Final Exam Study Guide & Tutoring

Question 1

Most common form of violence against women

Answer 1

Intimate partner violence

Question 2

When is a woman at greatest risk for intimate partner violence?

Answer 2

during pregnancy

Question 3

What is the dose for Methergine?

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Answer 3

0.2 mg IM every 2-4 hours

• Side effect = diarrhea
• HOLD for HTN

• hold for HTN

Question 4

What is the dose for Hemabate?

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Answer 4

0.25 mg IM

• Side effect = diarrhea
• HOLD for Asthma

• Hemabate = hold for asthma

Question 5

Interventions for Engorgement in women who are NOT breastfeeding

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Answer 5

• ice packs
• tight bra
• cabbage leaves

Question 6

Interventions for Engorgement in women who ARE breastfeeding

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Answer 6

• feed infant 8-12 times within 24 hours
• hand expression
• do NOT pump (otherwise more milk is produced)

Question 7

CCHD Screening Parameters

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Exam 2

Answer 7

Oxygen Saturation with Less than 3% difference to pass, must be above 95%

• monitor placed on R hand (preductal) & either foot

Question 8

Where are O2 monitors placed for CCHD Screening?

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Answer 8

• R hand (pre-ductal)
• Either foot (post-ductal

Question 9

3 Phases of Walker Cycle Theory of Violence

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Answer 9

• Tension building
• Acute battering incident
• Loving contrition (“honeymoon” phase)

Question 10

3 Phases of Rape Trauma Syndrome

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Answer 10

• Disorganization
• Outward adjustment
• Reorganization

Question 11

What substance use disorder is the most common cause of cognitive impairment for a fetus?

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Answer 11

Alcohol use

Question 12

What is the 2nd most common STI?

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Answer 12

Gonorrhea

Question 13

What is the most serious complication of chlamydia & leads to an increased risk for ectopic pregnancy?

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Answer 13

Pelvic Inflammatory Disorder (PID)

Question 14

The risk of neonatal infection is highest when the primary outbreak of this virus is at or near term.

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Answer 14

Herpes Simplex Virus Type 2 (HSV-2)

Question 15

Perinatal transmission of what virus is most threatening to the fetus & neonate?

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Answer 15

Hepatitis B

Question 16

What is the name of the group of infections that cna affect a pregnant woman, her fetus, and cross the placenta?

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Answer 16

TORCH Infections

• Toxoplasmosis
• Other Agents (Hep A, Hep B, varicella zoster virus, HIV, etc.)
• Rubella
• Cytomegalovirus
• Herpes Simplex Virus

Question 17

Maternal & Fetal Affects of various Drugs

• Tobacco
• Alcohol
• Opioids
• Cocaine
• Methamphetamines

KNOW THIS!!!! (Per Tutor)

Answer 17

• Tobacco = growth restriction
• Alcohol = cognitive delay
• Opioids = NAS
• Cocaine = Placental abruption
• Methamphetamines = Placental abruption

Question 18

How does maternal use of tobacco impact a fetus?

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Answer 18

Growth Restriction

Question 19

How does maternal use of alcohol impact a fetus?

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Answer 19

Cognitive delay

Question 20

How does maternal use of opioids impact a fetus?

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Answer 20

NAS

Question 21

How does maternal use of cocaine impact a fetus?

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Answer 21

Placental Abruption

placenta detaches from uterus early

Question 22

How does maternal use of methamphetamiens impact a fetus?

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Answer 22

Placental abruption

placenta detaches from uterus

Question 23

What is the most common type of solid breast mass?

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Answer 23

Fibroadenoma

• discrete
• solitary lumps < 3 cm in diameter

Question 24

What are leiomyomas? How are they managed?

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Answer 24

Benign fibroids

• Medical Management: medications & uterine artery embolism (UAE)

*

• Surgical Management: laster surgery, myomectomy, hysterectomy

Question 25

**Cystocele / Prolapsed Bladder** | **KNOW THIS!!!!** (Per Tutor)

Answer 25

* Difficulty emptying bladder * Slow urine stream * Urge to urinate right after peeing

Question 26

**What are the 3 types of urinary incontience?** | **KNOW THIS!!!!** (Per tutor)

Answer 26

* Stress * Urge * Mixed

Question 27

**Primary Dysmenorrhea** | **KNOW THIS!!!!** (Per tutor)

Answer 27

**Condition associated with ovulatory cycles** * excessive release of prostaglandins causes pain

Question 28

**Secondary Dysmenorrhea** | **KNOW THIS!!!!** (Per tutor)

Answer 28

**Acquired menstrual pain that develops later in life; usually after age 25** * usually associated with pelvic pathology

Question 29

**Endometriosis** | **KNOW THIS!!!!** (Per Tutor)

Answer 29

**Presence & growth of endometrial tissue OUTSIDE of the uterus** * **Signs & Symptoms:** * dysmenorrhea * deep pelvic dyspareunia * ainful intercourse

Question 30

**Primary Amenorrhea** | **KNOW THIS!!!!** (Per Tutor)

Answer 30

**Absence of both menarche & secondary sexual characteristics by age 13** **OR** **Absence of menses by age 16** regardless of presence of normal growth & development

Question 31

**Secondary Amenorrhea** | **KNOW THIS!!!!** (Per Tutor)

Answer 31

**6+ month absence of menses after a period of menstruation**