OB/PEDs U1 Study Guide

what is the most common symptom of menopause?

osteoporosis

what is a care plan

document that outlines the individual needs of the patient

what is a clinical pathway

guidelines that define multidisciplinary care in terms of outcomes w/in a timeline

what organizations set standards for maternity and pediatric nursing? (SATA)

1. CDC

2. Association of Women's Health, Obstetric and Neonatal Nurses (AWHONN)

3. American Academy of Pediatrics (AAP)

4. WHO

2 and 3

3 multiple choice options

American academy of pediatrics (AAP)

provides guidelines for pediatric care

Association of women's health OB and neonatal nurses (AWHONN)

promotes EBP and guidelines for OB, NICU, and women's health nurses

American Nurses Association (ANA)

sets standards for nurses in general

If a woman gave birth to a baby with syphilis, what you your job as the nurse to do?

report is the public health dept

increased access to care by indigent women

Title XIX of the Medicaid program

provides contraceptive information

national center for family planning

provides supplemental food and education for families in need of assistance

WIC

provided funds for maternity care

title V of the social seurity act

expansion of health care coverage to millions who were previously uninsured (ACA)

Medicaid expansion act

common physical changes for a male during puberty include

- penis and testes increase in size

- grow taller and more muscular

common physical changes for a female during puberty include

- development of breasts

- hips broaden

Bartholin glands

Female accessory organ that secretes mucus to lube vagina during intercourse

male puberty hormone

testosterone

Fertilized ovum implants and develops into an embryo where?

Uterus

3 multiple choice options

female hormones that regulate menstrual cycle

- estrogen

- progesterone

ovulation hormones secreted during menstrual cycle

LH and FSH

When should the basal body temperature be taken?

in the morning before any activity

when does the basal body temperature rise?

at ovulation

a type of contraceptive that you use to either get pregnant or avoid pregnancy

natural family planning

if wanting to avoid pregnancy, when should you avoid intercourse?

during fertile window

menopause

cessation of menstrual periods d/t changes in estrogen production

when does menopause occur?

45-50

what tests should a woman going through menopause take?

dexa-scans (bone density scans)

side effects of menopause

- low libido

- irregular periods

- memory loss

side effects of oral contraceptives

- spotting/amenorrhea

- weight gain

- nausea

- headache

hormone changes with oral contraceptives

estrogen and progestin or progestin alone

bacterial vaginosis

overgrowth of bacteria in the vagina

Metronidazole (Flagyl)

BV

thin, grayish white discharge that has a fishy odor

signs and symptoms of BV

3 multiple choice options

severe lower abdominal pain is a sign of...

dysmenorrhea

dysmenorrhea

painful menstruation

amenorrhea

absence of menstruation

what to do as a nurse if someone is having dysmenorrhea?

- apply heat

- administer prostaglandin inhibitors (ibuprofen/naproxen)

annual clinical breast exams, monthly self breast exams, and mammograms are examples of...

breast cancer prevention

a pelvic examination (pap) is done to prevent...

cervical cancer

when should a woman get their pap done and how often?

at 21 every 3 years

3 multiple choice options

signs and symptoms of STIs

Burning on urination, discharge, rashes, sores, blisters, warts, or no symptoms at all

How to prevent STIs

- condoms

- abstinence

- not having multiple sex partners

- etc.

if a pt has an STI should their partner be treated as well?

yes

1 multiple choice option

at age 40, what exam should a woman have?

mammogram

how often do women need mammograms

annually

where are zygotes inmplanted?

upper section of the uterine wall

3 multiple choice options

what regulates the production and secretion of sperm and male hormones?

testes

myometrium

muscle layer of the uterus

when does ovulation occur

14 days before next period

American Academy of Pediatrics (AAP)

set the health standard for children

Chalymida

mostly asymptomatic, causes painful urination and yellowish discharge

Tuberculosis, STIs and measles all are...

a health hazard to the public and needs to be reported to the public health department

Gonorrhea

causes inflammation of the genital mucous membrane, burning pain when urinating, dyspareunia and a purulent discharge

common cold

virus

- cotton underwear

- increased fiber and decreased fat diet

- avoiding tight clothes

- condoms

- exercise

- etc.

are ways we can prevent...

BV

how long does sperm remain viable in the female?

4 to 5 days

how long does an egg live after ovulation?

24 hours

___ is most favorable for vaginal delivery

gynecoid

_____ is unfavorable for vaginal delivery

platypelloid

how are ovaries held in place?

uterine ligaments

labia minora is the _____ most part

inner

labia majoria is the _____ most part

outer

how long can sperm be stored?

2-10 days