excelsior nc3

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hx of >4 pregnancies, long labor, and oxcytocin may lead to post partal hemorrhage d/t:: uterine atony
late decelerations are associtated with what?: fetal hypoxia
bradycardia of ____ breaths/min is normal for 6-10 days post partum: 50-70
if fetus is experiencing uteroplacental insufficency or if fetus is <32wks the NST will be:: nonreactive d/t CNS immaturity
this teat is used to i.d. a compromised fetus: NST
a complication of hormone replacement therapy is?: DVT
dilantin may cause this sensory impariment: blurred vision
beta- adrenergic blockers are used to:: decrease IOP
general adaption theory: adapting to chronic stress may lead to neg. effects on body system
stimulus based stress model: used to i.d. stressors and predict responses to stress
transactional stress model: cognitive, emotional, and coping response to stress
substance P acts on what?: blood vessels
bradykinin (what it does & where it takes place): it causes release of histamine and prostaglandins

it acts on nerve endings
TENS unit (3): 1 does not stimulate opiate receptors.
2 it promotes release of endorphines or blocks passage of pain.
3 it acts locally to stimulate non pain receptors in the same area
gardnerella is a vaginal disorder caused by what?: increased levels of PH
flank pain and hematuria are S/S of?: kidney infection
pilocarpine is used to treat what?: glaucoma.
it works by decreasing IOP
some s/e of pilocarpine are (2): 1-tachycardia & hypertension
2-increase mobility of GI tract causing diarrhea
atropine is used for what?: it is used to dialate pupils, & relax smooth muscle.
gynecomastia: breast enlargement in men R/T meds like digoxin.
anterior pituitary gland secrets___ to produce sperm: FSH
progestin only birth control pills work by:: thickening the cervix.
emergency contraceptives are given when.: within the first 72hrs, usually 12-14hrs after sex. meds are given 12hrs apart.
atrophic vaginitis occurs after menopause r/t what? also name some S/S.: decrease levels of estrogen, which causes thinning of vag lining.

s/s: burning, itching and cheesey like d/c.
PID is characterized by what?: abd pain, malaise, N/V & fever w leukocytosis.
foul purulent d/c if untreated may lead to backache constipation and menstrual disturbance.
incidence: frequency of newly occurring disease cases
prevalence: total number of disease cases
agency that deals w primary health concerns. it monitors incidence of diseases throughout world.: W.H.O.
the zygote enters the uterus and becomes a what?: morula about 12-16 cells.
once the morula's central cavity fills w fluid it becomes a what?: blastocyst
once the trophoblast attaches to uterine endometrium, the endometrium becomes this?: decidua
chorion is thick outer membrane that developes from throphoblast. it gives off this hormone _____ which does what?: HCG
it signals the corpus luteum in the ovary to cont. to make estrogen and progestin.
the inner layer of the blastcyst is called the ____ which develops from ectoderm.: amnion
alcohol may lead to this while pregnant: abruptio placentae.
chorionic villus sampling is done at how many wks pregnant?: 10-12
NST is done in what trimester: 3rd.
chadwicks sign: increase circulation to vag. area. vaginal and cervix area turns a bluish color.
hegar's sign: softening of uterus
goodell's sign: softening of the cervix
estrogen is responsible for what during pregnancy?: enlargment of uterus, breast, genitalia, vasodilation, and relaxation of joints.
progesterone is responsible for what during pregnancy?: relaxation of smooth muscle which decreases uterin contractility.
oxytocin is secreted by what?: pituitary gland
epulis is caused by vaso dilarion brought on by what hormone during preg.: estrogen
blood glucose screen is done at how many wks of preg?: 24-28
if blood glucose is over ____ then a 3hr glucose test is ordered.: 140mg/100ml
placenta previa: placenta implants low on the interior of the uterine wall, near the cervical os
abruptio placentae: premature separtion of a normally planted placenta.
abruptio placentae is c/b what?: PIH, smoking or cocaine use.
it causes shock or death to infant as well as brain damage r/t lack of O2.
s/s dark red painful bleeding w continuos contractions, low b/p may also be noted.
PIH is c/b what? and may lead to what?: damage to endothelieum which causes vasospasms throughout body.
may lead to cerebral hemorrhage, cardiac failure w pulm. edema
s/s of PIH include: dyspnea, h/a, blurred vision, and n/v.
meiosis: cell division. decrease in # of chromosomes 23 from each partner.
FHR >160bpm >10min may result from?: fever or dehydration
FHR <160bpm >10min may be c/b what 3 things?: hypoxia d/t anesthetic, maternal hypotention
umb, cord compression.
late decelerartions: FHR<100bpm occurs as contractions peaks. has a long recovery time.
may be c/b uteroplacental insuff., hypertention, DM, or pitocin adm.
variable decelerations: anoxia d/t cord compression.
after birth palpate the fundus q what?______ the nurse should also make sure that______to avoid hemorrhage.: palpate the fundus q 15 min.

