Health Promotions: FINAL REVIEW

First urine for infant should be within?

1 in 24 hours

What is the recommended amount of formula to feed baby?

1 oz.

If fundal height is 20 cm, what is typically the cm?

20

How many mL do we lose of blood during menstruation?

50mL

You do not want contractions to exceed how many seconds? Why?

90 seconds or it will cut off fetus oxygenation *we are watching fetal HR

What does CAGE stand for?

C- cut down A- annoyed G- guilty E- eye opener

Precontemplation stage

DENIAL

What assessment findings are we monitoring and what do we expect for postpartum mother?

FUNDUS *checking that it is firm and midline

True or False HIV and Herpes can not be contracted to the fetus.

False

Who should NOT get birth control?

HTN smokers DVT's migraines

What are the questions in the acronym CAGE?

Have you ever felt you needed to Cut down on your drinking? Have people Annoyed you by criticizing your drinking? Have you ever felt Guilty about drinking? Have you ever felt you needed a drink first thing in the morning (Eye-opener) to steady your nerves or to get rid of a hangover?

Teen pregnancy is always at risk for?

LOW BIRTH WEIGHT *no matter what

What type of anxiety is good? Reasons?

MILD *due to heightened sense of awareness, focus, motivation

If mom receives any kind of IV medication, what do we give baby?

NARCAN

What reverses over-dose?

NARCAN

If you do not have the proper coping mechanisms for stress/anxiety, will medications be useful?

NO

Is all anxiety bad?

NO

What medication do we use in labor?

PITOCIN

What is one nutrient that would be the BEST to suggest to a patient that has a drinking problem and is not getting enough nutrients?

PROTEIN

Action stage

Stage of change in which people are actively changing a negative behavior or adopting a new, healthy behavior

When we treat anxiety, what are we hoping will happen?

ability to implement coping skills that we learned

Best way to teach someone?

allow patient to do things on their own provide positive reinforcement focus on what they are doing correctly

RED flag for someone someone at risk for suicide?

apologizing making amends with people they become happy

What can hep B and hep C cause in infants?

birth defects potential congenital diseases

DANGER signs in pregnancy

bleeding HTN UTI early rupture of membranes (water breaking) a lot of movement by fetus then NO movement NO movement at all

What do we watch for after tonsilitis?

bleeding (excessive swallowing, seeing bright red blood, fever, increased pain, increased HR, restlessness, anxious)

What age should the fantasy stage stop in?

by school-age

Safety risks for infant, toddler, preschool, school age, adolescents?

choking accidents poisoning drowning/bike safety risk taking

Rationalization

consists of justifying illogical or unreasonable ideas, actions, or feelings by developing acceptable explanations that satisfy the teller and the listener. *Example- a person who is turned down for a date might rationalize the situation by saying they were not attracted to the other person anyway.

For a child with a respiratory illness, what finding would indicate patient is getting worse?

decrease in respiratory status (decreased O2)

What are postpartum patients at risk for? What can we do to help them?

dehydration fever infection constipation pain DVT *AMBULATION

how often should a mother breastfeed?

every 2-3 hours *10-12x/day

When should breastfeeding begin after birth?

first 1-2 hours

What will a pregnant patient with preeclampsia present with?

headache vision disturbances swelling (whole body)

Physiological symptoms of moderate to severe anxiety in which SSRI medication will help with

heart pounding sweating crying heart palpitations increased HR ***should prevent us from going into FIGHT or FLIGHT

Why is protein most beneficial to us?

helps prevent injury helps maintain muscle

Treatment of endometriosis

hysterectomy or symptom management (depending on patient's life desires)

Denial

involves escaping unpleasant, anxiety causing thoughts, feelings, wishes, or needs by ignoring their existence. *A man reacts to the death of a loved one by saying "no, I don't believe you" to initially protect himself from the overwhelming news.

What is a long-term cause of stress?

long term illness ineffective coping mechanisms

What does a NON stress test tell us?

maternal HR fetal movement oxygenation

If someone is ingesting only alcohol, what is not being ingested that is important?

nutrients

maladaptive behavior

overuse of defensive mechanisms, eating disorders, addiction, substance abuse

S/S endometriosis

pain in thighs painful periods

UTI symtoms

painful urination blood in urine fever chills

When are we most likely to have a FIGHT or FLIGHT response?

perception that something is about to harm or makes us feel like we are in DANGER

What will anxiety medications help with?

physiological symptoms

What could pain in the abdomen indicate during pregnancy?

placental abruption

What is endometriosis caused by?

retrograde menstruation

Lochia

rubra serosa alba

What does the Patient Health Questionnaire Scale tell us?

severity of depression

Side effects of Prozac (Fluoxetine) SSRI?

sexual dysfunction weight gain *can lift energy enough that could cause suicide

What are patients at an increased risk for taking SSRI's?

suicide

Stages of abuse

tension building acute battering honeymoon

Suicide risk factors

terminal illness (CA) MEN STRESS financial trouble

Displacement

the transfer of emotions associated with a particular person, object or situation, to a non involved party. *Example- A child yells at his teddy bear after being picked on at school.

Projection

the unconscious rejection of emotionally unacceptable features and attributing them to others. *Example- A wife is attracted to a male co-worker but can't admit her feelings, so when her husband talks about a female co-worker, she becomes jealous and accuses him of being attracted to the other woman.

Why do we recommend condoms?

they prevent STI's

Maintenance stage

this is when relapse can happen and pushes patient back to contemplation stage

Adaptive behavior

use of defense mechanisms helps people lower anxiety to achieve goals in ACCEPTABLE ways.

Child development infant

weight doubles by 6 months and triples by 1 year

When are we worried about moms BP?

when we give epidural

What is it called when someone has become dependent on a drug and their body physically needs it?

withdrawal