406 8 Flashcards
Posture: expected: extremities are
flexed
microcephaly head is below
the 10th percentile
macrocephaly head is above
the 90th percentile
newborn’s weight within the first week
normal to lose 5 or 10%
newborn axillary temp should be
97.7 to 99
newborn expected respiratory rate
30 to 60
newborn: peeling and cracking of skin
normal finding
newborn: jaundice within the 1st 24 hours
abnormal
newborn: green/yellow vernix indicates
they passed the meconium in the womb
newborn: bulging fontanels are only normal during
crying
newborn: fontanels should feel
soft
newborn: eyes should be able to follow an object within
12 inches of the eyes
newborn: eyes: edema
may be a normal finding
newborn: tear production finding
no tears produced until 2 months
newborn: strabismus and nystagmus
normal finding
newborn: epstein’s pearls
normal finding
newborn: chest shape
barrel
newborn: breast engorgement in males and females
normal finding
newborn: scattered crackles
normal finding
newborn: femoral pulse is difficult to palpate
normal
Dextrocardia
heart on the right side of the chest
newborn: normal finding for bowel sounds in the first few days
hypoactive
newborn: spine curve should be
C-curve with no dimpling
acrocyanosis
common finding where the hands and feet are blue in new borns because they’re chilly
circumoral cyanosis
a harmless bluish color around the mouth
mottling
harmless pink/white patches
report to the provider if meconium stool has not been passed within
48 hours
report to provider if the newborn has not urinated within
24 hours
to decrease the risk of SIDS, position infant
on back or side
Ribaviron is used to treat
bronchiolitis
Types and Treatments of Miscarriage: Description: spotting without cervical changes
“Threatened” type
“Threatened” type of miscarriage: tx
bedrest
no sex
Types and Treatments of Miscarriage: Description: moderate to heavy bleeding with tissue and products of conception present; open cervical os
Inevitable or incomplete
Types and Treatments of Miscarriage: Description: fever, abdominal pain and tenderness; foul-smelling vaginal discharge; bleeding from scant to heavy
Septic
Types and Treatments of Miscarriage: Description: fetus dead; placenta atrophied but passage of products of conception has not occurred; cervix closed
missed
If __ levels do not diminish, cariocarinoma may develop
hCG
Missed period; full feeling in lower abdomen, lower
quadrant tenderness
Ectopic Pregnancy
Ectopic Pregnancy: pregnancy test will be
positive
if a woman comes to the hospital with unilateral or bilateral abd pain, suspect
ectopic pregnancy
clients with abruptio placentae or placenta previa must not have
abd or vaginal exam by the nurse
iron supplement is best absorbed on
on empty stomach
contraindicated in pregnancy because it darkens the baby’s teeth
tetracycline
Toxoplasmosis is usually related to
cats
gardening
eating raw meat
Teratogenic during the first trimester, causing heart defects and cataracts
Rubella
Dystocia
dysfunctional labor
Oxytocin’s most important side effect is that it’s an
antidiuretic (you can give IV fluids with Electrolytes to prevent water intoxication)
Gestational hypertension, with no other signs of preeclampsia, is present at time of birth. Goes away in 12 weeks
Transient HTN
CNS depressant given to preeclamptic client to prevent seizures
Magnesium sulfate
Magnesium sulfate: if any toxic symptoms occur you should
hold the next dose
Magnesium sulfate antidote
calcium gluconate
Eclampsia
Seizures with no known cause
Chronic hypertension: Hypertension has been observed before pregnancy or is diagnosed before the
20th week