make sure the bladder is empty to avoid hemorrage
reddish area between eyes and neck that blanch under pressure (goes away after 2yrs): stork bites
flat red marks on eyelids between eyes and neck: telangiectatic nevi flat
a breast fed baby may have ________ (stools) while a bottle fed baby may have_________: 3-4 golden yellow stools

1-2 white yellow stools
fluid needs for a newborn: 2-3oz/lbs
HELLP syndrome: r/t PIH
liver enzymes increase as well as albumin. urine out on the other hand may decrease.
theraputic range for magnesium: 4-8mg/dl
hydatiifom mole: change in placenta causes chroinic villi to turn into grape like clusters.

may cause hyperemessis,
hcg increases
PIH
large uterus
treatment for hydatiifom mole may include: abortion, hysterectomy, monitor hcg for 1yr.
terbutaline sulfate: prevents contractions.
may cause hypotention and tachycardia
celestone: given 24-48hrs after birth to increase lung maturity.
med used to soften cervix: laminoria
leopold's manever is used to asses what: fetal lie
CST monitors resp. function of what?: placenta
proprioception is responsible for what?: body's balance. can be effected by DM or arthritis.
tonometry is used to meassure IOP, a normal reading would be what?: between 12-21mmhg
myopia: nearsightedness
presbyopia: ability to focus on near objects diminishes w age.
c/b lack of elasticity
causes person to need bifocals.
hyperopia: farsightedness
macular degeneration: leads to central vision loss.
corticosteroids may lead to what eye condition?: cateracts
accutane may lead to what sensory imparment?: Increase in IOP and damage to optic nerve.
TB meds may be damaging to what?: Rods and cones
anticholoinergics used to dilate pupils: mydriatics and cycloplegics
hydrocortisone should be given NASAIDs because it: may cause IOP
glaucoma meds may include: steroids and cycloplegics to decrease inflamation and dilate pupils
progressive hearing loss is known as what?: presbycusis
treatment for otosclerosis: stapedectomy
be sure to check for meningitis or facial paralysis
failure of muscle coordination, present w vestibular disease: ataxia
with the gate control theory activation of the A fibers:: close gate
with the gate control theory activation of the C fibers:: opens gate
A fibers are what?: myelinated
large fibers
fast
sharp and localized
five biochemical mediators are?: serotonin
histamine
potassium
bradykinin
sub p
biochemical mediator that causes inflamation: sub p
ascending modulation: large sensory fibers (A fiber) controlled by massage, heat, cold, tens, opiods.
descending modulation: release of endorphins, bio chemical inhibitors and distraction
ghonorrhea (meds): treated with PCN or rocephin
trajectory model crisis phase: symptoms pose a threat
trajectory model acute phase: hospitilization required
trajectory model unstable phase: changes in recovery
trajectory model downward phase: focus on adaption of interventions to promote coping and stabilty.
mag sulfate is used for: tocolytic therapy or eclampsia
ritrodrine: tocolytic works by relaxing uterin muscle.
kernictures: yellow staining on brain cause by hyperbilirubinemia
hyperbilirubinemia: can cause yellow staining on brain
c/d rh incompatibility
yolk sac and amniotic cavity is formed by what?: blastocyst
during early stages of pregnancy the corpus lueteal is maintained by what?: LH
romberg test: indicates loss of sense of position.
mag sulfate toxicity may lead to: absence of deep tendon reflexes
alpha-fetoprotien test is done at___wks to determine what?: 15-18
neural tube defects

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Number of cards 105