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BABY Flashcards

1
Q

where is the best place to do IM injections?

A

anterolateral aspect of thigh into the vastus lateralis muscle

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2
Q

ergotarte

A

is an oxytocic and is given to cause uterine contraction or cramping and prevent bleeding

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3
Q

how should you admin ear drops to a child

A

pull down and back

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4
Q

swelling of the feet is normal in preggos but what is not normal?

A

swelling of the face and hands. it means she has hptn.

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5
Q

when should you take lamaze classes?

A

closer to due date

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6
Q

normal walking age?

A

7-18mnts

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7
Q

when can you start eating solids?

A

after four months

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8
Q

what happens when you have chlamydia and give birth?

A

the bby will be blind.

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9
Q

where does fertilization happen?

A

in the Fallopian tube

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10
Q

where does implantation happen?

A

in the uterine wall

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11
Q

when are they concidered a fetus?

A

end of the eight week o the end of the pregnancy

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12
Q

naegeles rule

A

first day of your last period minus three months plus seven

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13
Q

nulligravida”

A

is a woman who has never been pregnant.

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14
Q

Gravida

A

indicates the number of times a woman is or has been pregnant, regardless of the pregnancy outcome.[3] A current pregnancy, if any, is included in this count. Twin pregnancy is counted as 1.

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15
Q

Parity, or “para”

A

indicates the number of pregnancies reaching viable gestational age (including live births and stillbirths). The number of fetuses does not determine the parity.[4] Twin pregnancy carried to viable gestational age is counted as 1.

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16
Q

normal maternal weight gain

A

20-30 lb

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17
Q

what kind of anticoagulant should be give and one that should be avoided?

A

must use heparin and avoid warfarin

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18
Q

ectopic pregnancy

A

preggo that occurs outside the uterus; usually in the tube.

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19
Q

pregnancy induced hypertension (PIH)

A

three cardinal symptoms: proteinuria, hypertension, and edema

you will have edema on the face and hands including the normal edema on the legs.

Interventions: promote bed rest as long as signs of edema or proteinuria are minimal; left side usually recommended to increase placental perfusion .
-magnesium sulfate is given

EMERGENCY CASE** call 911 if the women complains fo severe headache and blurred vision. it puts her in risk of seizures

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20
Q

abruptio placenta

A

premature separation of the placenta from part or all of the normal implantation site

  • there will be bleeding, board-like abs,
  • c-section will happen, outlook for bby is poor
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21
Q

chadwicks sign

A

blue coloration of mucus membranes

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22
Q

goodell’s sign

A

softening of cervix

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23
Q

braxton hicks

A

real contractions, fake labour.

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24
Q

why do the feet swell

A

the enlarging baby reduces venous return, causing retention of fluid in the feet and ankles

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25
Q

when does the babys heart start beating?

A

at four weeks

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26
Q

how do you help with morning sickness

A

eating dry carbs in the morning before rising helps

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27
Q

what does epigastic pain and a headache in a preggo mean?

A

suggest that a seizure is imminent

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28
Q

what is full dilation?

A

10 cm

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29
Q

fetal BBM

A

normal rate- 120-150

  • take fetal HR q 15-30 min during first stage of labor than q 5-15 mins
  • a normal fetal heart rate will slow during the beginning of a contraction, stays within normal range and returns by the end of the contraction
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30
Q

maternal vital signs

A

temp, pulse, and resp q4h then prn

-BP q30 mins

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31
Q

keep bladder empty

A

slows decent on fetus

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32
Q

immediate care of the neonate

A
  • ABC:airway, breathing, circulation
  • maintain airway by suctioning and position head down to promote drainage
  • clamp cord
  • provide warmth
  • apgar scoring at one minute and at five minutes. 1-10
  • give vitamin K to prevent hemorrhagic disease. the stomach does not have the intestinal flora needed to make vit. k
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33
Q

stages of labour

A
  1. from the onset of labor through complete dilation of the cervix
    .intense strong contractions q2-3 minutes lasting 60-90 seconds; should not last longer than on or two hours
    2.the delivery of the baby
    3.delivery of the placenta
    4.recovery stage
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34
Q

assessment of the fundus at the four stage of labour

A

fundus must remain firm; should be at or above umbilicus

  • if not firm, massage it,
  • mitocin may be ordered if fundus is not firm
  • because the of uterine atony is the largest cause of hemorrhage
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35
Q

lochia

A

normal discharge after childbirth

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36
Q

pitocin

A

stimulate uterine contractions

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37
Q

prolapsed cord

A

cord is in the vagina, ahead of the presenting part

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38
Q

when should analgesia be given?

A

given after 5 cm of dilation and until one to two hours before delivery

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39
Q

do not push until…

A

youre fully dilated and completed transitioning (2- minutes, 60-90 seconds)

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40
Q

why should a women pant?

A

to avoid pushing

41
Q

sexual relations

A

resume four to six weeks after delivery

42
Q

thrombophlebitis

A

increased risk population due to increased amount of fibrinogen after delivery.

assessment findings:instead of positive homans sign use redness, pain, and edema in leg

43
Q

consumption of water will encourage milk production

A

which when a person doesnt wanna breast feed, avoid giving fluids

44
Q

acrocyanosis

A

peripheral limbs are blueish in colour

45
Q

normal weight of a newborn

A

6-8.5 lb

46
Q

umbilical stump

A

will fall off 6-10 days up to three weeks

47
Q

hypoglycemia of the newborn

A

will be lethargic, irritable, jittery, tremors, pallor

48
Q

baby weight after a year

A

triples birth weight

49
Q

stranger anxiety starts

A

at 6-8 months

50
Q

activated charcoal

A

minimizes absorption of posion

51
Q

temper tantrums

A

are common and normal in a 2 year old because is developing autonomy

52
Q

when does a child start riding a tricycle?

