405 7 Flashcards
The bleeding in Previa happens after __ weeks
20
If you suspect Previa, what should you and what should you not do
Do an ultrasound
Don’t touch the area
Someone with preeclampsia should prophylactically receive
magnesium sulfate
The most dangerous time to develop eclampsia is
right before/right after delivery
If Previa is stable, the patient should
go home and rest
also avoid sex
If Previa is unstable she’ll need a
c section sooner
A risk factor for Previa is multiple
gestation
Abruption: the bleeding can cause uterine
contractions as the uterus tries to stop the bleeding. The contraction in turn can cause delivery
Hyperemesis: may need to prescribe PRN
antiemetic
Hyperemesis: monitor
weight and nutritional status
Premature babies have difficulty feeding because
their sucking reflex isn’t developed
Women might not show symptoms of ___ and ___ until later
Ghonarhea and syphillis
It’s OK to spot during pregnancy but not
bleeding lots
Part of the reason we give the baby erythromycin is prevent which STD
ghonarrhea
A woman could be cured of ____ but possibly still have an infection in her blood
lesions
White patches in the baby’s mouth
Thrush
Premature babies almost always have ___ anemia
iron
The most common iron anemia findings
Pallor and Fatigue
Hypochromic RBCs is a finding of
iron anemia
Side effect of iron supplement
constipation
2 maintenance drug sickle cell
Hydroxyurea and folic acid
Hemophilia and injuries
easily bruise, however internal bleeding would only be caused by a more serious injury
Hemophilia and factor replacement
they have a normal regimen of factor replacement, but also need an extra boost before stuff like the dentist
First tx of CDH
triple diaper
2nd tx of CDH
pavlik harness
3rd tx of CDH
spica cast
Triple diapering keeps the legs
abducted
The tightness of the pavlik harness is determined by
prescription (can’t be adjust by the parents)
How do babies respond to the pavlik harness
initially they don’t like it but you can distract them with play and eventually they don’t mind
Does anything special need to be done during the spica casting
sedate the baby
The spica casting should be done before
they really start walking
A couple big challenges with the spica cast
diapering
keeping it clean
Club foot causes
it could be it’s own disorder or could be a complication of neural tube defect
Variations of club foot
minor, major, one foot, two foot
Club foot tx
manual manipulation with cast
Short legs cast are on which part of the body
mid calf to ball of foot
After using a short leg cast, they may use
high tops, or high tops with a splint
At what age would you began casting
newborn
Idiopathic
no known cause
Scoliosis causes
congenital or idiopathic
An early intervention for mild scoliosis
strengthen the back muscles
After scoliosis surgery, think about
all the normal stuff having to do with immobility
After scoliosis surgery they probably need what med
stool softener
spina bifida with sack, how is the lower body
paralyzed
spina bifida with sack, what is the severity of the pain in the lower body
No pain at all, they’re paralyzed
spina bifida with sack, the increased pressure causes 2 things
hydrocephalus and ICP
spina bifida with sack, positing after surgery
prone or side (supine is still not allowed)
spina bifida with sack, because they are permanently paralyzed, what’s the main long-term concern
safety
Frontal bossing
In hydrocephalus, the pressure gets so intense that you can see the veins pressed up against the forehead
How might a hydrocephalus baby sound
high pitched
Possible nursing dx for hydrocephalus patient
Pain
Hydrocephalus patients are prone to
seizures
How does the head size progress in hydrocephalus
Even after tx it will be big.
By preschool they will have grown into the head
Hydrocephalus complications
could be learning disability all the way to retardation
The most common cause of cerebral palsy ia
anoxia at birth
Denver Developmental: 4 areas of testing
- Personal-social
- Fine motor (eye-hand coordination, problem-solving skills)
- Gross motor
- Language
