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aa Orgo > 405 6 > Flashcards

405 6 Flashcards

1
Q

What kind of DM med is and isn’t taken during pregnancy

A

oral hypoglycemics are not taken

Insulin is taken

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2
Q

Does insulin cross the placenta?

A

No

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3
Q

Care for the Maternity Client with Diabetes: maintain blood sugar between

A

60 and 80

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4
Q

insulin administration the day before delivery

A

discontinue long-acting insulin

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5
Q

feeding a newborn of a DM mother

A

small frequent feedings starting an hour after birth

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6
Q

Sickle Cell Anemia usually appears after

A

6 months of age

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7
Q

Sickle Cell: Hydration is very important because

A

it causes hemodilution and allows the RBCs to flow better

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8
Q

Sickle Cell leads to anemia because

A

the RBCs have a shorter lifespan

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9
Q

Sickle Cell test that differentiate someone with the trait vs someone with the disease

A

electrophoresis

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10
Q

Part of the reason Sickle Cell patients are prone to infection is they have a nonfunctioning

A

spleen

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11
Q

Sickle Cell: Growth

A

may be delayed

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12
Q

Arthralgia

A

joint pain

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13
Q

teens with sickle cell may develop leg

A

ulcers

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14
Q

Sickle Cell, to prevent hypoxia: Keep child from exercising

A

strenuously

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15
Q

Sickle Cell, to prevent hypoxia: Keep child away from high

A

altitudes

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16
Q

Sickle Cell, to prevent hypoxia: Use prophylactic ____ if prescribed

A

penicillin

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17
Q

Sickle Cell, to prevent hypoxia: Do Not withhold ___ at night because enuresis is a complication of both the disease and the treatment.

A

fluids

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18
Q

Sickle Cell, For a child hospitalized with a vaso-occlusive crisis use ___ compress

A

warm compress (not ice)

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19
Q

Sickle Cell: Administer hepatitis __ vaccine as prescribed (for child at risk because of transfusions)

A

B

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20
Q

Supplemental __ is not given to clients with sickle cell

A

iron

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21
Q

Sickle Cell: give __ __ is given orally to stimulate RBC synthesis

A

folic acid

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22
Q

Hemophilia: the most common body parts to bleed

A

joints

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23
Q

Hemophilia: administer pain meds but no

A

aspirin

24
Q

Hemophilia: Teach local treatment for minor bleeds: ___, ___, ___

A

pressure, splinting, ice

25
Q

Scoliosis: If severe it can cause

A

respiratory problems

26
Q

Scoliosis: when wearing a brace, what can you do to decrease skin irritation

A

wear an under shirt

27
Q

Scoliosis surgery: body jacket

A

will be worn for several months

28
Q

Hydrocephalus is most often associated with

A

spina bifida; it can be a complication of meningitis

29
Q

2 cardiovascular findings of ICP

A

decreased pulse
increased BP
(opposite of shock)

30
Q

Hydrocephalus: Older children show classic signs of

A

ICP

31
Q

Shunt for Hydrocephalus: do not ___ the shunt unless prescribed

A

pump

32
Q

Spina bifida is a birth defect in which the spinal canal and the

A

backbone don’t close before the baby is born

33
Q

Cerebral Palsy definition: Nonprogressive injury to the motor centers of the brain causing neuromuscular problems of

A

spasticity or dyskinesia (involuntary movements)

34
Q

Cerebral Palsy: associated problems may include

A

cognitive impairment
and
seizures

35
Q

A form of brain damage caused by too much jaundice

A

Kernicterus

36
Q

not the only one, but a Major risk factor for Cerebral Palsy is

A

low birth weight

37
Q

Cerebral Palsy: finding after 6 months

A

still have baby reflexes that should have diminished already

38
Q

Cerebral Palsy: babies have difficulty with what important behavior

A

feeding

39
Q

Cerebral Palsy: what might the mother report that could be translated to meaning Spasticity

A

the baby is difficult to diaper

40
Q

Cerebral Palsy: Feed the child in a way that prevents aspiration: position them

A

upright and support the lower jaw

41
Q

Spina Bifida is a malformation of the

A

vertebrae and spinal cord

42
Q

Spina Bifida with meningocele and myelomeningocele

A

a sac is present at some point along the spine

43
Q

Every child with a history of spina bifida should be

screened for ___ allergies

A

latex

44
Q

Spina Bifida Prevention: Folic acid is taken daily at least

A

3 months prior to pregnancy. The dosage is increased during pregnancy.

45
Q

Spina Bifida: 6 associated problems

A
  • Hydrocephalus
  • problem controlling bladder/anus
  • Dislocated hip
  • Club feet
  • Skin problems
  • Scoliosis
46
Q

Spina Bifida: position prone with legs

A

abducted

47
Q

Spina Bifida: Measure head circumference at least every

A

8 hours or every shift

48
Q

Spina Bifida: how will the babies empty their bladder

A

Credé method or catheterize

49
Q

Spina Bifida: how will the older children empty their bladder

A

self-catheter

50
Q

Spina Bifida: Develop bowel program: High

A

fiber diet

51
Q

Spina Bifida: Develop bowel program: Increased

A

fluids

52
Q

Spina Bifida: Develop bowel program: ___ PRN

A

Suppositories

53
Q

Benign tumors are more common in women who have

never

A

been pregnant

54
Q

Myomectomy

A

removal of fibroids without removal of the uterus

55
Q

FAS: environment for the baby

A

low stimuli

56
Q

FAS: implication of difficulty sucking/swallowing

A

may need enteral feeding

aa Orgo (196 decks)

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