406 7 (christine notes) Flashcards
2 recommendations for home births: the patient should be
under 40
no pre existing conditions
Home births can be delivered by a
mid wife
amniocentesis is done at __ to __ weeks
15 to 20
chorionic sampling is done at __ to __ weeks
10 to 12
Leopolds is done at __ to __ weeks
16 to 20
heartbeat is heard at __ weeks
3
What commonly happens with the mothers weight in the 1st trimester
loss 5 or 10 pounds
What trimester do you get linea negra
2nd
(Besides in the feet) swelling can indicate what condition
HTN
The top 3 vitamin type things that should be in the diet
iron, calcium, protein
2 group of foods to avoid
raw meat
seafood
Largest diameter of fetal presenting part passes through the pelvic inlet and into pelvic cavity
Engagement
When a contraction comes, the mother should
push at the same time
when are analgesics given
late is the latent phase and beginning of the active phase
the erythromycin eye drops prevent
blindess
small, white bump that typically appears on the nose and cheeks
milia
sauset/buretol acts as a secondary
piggyback
Infants: never give more than _ mL per injection site
1
wheeze like sound heard on inspiration and expiration
stridor
clicking, bubbling, or rattling sound heard in the lungs
rales
social issue for asthma patients
missing school
inflammation of larynx, trachea, and bronchioles
croup
croup: treat the inflammation with IV ___
steroids
condition that may be manifested by the child wanting to sit up, having trouble swallowing, and refusing to drink
epiglotitis
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
