406 7 (christine notes) Flashcards by Richard smith

2 recommendations for home births: the patient should be

under 40

no pre existing conditions

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Home births can be delivered by a

mid wife

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amniocentesis is done at __ to __ weeks

15 to 20

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chorionic sampling is done at __ to __ weeks

10 to 12

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Leopolds is done at __ to __ weeks

16 to 20

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heartbeat is heard at __ weeks

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

loss 5 or 10 pounds

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What trimester do you get linea negra

2nd

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(Besides in the feet) swelling can indicate what condition

HTN

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

iron, calcium, protein

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2 group of foods to avoid

raw meat

seafood

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

Engagement

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When a contraction comes, the mother should

push at the same time

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when are analgesics given

late is the latent phase and beginning of the active phase

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the erythromycin eye drops prevent

blindess

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

milia

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sauset/buretol acts as a secondary

piggyback

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Infants: never give more than _ mL per injection site

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wheeze like sound heard on inspiration and expiration

stridor

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clicking, bubbling, or rattling sound heard in the lungs

rales

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social issue for asthma patients

missing school

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inflammation of larynx, trachea, and bronchioles

croup

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croup: treat the inflammation with IV ___

steroids

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

epiglotitis

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After a seizure, give the child a __ __ bath

tepid (cool) sponge bath

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

immunoreactive trypsinogen

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

cor pulmonale

Never give children with lung CF __ ___

cough supressants

Right sided heart defect is aka

Acyanotic

Left side heart defect is aka

Cyanotic

What's happening with the blood in acyonotic

oxygenated and unoxygenated is mixing back in together

Acyanotic leads to __ side HF

right side

common genetic condition that has increased risk for heart defects

Downs

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

pallor

Digoxin: notify the provider if the HR

decreases below 100

what kind of heart defect has "tet spells"

cyanotic

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

tet spells

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

50 to 100 ml/kg every 3 to 4 hours

Severe dehydration: IV replacement of K after

urine output is established

To help with skin integrity, use ointment such as

zinc oxide

Cleft lip and palate can be screened for by

amniocentesis

Besides feeding, an issue with cleft lip is

bonding

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

breast feed

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

this is normal hold the baby upright to prevent aspiration

Prevent cleft lip babies form touching their face by

using elbow restraints

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

middle ear infection

Cleft lip kids have what kind of growth issue

problem with teeth coming in

Pyloric stenosis is usually noticed at what age

1 month old

projectile vomiting immediately after or during a feeding

pyloric stenosis

Pyloric stenosis: immediately after vomiting, babies become

hungry

Pyloric stenosis: urine and GI output

decreased

Pyloric stenosis: definitive dx test

Barium swallow

Pyloric stenosis: medical tx

surgery to widen the sphincter

Pyloric stenosis: shortly after the surgery you should

feed the child

intussusception

part of the intestine telescopes into itself.

intussusception most commonly occurs in the

descending and sigmoid colon

sudden pain initiated with eating

intussusception

Excessive stool; may contain blood or mucus

intussusception

intussusception: medical tx

reduction of bowel

Barium enema under hydrostatic pressure is associated with that condition

intussusception

No nerves in the large intestine

Aganglionic megacolon

Aganglionic megacolon aka

hirschsprung disease

Aganglionic megacolon usually is in the

rectosigmoid area

Aganglionic megacolon: there is a failure to pass

medconium

Aganglionic megacolon occurs at what age: ___ and ___

neonatal and infancy

Aganglionic megacolon: stool

patterns change: loose, constipated, ribbon like

Bowel distention

Aganglionic megacolon

Aganglionic megacolon: appetite

decreased

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

don't give cleansing enema or laxative do give fleet enema

Aganglionic megacolon: medical tx

remove that part of the bowel and make a colostomy. After time, can reconnect to the bowel