Flashcards

Vaccine, womens's health

Annie Nguyen Inglês 18 flashcards

Flashcards do conjunto (18)

1What vaccines are avoided in Pregnancy, Immunocompromised, and CD4< 200?Shingles, MMR, and Varicella
2What Trimester should a mom be given Tdap and Why?3rd Trimester and to protect from pertussis
3Flo is a 69 yo female, she is requesting a flu vaccine, what do you give?
4Hector needs his Hep A and Heb B vaccine, how many return visits (doses) should he schedule to complete the regime.
5Harriet is a 70 yo female, she needs a pneumococcal vaccine, what vaccine would you give her (no hx of previous Pneumonia vaccine?NO HX of Pneumo. Vaccine = Prevnar 13 (first), wait 6-12 months then give Pneumovax 23 (second).
6Eddie just turned 65 yo, he has the Pneumovax shot at 62; what should he be given next?Prevnar 13 at >65yo
Wait 6-12 mos. give Pneumovax 23.
* Prevnar 13 should be give 5 years after Pneumovax 23.
7Sequences of Breast Maturity What Stage is there a recession of the areola into the general contour of the breast?
8During ovulation ( day 14); which hormones peak to release the ovum into the peritoneal cavity?GnRH-> Pituitary->
Luteinizing and Follicular Stimulating Hormone
(LH and FSH)
9Follicle->Ovum-> Corpus Luteum-> What hormones does the Corpus Luteum secret and what effect the effect on the uterus?The corpus luteum produces mostly progesterone and small amounts of estrogen. Progesterone- pregnancy hormone thicken/vascularization of the uterine lining.
10Nagele's RuleDetermine first day of LNMP.
Subtract: three months
Add: seven days
11When is HCG detectable in mom's urine? Normal HCG -----?-----, every 1-3 days in the first trimester.HCG: detectable: 9 days after LH surge or 8-10 after conception.
HCG Doubles q1-3 days.
12What supplement should be started three months before conception (essential in the 1st trimester?RDA 400mcg folic acid (3 mos. before conception).
HX of Neural Tube defect: 4000mcg of folate before conception.
13UTI in pregnancy: what do you treat with?Macrodantin 100mg po at hs for 10days
14At 17-36 weeks, what landmarks are used to measure fundal height?symphysis pubis to fundus
15Three Signs during the first Trimester of PregnancyGoodell's: softening of cervix
Hegar's: soften isthmus of uterus
Chadwick: blue cervix
16Pregnancy Visit ScheduleEvery 4 weeks till 28 weeks (7mos)->
every 2 week till 36 weeks(8 mos)->
every week till term (9th mos)
FYI: ultra-sound at 18 weeks (4mos), FHT at 20 weeks, and 26 glucose.
17FDA Pregnancy Categories for MedicationsCategory A: controlled studies failed to demonstrate risk
B: animal studies failed to demo risk
C: animal fetal risk demonstrated or no studies on humans or animals available.
Category D and X: do not prescribe
18Jenny, a 29 yo female c/o breast swelling, tenderness, pain, erythema and fever. " the baby is not latching on and has not eaten in 2 days. What is the DX and TX?Mastitis
Cephalexin 500 q 8hrs for 10-14 days.
Pt. ED: completely empty breast milk while feeding, ensure good latch for complete milk evacuation. Ensure skin around the nipple stays moist and intact.