
Conditions in which a mother can breastfeed
Definition
• Hepatitis B surface antigen-positive.
• Infected with Hepatitis C
• Febrile (unless related to contraindications lists in previous CDC information)
• Exposed to low-level environmental chemical agents.
• Seropositive carriers of cytomegalovirus (CMV)(not recent converters if the infant is term).
• Additionally, breastfed newborns with jaundice or hyperbilirubinemia should breastfeed often (except in atypical circumstances).
Term
What may be limitations to the use of NPs in practice?
Definition
insurance reimbursement issues, state law discrepancies and professional tensions.
Term
What is a disadvantage of recommending CAM therapies to pts?
Definition
Many herbal and biologic preparations offer promise, but they are largely unregulated by government agencies, making it problematic to recommend these and to safely guide patients on their use
Term
Pregnancy Sign?
Missed period, Unusual or abnormal period, Just "feeling" pregnant, Nausea and Vomiting, Changes in libido, Soreness of the Breasts

Enlargement of the Breasts, Frequent Urination, Strange Cravings, Fatigue
Montgomery's Tubercules

Skin Changes

Stretch Marks

Enlarging Uterus

Movement

Colostrum from Breasts
Definition
Possible
Term
Pregnancy Sign?
Enlarged Abdomen
Change in uterine shape
Braxton Hicks Contractions
Palpation of the Baby
Definition
Probable
Term
Pregnancy Sign?
Fetal Heart Tones
Ultrasound Detection
X-ray Detection
Definition
Positive
Term
Labs at first prenatal visit
Definition
Lab: blood type, Rh, antibody direct coombs test, hgb, hematocrite, rubella titer, syphilis, dipstick, culture/sensitivity, pap test, Chlamydia, gonorrhea, wet mouth of vag discharge (bact vaginosis), hep B, HIV.
Term
When teaching a pregnant woman things to avoid to decrease risk of Toxoplasmosis a Np would advise what?
Definition
not handling kitty litter, eating well-cooked meat, wearing gloves in garden
Term
• Screening and dating ultrasound
• Chorionic villus sampling
• Amniocentesis
Definition
8-18 weeks
Term
Maternal serum alpha-fetoprotein (MSAFP)
Definition
16-18 weeks
Term
• 1-hour glucose tolerance (as indicated)
• Repeat hemoglobin (Hgb) or hematocrit (Hct)
• Repeat antibody test and prophylactic administration of RhoGam for unsensitized Rh-negative women
• Repeat HIV testing
Definition
26-28 weeks
Term
• Testing for sexually transmitted diseases as indicated
• Repeat Hgb or Hct
• Presenting part
Definition
32-36 weeks
Term
• Presenting part or station
• Group B streptococci culture
Definition
36-40 weeks
Term
What is the routine screening recommendation for BV in pregnant women?
Definition
No routine screening recommended
Term
When should labor induction be offered to the pregnant woman?
Definition
41 weeks.
Term
A pregnant mother comes into the clinic complaining of discoloration to her face with a dark streak moving up her abdomen, how would the NP advise this patient.
Definition
These are normal variations in pregnancy and are not a cause for alarm.
Term
A 34 week pregnant woman comes into the office with complaints of not being able to get a deep breath. What maneuver would the NP teach the pt to help with this symptom?
Definition
Suggest that she raise arms above head and take a deep breath.
Term
Risk factors for preterm labor
Definition
Multiple gestation
Diethylstilbestrol (DES) exposure
Hydramnios
Uterine anomaly
Cervix dilated more than 1 cm at 32 weeks’ gestation
2 second-trimester abortions, More than 2 first-trimester abortions
Previous preterm labor or delivery
Abdominal surgery during pregnancy
History of cone biopsy
Cervical shortening of less than 1 cm at 32 weeks’ gestation
Uterine irritability
Cocaine abuse
Febrile illness
Bleeding after 12 weeks’ gestation
History of pyelonephritis
Cigarette smoking—more than 10 per day
Term
Adequate and well-controlled human studies have failed to demonstrate a risk to the fetus in the first trimester of pregnancy (and there is no evidence of risk in later trimesters).
Definition
Category A
Term
Animal reproduction studies have failed to demonstrate a risk to the fetus and there are no adequate and well-controlled studies in pregnant women OR Animal studies have shown an adverse effect, but adequate and well-controlled studies in pregnant women have failed to demonstrate a risk to the fetus in any trimester.
Definition
Category B
Term
Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.
Definition
Category C
Term
There is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience or studies in humans, but potential benefits may warrant use of the drug in pregnant women despite potential risks.
Definition
Category D
Term
Studies in animals or humans have demonstrated fetal abnormalities and/or there is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience, and the risks involved in use of the drug in pregnant women clearly outweigh potential benefits.
Definition
Category X
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