NURSING 415 - Final Exam Study Guide.

Final Blueprint
50 questions (worth 50 points)
Content Area Ch #

Maternal Health Content 25

Week 13 Content
Postpartum Complications Ch 4
Postpartum Hemorrhage 21
 Leading cause of maternal death worldwide
 PPH traditionally defined as loss of more than:
o 500 ml of blood after vaginal birth
o 1000 ml after cesarean birth
 Four T’s
o Uterine atony (Tone)
 Marked hypotonia of uterus
o Lacerations of genital tract (Trauma)
o Hematomas (Thrombin)
o Retained placenta (Tissue)
 Nonadherent retained placenta
 Adherent retained placenta
 Inversion of the Uterus
o Turning inside out of uterus
o Potentially life threatening
o 1 in 3000 births
 Subinvolution of the Uterus
o Late postpartum bleeding
o Retained placental fragment and pelvic
infection

Mood & Anxiety Disorders
 Mental health disorders in postpartum period have
implications for mother, newborn, and entire family
o Interfere with attachment to newborn and
family integration
o May threaten safety and well-being of mother,
newborn, and other children
 Perinatal Mood and Anxiety Disorders (PMADs)
represent a broad group of mental health problems that
occur during and after pregnancy. These include the following six diagnosable and treatable disorders:
o Depressive Disorders
o Obsessive Compulsive Disorders
o Anxiety Disorders (including Panic)
o Psychosis Psychiatric emergency; may require psychiatric hospitalization
o Post-traumatic Stress Disorder

, o Bipolar Mood Disorders (I and II)
 Mood disorders
o Baby Blues=80% of women LEVELS ABOUT 2 WEEKS AFTER BIRTH
o Perinatal depression=10% to 15% of women
o Paternal postpartum depression=10% of male partners
o Anxiety=25% of women
o Psychosis=0.01% of women 1-1000

Previous Content Areas
UNIT 2:
Assessment and Health Promotion Ch 1
 Menstrual cycle 3
o Endometrial cycle
o Hypothalamic-pituitary cycle
o Ovarian cycle
o Other cyclic changes
 Climacteric and Menopause
o Climacteric
 Transitional phase during which ovarian function and hormone production decline
o Menopause
 Dated with certainty 1 year after menstruation ceases
 Sexual Response
o Females and males achieve physical maturity at approximately age 17 years old
o Sexual response cycle is divided into four phases:
 Excitement
 Plateau
 Orgasmic
 Resolution

Reproductive System Concerns Ch 1
 Amenorrhea – No period 4
 Dysmenorrhea – pain during or shortly before menstruation
 Oligomenorrhea - infrequent menstruation
 Hypomenorrhea - scant
 Menorrhagia - excessive menstruation
 Metrorrhagia - bleeding between periods
 PMS – Cluster of physical, psychologic, and behavioral symptoms, 30% to 80% of women experience symptoms
 PMDD - Cyclic symptoms occurring in the last 7 to 10 days of the menstrual cycle, Severe variant of PMS with emphasis on mood
affectation
 Endometriosis - Presence and growth of endometrial tissue outside of uterus
o Symptoms – Dysmenorrhea , painful intercourse

UNIT 3: Ch 1
Genetics, Conception, and Fetal Development: 6
Critical periods in human development –Figure 6.19[6th ed](general impressions)

,  Intrauterine Development
o Ovum or Preembryonic Stage
 Conception - 14 days
o Embryonic Stage
 lasts from day 15 until approximately 10 weeks gestational age
 Most critical time – teratogens
o Fetal stage
 lasts from 9 – 10 weeks until delivery
 Embryo and Fetus
o Amniotic fluid
 Serves numerous functions
 Volume is important to fetal well-being
o Yolk sac
 Becomes primitive digestive system
o Umbilical cord
 Supplies the embryo with maternal nutrients and oxygen
 Dizygotic twins – Fraternal twins, two fertilized ovum
 Monozygotic twins – One fertilized ovum, Identical twins
 Conjoined Twins




KNOW TERATOGEN EXPOSURE – CATS (VIRUS IN POOP)
KNOW OUTBREAKS
KNOW THAT EVERYTING HAPPENS IN FIRST TRIMESTER