Exam (elaborations) NUR 221

what does the Extended Family consist of?️️An extended family includes blood relatives living with the nuclear family. FICA Spiritual Assessment Tool️️Helps address spiritual issues: F: faith- do you consider yourself spiritual or religious. I: Importance- What importance does spirituality have to you? C: Community- Are you a part of a spiritual community? Church? A: Address in care- How would you like these issues addressed? What is Telephonic nursing assessment️️commonly used during the postpartum period to reassess the mother's knowledge What are the goals of community health care networks️️reduced costs of health care services; improved coordination of care and outcomes; improved communication among health care providers; and increased patient, payer, and provider satisfaction. -gravida️️pregnant Gravidity️️number of pregnancies nulligravida️️a woman who has never been pregnant at 20 weeks you can feel the what at the umbilicus (Belly Button)️️fundal height maternal blood screening️️identifies pregnancies that have an elevated risk for birth defects such as spina bifida and down syndrome Alpha-Fetaoprotein (AFP)️️If the test is high that is associated with Neural Tube defects like high over the head think neural If Test is low think of down syndrome chorionic villus sampling (CVS)️️Prenatal diagnostic technique that involves taking a sample of tissue from the chorion. Looking for chromosome defects Preformed at 10- 13 weeks amniocentesis️️the sampling of amniotic fluid using a hollow needle inserted into the uterus, to screen for developmental abnormalities in a fetus. Preformed at 14- 20 weeks Preformed early in pregnancy for genetic abnormalities Preformed late in pregnancy to assess LUNG MATURITY LS ration (surfactant)️️Lecithin- Sphingomyelin ratio (amniotic fluid) done to measure lung maturity and through amniocentesis Reportable STIs in the US️️Syphillis, Gonnahra and Chlyminda Gonorrhea️️The oldest communicable disease in the United States. Because it is a reportable communicable disease, health care providers are legally responsible for reporting all cases to health authorities. Treatment: Cephlasporin Cystits️️Infection Characterized by dysuria, urgency and frequency along with lower abdomen or suprapubic pain Chlamydia️️A bacterial infection that is the most common and fastest-spreading STI in the American women. This infection is often SILENT and high destructive to the female reproductive tract. Treatment: Doxycycline if non-pregnant and Azithromyocin if pregnant Syphilis️️One of the earliest STI. It is caused by a spirochete. During the primary stage a characteristic lesion called a chancre appears 5 to 90 days after infection. Treatment: Penicillian G Caffeine should be restricted to how man MG per day for pregnancy️️200mG what type of immunity can be given by breast milk to baby?️️Passive How often should breast fed babies be fed?️️2 to 3 hours baby should also breast feed through the night Two vaccines given during pregnancy️️Tdap and Flu How do you contract Hep A️️Fecal S/S: Influenza- like symptoms with malaise, fatigue, anorexia, nausea, pruritus fever and upper right quadrant pain. HPV️️Most common viral STI. HPV will NOT affect the fetus. S/S: Genital warts, cancer, Postcoital bleeding, vaginal discharge