ANSWERS
What are women over the age of 35 at an increased risk for - correct answer Considered to be of advanced
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maternal age b b
Female infertility
b
pregnancy loss b
fetal anomalies
b
stillbirth
obstetric complications b b
gestational diabetes b
chronic HTN b
PPH
preeclampsia
preterm labor and birth
b b b b
multiple pregnancyb
placenta previa b
,fetal growth restriction
b b b
low Apgar scores
b b
surgical births b
amniotic fluid b
fetal breath movements, oxygen-depleted venous blood bypasses the underdeveloped pulmonary
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circulation - correct answer What is essential for fetal lung development?
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getting adequate and timely prenatal care - correct answer What can help infant mortality rates?
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Hemabate (Carboprost) and oral corticosteroids - correct answer What medication should asthmatics are
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problematic while pregnant b b
oligohydramnios - correct answer not enough amniotic fluid b b b b b b b
can lead to uteroplacental insufficiency and late decelerations
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Asian Americans view of illness - correct answer view illness has a disharmony of yin and yang
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-use complementary modalities along with Western health care practices
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-view life as a cycle with everything connected to health
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-during postpartum, women don't expose themselves to cold air or bathe themselves for the 1st month to
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avoid exposure to illness
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-Women are very modest and may insist on a female health care provider for maternity care
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-Little involvement of the father during labor; quiet, stoic appearance of women during labor
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Uncontrolled diabetics are at an increased risk for what - correct answer High BP
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preeclampsia b
high risk pregnancy
b b b
,macrosomia b
birth defects
b
still birth
b
preterm birth b
genetic counseling - correct answer process by which clients or relatives at risk for an inherited disorder are
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advised of the consequences and nature of the disorder, the probability of developing or transmitting it, and
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the options open to them in management and family planning in order to prevent avoid, or ameliorate it.
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Arab Americans view of illness - correct answer believe illness is caused by an inadequate diet
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-Breast-feeding often delayed for 2 to 3 days after birth b b b b b b b b b
African American view of illness - correct answer view illness as a disruption in harmony and is associated with
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pain
Native Americans view of illness - correct answer believe it is caused by evil spirits
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Hispanics view of illness - correct answer believe health is a freedom from pain
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informed consent - correct answer it is an agreement by a pt. to undergo an operation or medical tx after being
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informed of risks and benefits b b b b
Education for women who are infected with HIV - correct answer Educate about antiretroviral compliance, the
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transmission of the disease, no breastfeeding, at risk for infections, and proper diet
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Assess for risk factors
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x-linked disorders - correct answer associated with altered genes present on the X chromosome
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, If a male inherits the X-linked altered gene, he will express the condition
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Recessive Examples: hemophilia, color blindness, Duchenne muscular dystrophy
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-carrier mom and normal dad b b b b
-25% children effected
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Dominant Examples: hypophosphatemic and rickets b b b b
-affected mom and normal dad b b b b
-50% of children effected
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Autosomal dominant inheritance disorder - correct answer occur when a single gene in the heterozygous
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state is capable of producing the phenotype
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Examples: Huntington's and poly cystic disease b b b b b
The abnormal mutant gene overshadows the normal gene and the individual with demonstrate s/s of the
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disorder.
Recessive: carrier dad and normal mom b b b b b
Dominant: affected dad and normal mom b b b b b
Interventions for HIV infected mother - correct answer Drugs: b b b b b b b b
-mom takes oral drugs 2x/day until birth
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-IV admin during labor
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-oral zidovudine (AZT) for newborn w/n 6-12 hours after birth
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c-section preferred for delivery, reduce the use of instrumentation, and reduce newborn exposure to bodily
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fluids