405 6 Flashcards by Richard smith

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

oral hypoglycemics are not taken

Insulin is taken

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Does insulin cross the placenta?

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

60 and 80

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insulin administration the day before delivery

discontinue long-acting insulin

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feeding a newborn of a DM mother

small frequent feedings starting an hour after birth

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Sickle Cell Anemia usually appears after

6 months of age

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Sickle Cell: Hydration is very important because

it causes hemodilution and allows the RBCs to flow better

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Sickle Cell leads to anemia because

the RBCs have a shorter lifespan

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

electrophoresis

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

spleen

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Sickle Cell: Growth

may be delayed

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Arthralgia

joint pain

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teens with sickle cell may develop leg

ulcers

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Sickle Cell, to prevent hypoxia: Keep child from exercising

strenuously

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

altitudes

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

penicillin

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

fluids

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

warm compress (not ice)

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

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Supplemental __ is not given to clients with sickle cell

iron

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

folic acid

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Hemophilia: the most common body parts to bleed

joints

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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