405 7 Flashcards

1
Q

The bleeding in Previa happens after __ weeks

A

20

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2
Q

If you suspect Previa, what should you and what should you not do

A

Do an ultrasound

Don’t touch the area

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3
Q

Someone with preeclampsia should prophylactically receive

A

magnesium sulfate

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4
Q

The most dangerous time to develop eclampsia is

A

right before/right after delivery

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5
Q

If Previa is stable, the patient should

A

go home and rest

also avoid sex

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6
Q

If Previa is unstable she’ll need a

A

c section sooner

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7
Q

A risk factor for Previa is multiple

A

gestation

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8
Q

Abruption: the bleeding can cause uterine

A

contractions as the uterus tries to stop the bleeding. The contraction in turn can cause delivery

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9
Q

Hyperemesis: may need to prescribe PRN

A

antiemetic

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10
Q

Hyperemesis: monitor

A

weight and nutritional status

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11
Q

Premature babies have difficulty feeding because

A

their sucking reflex isn’t developed

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12
Q

Women might not show symptoms of ___ and ___ until later

A

Ghonarhea and syphillis

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13
Q

It’s OK to spot during pregnancy but not

A

bleeding lots

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14
Q

Part of the reason we give the baby erythromycin is prevent which STD

A

ghonarrhea

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15
Q

A woman could be cured of ____ but possibly still have an infection in her blood

A

lesions

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16
Q

White patches in the baby’s mouth

A

Thrush

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17
Q

Premature babies almost always have ___ anemia

A

iron

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18
Q

The most common iron anemia findings

A

Pallor and Fatigue

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19
Q

Hypochromic RBCs is a finding of

A

iron anemia

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20
Q

Side effect of iron supplement

A

constipation

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21
Q

2 maintenance drug sickle cell

A

Hydroxyurea and folic acid

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22
Q

Hemophilia and injuries

A

easily bruise, however internal bleeding would only be caused by a more serious injury

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23
Q

Hemophilia and factor replacement

A

they have a normal regimen of factor replacement, but also need an extra boost before stuff like the dentist

24
Q

First tx of CDH

A

triple diaper

25
Q

2nd tx of CDH

A

pavlik harness

26
Q

3rd tx of CDH

A

spica cast

27
Q

Triple diapering keeps the legs

A

abducted

28
Q

The tightness of the pavlik harness is determined by

A

prescription (can’t be adjust by the parents)

29
Q

How do babies respond to the pavlik harness

A

initially they don’t like it but you can distract them with play and eventually they don’t mind

30
Q

Does anything special need to be done during the spica casting

A

sedate the baby

31
Q

The spica casting should be done before

A

they really start walking

32
Q

A couple big challenges with the spica cast

A

diapering

keeping it clean

33
Q

Club foot causes

A

it could be it’s own disorder or could be a complication of neural tube defect

34
Q

Variations of club foot

A

minor, major, one foot, two foot

35
Q

Club foot tx

A

manual manipulation with cast

36
Q

Short legs cast are on which part of the body

A

mid calf to ball of foot

37
Q

After using a short leg cast, they may use

A

high tops, or high tops with a splint

38
Q

At what age would you began casting

A

newborn

39
Q

Idiopathic

A

no known cause

40
Q

Scoliosis causes

A

congenital or idiopathic

41
Q

An early intervention for mild scoliosis

A

strengthen the back muscles

42
Q

After scoliosis surgery, think about

A

all the normal stuff having to do with immobility

43
Q

After scoliosis surgery they probably need what med

A

stool softener

44
Q

spina bifida with sack, how is the lower body

A

paralyzed

45
Q

spina bifida with sack, what is the severity of the pain in the lower body

A

No pain at all, they’re paralyzed

46
Q

spina bifida with sack, the increased pressure causes 2 things

A

hydrocephalus and ICP

47
Q

spina bifida with sack, positing after surgery

A

prone or side (supine is still not allowed)

48
Q

spina bifida with sack, because they are permanently paralyzed, what’s the main long-term concern

A

safety

49
Q

Frontal bossing

A

In hydrocephalus, the pressure gets so intense that you can see the veins pressed up against the forehead

50
Q

How might a hydrocephalus baby sound

A

high pitched

51
Q

Possible nursing dx for hydrocephalus patient

A

Pain

52
Q

Hydrocephalus patients are prone to

A

seizures

53
Q

How does the head size progress in hydrocephalus

A

Even after tx it will be big.

By preschool they will have grown into the head

54
Q

Hydrocephalus complications

A

could be learning disability all the way to retardation

55
Q

The most common cause of cerebral palsy ia

A

anoxia at birth

56
Q

Denver Developmental: 4 areas of testing

A
  1. Personal-social
  2. Fine motor (eye-hand coordination, problem-solving skills)
  3. Gross motor
  4. Language