Nur 221 Exam 1 Questions with Correct Answers Verified by Experts| Latest Update
types of families
nuclear family Mother, father and children living as a unit
hyperemesis gravidarum pregnancy-related vomiting; an extreme form of the more
common morning sickness, can last all through pregnancy. increased risk; younger maternal
age, nulliparity, bmi of less than 18.5 or greater than 25, poor socioeconomic status, asthma,
migraines, preexisting diabetes, psychiatric illness, hyperthyroid disorders, GI disorders,
previous pregnancy complicated by hyperemesis gravidarum. more likely with a girl, multifetal
gestation, gestational trophoblastic disease. TX. electrolyte balance via IV if mother unable to
drink, enteral therapy, vitamin b6, doxylamine (unisom), promethazine (phenegran),
chlorpromazine (thorazine), prochlorperazine (compazine) and trimethobenzomide (tigan),
metoclopromide (reglan), ondansetron (zofran), droperidol (inapsine), methylprednisolone
(medrol), hydrocortisone. heartburn or reflux meds.
recurrent or habitual abortion three or more abortions of any type before 20 weeks. do
chromosomal analysis on parents. cervical cerclage may be used it there is a cervical
insufficiency
threatened abortion Uterine bleeding & cramping occur; however, the products of
conception have not been expelled--S&S (cramping, back pain, bright red vaginal bleeding; no
cervical dilation)--Treatment: ultrasound to determine status of fetus; limiting activity to no
strenuous activity; bed rest
elective abortion legal termination of a pregnancy for nonmedical reasons before 20 weeks
gestation
therapeutic abortion termination of a pregnancy for the health of the mother or another
medical reason
, first trimester abortion up to 10 weeks, has little effect on subsequent pregnancies, medical
methods include mifepristone with prostaglandin and methotrexate with misoprostol can
include surgery or aspitation
surgical abortion surgical procedure that ends a pregnancy
Done by...
doctor numbs the cervix and then gradually dilates. A tube is placed and suctions the fetus and
placenta from the womb
second trimester abortion -Dilation and evacuation or dilation and curettage
-Cervical preparation with prostaglandins
-Emotional considerations medications such as misoprostol and mifepristone
mastitis inflammation of the breast; most commonly occurs in women who are
breastfeeding and are engorged, incomplete emptying of the breast, infection of the breast.
influenza type symptoms; fever, chills, malaise, body aches. common risk factors include; stress,
fatigue, maternal illness, sick family members, poor nutrition. TX. antibiotics for 10-14 days,
continue breastfeeding to relieve engorgement use warm compress to help express milk.
two vaccines needed in pregnancy TDAP, influenza, hep B
First prenatal visit complete maternal head to toe physical assessment
vital signs including FHTs
complete lab work including STD/HIV labs
complete family history
types of families
nuclear family Mother, father and children living as a unit
hyperemesis gravidarum pregnancy-related vomiting; an extreme form of the more
common morning sickness, can last all through pregnancy. increased risk; younger maternal
age, nulliparity, bmi of less than 18.5 or greater than 25, poor socioeconomic status, asthma,
migraines, preexisting diabetes, psychiatric illness, hyperthyroid disorders, GI disorders,
previous pregnancy complicated by hyperemesis gravidarum. more likely with a girl, multifetal
gestation, gestational trophoblastic disease. TX. electrolyte balance via IV if mother unable to
drink, enteral therapy, vitamin b6, doxylamine (unisom), promethazine (phenegran),
chlorpromazine (thorazine), prochlorperazine (compazine) and trimethobenzomide (tigan),
metoclopromide (reglan), ondansetron (zofran), droperidol (inapsine), methylprednisolone
(medrol), hydrocortisone. heartburn or reflux meds.
recurrent or habitual abortion three or more abortions of any type before 20 weeks. do
chromosomal analysis on parents. cervical cerclage may be used it there is a cervical
insufficiency
threatened abortion Uterine bleeding & cramping occur; however, the products of
conception have not been expelled--S&S (cramping, back pain, bright red vaginal bleeding; no
cervical dilation)--Treatment: ultrasound to determine status of fetus; limiting activity to no
strenuous activity; bed rest
elective abortion legal termination of a pregnancy for nonmedical reasons before 20 weeks
gestation
therapeutic abortion termination of a pregnancy for the health of the mother or another
medical reason
, first trimester abortion up to 10 weeks, has little effect on subsequent pregnancies, medical
methods include mifepristone with prostaglandin and methotrexate with misoprostol can
include surgery or aspitation
surgical abortion surgical procedure that ends a pregnancy
Done by...
doctor numbs the cervix and then gradually dilates. A tube is placed and suctions the fetus and
placenta from the womb
second trimester abortion -Dilation and evacuation or dilation and curettage
-Cervical preparation with prostaglandins
-Emotional considerations medications such as misoprostol and mifepristone
mastitis inflammation of the breast; most commonly occurs in women who are
breastfeeding and are engorged, incomplete emptying of the breast, infection of the breast.
influenza type symptoms; fever, chills, malaise, body aches. common risk factors include; stress,
fatigue, maternal illness, sick family members, poor nutrition. TX. antibiotics for 10-14 days,
continue breastfeeding to relieve engorgement use warm compress to help express milk.
two vaccines needed in pregnancy TDAP, influenza, hep B
First prenatal visit complete maternal head to toe physical assessment
vital signs including FHTs
complete lab work including STD/HIV labs
complete family history
