W&I test2(part 1)

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Author:
Ted
ID:
11150
Filename:
W&I test2(part 1)
Updated:
2010-03-20 15:23:10
Tags:
nausea in pregnancy hyperemesis gravidarum urinary frequency insomnia fatigue hot flashes emotional lability constipation heartburn hemmorrhoids Braxton Hicks contractions
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Description:
Common Discomforts of pregnancy
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  1. When is fatigue most common in pregnancy?
    During the 1st and 3rd trimester this is common in pregnancy?
  2. Name some remedies for fatigue in pregnancy? (4)
    • 1) Rest
    • 2) Reassurance that this is normal
    • 3) Encourage adequate fluid and nutritional intake
    • 4) Correct anemia if present

    These are 4 remedies for what in pregnancy
  3. Insomnia can occure throughout pregnancy, what are some remedies? (4)
    • 1) Regular sleep/wake schedual
    • 2) Encourage relaxation before bedtime
    • 3) Minimize caffeine consumption
    • 4) Reduce fluid intake near bedtime

    These are common remedies for what in pregnancy?
  4. Emotional lability can occure throughout pregnancy, what are some remedies? (4)
    • 1) Reassurance
    • 2) Support
    • 3) Encourage adequate activity, rest, and nutrition
    • 4) Screen for depresson/mood disorders

    These are common remedies for what in pregnancy?
  5. Hot flushes occure throughout pregnancy but worsen when?
    _______ _______ worsen in the early postpartum period.
  6. Name some remedies for hot flushes. (3)
    • 1) Dress in layers
    • 2) Wear loose clothing
    • 3) maintain adequate fluid intake

    These are all remedies for what pregnancy condition?
  7. What's the cause of unrinary frequency in pregnancy and when is it most common?
    ______ ______ in pregnancy is caused by bladder compression and is it most common in the 1st and 3rd trimester.
  8. Name some remedies for urinary frequency in pregnancy. (4)
    • 1) Decrease fluid intake 2-3 hr before bedtime
    • 2) Limit caffeinated beverages
    • 3) Reassure that it's normal
    • 4) Teach to report any pain or bunrning during urination because of increased risk for for UTIs.

    These are some remedies for what in pregnancy?
  9. Although the cause of nausea and vomiting in pregnancy is unkown, what are some possible causes?
    Elevated hCG, estrogen , progesterone, and B6 deficiency are all possible causes of what in pregnancy?
  10. Name some remedies for nausea and vomiting in pregnancy.
    • 1) Small, frequent snacks
    • 2) Keep food and fluids separate
    • 3) Aviod brushing teeth immediately after eating
    • 4) avoid sudden movement
    • 5) Increase starches/ decrease greasy, fatty foods
    • 6) *** Vit B12, 12.5- 25 mg tid-qid
    • 7) *** Can add doxylamine 12.5 mg to each dose

    These are all remedies for what in pregnancy?
  11. Morning sickness effects about ___% of pregnancies but usually dissapper around when?
    ______ _____ effects about 80% of pregnancies but usually dissapper around the first trimester.
  12. What three things differ in hyperemesis gravidarum over normal moring sickness?
    • 1) Persistent uncontrollable nausea and vomiting
    • 2) Persists beyond the 20th week
    • 3) Weight loss beyond 5% of prepregnany weight

    These 3 things differ in what condition over regular morning sickness?
  13. Hyperemesis gravidarum can result in (4).
    • 1) Dehydration
    • 2) Metabolic acidosis form starvation
    • 3) Alkalosis from loss of stomach acid
    • 4) Hypokalemia

    These things can result from what disorder of pregnancy?
  14. Whats the etiology of hyperemesis gravidarum? (3)
    • 1) High levels of HCG and estrogen ( serum concentrations rise because of decreased fluid intake)
    • 2) Vit B6 deficiency
    • 3) Psychological stress increases symptoms

    This is the etiology of what dissorder in pregnancy?
  15. What's the managment goal in hyperemesis gravidarum?
    The management goal of what dissorder in pregnancy is to maintain comfort and hydration?
  16. What are some dietary changes for treatment of hyperemesis gravidarum? (8)
    • 1) Avoid noxious stimuli such as strong flavors or odors
    • 2) Small, frequent meals throughout the day
    • 3) Separate fluids from solids at meals
    • 4) Avoid reclining immediately after meals
    • 5) Avoid fatty foods
    • 6) Increase intake of carbonated drinks
    • 7) Peppermint or ginger tea
    • 8) High protein supplement drinks

    These are all dietary changes for the treatment of what dissorder in pregnancy?
  17. What are some lifestyle changes for treatment of hyperemesis gravidarum? (4)
    • 1) Increase fresh air exposure
    • 2) Aviod fatigue and stress
    • 3) Avoid tight waistbands
    • 4) Accupressure

    These are all lifestyle changes for what disorder in pregnancy?
  18. Name some meds used in the treatment of hyperemesis gravidarum? (7)
    • 1) Pyridoxine (B6), Doxylamine
    • 2) Promethazine (Phenergan)
    • 3) Metoclopramide (Reglan)
    • 4) Ondansetron (Zofran)
    • 5) Corticosteroids (sometimes used if pt unresponsive to other meds)
    • 6) IV rehydration ( if unable to tolerate PO fluids)
    • 7) Enteral or parenteral nutrition in some cases

