Multiple Response
When would a mom expect to see chadwick's sign at a doctor's appt?
6 weeks
When does a woman ovulate
day 14 OR 14 days through the cycle (32 day cycle subract 14 days, will ovulate on day 18)
this culture views illness as a balance of yin and yang
asian americans
how many children experience abuse annually
1 in 8
what foods should a woman avoid while pregnant?
fishes high in mercury (fish that eat other fish), unpasteurized milk, lunch meat, hot dogs
What is the make up of an umbilical cord?
2 small arteries and one large vein
what happens in the proliferative stage of the endometrial cycle?
Enlargement of the endometrial glands in response to dramatically increasing amounts of estrogen.
what is important to remember as a nurse in terms of cultural humility?
take the patient's culture into heart, don't try to push your culture as the nurse onto the patient, make sure you're being respectful and integrating their culture and care into providing the best possible care to them and their family. be respectful of their traditions, etc.
what is the common name for trisomy 21
down syndrome
what are common integumentary issues a woman may have while pregnant?
hyperpigmentation, linea nigra, palmar erythema, striae gravidarum, varicosities (varicose veins)
What do we teach patients about postpartum infection before discharge?
Discharge teaching plan: measures to include. Temp over 100.4, swelling, wash hands, Take meds until finished.
Why would a woman going through menopause be experiencing hot flashes?
lack of estrogen
what is the average hospital stay after a vaginal birth and a c section
24-48 hours vaginal delivery, 72-96 hours c section
how many chromosomes are included in: haploid and diploid
haploid 23 diploid 46
What is pica and what are common cravings
term used to describe the intense craving for and eating of nonfood items over a period of time of at least 1 month.
-soil/clay, ice, laundry starch
What are signs and symptoms of placental abruption?
Rigid uterus/abdomen***, concealed or visible blood, bleeding, baby may be in distress
can gonorrhea or syphyllis effect a baby?
syphyllis can cross the placenta
What are important teaching points for nurses that work at a community level?
Nurses who work in community-based settings need to be familiar with the many health issues commonly encountered by women within their communities. (prevention, screening, etc)
what is amniotic fluid essential for?
fetal lung development
what are the 4 mechanisms of heat loss in a newborn and give an example of each
Conduction.-cold surfaces, placing baby on cold scale, place blanket on scale before putting baby on the scale
Convection. -related heat loss would be a cool breeze that flows over the newborn, a cool room, cool corridors, or outside air currents. (use isolette)
Evaporation. -Evaporative loss may be insensible (such as from skin and respiration) or sensible (such as from sweating). Insensible loss occurs, but the individual is not aware of it. When the baby is born, the body is covered with amniotic fluid. The fluid evaporates into the air, leading to heat loss. Heat loss via evaporation also occurs when bathing a newborn.
Radiation.- Radiation involves the loss of body heat to cooler, solid surfaces that are in proximity but not in direct contact with the newborn. For example, when a newborn is placed in a single-wall isolette next to a cold window, heat loss from radiation occurs. A newborn will become cold even though they are in a heated isolette. To reduce heat loss by radiation, keep cribs and isolettes away from outside walls, cold windows, and air conditioners.
What meds are used to prevent preterm labor/tocolytic therapy
Magnesium sulfate- reduces the muscles ability to contract
Indometacin- (indocin, a prostaglandin synthetase inhibitor)
Atosiban- tractocile, antocin, an oxytocin receptor antagonist
Nifedipine- procardia, calcium channel blocker
What should you teach a patient with genital ulcers from herpes?
wash hands before AND after touching a genital ulcer, do not apply ice directly to the infected area (use cold compress)
when does the ischemic cycle of the menstrual cycle occur?
Occurs only if fertilization does not occur. Estrogen and progesterone drop sharply as corpus luteum starts to degenerate. Ischemia leads to shedding of endometrium down to basal layer and menstrual flow begins
what may occur due to the position of a pregnant woman while laying on her back?
Lightheaded, dizziness, hypotension due to uterus falling back on superior vena cava, Lay on left side to help them reduce dizziness. (supine hypotensive syndrome)
What medications would a newborn get and what do the meds do?
Vitamin K- coagulation help
erythromycin- antibiotic to help prevent infections over eyeballs