405 6 Flashcards
What kind of DM med is and isn’t taken during pregnancy
oral hypoglycemics are not taken
Insulin is taken
Does insulin cross the placenta?
No
Care for the Maternity Client with Diabetes: maintain blood sugar between
60 and 80
insulin administration the day before delivery
discontinue long-acting insulin
feeding a newborn of a DM mother
small frequent feedings starting an hour after birth
Sickle Cell Anemia usually appears after
6 months of age
Sickle Cell: Hydration is very important because
it causes hemodilution and allows the RBCs to flow better
Sickle Cell leads to anemia because
the RBCs have a shorter lifespan
Sickle Cell test that differentiate someone with the trait vs someone with the disease
electrophoresis
Part of the reason Sickle Cell patients are prone to infection is they have a nonfunctioning
spleen
Sickle Cell: Growth
may be delayed
Arthralgia
joint pain
teens with sickle cell may develop leg
ulcers
Sickle Cell, to prevent hypoxia: Keep child from exercising
strenuously
Sickle Cell, to prevent hypoxia: Keep child away from high
altitudes
Sickle Cell, to prevent hypoxia: Use prophylactic ____ if prescribed
penicillin
Sickle Cell, to prevent hypoxia: Do Not withhold ___ at night because enuresis is a complication of both the disease and the treatment.
fluids
Sickle Cell, For a child hospitalized with a vaso-occlusive crisis use ___ compress
warm compress (not ice)
Sickle Cell: Administer hepatitis __ vaccine as prescribed (for child at risk because of transfusions)
B
Supplemental __ is not given to clients with sickle cell
iron
Sickle Cell: give __ __ is given orally to stimulate RBC synthesis
folic acid
Hemophilia: the most common body parts to bleed
joints
Hemophilia: administer pain meds but no
aspirin
Hemophilia: Teach local treatment for minor bleeds: ___, ___, ___
pressure, splinting, ice
Scoliosis: If severe it can cause
respiratory problems
Scoliosis: when wearing a brace, what can you do to decrease skin irritation
wear an under shirt
Scoliosis surgery: body jacket
will be worn for several months
Hydrocephalus is most often associated with
spina bifida; it can be a complication of meningitis
2 cardiovascular findings of ICP
decreased pulse
increased BP
(opposite of shock)
Hydrocephalus: Older children show classic signs of
ICP
Shunt for Hydrocephalus: do not ___ the shunt unless prescribed
pump
Spina bifida is a birth defect in which the spinal canal and the
backbone don’t close before the baby is born
Cerebral Palsy definition: Nonprogressive injury to the motor centers of the brain causing neuromuscular problems of
spasticity or dyskinesia (involuntary movements)
Cerebral Palsy: associated problems may include
cognitive impairment
and
seizures
A form of brain damage caused by too much jaundice
Kernicterus
not the only one, but a Major risk factor for Cerebral Palsy is
low birth weight
Cerebral Palsy: finding after 6 months
still have baby reflexes that should have diminished already
Cerebral Palsy: babies have difficulty with what important behavior
feeding
Cerebral Palsy: what might the mother report that could be translated to meaning Spasticity
the baby is difficult to diaper
Cerebral Palsy: Feed the child in a way that prevents aspiration: position them
upright and support the lower jaw
Spina Bifida is a malformation of the
vertebrae and spinal cord
Spina Bifida with meningocele and myelomeningocele
a sac is present at some point along the spine
Every child with a history of spina bifida should be
screened for ___ allergies
latex
Spina Bifida Prevention: Folic acid is taken daily at least
3 months prior to pregnancy. The dosage is increased during pregnancy.
Spina Bifida: 6 associated problems
- Hydrocephalus
- problem controlling bladder/anus
- Dislocated hip
- Club feet
- Skin problems
- Scoliosis
Spina Bifida: position prone with legs
abducted
Spina Bifida: Measure head circumference at least every
8 hours or every shift
Spina Bifida: how will the babies empty their bladder
Credé method or catheterize
Spina Bifida: how will the older children empty their bladder
self-catheter
Spina Bifida: Develop bowel program: High
fiber diet
Spina Bifida: Develop bowel program: Increased
fluids
Spina Bifida: Develop bowel program: ___ PRN
Suppositories
Benign tumors are more common in women who have
never
been pregnant
Myomectomy
removal of fibroids without removal of the uterus
FAS: environment for the baby
low stimuli
FAS: implication of difficulty sucking/swallowing
may need enteral feeding
