Obstetric History Quiz
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What does 'Gravida' refer to in obstetric history?

  • The number of times a woman has been pregnant (correct)
  • The number of pregnancies that ended in abortion
  • The number of viable births a woman has had
  • The number of living children a woman has

    • Which vaccines are recommended during pregnancy?

  • Pneumococcal and meningococcal (correct)
  • Influenza vaccines at any time (correct)
  • MMR, polio, and varicella
  • Tdap during 27-36 weeks of gestation (correct)

    • What are the common clinical features of an ectopic pregnancy?

  • Severe headaches and increased blood pressure
  • Abdominal pain, adnexal tenderness, and abnormal uterine bleeding (correct)
  • Weight gain and back pain
  • Nausea and frequent urination

    • At what point in pregnancy should anamnestic rubella titers be evaluated?

    <p>During the first prenatal visit and at 28 weeks</p> Signup and view all the answers

    What is the primary reason for administering Anti-D immunoglobulin to Rh-negative women?

    <p>To prevent sensitization if the infant is Rh-positive</p> Signup and view all the answers

    Which maternal position is associated with increased discomfort due to dextrorotation during pregnancy?

    <p>Right lateral position</p> Signup and view all the answers

    What is the term used for the number of times a woman has given birth to a fetus at a viable age?

    <p>Para</p> Signup and view all the answers

    What is a common complication during pregnancy that should be investigated if hand or facial edema occurs after 20 weeks?

    <p>Preeclampsia</p> Signup and view all the answers

    What symptom is often associated with round ligament pain during pregnancy?

    <p>Pain in the lower quadrants</p> Signup and view all the answers

    What is a common consequence of ruptured ectopic pregnancy?

    <p>Shock from intraperitoneal hemorrhage</p> Signup and view all the answers

    What might the presence of low weight in older adults indicate?

    <p>Poor nutritional status</p> Signup and view all the answers

    What is a common cognitive assessment technique used for elderly patients?

    <p>Three-word recall</p> Signup and view all the answers

    Which of the following conditions is frequently associated with aging?

    <p>Decreased testicular size</p> Signup and view all the answers

    What condition can contribute to erectile dysfunction in older men?

    <p>Dyslipidemia</p> Signup and view all the answers

    Which assessment is crucial for evaluating the risk of falls in older adults?

    <p>Lighting and handrail installations</p> Signup and view all the answers

    Which of the following is NOT a risk factor for urinary incontinence in the elderly?

    <p>Increased physical activity</p> Signup and view all the answers

    What is a major risk related to the aging cardiovascular system?

    <p>Aortic stenosis</p> Signup and view all the answers

    What is a sign of potential neglect or abuse in older adults?

    <p>Poor hygiene and malnutrition</p> Signup and view all the answers

    Which cognitive issue might be indicated by poor performance in memory recall tests?

    <p>Delirium or late-stage dementia</p> Signup and view all the answers

    What physiologic change is commonly associated with aging related to vision?

    <p>Development of cataracts</p> Signup and view all the answers

    What is a recommended method to prevent tripping hazards in the home?

    <p>Install double-sided tape on rugs</p> Signup and view all the answers

    What is the recommended blood pressure target for adults over 60 years old?

    <p>Less than or equal to 150/90</p> Signup and view all the answers

    Which of the following is NOT a component of the 10-minute Geriatric Screener?

    <p>Smoking status</p> Signup and view all the answers

    Where should commonly used items be stored to enhance safety?

    <p>In cabinets that are easy to reach without using a step stool</p> Signup and view all the answers

    What should be done to firearms in the home?

    <p>Secure them safely</p> Signup and view all the answers

    What is recommended to improve safety in bathrooms and showers?

    <p>Install grab bars and nonslip mats</p> Signup and view all the answers

    How should medications be stored to ensure safety?

    <p>In a secure location</p> Signup and view all the answers

    Which of the following should be regularly checked in a home for safety?

    <p>Assess the condition of faulty plugs and cords</p> Signup and view all the answers

    What action should be taken during a fire emergency?

    <p>Have a pre-established escape plan</p> Signup and view all the answers

    What is a potential consequence of untreated high blood pressure in older adults?

    <p>Increased risk of health complications</p> Signup and view all the answers

    What cardiovascular change is most likely to occur in older adults?

    <p>Calcification and immobility of the aortic valve</p> Signup and view all the answers

    Which of the following conditions is most likely to cause forgetfulness in older adults?

    <p>Anxiety and depression</p> Signup and view all the answers

    What is a common cause of erectile dysfunction in older men?

    <p>Vascular issues such as diabetes and hypertension</p> Signup and view all the answers

    Which cognitive assessment technique can indicate potential delirium or dementia in older adults?

    <p>Counting backward from 100 by sevens</p> Signup and view all the answers

    What physical change may contribute to increased fall risk in older adults?

    <p>Decreased muscle mass and strength</p> Signup and view all the answers

    What sign may suggest malnutrition in older adults?

