L & D PP

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Anonymous
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248593
Filename:
L & D PP
Updated:
2013-11-23 00:30:11
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Nursing Childbearing
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MFI & AP
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  1. How long are sperms viable in the female reproductive tract?
    Students responses:3 days
  2. How&long&are&ovum&viable/fertile&after&
    ovulation?
    &Students')responses: 24)hrs.))Key)point:)most)optimal)time)for)ovum)to)be)fertilized)is)12)hrs)after)ovulation.
  3. What&is&spinnberkeit
    ?&Students')responses:)Stretchiness)of)the)cervical)mucus)that)is)present)at)ovulation.
  4. What&is&mittelschmerz
    ?&Students')responses&:&Abdominal)pain)felt)@)time)of)ovulation)and)from)the)ovulation)site
  5. List&the&4&phases&of&the&endometrial/
    menstrual&cycle:
    • &Students')rsponses&
    • Menstrual/proliferative/
    • secretory/ishemic&
  6.  A&home&pregnancy&test&measures&the&level
    &of&which&hormone&to&determine&
    if&a&woman&is&pregnant
    ?&Students')responses:&hCG)(Human)Chorionic)Gonadotropin)&
  7. What&is&quickening&and&when&does&it&
    present&in&a&pregnant&woman?
    &Students')responses&:&Feeling)fetal)movement.)16)wks)multipara,))16N20)wks)for)primipara.))This)is)a)presumptive)sign.
  8. &&What&is&Chadwick’s&sign
    ?&Students')responses:&Blue/violet)color)of)cervix,)vaginal)mucosa)@)8N12)weeks)gestation.)Due)to)increased)vascularity)to)the)area.
  9. When&is&the&FHR&audible&with&a&Doppler?
    Students')responses:)As)early)as)8)but)as)late)as)10)weeks
  10. During&the&first&trimester&of&pregnancy,
    &uterine&growth&is&primarily&due&to&
    Students')responses&:&hypertrophy)or)enlargement)of)preNexisting)myometrial)cells.
  11. Explain&the&difference&that&causes&
    uterine&enlargement:
    &Students')responses)are)in)blue.&a. First&trimester&of&pregnancy:&&Hypertrophy)of)preNexisting)myometrial)cells.&b. Second&and&third&trimester&of&pregnancy:&&Fetal)growth&
  12. The&effects&of&pregnancy&hormones&on
    &the&gastrointestinal&system&are&
    displacement&of&the&stomach&and&i
    ntestines,&relaxes&smooth&muscle,&
    decreased&gastric&tone&and&motility&
    and&slower&emptying&time.&&Identify&
    one&intervention&for&each&
    discomfort.&a. Constipation:
    Students')responses&fiber)and)increased)water)in)diet,)physical)activity,)stool)softeners,)laxatives)b. Pyrosis:&Students')responses&Eat)small,)frequent)meals,)sit)up)after)meals,))c. Hemorrhoids:&Students')responses&:&Sitz)bath,)hemorrhoidal)cream,)Tucks,)stool)softner
  13. What&is&lordosis&and&what&is&the&
    cause&of&lordosis&in&pregnancy,&
    what&interventions&are&recommended?
    Students')responses&Increased)lumbarNsacral)curve,)improve)posture,)straighten)back,)Pregnancy)belly)band,)good)bra)
  14. Explain&the&reason&why&a&pregnant&
    woman&is&at&an&increased&risk&for&
    falls&and&identify&an&appropriate&nursing&
    diagnosis&with&at&least&3&interventions.
    Students')responses:&Increased)risk)for)falls)d/t&Shift)in)center)of)gravity,)poor)posture.)Educate)pt,)on)safety,)good)posture,)assess)gait,)try)not)to)waddle,)good)shoes,)teach)good)body)mechanics,)assess)for)hx)dizziness,)no)ladders,)increase)muscle)tone)in)the)back)(Pilate)balls))
  15.  During&pregnancy&there&is&an&increase
    in&blood&volume&of&1500&mL&(40Z50%),&specifically&with&a&1000&mL&
    increase&in&plasma&volume&and&500&mL
    increase&in&RBCs.&&How&will&this&impact
    a&lab&values,&specifically&HCT/Hb?
    Students')responses normal)slight:)decrease)in)H&H.))HCT/Hb)but)values)will)be)above)33)&11.))So)33)HCT)and)11)Hb)are)Ok.&&&If)hemoglobin)and)hemocrit)are)less)than)33/1,)woman)has)pathologic)anemia.))Give)this)patient)iron.&
  16. A&pregnant&woman&is&in&a&hyper
    coagulable&state.&&How&does&this&state
    positively&affect&a&pregnancy&and&what
    conditions&is&the&woman&at&an&increased
    risk&for&developing?
    Students')responses:&Hypercoagulable)state)decreases)risk)of)hemorrhaging&BUT)increases)risk)for)developing)clots)such)as)DVT)(deep)vein)thrombosis)
  17. Tension&headaches&are&a&common
    neurologic&discomfort&that&pregnant
    women&can&experience.&&Using&the
    slide&on&2nd&and&3rd&Trimester
    Complications&and&when&to&call&the
    doctor,&what&additional&assessment
    findings&would&indicate&a&more
    &serious condition&suggesting
    &a&hypertensive&disorder&of&pregnancy?
    Students')responses&:&&Sudden)weight)gain,)abdominal)pain)(epigasric),)scotoma,)double)or)blurred)vision,)swelling)of)face,)fingers,)and)sacral)area.&headache)that)does)not)go)away)with)rest)or)motrin.&&
  18. When&providing&care&to&a&pregnant
    &teenager&it&is&important&to&initially&work
    &on:&
    a. Teaching&the&teenager&what&you&will
    &expect&of&her&during&her&prenatal&care
    &and&her&hospitalization&for&delivery.
    b. Introducing&all&areas&of&health&care&
    so&the&teenager&gets&used&to&health&
    care&services&that&are&available&to&
    everyone&in&the&community.
    c. Developing&a&trusting&relationship&
    with&the&teenager&so&she&feels&
    comfortable&returning&for&additional&
    healthcare
    Student chose "C"as the correct response.

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