T4 MATERNAL #1

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BHAVES
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141490
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T4 MATERNAL #1
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2012-03-20 01:29:08
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T4 MATERNAL
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T4 MATERNAL #1
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  1. PELVIC EXAMINATION - Women with a Hx of Pathology, or a Family Hx of Pathology, should have the examination more than once a year -
    • AT LEAST ONCE A YEAR
    • EMPTY BLADDER prior to exam
    • Place Client into LITHOTOMY POSITION
  2. PAP TEST - for abnormal pap test pt teaching b4 leaving Doctors Office
    Notify MD if Excessive Bleeding
    • Place client into LITHOTOMY POSITION
    • Specimen is SMEARED ON THE GLASS SLIDE & sprayed with fixative
  3. BREAST EXAMINATION - a woman should have a clinical breast exam performed by her health care provided at least once a year (more often if she has a cystic disorder
    Eliminate CAFFEINE, SUGAR COLA & CHOCOLATES
  4. MAMMOGRAPHY - Baseline Mammogram is recommended for women between the age of 35-40 (if low risk and asymptomatic)
    • Recommended:
    • NO Breast Fed Children
    • Family History - indicates high risk
    • Previous Cancer, Cystic Breast Disorders
    • NO Children or Birth of 1st child after age of 30
    • Strong family HX or any type of Cancer
  5. ABDOMINAL OR PELVIC ULTRASONOGRAPHY - DO NOT void for SEVERAL HOURS prior to Pelvic Ultrasound
  6. LAPAROSCOPY (Endoscopic Procedure) direct visualization of uterus & accessory organs
    SHOULDER PAIN may occur due to gas trapped in the abdomen under the diaphragm
  7. DILATION & CURETTAGE (D & C)
    • Monitor Voiding & Urinary Retention - MAKE SURE TO VOID & CHART before disharge
    • Mild Analgesics such as Tylenol & Advil
  8. HYSTERECTOMY & PELVIC EXENTERATION - removal of the Uterus
    POST-OP: THROMBOPHLEBITIS (Inflammation of Vein/Clot
  9. DISORDERS R/T THE MENSTRUAL CYCLE
    • Amenorrhea - stop of Menses
    • Menorrhagia - excessive bleeding (may result in anemia,) decrease Oxygen can cause fatigue
    • Metrorrhagia - Bleeding between menstrual period
    • Dysmenorrhea - painful menstruation
  10. PRE MENSTRUAL SYNDROME (PMS)
    • Tx & Nurssing Consideration:
    • Medicate as Prescribed
    • Decrease Salt Sugar & Stress
    • Increase Protein Exercise & Support
  11. TOXIC SHOCK SYNDROME - A serious condition associated with the use of Tampons particularly those with PLASTIC INSERTERS & SUPER ABSORBENT TAMPONS
    • S/S:
    • Fever of 102 or Higher
    • DROP in B/P
    • Peeling Red Rash (macular -none red raised
  12. MENOPAUSE - Stop producing ovarian hormones
    Cessation of menses occuring between age of 45-50
    OVULATION has Stopped
  13. VAGINAL FISTULA - fistula an opening between 2 organs that normally do not open
    • TYPES:
    • Ureterovaginal - between ureter & vagina -->Urine
    • Vesicovaginal - between bladder & Vagina - -> Urine
    • Rectovaginal - between rectum & Vagina --> Feces
  14. RECTOCELE - bowels of Herniated Vagina
    • S/S:
    • Incontinence, HEMORRHOIDS
    • TX:
    • Posterior Colporrhaphy
  15. VAGINITIS - inflammation of Vagina
    • S/S:
    • Leukorrhea (whitish vaginal discharge) causing burning and & itching in the Perineum vahina & Urethral