    <p>Low weight</p> Signup and view all the answers

    Which of the following increases with age and may lead to significant health challenges?

    <p>Risk of cataracts and glaucoma</p> Signup and view all the answers

    What is a beneficial intervention to reduce fall risks in older adults?

    <p>Installing bright lighting and handrails</p> Signup and view all the answers

    What type of trauma is most often seen in elderly patients with substance misuse?

    <p>Elder mistreatment, including abuse and neglect</p> Signup and view all the answers

    Which of the following measures is NOT recommended to enhance safety in an elderly person's home?

    <p>Using scatter rugs for decor</p> Signup and view all the answers

    What is the primary purpose of removing items that cause tripping hazards from stairs or walkways?

    <p>To reduce the risk of falls and injuries</p> Signup and view all the answers

    Which of the following actions is recommended for storing medications safely?

    <p>Placing medications in easily reachable cabinets</p> Signup and view all the answers

    What is an important recommendation for improving safety in bathrooms?

    <p>Installing grab bars and nonslip mats</p> Signup and view all the answers

    How often should smoke alarms be checked for proper functionality?

    <p>Every year</p> Signup and view all the answers

    Hand or facial edema after 20 gestational weeks should be primarily associated with which of the following actions?

    <p>Investigation for underlying issues</p> Signup and view all the answers

    What should the ideal blood pressure target be for adults over 60 years old if treatment is deemed necessary?

    <p>Less than 150/90</p> Signup and view all the answers

    Which of the following vaccines should be administered to pregnant women during the influenza season?

    <p>Influenza vaccine</p> Signup and view all the answers

    What defines the term 'para' in obstetric history?

    <p>Number of pregnancies resulting in viable births</p> Signup and view all the answers

    What action is crucial for securing potentially dangerous items in a home?

    <p>Ensuring that firearms are secured</p> Signup and view all the answers

    What is a significant risk factor associated with ectopic pregnancy?

    <p>Pelvic inflammatory disease (PID)</p> Signup and view all the answers

    What does the 10-minute Geriatric Screener assess regarding older adults' health?

    <p>Physical mobility and sensory functions</p> Signup and view all the answers

    What is the common presentation of abdominal pain in an ectopic pregnancy?

    <p>Sudden severe pain followed by fainting</p> Signup and view all the answers

    Which statement correctly describes the maintenance of electrical cords for safety?

    <p>Frayed cords should be repaired or replaced immediately</p> Signup and view all the answers

    When should Rubella titers be evaluated during pregnancy?

    <p>At the first prenatal visit and at 36 weeks</p> Signup and view all the answers

    When should individuals utilize a clinical alert device?

    <p>As a preventive measure for emergencies</p> Signup and view all the answers

    Which of the following is NOT a recommended action to improve home safety for older adults?

    <p>Storing items at high shelves</p> Signup and view all the answers

    What should be given to Rh-negative women at 28 weeks of gestation?

    <p>Anti-D immunoglobulin</p> Signup and view all the answers

    Dextrorotation during pregnancy is commonly associated with increased discomfort primarily on which side?

    <p>Right side of the abdomen</p> Signup and view all the answers

    What is the significance of a palpable adnexal mass in the context of ectopic pregnancy?

    <p>It may be large, fixed, and ill-defined</p> Signup and view all the answers

    Which of the following is a common misconception about perinatal vaccinations?

    <p>MMR is safe during any stage of pregnancy</p> Signup and view all the answers

    Study Notes

    Obstetric Considerations

    • Hand or facial edema after 20 weeks of gestation is nonspecific for preeclampsia but requires investigation.
    • Obstetric history includes terminology:
      • "Gravida" refers to the number of pregnancies.
      • "Para" indicates the number of births after 24 weeks' gestation, irrespective of live or stillbirth.
      • Further breakdown of parity includes term deliveries, preterm deliveries, abortions, and living children.
    • Uterine stretching causes round ligament pain, often more pronounced on the right side due to dextrorotation and associated hydronephrosis.

    Exercise and Nutrition

    • Exercise and nutrition guidelines during pregnancy ensure maternal and fetal health.

    Vaccination and Screening

    • TDAP vaccine recommended between 27-36 weeks of gestation, regardless of prior immunization history.
    • Influenza vaccine is advised at any time during influenza season.
    • Pneumococcal, meningococcal, and Hepatitis B vaccinations are safe during pregnancy.
    • MMR, poliovirus, and varicella vaccines should be avoided during pregnancy.
    • Rubella titers should be checked, with immunization considered post-birth for non-immune individuals.
    • Assess Rh status and antibody type at initial prenatal visit, again at 28 weeks, and at delivery.
    • Rh-negative women should receive Anti-D immunoglobulin at 28 weeks and post-delivery if the infant is Rh-positive.

