Term
| Transmission of Human Papillomavirus |
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Definition
horizontal transmission
vertical transmission during delivery |
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Term
| What can cause transmission horizontally |
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Definition
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Term
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Definition
genital warts
recurrent respiratory papillomatosis
cervical and oropharyngeal cancer |
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Term
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Definition
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Term
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Definition
vaccination
perodic cancer screenings
use of condoms |
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Term
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Definition
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Term
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Definition
| stimulate production of antibodies that attach HPV which causes majority of cervical cancers |
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Term
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Definition
recommended for 11-12 y.o. boys and girls
three shots over 6 months
most effective if given before sexually active and before exposure |
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Term
| Parvovirus B19 transmission |
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Definition
very contagious
more common among children |
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Term
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Definition
distinctive rash "slapped cheeks"
lace like rash on extremities
fever, malaise, joint pain |
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Term
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Definition
fetal death from failure of fetal RBC producion
fetal HF |
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Term
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Definition
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Term
| Human Immunodeficiency Virus transmission |
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Definition
Horizontal, vertical, blood and body fluids
AIDS |
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Term
| Can a mother pass HIV to her baby via breastfeeding? |
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Definition
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Term
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Definition
failure to thrive
extensive seborrheic dermatitis (cradle cap)
persistent thrush
meningitis
pneumonia
septicemia |
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Term
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Definition
antiretroviral therapy
teach prevention of spread of hiv to mother |
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Term
| What antiretrovirals are used? |
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Definition
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Term
| How long can the infant be HIV positive if actually negative and why |
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Definition
18 months
because of passive antibodies from the mother |
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Term
| Other actions to decrease infection |
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Definition
c-section and rupture of membranes at 38 weeks
NO BREASTFEEDING |
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Term
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Definition
adequate highquality nutrition to decrease the risk for opportunistic infections
sufficient rest and activity
avoid large crowds and traveling to areas with poor sanitation or exposure to those with other infections
meticulous skin care |
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Term
| Group B Streptococcus transmission |
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Definition
| colonized in the rectum vagina cervix and urethra of approx. 10-30% of all pregnant women |
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Term
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Definition
asymptomatic
UTI chorioamnionitis and endometrisis
premature rupture of membranes
premature birth |
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Term
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Definition
sepsis
pneumonia
meningitis |
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Term
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Definition
PCN-first line
no prophylaxis for planned c-section if labor or ROM did not occur before planned procedure |
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Term
| When is it optimal to identify infection of GBS? |
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Definition
| between 35-37 weeks gestation |
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Term
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Definition
previous birth of infant with GBS or GBS diagnosis
prematurity <37 weeks
ROM 18 hours or more prior to delivery
temperature of 100.4 or higher |
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Term
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Definition
| fever of 100.4 or higher occuring on at least 2 of the first 10 days after the first 24 hours |
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Term
| A patient is 8hrs postpartum and has a temperature of 100.4, is this wdl? |
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Definition
| yes. any temperature above 100.4 after 24 hours is considered abnormal |
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Term
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Definition
hx of previous infection
cesarean birth
trauma
prolonged labor or ROM
catheterization
excessive number of vaginal examinations
hemorrhage
retained placental fragements
poor general health, nutrition, and/or hygiene |
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Term
| Puperal infections include |
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Definition
| endometrisis, wound infections, UTI, mastitis, septic pelvic thrombophlebitis |
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Term
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Definition
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Term
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Definition
fever
chills malaise anorexia
uterine tenderness
subinvolution of the uterus
foul smelling lochia |
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Term
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Definition
IV antibiotics until afebrile for 24 hours
prophylactic antibiotics during cesarean sections
comfort measures
teach s/sx of worsening infections |
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Term
| when is the antibiotic given during surgery? |
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Definition
| after the umbilical cord is clamped to prevent exposure of drug to baby |
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Term
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Definition
fowlers position to promote drainage of lochia
medicated for abd pain or cramping
signs of improvement
or new s/sx
vs q2hrs for fever and 4hrs afterward
foods high in vit c and protein |
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Term
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Definition
n/v
abd distention
absent bowel sounds
severe abdominal pain |
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Term
| what comfort measures can be implemented |
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Definition
warm blankets
cool compresses
fluid consumption
heating pad |
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Term
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Definition
s/sx of worsening
side effects of therapy
adhering to tx plan and follow up care |
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Term
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Definition
edema
warmth
redness
pain and tenderness
wound edges seperate
seropurulent drainage
fever/malaise |
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Term
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Definition
broad spectrum antibiotics
analgesics
comfort measures
surgical debridement |
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Term
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Definition
sitz baths
warm compresses
frequent perinal care |
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Term
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Definition
wipe from front to back
change perineal pads frequently
good handwashing
adequate fluid intake and diet |
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Term
| Urinary Tract Infections s/sx |
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Definition
1st/2nd pp day
dysuria urgency frequency
suprapubic pain |
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Term
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Definition
antibiotics (IV for pyelonephritis)
urinary analgesics (Pyridium)
increase fluid consumption
avoid grapefruit juice and carbonated drinks |
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Term
| What does pyelonephritis manifest as |
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Definition
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Term
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Definition
take all medications
drink 2500-3000 ml of fluid each day
drink those that acidify the urine
proper perineal care
urinating frequently |
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Term
| WHat helps to acidify the urine? |
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Definition
| apricot, plum, prune, or cranberry juices |
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Term
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Definition
| infection of the breast (staph. a) |
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Term
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Definition
fissures or cracks in nipples
overdistention or milk stasis
improper breastfeeding technique |
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Term
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Definition
flu like symptoms
localized wedge shaped area of breast that is red edematous hot and painful |
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Term
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Definition
antibiotic therapy
continued emptying of breast
surgical drainage if abscess develops
comfort measures |
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Term
| nursing considerations: teaching upon discharge |
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Definition
provide information about s/sx
prevention: correct positioning, avoid nipple trauma and stasis
breastfeed q2-3 hours
avoid formula supplements and nipple shields
change nursing pads when wet
avoid continout pressure on breasts from tight bras or infant carriers |
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Term
| Nursing considerations once occurs |
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Definition
moist heat (disposable diaper with warm water)
shower or hot packs
complete all antibiotics |
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Term
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Definition
completely emptied at each feeding
breastfeeding or pumping q1.5-2 hours
starting feeding on unaffected side
massage over area before and after feeding
stay in bed
intake of 2500-3000
analgesics |
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Term
| Septic pelvic thrombophlebitis |
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Definition
| pelvic infection that spreads along the venous system and thrombophlebitis developes |
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Term
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Definition
pain in groin abdomen or flank
fever or tachycardia
gi distress and decreased bs |
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Term
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Definition
anticoagulation therapy
antibiotics
observe for s/sx of pulmonary embolism |
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Term
| Assessment for the woman with an infection |
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Definition
look for fever, tachycardia, pain, or unusual amount or odor of lochia.
malaise muscle ache
examine all woulds
ask about difficulty emptying bladder or any discomfort
evaluate for knowledge of hygiene like handwashing perinal care and pads, also breastfeeding.
examine the nipples |
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