Young Families Health Test 1

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What is atraumatic care?

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Nursing

80 Terms

1

What is atraumatic care?

Ensuring that every exposure to healthcare does not result in fear, anxiety, or trauma.

This prevents impacting their health seeking behaviours as adults.

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2

What is a genogram?

A pictorial display of a person’s family relationships and medical history.

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3

What is an eco map?

A graphical representation of all the systems that play a role in a person’s life

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4

What are the causes of infertility in women?

  • Ovarian factors

  • Tubal factors

  • Peritoneal factors (endometriosis)

  • Uterine factors

  • Vaginal-cervical factors

  • BMI >35 or <19

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5

What is hysterosalpingography?

X-ray after shooting dye into uterus to see if tubes are blocked

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6

What is a laparoscopy?

Minor surgery, incision into abdomen for camera

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7

What are causes of infertility for males?

  • Undescended testes

  • Hypospadias

  • Varicocele (varicose vein of the scrotum)

  • Low testosterone levels

  • Substance use

  • Scrotum temperature

  • Smoking

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8

How is infertility diagnosed (time frame)

  • 1 year of trying if woman < age 35

  • 6 months of trying if woman > age 35

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9

What is spinnbarkeit?

Ovulating cervical mucous

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10

What are three methods to test for male infertility?

  • semen analysis

  • hormone analysis

  • scrotal / transrectal ultrasound

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11

What type of lubricant will make it harder for pregnancy to occur?

Water based lubricant

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12

What is gametogenesis?

Formation of sex cells (eggs + sperm)

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13

Oogenesis

Egg creation

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14

Spermatogemesis

Sperm creation

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15

Conception

Sperm meets egg and implants into uterus

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16

Teratogen

Unintended negative effect on the development of a pregnancy

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17

When during a pregnancy is spontaneous abortion common?

1-2 weeks

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18

When during a pregnancy can major congenital anomalies occur?

From 3-7 weeks

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19

When during a pregnancy can functional defects and minor anomalies occur?

8-38 weeks

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20

What is the yolk sac?

Gives fetus nutrients and oxygen before placenta is grown

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21

How long does it take for the placenta to fully grow?

12 weeks

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22

What are the 2 layers of the amniotic sac?

  • Amnion

  • Chorion

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23

Amnion

Covering on the outside of the amniotic sac, contains amniotic fluid

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24

Chorion

Covering on the fetal side of the amniotic sac, contains major umbilical chord blood vessels

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25

What blood vessels are in the umbilical chord?

  • 1 vein

  • 2 arteries

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26

When does the placenta deliver, and what are the risks if it doesn’t?

  • Normally delivers within 30 minutes

  • If not, there is a significant risk of postpartum hemorrhage

  • Will go to OR for surgical removal

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27

What are the four main functions of the placenta?

  • Gas exchange (placenta = lungs of the fetus!!!)

  • Nutrition

  • Hormone production (placenta makes hormones that sustain pregnancy, like HGC, progesterone, estrogen)

  • Waste removal

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28

Placentophagy

Eating one’s own placenta

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29

What are the benefits of placentophagy?

Extra nutrients and iron

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30

What are the risks of placentophagy?

  • Risk of infection if placenta grows bacteria before consumption.

  • Risk of baby death from breastfeeding after eating placenta if mother has group b strep (GBS) (30% of population carries it)

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31

What is the benefit of delayed chord clamping?

If the clamping of the umbilical chord is delayed for 60-90 seconds, the placenta continues to send oxygen and nutrients to the baby.

At 6 months of age, the baby will have increased iron levels

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32

What is the purpose of amniotic fluid? (3)

  • Protects umbilical chord from compression.

  • Reduces friction.

  • Temperature stabilization

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33

Oligohydramnios

Low amount of amniotic fluid

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34

Polyhydramnios

High amount of amniotic fluid

  • more common in people with diabetes

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35

When is the fetal stage?

10 weeks gestation

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36

What is fetal viability and when is it?

  • Fetal viability is if the fetus can survive outside of the uterus

  • 22 weeks gestation

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37

Foramen ovale

Fetus has shunt (hole) between both atriums to keep blood moving so half of blood isn’t going to lungs

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38

Ductus arteriosus

Shunt between pulmonary artery and aorta, allows oxygenated blood to bypass the pulmonary circulation

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39

Ductus venosus

Connects umbilical chord to inferior vena cava, allows oxygenated blood in the umbilical vein to bypass the liver

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40

Fetal surfactant

Supports air breathing, helps to lower surface tension of lungs thus preventing collapse

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41

What is the L/S ratio

a test of fetal amniotic fluid to assess for fetal lung immaturity

normal value is 2 - 2.5

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42

What is practice breathing?