    Preeclampsia and Ectopic Pregnancy

    • Ectopic pregnancy presents with abdominal pain, adnexal tenderness, and abnormal uterine bleeding, often resulting in shock from a ruptured mass.
    • Clinical features of ectopic pregnancy include a palpable adnexal mass, usually large and ill-defined.

    Older Adult Assessment Techniques

    • Functional status assessment includes vital signs, with low weight indicating poor nutrition.
    • Thorough examination involves evaluation of skin, hair, nails, eyes, ears, mouth, cardiovascular system, abdomen, and musculoskeletal system.
    • Neurological assessments entail memory evaluation, such as serial 7s and spelling backwards, with poor performance indicating potential delirium or dementia.

    Physiological Changes with Aging

    • Aging affects cardiovascular health, often leading to increased systolic blood pressure and widened pulse pressure.
    • Common age-related conditions: cataracts, glaucoma, and macular degeneration.
    • Risk factors for erectile dysfunction (ED) in older men include diabetes, hypertension, dyslipidemia, and smoking.

    Pain and Screening Assessments

    • Regular pain assessments are crucial in older adults.
    • Screening for substance use and potential abuse, including elder mistreatment, is essential; higher prevalence found in those with dementia or depression.

    Fall Risk Assessment

    • Install bright lighting, handrails, and secure pathways to prevent falls.
    • Recommendations include removing tripping hazards and ensuring medical items are easily accessible.
    • Safety measures like smoke alarms and emergency plans are necessary for elder safety.

    JNC Blood Pressure Guidelines

    • For adults over 60, the target blood pressure is less than or equal to 150/90 mmHg.
    • If treatment results in systolic blood pressure below 140 mmHg without adverse effects, adjustments are not required.

    Obstetric Considerations

    • Hand or facial edema after 20 weeks of gestation is nonspecific for preeclampsia but requires investigation.
    • Obstetric history includes terminology:
      • "Gravida" refers to the number of pregnancies.
      • "Para" indicates the number of births after 24 weeks' gestation, irrespective of live or stillbirth.
      • Further breakdown of parity includes term deliveries, preterm deliveries, abortions, and living children.
    • Uterine stretching causes round ligament pain, often more pronounced on the right side due to dextrorotation and associated hydronephrosis.

    Exercise and Nutrition

    • Exercise and nutrition guidelines during pregnancy ensure maternal and fetal health.

    Vaccination and Screening

    • TDAP vaccine recommended between 27-36 weeks of gestation, regardless of prior immunization history.
    • Influenza vaccine is advised at any time during influenza season.
    • Pneumococcal, meningococcal, and Hepatitis B vaccinations are safe during pregnancy.
    • MMR, poliovirus, and varicella vaccines should be avoided during pregnancy.
    • Rubella titers should be checked, with immunization considered post-birth for non-immune individuals.
    • Assess Rh status and antibody type at initial prenatal visit, again at 28 weeks, and at delivery.
    • Rh-negative women should receive Anti-D immunoglobulin at 28 weeks and post-delivery if the infant is Rh-positive.

    Preeclampsia and Ectopic Pregnancy

    • Ectopic pregnancy presents with abdominal pain, adnexal tenderness, and abnormal uterine bleeding, often resulting in shock from a ruptured mass.
    • Clinical features of ectopic pregnancy include a palpable adnexal mass, usually large and ill-defined.

    Older Adult Assessment Techniques

    • Functional status assessment includes vital signs, with low weight indicating poor nutrition.
    • Thorough examination involves evaluation of skin, hair, nails, eyes, ears, mouth, cardiovascular system, abdomen, and musculoskeletal system.
    • Neurological assessments entail memory evaluation, such as serial 7s and spelling backwards, with poor performance indicating potential delirium or dementia.

    Physiological Changes with Aging

    • Aging affects cardiovascular health, often leading to increased systolic blood pressure and widened pulse pressure.
    • Common age-related conditions: cataracts, glaucoma, and macular degeneration.
    • Risk factors for erectile dysfunction (ED) in older men include diabetes, hypertension, dyslipidemia, and smoking.

    Pain and Screening Assessments

    • Regular pain assessments are crucial in older adults.
    • Screening for substance use and potential abuse, including elder mistreatment, is essential; higher prevalence found in those with dementia or depression.

    Fall Risk Assessment

    • Install bright lighting, handrails, and secure pathways to prevent falls.
    • Recommendations include removing tripping hazards and ensuring medical items are easily accessible.
    • Safety measures like smoke alarms and emergency plans are necessary for elder safety.

    JNC Blood Pressure Guidelines

    • For adults over 60, the target blood pressure is less than or equal to 150/90 mmHg.
    • If treatment results in systolic blood pressure below 140 mmHg without adverse effects, adjustments are not required.

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    NR509 Final Chapter 27 Older Adult PDF

    Description

    Test your knowledge on key concepts related to obstetric history, including gravida and para terminology. This quiz covers essential definitions and considerations that are important for understanding women's reproductive health. Ensure you grasp these concepts crucial for clinical practice.

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