A

three years, three wheels

53
Q

when are chickenpox contagious

A

as long as there are fluid-filled blisters. scabs are not contagious

54
Q

asthma is an allergic condition and frequently follows eczema, also an allergic condition

A

.

55
Q

continual swallowing indicates

A

bleeding. a physician should be notified

56
Q

hypopituitarism versus hyperpituitarism

A

dwarfism and gigantism

57
Q

gestational diabetes

A

a women will need more insulin because her metabolic rate and needs increase after the first trimester.
the fetus demands for glucose and increases the risk for hypoglycemia in the mom.

58
Q

urinary freq and vag discharge during pregancy

A

its normal to have urinary frequency and vag discharge until the baby stops pressing down on the bladder

59
Q

you take carbs in the morning for morning sickness… when do you take prenatal vitamins?

A

before bedtime and with food.

60
Q

APGAR scoring

A

assess at 1 minute and at 5 mins
-appearance, pulse, grimace, activity, and resps
-anything less than 4 is considered critical and may need resusicitation
-baby with 5 will need clearing the airway
a score 7-10 is fine

61
Q

babys and sunscreen

A

skin is very sensitive and they should be kept out of the sun until six months of age.

62
Q

if the water breaks unexpectedly

A

the fetus is in serious danger, open source of infection

63
Q

primapara

A

first time pregnant

64
Q

ppl who had an epidural must be positioned in what position

A

semi-fowlers to prevent upward migration of the opioid in the spinal cord, decreasing the risk for resp depression

65
Q

rubella vaccine

A

take it 28 days before trying to have a baby

66
Q

normal heart rate for newborns

A

120-160

67
Q

oxytocin

A

stimulates contractions, which can cause decreased fetal heart rate and hypoxia

68
Q

the anterior fontanel in babys

A

will be a soft spot. closes 12-18 months of age

69
Q

how to check for jaundice for dark skinned babys

A

inspection of the hard palate for yellow

70
Q

teeth

A
  • first two teeth come at 7 months
  • the average child should have all 20 primary teeth by three years.
  • permanent teeth start to erupt around 6.
  • there are 32 permanent teeth
71
Q

otitis media

A

generally follows a resp infection, it is important to avoid contact with people having upper resp infections

72
Q

how to admin albuterol and exercise

A

give 15 mins prior to exercise

73
Q

what not to give HIV children

A

dont give them fresh fruit and veggies because they got lots of bacteria and pesticides. and those children with HIV have lower immune systems

74
Q

cystic fibrosis

A

generealized dysfunction of the exocrine glands. mucus secretions of the body particularly in the pancrease, lungs, and gi tract have difficulty flowing through the ducts.
**the gene which causes NA and CL to not function properly in the body
manis:
thick secretions

75
Q

cleft palate care

A

should not use a straw because it or sharp objects will tear suture line

76
Q

status asthmaticus

A

acute prolonged and severe asthma attack that is unresponsive to usual treatment.

77
Q

peds dosing of tylenol should not exceed

A

60 mg/kg.day so 480 mg

78
Q

dystocia

A

a difficult or prolonged or painful labout

79
Q

preterm labour

A

after week 20 but before week 37 of gestation

80
Q

the nurse is assigned to care for a client who is early labour. what data should the nurse collect first

A

baseline fetal heart rate

81
Q

precipitous labor and deilvery

A

labour that lasts less than 3 hours.
priority care since the contractions are more frequent, there is less time to relax and oxygenate the fetus. so you must place in side lying

82
Q

placenta previa VS abruptio placente

A

placenta previa- painless, bright red vaginal bleeding and the uterus is soft. its when the placenta is improperly implanted in the uterus

VS

abruptio placente- darj red vaginal bleeding, pain, uterine rigidity. it is the premature separation of the placenta after 20 weeks

83
Q

what to do if engorgement happens

A

have the mother breast feed.

apply warm packs before feeding and cool packs after. and massage

84
Q

how long should a woman feed for

A

breast milk diet is a sufficient diet for the first 4- 6 months

85
Q

the nurse is assisting is caring for a postterm neonate, what is the most important thing to monitor?

A

blood glucose levels. the most common common complication is hypoglycemia

86
Q

impetigo

A

high contagious infection from s. aurus or strep or both

87
Q

clubbing is an indication if

A

chronic hypoxia

88
Q

tocolytics

A

are medications that produce uterine relaxation and suppress uterine activity

89
Q

magnesium sulfate

A

central nervous depressant and anticonvulsant.

90
Q

increased hr rate in a post partum women

A

you got to think of bleeding

91
Q

1 year old BBP

A

100-118

92
Q

2nd trimester-

A

find fetal movements, uterus is @ symphysis pubis

93
Q

milk progess

A
  • foremilk-hindmilk

- colostrum few days after- rich in protein, vit a..transitional milk… mature milk(blueish)

94
Q

post partum pulse and abnormal pulse

A
  • A slow pulse is common in the early postpartum period. A maternal pulse rate that would be high normal at other times may indicate hemorrhage or infection in the postpartum patient
95
Q

why is a person thirsty when they are diabetic?

A

the glucose in the blood has no where to go. the insulin is not transporting it into the cells or storing it in the liver so the glucose is backed up in the blood. the body pulls water from everywhere to try and dilute the blood. which makes the person thristy/dehydrated

96
Q

why do you pee a lot when you are diabetic?

A

when there is too much glucose in the blood, the kidneys will try to excrete it into urine- glucose in the urine. glucose has a strong water pull that pulls the water out of the body. which leads to extreme diuresis

97
Q

Hep B is given at

A

First 12 hours

98
Q

MMR is given at

A

15 months

babies (1 decks)

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