Lungs contract and expand without gas exchange in utero near end of pregnancy

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43

Hepatic system

  • iron storage (first 5 months of life, iron from mom)

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44

Why are babies given a shot of vitamin K at birth?

a single vitamin K shot at birth protects your baby from developing dangerous bleeding which can lead to brain damage and even death.

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45

Meconium

baby’s first bowel movement, usually passed within 48 hours postpartum

  • is a very dark green, almost black color

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46

When will babies begin to react to sound and movement in utero?

24 weeks

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47

Development of neural tube

  • neural tube = brain + spinal chord

  • initally open at the end

  • if neural tube does not close = spinal bifida

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48

When do the genetalia differentiate?

9 weeks

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49

What holds the unfused skull bones together?

fibrous connective tissue

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50

Vernix caseosa

thick white moisturizer covering baby’s skin at birth

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51

Lanugo

Body hair lost in first few months, helps keep vernix caseosa on skin

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52

Monozygotic

one egg, identical twins

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53

Dizygotic

two eggs, non-identical twins

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54

Monochorionic

one placenta

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55

Dichoriotic

two placentas

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56

Monoamniotic

one amniotic sac

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57

Diamniotic

two amniotic sacs

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58

Chlamydia

  • bacterial sti

  • often asymptomatic

  • can lead to reproductive complications

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59

Gonorrhea

  • bacterial sti

  • 2/3 cases are men

  • can lead to reproductive complications

  • symptom: thick discharge, painful urination, pain

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60

Syphilis

  • bacterial sti

  • progresses in stages

  • infectious in first year after contraction

  • individuals develop small, painless sore

  • 3rd stage of syphilis can lead to death

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61

Genital herpes

  • viral sti

  • HSV-1 = cold sores

  • HSV-2 = genital sores

  • has flare ups

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62

Hepatits B

  • viral sti

  • found in body fluids

  • chronic infection damages liver

  • no outward signs of infection (flu-like symptoms)

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63

Human Immunodeficiency Virus

  • viral sti

  • attacks body’s immune system

  • fatal stage of HIV = AIDS

  • transmitted through body fluids

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64

Human Papillomavirus

  • viral sti

  • most common sti

  • low risk = anogenital warts, lesions

  • high risk = cervical cancer

  • transmitted through sexual activity

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65

What are the 4 types of contraception methods?

  • Behavioural methods

  • Barrier methods

  • Hormonal methods

  • Permanent methods

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66

What are 4 types of behavioural methods for contraception?

  • Abstinence (no sex)

  • Fertility-awareness

  • Withdrawal (coitus interruptus)

  • Lactational amenorrhea method

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67

What are 4 barrier methods for contraception?

  • Condom (male & female)

  • Diaphragm

  • Cervical cap

  • Sponge

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68

What are 7 hormonal methods for contraception?

  • Oral contraceptive

  • Injectable contraceptive

  • Transdermal patch

  • Vaginal ring

  • Implantable contraceptive

  • Intrauterine contraceptive

  • Emergency contraceptive

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69

What are 2 permanent methods for contraception?

  • Tubal ligation

  • Vasectomy

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70

How do oral contraceptives work?

They suppress ovulation by adding estrogen and progesterone to the body, mimicking pregnancy.

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71

How do mini-pills (oral contraceptives containing only progesterone) work?

They thicken the cervical mucus to prevent penetration of the sperm

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72

Up to how many months do injectable contraceptives work?

Up to 3 months

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73

What is Depo-provera?

An intramuscular injectable of progesterone only contraceptive given every 12 weeks

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74

What is a risk of using injectable contraceptives?

Loss of bone density

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75

For how many weeks is a transdermal patch effective?

3 weeks, followed by 1 week patch free

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76

What is the vaginal ring?

  • Hormonal method (both estrogen and progesterone)

  • Inserted in vagina for 3 weeks and then 1 week ring free

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77

What are implantable contraceptives?

  • Subdermal time-release method.

  • Delivers synthetic progestin that inhibits ovulation.

  • Is effective for 3 years.

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78

What are intrauterine contraceptives?

  • Can be hormonal or non-hormonal.

  • Prevent pregnancy by inhibiting sperm mobility and viability.

  • Usually can be effective for 5 years.

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79

What is the copper IUD?

  • non-hormonal intrauterine contraception.

  • can remain in place for 10 years.

  • works by releasing copper ions, which are spermicidal.

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80

What is emergency contraception?

  • used within 72 hours of unprotected sex.

  • reduce risk of pregnancy by 80%

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