Term
| Live births per 1000 people? |
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Definition
| Birth rate this is people- not just women. |
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Term
| Death of infants under 1 year of age per 1000 live births in a given population? |
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Definition
| Infant mortality- this is usually in direct realtion to prenatal care! |
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Term
| Death of infants less than 28 days of age per 1000 live births? |
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Definition
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Term
| Explain some of the risk factors of pregnancy? |
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Definition
smoking- sga
socioeconomic status- do they have access to healthcare
obstetrics- primapara? previous preterm labor?
Age- too old and too young |
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Term
| Why do people have babies? |
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Definition
to fill a void
social expectations
accidents
someone to love/companion
femininity
self esteem
creating the next generation |
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Term
| Explain pregnancy as a crisis situation? |
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Definition
involves emotional liability- ups and downs... physioloical changes- increased responsiblity..
assess if father is involved in the pregnancy- help the woman resolve the issues... |
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Term
| In what trimester does acceptance occur? |
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Definition
| usually the second- when quickening is felt-- this is when the woman seeks information.. |
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Term
| which trimester does ambivalence exisit? what do you teach as an RN? |
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Definition
| first trimester-- teach the changes in the body- don't talk about the labor.... |
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Term
| acceptance and safe passage are effected by what major concept? |
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Definition
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Term
| A girl complains excessively about physical aspects of pregnancy what are you concerned about? |
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Definition
| this is a risk. is she adjusting to the baby? |
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Term
| What complication is common with gestational diabetis? |
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Definition
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Term
when would you assess for preeclampsia and what is it?
risk factors? |
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Definition
20 weeks is when it normally happens- it is protein in the urine and an increased blood pressure
risks:
first baby
having multiple babies
rh incompatibility
teens and those older than 35
obese women |
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Term
you have a patient with the following symptoms:
• Headaches
• Swelling of the hands and face (edema)
• Proteinuria
• Weight gain
o More than 2 pounds per week
o Sudden weight gain over 1 - 2 days
what do you suspect? |
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Definition
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Term
| Severe preeclampsia may lead to HELLP syndrome- what is this? |
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Definition
• H – hemolysis (RBC’S Lysed)
• EL -- elevated liver enzymes
o Intrarterial lesions
o Platelet aggregation
o Fibrin accumulation
o Microemboli in hepatic vasculature
o Ischemia
• LP -- low platelet count |
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Term
| You have a patient with an open cervix that isintact and not dilated what type of abortion is this? |
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Definition
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Term
a patient presents with the following:
Symptoms
• Abnormal vaginal bleeding
• Amenorrhea
• Breast tenderness
• Low back pain
• Mild cramping on one side of the pelvis
• Nausea
• Pain in the lower abdomen or pelvic area
as a nurse you suspect? |
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Definition
| suspect ectopic pregnancy |
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Term
| ectopic pregnancies can be due to? |
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Definition
• Birth defects of the fallopian tubes
• Complications of a ruptured appendix
• Endometriosis
• Scarring caused by previous pelvic surgery
• Pelvic inflammatory disease
. std's |
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Term
| A patient presents with amenorrhea, breast tenderness and nausea- what type of signs are these? |
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Definition
| these are presumptive- subjective |
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Term
| a woman presents with ballottement, a positve pg test and an enlarge abdomen- what type of sign is this? |
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Definition
| probably- objective- but not positive these things can still be caused by other conditions. |
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Term
| what would be a positive sign of pregnancy |
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Definition
audible fetal heartbeat at 10 to 12 weeks.
fetal movement felt by an examinor
ultrasound |
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Term
| what hormone is suspected of causing nausea? |
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Definition
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Term
| what hormone is responsible for causing nasal stuffiness? |
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Definition
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Term
| If a pg woman has heartburn what should you advise her to take- not take? |
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Definition
take:
low sodium anacids- maaloz
do not take-- No baking soda or alka seltzer- these can cause electro imbalance! |
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Term
| cocain during pregnancy has been linked to what complication? |
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Definition
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Term
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Definition
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Term
| what secretes progesterone until the placenta can? and when does the placenta start producing it? |
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Definition
corpus luteum
the placenta starts producing progesterone at the 10th to 12th week. |
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Term
| explain the cardiovascular changes of pregnancy |
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Definition
| heart is displaced upward and to the left- pulse goes up a little blood pressure stays the same- except may go down a lil in the second trimester. |
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Term
| This is an infection of the uterine lining tell me what it is and what is the late and early cause? |
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Definition
metritis.
early- b strep
late- chlymdia |
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