Summary

This document provides an overview of family-centered practices, cultural competence, and related topics. It also discusses hypertension, diabetes, and hypertensive disorders of pregnancy.

Full Transcript

OTR512 MIdterm Study online at https://quizlet.com/_dski2b Emphasizes the role of the family in the decision making (parents Family Centered Practice know best)...

OTR512 MIdterm Study online at https://quizlet.com/_dski2b Emphasizes the role of the family in the decision making (parents Family Centered Practice know best) Behaviors & attitudes that enable the individual to function effec- Cultural Competency tively with culturally diverse clients Hypertonic High / Tonic = Muscle Tone Hypotonic Low / Tonic = Muscle Tone Protein that is either absent or at low levels in a person with Dystrophin Muscular Dystrophy (MD) which causes the muscle to be fragile and easily damaged Hypertension High Blood Pressure -Diabetes Maternal Conditions (3) -Hypertensive Disorders of Pregnancy -Trauma & Abuse Approx. 2-3% of pregnancies are affected Hyperglycemia- High Blood Sugar (results in mother) Hypoglycemia- Low Blood Sugar (results in infant) Diabetes *Hyperglycemia in mom can cause severe hypoglycemia in infant after birth* -Chronic hypertension -Preeclampsia-eclampsia Hypertensive Disorders of Pregnancy (4) -Pre-eclampsia superimposed on chronic hypertensions -Transient hypertension Elevated blood pressure greater than 140/90 that occurs either Chronic hypertension before pregnancy or prior to 20 weeks gestation Hypertension occurring after the 20th week of gestation accom- Preeclampsia-eclampsia panied by either proteinuria (protein in urine) or edema (accumu- lation of fluid in tissue) Preeclampsia complicating hypertension from a previous cause Pre-eclampsia superimposed on chronic hypertensions (common hypertension, diabetes, kidney disease) -Gestational hypertension Transient hypertension -Hypertension in later half of pregnancy -10-20% suffer Trauma & Abuse -Preterm labor is most common after trauma -Preterm Labor -Preterm Membrane Rupture Obstetric conditions (4) -Placental Abruption -Umbilical Cord Prolapse Puts fetus at risk Preterm Labor 85% of neonatal deaths Associated with placental hemorrhaging & hypertension Occurs between 24-34 weeks GA (gestation) Preterm Membrane Rupture Chorioamnionitis = infection of the amniotic membranes Premature separation of the placenta from uterus Placental Abruption Significant cause of both maternal & fetal death Occurs when umbilical cord descends through the birth canal in advance of infant during labor Umbilical Cord Prolapse Is prone to compressive forces which may compromise blood flow to the fetus, placing the infant at risk Abnormal Placentation Multiple Gestation Special conditions (4) Abnormal Presentation Birth Injury & Defects 1/9 OTR512 MIdterm Study online at https://quizlet.com/_dski2b Placenta Previa = placenta implanted low in the uterus and lies over cervical opening Abnormal Placentation Placenta Accrete = placenta abnormally attaches itself to the muscular wall of uterus Multiple Gestation Significantly increases risk of LBW and preterm labor Breech- either the fetal butt or lower extremities are the present- Abnormal Presentation ing part or parts Birth Injury & Defects Facial nerve palsy, fracture of the clavicle, brachial plexus injury HEP home exercise program IEP Individualized Educational Program International Classification of Functioning Disability and Health ICF (OT's version is OTPF) GA gestational age (age of embryo) AGA appropriate for gestational age SGA small for gestational age LGA large for gestational age LBW low birth weight VLBW very low birth weight ELBW extremely low birth weight RDS respiratory distress syndrome BPD bronchopulmonary dysplasia IVH intraventricular hemorrhage PVL periventricular leukomalacia ROP retinopathy of prematurity NEC necrotizing entercolotis CP Cerebral Palsy TLR Tonic Labyrinthe Reflex MR mental retardation BLE/BUE both lower/upper extremities MD Muscular Dystrophy BMD Becker MD DMD Duchenne MD FMD Facioscapulohumeral MD LGMS Limb-girdle MD MMD Myotonic MD CMD Congenital MD OMD Oculopharyngeal MD DD Distal MD EDMD Emery Dreifuss MD LOC loss of consciousness JRA Juvenile Rheumatoid Arthritis AMC Arthrogryposis Multiplex Congenita IR internal rotation ASD Autism Spectrum Disorder ID intellectual disability 2/9 OTR512 MIdterm Study online at https://quizlet.com/_dski2b OI Osteogenesis Imperfecta Prematurity 28-37 weeks GA (

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