Tamara Shared "Maternity and Women's Health Care, 11th Ed, Lowerdermilk, Perry, Cashion & Aldon, 2016 (Elsevier)" - 257 Picmonics
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Maternity and Women's Health Care, 11th Ed, Lowerdermilk, Perry, Cashion & Aldon, 2016 (Elsevier)
Asian American Culture
Avoids Direct Eye Contact
Conflict Avoidance
Soft Voice Tone
Males Make Most Decisions
Feet Considered Dirty
Hot-Cold Theory of Illness
Soups and Rice After Birth
2 mins
Mexican American Culture
May Avoid Eye Contact with Authoritative Figures
Family Involved in Decisions
Emotional Bereavement
No Organ Donation
Curandero (Curandera)
Hot-Cold Theory of Illness
Abdominal Binder after Pregnancy
2 mins
Native American Culture
No Direct Eye Contact
No Organ Donation
No Blood Donation
Strong Handshakes Offensive
Tribal Shaman
Navajo Mother Massage Newborn
2 mins
Pelvic Bones
Ilium
Iliac Crest
ASIS (Anterior Superior Iliac Spine)
AIIS (Anterior Inferior Iliac Spine)
Acetabulum
Pubis
Pubic Symphysis
Obturator Foramen
Ischium
Sacrum
Coccyx
1 min
Ovulatory Hormones I - Follicular Phase
Characteristics
0-14 Days
GnRH Stimulates FSH and LH
Follicle Secretes Estrogen
Negative Feedback from Estrogen
Increased Estrogen Leads to Positive Feedback
FSH and LH Surge
LH Spike Leads to Ovulation
2 mins
Ovulatory Hormones II - Luteal Phase
Days 15-28
Corpus Luteum
Secretes Progesterone
Negative Feedback inhibits FSH and LH
No pregnancy forms Corpus Albicans
Stops Estrogen Secretion
Endometrial Sloughing - Menses
GnRH secretion produces new follicular phase
2 mins
Menopause Lab Findings
Decreased Estrogen
Lack of Negative Feedback
Increased FSH
Increased LH
Increased GnRH
Small Amount of Estrogen From Androgen Conversion
Increased Androgens = Hirsutism
1 min
Prenatal Care
Prenatal Visits
Vital Signs, FHR
Fundal Height
Urine Dipstick
Weight
Prenatal Screening
Laboratory Testing
2 mins
Anorexia Nervosa Assessment
Adolescent Girls
Fear of Gaining Weight
Assessment
Excessive Dieting
Distorted Body Image
Decreased Bone Density
Stress Fractures
Lanugo
Amenorrhea
Anemia
Diagnostic Criteria
BMI < 18.5
3 mins
Bulimia Nervosa Assessment
Assessment
Normal Body Weight
Binge and Purge
Electrolyte Disturbances
Alkalosis
Hypokalemia
Parotitis
Enamel Erosion
Russell's Sign
Diagnosis
Once Weekly For 3 Months
2 mins
Celecoxib
Indications
Rheumatoid Arthritis
Osteoarthritis
Pain
Mechanism of Action
NSAID
Selectively Inhibits COX-2
Side Effects
Sulfa Allergy
Increased Risk of Thrombosis
GI Bleed
Contraindication
Pregnancy > 30 Weeks
1 min
NSAIDs
Indications
Anti-inflammatory
Analgesic
Fever
Closure of Patent Ductus Arteriosus
Mechanism of Action
Reversible Inhibition of COX-1 and COX-2
Block Prostaglandin Synthesis
Side Effects
Interstitial Nephritis
Gastric Ulcer
Renal Ischemia
1 min
Ibuprofen (Advil, Motrin)
Mechanisms
NSAID
COX Inhibitor
Indications
General Pain
Fever
Inflammatory Conditions
Side Effects
GI Ulcers
Nephrotoxicity
Rash
Considerations
Avoid with Alcohol
Risk of Thrombotic Event
2 mins
Endometriosis
Cause
Endometrial Tissue Outside Uterus
Retrograde Menstrual Flow
Assessment
Dysmenorrhea
Cyclic Pelvic Pain
Irregular Vaginal Bleeding
Pain with Defecation
Dyspareunia
Interventions
Medications to Decrease Ovulation
NSAIDs
Surgery
2 mins
Ergocalciferol (Vitamin D2)
Mechanism
Vitamin D2
Indications
Hypoparathyroidism
Rickets
Hypophosphatemia
Side Effects
Fatigue
Constipation
Hypercalcemia
Kidney Stones
2 mins
Chlamydia
Mechanism
Chlamydia trachomatis
Assessment
May Be Asymptomatic
Dysuria
Epididymitis
Discharge
Dyspareunia
Interventions
Doxycycline
Azithromycin
No Intercourse for 1 Week
Treat Partners
2 mins
Gonorrhea
Mechanism
Neisseria gonorrhoeae
Assessment
Dysuria
Yellowish-Green Discharge
Increased Urinary Frequency
Women Often Asymptomatic
Interventions
Ceftriaxone (IM)
Chlamydia
Doxycycline
Azithromycin
Considerations
Treat Partners
2 mins
Syphilis
Mechanism
Treponema pallidum
Assessment
Primary Stage
Painless Chancre
Secondary Stage
Rash on Palms and Soles
(Generalized) Lymphadenopathy
Condylomata Lata
Latent Stage
Asymptomatic
Tertiary (Late) Stage
Aortitis
Neurosyphilis
Gummas
Interventions
Penicillin
Jarisch-Herxheimer Rash
3 mins
Penicillin
Mechanism of Action
Weakens Cell Wall
Indications
Gram-Positive Infections
Prophylaxis
Side Effects
Pain at IM Injection Site
Allergic Reaction
Considerations
Skin Tests
Allergy ID
Medication Education
2 mins
Pelvic Inflammatory Disease (PID) Assessment
Mechanism
Untreated Cervicitis
Assessment
May Be Asymptomatic
Dysuria
Vaginal Discharge with Odor
Fever
Dyspareunia
Lower Abdominal Pain
Spotting
Cervical Motion Tenderness
2 mins
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