    These are all meds used in the treatment of what pregnancy disorder?
  19. What's a common side effect of Ondansetron (Zofran)?
    Constipation is a common side effect of that drug used in the treatment of hyperemesis gravidarum.
  20. Constipation can happen throughout pregnancy. What's the cause?
    Decreased intestinal motility secondary to increased progesterone levels is the cause of what complication throughout pregnancy?
  21. What are some remedies for constipation during pregnancy? (3)
    • 1) Increase fluids ( at least 8 glasses a day)
    • 2) Increase fiber by 15% (dietary or Metamucil)
    • 3) Exercise

    These things can be done to treat what compliction of pregnancy?
  22. What are some treatments for heartburn during pregnancy? (4)
    • 1) Small, frequent meals
    • 2) Avoid drinking fluids at mealtime
    • 3) Avoid recling after meals
    • 4) Avoid constricting clothing

    These are all treatments for whar complication of pregnancy?
  23. What are some things to help eleviate gas/bloating during pregnancy? (4)
    • 1) Avoid foods identified as triggers
    • 2) Walking/ moderate exercise
    • 3) Increase fluid intake
    • 4) Reduce carbonated fluids, chewing gum, smoking, and cheese

    These are all things to help eleviate what complication of pregnancy?
  24. Hemorrhoids ussually occur when during pregnancy?
    ________ usually occur during late pregnancy and early postpartum?
  25. Name some remedies for hemorrhoids during pregnancy? (7)
    • 1) Avoid constipation
    • 2) Ice packs
    • 3) Warm bath or sitz bath
    • 4) Witch hazel compress (Tucks)
    • 5) Elevate hips and lower extremities during rest periods throughout the day
    • 6) Kegal exercises
    • 7) Ask prescribing provider about OTC and perscription remedies

    These are all remadies for what complication in pregnancy?
  26. When does back pain usually show up in pregnancy?
    _____ pain usually shows up in the 2nd and 3rd trimesters.
  27. Whats the cause of back pain in pregnancy?
    The center of gravity shifts to in response to the growing uterus leading to muscle strain. This causes what in pregnancy
  28. What are some remedies for back pain in pregnancy? (5)
    • 1) Frequent positional changes
    • 2) Heat applications to the small of the back
    • 3) Lower back support when sitting
    • 4) Correct posture
    • 5) Low-heeled shoes with good arch support

    These are all remedies for what in pregnancy?
  29. Hyperventilation and dyspnea can occure when during pregnancy?
    They can occure throughout preganancy.
  30. Name some remedies for hyperventilation and dyspnea during pregnancy. (3)
    • 1) Encourage good posture
    • 2) Encourage patient to stand and stretch, taking a deep breath, periodically throughout the day
    • 3) Suggest sleeping with head in a semi-elevated position

    These are all remedies for _______ and _____ during pregnancy
  31. What are some remedies for nasal and sinus congetion/nosebleeds during pregnancy. (2)
    • 1) cool- air humnidifier
    • 2) Saline sparay or drops

    These things are remedies for what complication of preganncy?
  32. Round ligament pain usually happens when during pregnancy?
    _______ ______ pain usually happens in the 2nd and 3rd trimester during pregnancy, but can happen during the 1st.
  33. Remedies for round ligament pain during pregnancy? (4)
    • 1) Bend toward pain
    • 2) Lie on side and flex knees to abdomen
    • 3) Warm baths or compresses
    • 4) Maternity support belt

    these are all remedies for what during pregnancy?
  34. Barxton-Hicks Contractions usually happen when during pregnancy?
    _________ Contractions usually happen during the 2nd and 3rd trimester of pregnancy
  35. What is the cause of Barxton-Hicks Contractions?
    Irregular contractions of the uterus is the cause of what during pregnancy?
  36. What are some remedies for Barxton-Hicks Contractions? (4)
    • 1) Reassurance
    • 2) Encourage adequate fluid intake
    • 3) Rest or position changes often remedy
    • 4) Patient teaching for signs of preterm labor

    These are remedies for what complication during pregnancy?
  37. What are the causes of leg cramps during pregnancy? (3)
    • 1) Increased pressure of the gravid uterus on the pelvic nerves?
    • 2) Inadequate calcium and magnesium
    • 3) Sudden stretching of muscles?

    These are causes of what complication during pregnancy?
  38. Name some remedies for leg cramps during pregnancy. (5)
    • 1) Stretch the muscle by dorsiflexing the foot up toward the body
    • 2) Avoid excessive walking, leg stretching, toe pointing
    • 3) Low-heeled shoes, support hose
    • 4) Heat applications
    • 5) 8 glasses fluid/day

    These are all remedies for what complication of pregnancy?
  39. Name some causes of varicosites/hemorrhoids during pregnancy. (3)
    • 1) Increased venous stasis caused by pressure of the gravid uterus
    • 2) Vasodilation caused by increased progesterone levels
    • 3) Genetics

    These are all causes of what complications of pregnancy?
  40. What are some remedies for varicosites/hemorrhoids during pregnancy? (6)
    • 1) Support hose
    • 2) Leg elevation
    • 3) Frequent position changes
    • 4) Exercise
    • 5) Spending time submerged in a pool
    • 6) For hemorrhoids: minimize constipation, sitz baths, Tucks pads

    These are remedies for what complications of pregnancy?
  41. What is the cause of dependent edema in pregnancy
    Increased capillary permeability caused by elevated hormone levels and increased blood volume is the cause of what complication of pregnancy?
  42. Name some remedies for dependent edema in pregnancy. (7)
    • 1) Elevate legs above the level of the heart
    • 2) Frequent position changes
    • 3) Support hose
    • 4) Walking
    • 5) Rest on the left (or right) side rather than supine
    • 6) Avoid excessive sodium, sugars and fats
    • 7) 8 glasses fluid/day

    • These are all remedies for what complication of pregnancy?

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