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aa Orgo > 406 7 (christine notes) > Flashcards

406 7 (christine notes) Flashcards

1
Q

2 recommendations for home births: the patient should be

A

under 40

no pre existing conditions

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2
Q

Home births can be delivered by a

A

mid wife

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3
Q

amniocentesis is done at __ to __ weeks

A

15 to 20

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4
Q

chorionic sampling is done at __ to __ weeks

A

10 to 12

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5
Q

Leopolds is done at __ to __ weeks

A

16 to 20

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6
Q

heartbeat is heard at __ weeks

A

3

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7
Q

What commonly happens with the mothers weight in the 1st trimester

A

loss 5 or 10 pounds

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8
Q

What trimester do you get linea negra

A

2nd

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9
Q

(Besides in the feet) swelling can indicate what condition

A

HTN

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10
Q

The top 3 vitamin type things that should be in the diet

A

iron, calcium, protein

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11
Q

2 group of foods to avoid

A

raw meat

seafood

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12
Q

Largest diameter of fetal presenting part passes through the pelvic inlet and into pelvic cavity

A

Engagement

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13
Q

When a contraction comes, the mother should

A

push at the same time

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14
Q

when are analgesics given

A

late is the latent phase and beginning of the active phase

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15
Q

the erythromycin eye drops prevent

A

blindess

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16
Q

small, white bump that typically appears on the nose and cheeks

A

milia

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17
Q

sauset/buretol acts as a secondary

A

piggyback

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18
Q

Infants: never give more than _ mL per injection site

A

1

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19
Q

wheeze like sound heard on inspiration and expiration

A

stridor

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20
Q

clicking, bubbling, or rattling sound heard in the lungs

A

rales

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21
Q

social issue for asthma patients

A

missing school

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22
Q

inflammation of larynx, trachea, and bronchioles

A

croup

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23
Q

croup: treat the inflammation with IV ___

A

steroids

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24
Q

condition that may be manifested by the child wanting to sit up, having trouble swallowing, and refusing to drink

A

epiglotitis

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25
Q

After a seizure, give the child a __ __ bath

A

tepid (cool) sponge bath

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26
Q

an assay in rapidly increasing use as a screening test for cystic fibrosis: ___ ___

A

immunoreactive trypsinogen

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27
Q

Cystic Fibrosis of lungs: there is so much exudate in the lungs that the right ventricle has to work harder. Can lead to __ __

A

cor pulmonale

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28
Q

Never give children with lung CF __ ___

A

cough supressants

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29
Q

Right sided heart defect is aka

A

Acyanotic

30
Q

Left side heart defect is aka

A

Cyanotic

31
Q

What’s happening with the blood in acyonotic

A

oxygenated and unoxygenated is mixing back in together

32
Q

Acyanotic leads to __ side HF

A

right side

33
Q

common genetic condition that has increased risk for heart defects

A

Downs

34
Q

Newborns with heart defects usually have an apgar scale of 9 due to

A

pallor

35
Q

Digoxin: notify the provider if the HR

A

decreases below 100

36
Q

what kind of heart defect has “tet spells”

A

cyanotic

37
Q

Cyanotic defect: because the child isn’t getting enough O2 to the brain, he could faint. This is called

A

tet spells

38
Q

Mild to moderate dehydration: __ to 100 ml/kg every

A

50 to 100 ml/kg every 3 to 4 hours

39
Q

Severe dehydration: IV replacement of K after

A

urine output is established

40
Q

To help with skin integrity, use ointment such as

A

zinc oxide

41
Q

Cleft lip and palate can be screened for by

A

amniocentesis

42
Q

Besides feeding, an issue with cleft lip is

A

bonding

43
Q

Because of the feeding issues with cleft lip, moms may need to

A

breast feed

44
Q

Cleft lip baby is feeding and then the formula comes out of his nose

A

this is normal

hold the baby upright to prevent aspiration

45
Q

Prevent cleft lip babies form touching their face by

A

using elbow restraints

46
Q

cleft lip and palate makes the child a risk for what kind of infection

A

middle ear infection

47
Q

Cleft lip kids have what kind of growth issue

A

problem with teeth coming in

48
Q

Pyloric stenosis is usually noticed at what age

A

1 month old

49
Q

projectile vomiting immediately after or during a feeding

A

pyloric stenosis

50
Q

Pyloric stenosis: immediately after vomiting, babies become

A

hungry

51
Q

Pyloric stenosis: urine and GI output

A

decreased

52
Q

Pyloric stenosis: definitive dx test

A

Barium swallow

53
Q

Pyloric stenosis: medical tx

A

surgery to widen the sphincter

54
Q

Pyloric stenosis: shortly after the surgery you should

A

feed the child

55
Q

intussusception

A

part of the intestine telescopes into itself.

56
Q

intussusception most commonly occurs in the

A

descending and sigmoid colon

57
Q

sudden pain initiated with eating

A

intussusception

58
Q

Excessive stool; may contain blood or mucus

A

intussusception

59
Q

intussusception: medical tx

A

reduction of bowel

60
Q

Barium enema under hydrostatic pressure is associated with that condition

A

intussusception

61
Q

No nerves in the large intestine

A

Aganglionic megacolon

62
Q

Aganglionic megacolon aka

A

hirschsprung disease

63
Q

Aganglionic megacolon usually is in the

A

rectosigmoid area

64
Q

Aganglionic megacolon: there is a failure to pass

A

medconium

65
Q

Aganglionic megacolon occurs at what age: ___ and ___

A

neonatal and infancy

66
Q

Aganglionic megacolon: stool

A

patterns change: loose, constipated, ribbon like

67
Q

Bowel distention

A

Aganglionic megacolon

68
Q

Aganglionic megacolon: appetite

A

decreased

69
Q

Aganglionic megacolon: do’s and don’t’s

A

don’t give cleansing enema or laxative

do give fleet enema

70
Q

Aganglionic megacolon: medical tx

A

remove that part of the bowel and make a colostomy.

After time, can reconnect to the bowel

aa Orgo (196 decks)

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