    CANDIDIASIS - discharge is while, thick & COTTAGE CHEESE-LIKE

    • NX CONSIDERATION:
    • Frequent Bathe provide temp relief from irritation & itching
  16. HERPES VIRUS CERVICITIS - vesicles small blisters
  17. BENIGN UTERINE TUMORS -
    Most Common type of Benign Uterine Tumors is the FIBROID TUMOR MYOMA
    • S/S:
    • Abnormal Vaginal Bleeding, Urinary Retention, Constipation
  18. CANCER OF TH CERVIX
    • S/S:
    • Bleeding that does occur in the early stages such as spotting between periods or after intercourse - SHE'S LIKELY TO BLEED AFTER INTERCOURSE
  19. HYSTERECTOMY
    • Total Hysterectomy -
    • Subtotal Hysterectomy -
    • Salpingectomy -
    • Panhysterosalpingectomy -
    • Panhysterosalpingo -
  20. CHRONIC CYSTIC MASTITIS - Biopsy is performed to rule out cancer
    CAFFEINE aggravates cyst formation: COFFEE, TEA, CHOCOLATE, & COLA DRINKS
  21. LYMPHEDEMA -
    • Most common cause is Infection, monitor report signs of Infection
    • Avoid Taking B/P giving injections or drwaing Bolld on the Operative Side
  22. MASTECTOMY
    • NX CONSIDERATIONS:
    • Elevate affected arm for Several Days
    • Monitor Respiratory Pattern - POST-OP CHECK FOR SHALLOW BREATHING
  23. DIAGNOSTIC TESTS
    PROSTATE SPECIFIC ANTIGEN (PSA) - A Glycoprotein found in prostate gland tissue that is elevated in Prostatitis, BPH & adenocarcinoma
  24. INFLAMMATORY DISORDERS
    • ORCHITIS - inflammation of the Testes may result from infections or Injury
    • Causes - MUMPS after puberty - ASK FOR HX OF MUMPS
  25. Technique Of Prostatic Massage - MODIFIED STANDING
  26. NEOPLASMS
    • Benign Prostatic Hyperplasia -(BPH)
    • Transurethral Resection (TURP) - Surgical Treatment

    • Risk Factor for Prostate:
    • PSA Elevation
  27. PROSTATE SURGERY
    • TURP - common Procedure for prostate
    • Complications:
    • Hemorrhage, Urinary Incontinence Erectile Dysfunction
  28. TESTICULAR EXAM
    • Every male from Age 13-14; perform MONTHLY TSE
    • Best Perform after a Bath or Shower, WARM WATER RELAXES THE SCROTAL SAC
    • DO NOT TOUCH SCROTUM with COLD HANDS
  29. SEXUAL ORIENTATION
    Asexual - not particularly attracted to either sex
  30. FEMALE INFERTILITY
    • Risk Factors:
    • PELVIC INFLMMATORY DISEASE - prolong infertility

    • Treatment:
    • to determine dates of Ovulation take Oral Temp same time IN THE MORNING
  31. FERTILITY AWARENESS METHOD
    • FAM - involve LIMITING SEXUAL INTERCOURSE
    • Take Temp EACH MORNING BEFORE RISING FOR 6 MOS
  32. HORMONAL METHODS - know S/E of Birth Control Pills
  33. ORAL CONTRACEPTIVES
    • Should be taken at the same time each day PREFERABLY AT NIGHT
    • Serious health problems asscoaited with BCP - Blood Clots, MI, CVA
    • Minor S/E of BCP - Weight Gain, Nausea- Flu Retention
  34. INTRAUTERINE DEVICES (IUD)
    • Prevents the fertilized ovum from Implanting in the uterus - because of Heavy Bleeding
    • May cause increased incidence of PID tubal pregnancies, & infertility
    • Considerations R/T IUD:
    • Menstrual flow may be heavier or last longer than normal
  35. MALE BARRIER METHODS
    LATEX CONDOMS help to protect against HIV & other STD's EVERYTIME
  36. THE VAGINA SPONGE
    • PT TEACHING:
    • It must remain in place for AT LEAST 6 HRS after intercourse but must be REMOVED within 30 HOURS of insertion to prevent TOXIC SHOCK SYNDROME
  37. VASECTOMY
    It may take up to 6 WEEKS after vasectomy for semen to be free - USE ALTERNATIVE BIRTH CONTROL
  38. SEXUALLY TRANSMITTED DISEASES (STD) - State & National Public Health Dept have requirements for healthcare providers & the reporting of STD's
    Barrier Methods provide Protection - HOW TO DECREASE STD
  39. GONORRHEA - bacterial infection transmitted directly during VAGINAL, ANAL, ORAL SEX
    • In the Newborn can lead to BLINDNESS
    • If Expose, Test will ve VAGINAL SMEAR
    • Report to the Public Health Department
    • All Sexual contacts must be TREATED

    • S/S:
    • Burning sensation during urination & YELLOWISH FOUL SMELLING DISCHARGE
  40. HERPES SIMPLEX VIRUS
    • Blisters container Virus which causes transfer of Infection - VESICLES
    • Potentially Fatal in Newborn - pregnant plan C-SECTION DELIVERY
  41. CANDIDIASIS
    • S/S:
    • Cottage cheese-like discharge - THRUSH
    • TX-is with Fungicides - YEAST INFECTION

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