Maternal Child Health Nursing (NUR 2633)– Study Guide Test 1/50 questions{LATEST UPDATE 2021}

MCH NUR 2633 – Study Guide Test 1/50 questions1. Women’s health encompasses breast care, GYN exams, and assessments. Be comfortable with the parameters of education for self-breast exams, and what is normal for a woman to note when doing breast exam. Who should do breast exams, all women after starting menses, approximately 10 days following menses. Know normal menstrual cycle – retroactive/retroverted or retro noted system – from ovulation to period is 14 days, from period to ovulation – we don’t know. What affects the menstrual cycle? Stress, diet, body fat, medication, drugs, alcohol, hormones, eating disorders, familial connections – women cycle together. Any barrier or block from the pituitary gland to the ovarian cycle or from the ovarian cycle to the endometrium there may be no ovulation, or it may affect implantation. What is the most common complaintwith the menstrual cycle, and complications; Painful menses (dysmenorrhea) Know STI’s and risks. Manage dysmenorrhea non-pharmacologically with heat, diet – eating properly, exercise, getting rid of excess fats, alcohol, carbs. Pharmacological interventions include NSAIDS, Motrin, pamprin, Midol – include diuretic that deals with edema.2. If a patient finds a breast lump how will you advise her? Report lumps and follow up with a doctor, ultrasound or mammogram. Early recognition is the key for less invasive treatment.3. What is your role in the GYN exam – review STIs. There are bacterial, viral, protozoan, bacterial treated with antibiotics. Viral – HIV, HPV, Herpes – treat symptoms and address lifestyle – diet and stress – maintain immune system – keep viral load down.4. Contraception - Forms of birth control – condoms, spermicides, birth control pills, Nexplanon, IUD, emergency contraception, vaginal rings, Mirena, Depo Provera, diaphragm, patches, abstinence. good subject for your postpartum patients as well – know them, know the risks and some of the educational pointsto share with them regarding each type. Many items do not protect against STIs, IUD is long term – meant fora monogamous relationship – can come out, Depo requires injections every 12 weeks & suggests calcium supplements – birth control should be taken same time every day. Smoking is contraindicated with Birth control. Choices should be based on someone’s lifestyle, breast feeding is contraindicated with estrogen-based birth control – impedes prolactin in breast milk. Remember birth control choice should be based on a patient’s lifestyle – if she cannot swallow pills do not offer oral contraception – right? Etc…5. Emergency contraception – know education. Within 72 hours, not 100% effective, not for birth control, does not cause an abortion, does not protect from STIs, encourage follow up and testing for STIs afterwards. 6. Preconceptual care is provided for a means to identify risks and provide nutrition – not to establish who should become pregnant. Access is important, counseling identifies risks- lifestyle, nutrition, immunizations, genetic issues, prenatal vitamins, smoking, drugs, alcohol, provides opportunities for community referrals.7. Pregnancy – understand the structure and function of the external and internal genitalia. Uterus – house growing fetus, ideal musculature for delivering baby, menstrual cycling. Ovaries – house eggs and produce estrogen (growth hormone) and progesterone (most important - quieting hormone) pro gestation, pro-life hormone. Fallopian tubes – carry the eggs from the ovaries to the uterus. Egg is fertilized by the sperm in theampulla. Bladder is involved in pregnancy – can cause complications during pregnancy and delivery. Know the purpose of each in the process of pregnancy. You must understand the changes that occur to each system - 8. Please identify pregnancy history – G, F, P, A, L – this mnemonic is only for delivery - know how to complete this given each women’s obstetrical history. G=Gravida, number of pregnancies, F=full term pregnancies, P=preterm pregnancies before 37 wks, A=abortions, L=Living children. Twins are only one pregnancy(gravida) and one delivery(parity). 9. EDD – Nagles rule – 1st day of LMP - 3months, + 7days. Based on a 28-day cycle, does not work for everyone, can be a few days off.