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maternity study guide 2

maternity study guide 2 - University of North Alabama...

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University of North Alabama College of Nursing and Allied Health Maternity Nursing – NU 409 Hour Test 2 Study Guide From Chapters 3 & 4 1. Study patient teaching information regarding safe sexual practices. a. Make sure patients understand the specific actions they need to take to prevent contracting or transmitting STI’s (such as refraining from sexual activity when symptoms are present). Individualize the teaching to the patient, giving attention to her specific risk factors. b. Make sure she knows the various routes of contraception and which do and do not prevent STI’s. 2. Study the various causes/diagnosis and treatments/interventions for amenorrhea. a. Amenorrhea- absence or cessation of menstrual flow. Cause for concern when: 1.) Absence of menarche and secondary sex characteristics by 14. 2.) Absence of menses by 16 ½ 3.) 6-12 month cessation of menses after a period of menstruation. b. Causes - #1PREGNANCY, hypo/hyperthyroidism, type 1 diabetes, certain meds (phenytoin/Dilantin), eating disorders, strenuous exercise, emotional stress, and OC use. Could also be Hypogonadotropic amenorrhea -inability to produce FSH and LH, usually from stress or body fat-to-lean ratio (athletic!!!!) c. TX – tx the underlying problem. Pt may need some guidance and teaching on why what they are doing, or not doing, is bad for their health. 3. Study premenstrual syndrome (PMS). What are symptoms and interventions are associated with PMS. a. S/S = fluid retention (bloating, edema, breast tenderness, wt gain), behavioral/emotional changes, premenstrual cravings (sweets, salts, CHOCOLATE ), headache, fatigue, and backache. b. Mgmnt = keep a careful detailed history and daily log of symptoms and mood fluctuations, lifestyle changes – diet/exercise (limit sugars, red meat, alcohol and caffeine, but include whole grains, nuts, fruits/veggies **3 small to moderate size meals and 3 small snacks/day that are rich in complex carbs and fiber) ; stop smoking, Meds (diuretics, NSAIDS, progesterone, OCP’s) 4. What is dysmenorrhea (primary vs secondary)? a. Dysmenorrhea – pain during or shortly before menstruation. b. Primary – from release of prostaglandins with menses. Usually begins at onset of menstruation and lasts 8 to 48 hrs. Usually disappears 6-12 months after menarche when ovulation is established. (Teens-20’s) c. Secondary – menstrual pain developed later in life (after 25). Assoc with pelvic abnormalities such as endometriosis, PID, endometrial polyps, or use of IUD. Characterized by low, dull abdominal pain radiating to the back. 5. Study Chlamydia. What symptoms, complications, treatments, and risk factors are associated with this STD? a. S/S = *May not have them. Vaginal spotting, bleeding after intercourse, mucoid/purulent discharge, painful urination. b. TX = dx by culture (10 days for results), give antibiotics (doxycycline, erythromycin) – take ALL medication! Tx exposed partners. Tx newborns for conjunctivitis!
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