CMN 568 Unit 6 Test Questions With 100% Verified Solutions

CMN 568 Unit 6 Test Questions With 100% Verified Solutions Women who intend to breastfeed should be informed about what regarding psychotropic meds? - ANSWER virtually all are excreted in breastmilk Breastfeeding with psychotropic meds should be avoided in which populations? - ANSWER premature infants or in those with hepatic insufficiency What 2 psychotropic meds should be avoided while breastfeeding d/t increased risk for hepatotoxicity? - ANSWER valproic acid and carbamazepine and caution with lithium A breastfed infant who is exposed to lithium in the breast milk, should have periodic monitoring of what? - ANSWER lithium levels and thyroid function Morning sickness usually resolves by when? - ANSWER 14-16 weeks (after 1st trimester) What can hyperemesis gravidarum cause? - ANSWER dehydration and ketonuria How is morning sickness treated with lifestyle measures? - ANSWER Avoid triggers (empty stomach, strong smells), eat frequent small meals, eat dry crackers before getting out of bed, accupressure (seabands), ginger capsules How can morning sickness be treated pharmacologically? - ANSWER Vitamin B6, Unisom, and RX Zofran What is the most common anemia? - ANSWER iron deficiency (hypochromic, microcytic) What is the H/H values in the 1st, 2nd, and 3rd trimester in iron deficiency anemia? - ANSWER Hgb 11% and Hct 33% in 1st and 2nd trimester Hgb 10.5% and Hct 32% in 3rd trimester What are S/S of iron deficiency anemia? - ANSWER vague, pallor, fatigue, headache, palpitations, tachycardia What labs are seen in iron deficiency anemia? - ANSWER decrease in serum ferritin, transferritin saturation and increased TIBC What risks are associated with iron deficiency anemia? - ANSWER intrauterine growth restriction, preterm labor How is iron deficiency anemia treated? - ANSWER Ferrous sulfate 300mg (contains 60 mg of elemental iron) 2-3x day. Continue for 3 months AFTER Hb has returned to normal to replenish iron stores Take iron on an empty stomach with orange juice to add absorbtion Encourage diet high in iron: beef, liver, beans, whole grains, nuts, dark leafy greens What are S/S associated with Cholecystitis/ Cholelithiasis? - ANSWER anorexia, N/V, intolerance of fatty foods, RUQ & epigastric abdominal pain, + Murphy's sign What labs are seen in cholecystitis/cholelithiasis? - ANSWER WBC, AST, ALT, bili, & alkaline phosphatase What imaging techniques are used in cholecystitis/cholelithiasis? - ANSWER u/s What symptomatic management is done for cholecystitis/cholelithiasis? - ANSWER bowel rest, IV hydration, analgesics, antibiotics Where do the majority of ectopic pregnancies occur? - ANSWER fallopian tube What are risk factors for ectopic pregnancy? - ANSWER Smoking, IUD use, assisted reproductive technology, PID, endometriosis, previous tubal surgery, DES exposure, previous ectopic What are S/S of ectopic pregnancy? - ANSWER Pelvic/abdominal pain especially cervical motion tenderness or adnexal pain. Possible referred pain to shoulders Abnormal uterine bleeding: light spotting to heavy bleeding Poorly rising BHCG levels in serial titers: should rise 50% every 48 hr Absent intrauterine gestational sac - intrauterine sac should be visible when BHCG is When do most ectopic ruptures occur? - ANSWER between 6 and 12 weeks gestation How are ectopic pregnancies managed? - ANSWER 200 BHCG may resolve in its own 3 cm Adnexal mass and no fetal heart motion: can use methotrexate protocol (one dose or two doses) Laparascopic surgery for other cases What is the first hint of inappropriate intrauterine growth? - ANSWER fundal height measurements that have not changed or even decreased (not accurate in the last 4 weeks of pregnancy) What fetoplacental factors can cause IUGR? - ANSWER genetic disorders, infection (TORCH), placental disorders, multiple gestation What maternal factors can cause IUGR? - ANSWER HTN, anemia, IBD, malnutrition, Kidney/heart disease, substance abuse especially nicotine abuse, anticonvulsants