Show:
Hyperemesis Gravidarum
Thyroid
HIV/AIDS
Substance Abuse
Illegal Drugs
100
Persistent uncontrollable vomiting during pregnancy beginning in the early weeks & may continue throughout the pregnancy.
What is Hyper Emesis Gravidarum
100
Hyperthyroidism (due to Graves Disease) S/S: Tachycardia, sweating, exothalmos, muscle wasting Treatment is: ____ monitor _____ levels.
What is PTU; T4
100
HIV/AIDS spread across the placenta, secretions in birth canal and ________ ________.
What is Breast milk
100
Parents may not seek help because of _______ or fear of prosecution & _______________ healthcare providers. It is not recommended for the mother to stop substance "cold-turkey" because of the potential ________ to _______.
What is guilt; judgmental; harm to fetus
100
Cocaine babies may _________ in uterus, have effects of uterine banding, IUGR, microcephaly, neurologic abnormalities, SIDS
What is stroke
200
S/S of Hyperemesis Gravidarum: Increase pulse, decrease BP, Poor skin turgor; specific gravity 1.025; decreased _____, presence of ketones in urine, decreased and hard _______ ____________, weight loss, hemoconcentration (decrease in electrolytes & increase in BUN, Creat & H+H)
What is UOP, bowel movement
200
Hypothyroidism: (Rare- Causes Infertility) S/S: Fatigue, intolerance to cold, constipation, cool dry skin, increase weight gain, goiter low _____, elevated _____. Treatment: Thyroid replacement therapy: ________ (don't take with iron)
What is T4; TSH; Synthyroid
200
HIV woman takes ATZ oral prenatally _______ 1st trimester and IV ATZ during ______. Infants will be treated for first ______ wks of life with oral ATZ.
What is AFTER; Labor; 6
200
Maneifestations of Fetal Alcohol Syndrome (FAS): Craniofacial defects, pre & postnatal growth restriction, __________ delay, CNS malfunction, microcephaly, ______ ____ or palate, _________ _________, hyperactivity, increased infection & irritability, broad _______ _______, thin upper lip, short eyelid openings.
What is developmental; cleft lip, poor feeder, nasal bridge.
200
Maternal effects of drug use: Abruptio placenta, STD's __________ ________, PPROM, spontaneous abortion, stillbirths, cellulitis, UTI's pre-eclampsia, anemia, placental insufficiency, postpartum _____________.
What is Preterm labor, hemorrhage
300
Multidiciplinary Management: IVs with potassium, enteral feedings & _____. Medications to control vomiting Reglan, _____ and Vitamin B6. Low fat high protein diet, Temperature of food hot or cold is ______ - _____and tolerable for the patient. Remove tray _______ after patient is done eating .
What is TPN; Zofran; odor-free; quickly
300
Cesarean birth as indicated. Monitor babies for _________ ___ ________, __________, candida infections of the mouth & diaper area.
What is Failure to thrive; anemia
300
Signs of withdrawal: Appears with in _____hrs of birth and at least within ______ days of life. S/S: Sleepiness, jitterines, exaggerated mouth behaviors, excessive arousal states, _________ ________ , abnormal reflexes, inconsolable crying.
What is 6-12hrs; 3 days; hyperactive rooting.
300
Newborn complications from drug use: Detrimental maternal-infant bonding, increased child abuse. _______________ _______________ ______________, generalized growth retardation, _____________, intracranial hemorrhage, ____________ _______________, SIDS
What is Exaggerated startle response, hypoglycemia, meconium aspiration.
400
Goals for Hyperemesis Gravidarum: Control _________ & __________. Restore __________ ___________. Adequate nutrition and effective emotional coping.
What is Vomiting & dehydration; electrolyte balance
400
No vacum, fetal scalp eletrodes, avoid RBOW: increased risk for newborn ________.
What is Infection
400
Interventions for substance abuse: Decrease _________ ________, provide ___________ ___________, avoid neonatal heat loss.And educate/support parents in caregiver role.
What is environmental stimuli; adequate nutrition
400
ISAM: Infant of a Substance Abusing Mother. Majority will go through ____________ in the first ____-_____hrs some may not go through withdrawal until they are _____+ days. S/S: Tremors, hyper-reflexive; diaphoretic, elevated vital signs, head aches.
What is withdrawal; 24-48hrs; 20+ days;
500
Smoking causes: Spontaneous ______, stillbirths, Preterm births, PPROM, IUGR, placenta previa, decreased maternal weight, ______ ______ ________ (second-hand smoke too), children with learning disabilities, nicotine replacement products are ________ _________ during pregnancy.
What is abortions, low birth weight, not used
500
VEAL CHOP: Variable Deceleration's = ________ _____________ Early Deceleration's = ___________ _________/_______ Acceleration's = ____________ ! Late Deceleration's = _________ ________/_________
What is Cord Compression; Head compression/movement; Okay; Placental insufficiency/hypoxia