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Maternal Child Health > Chapter 27 > Flashcards

Chapter 27 Flashcards

1
Q

Circulating blood consists of what two portions?

A

Plasma and formed elements

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2
Q

What procedure is helpful in determining disorders of the blood?

A

Bone marrow aspiration

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3
Q

What is the most common nutritional deficiency of children in the U.S.?

A

Iron-deficiency anemia

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4
Q

Is sickle cell disease inherited?

A

Sickle cell is inherited

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5
Q

What shape are the cells of of sickle cell disease?

A

Crescent shaped, and are clumped together

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6
Q

What medication should not be used for pain control with children who have sickle cell anemia?

A

meperidine (Demerol)

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7
Q

Thalassemia causes what?

A

Massive expansion of the bone marrow

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8
Q

Thalassemia causes changes to what part of the body?

A

The contour of the child’s skull and face

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9
Q

What is hemophilia A caused by?

A

a deficiency in coagulation of factor VIII

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10
Q

What is hemophilia B caused by? (Also known as Christmas disease)

A

a deficiency in coagulation of factor IX

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11
Q

What is a common characteristic sign of hemophilia A?

A

hemarthrosis: bleeding in the joints

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12
Q

What is a complication of multiple transfusions in hemolytic blood disorders?

A

Hemosiderosis: deposits of iron in the organs and tissues

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13
Q

What are the signs of transfusion reactions?

A

chills, itching rash, fever, headache

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14
Q

What is petechiae?

A

bluish pinpoint lesions on the skin

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15
Q

What is purpuras?

A

grouping of adjoining petechiae, in other words, lots of bluish pinpoint lesions on the skin

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16
Q

What is ecchymosis?

A

an isolated bluish lesion larger than a petechiae

17
Q

What is a hematoma?

A

a raised ecchymosis

18
Q

What is the most common form of childhood cancer?

A

Leukemia

19
Q

What are four priority challenges in the care of a child with leukemia?

A

anemia, bleeding, infection, and fractures

20
Q

What is a nurses main priority with patients being tested for blood disorders that are invasive or painful?

A

the nurse will need to prepare patient to expect pain, and support both the family and patient during the procedure

21
Q

What are some nursing components of care for a child with leukemia?

A

schooling, hydration, nutrition, prevent infection, promote positive self-image, meticulous oral hygiene

22
Q

What are Reed-Sternberg cells chararcteristic of?

A

Hodgkin’s disease

23
Q

Children who are chronically ill must be aided in mastering developmental tasks.

A

Children who are chronically ill must be aided in mastering developmental tasks.

24
Q

What are the stages of dying according to Kubler-Ross?

A

denial, anger, bargaining, depression, acceptance, and reaching out to help others

25
Q

What can a nurse do to help the family of a dying child?

A

listening, assessing their needs, reinforcing information, provide privacy, use appropriate phases, open-ended concrete questions and statements

26
Q

When the patient experiences apprehension and urticaria when receiving a blood transfusion, the nurse:

A

stops the transfusion, allows normal saline solution to run slowly, and notifies charge nurse

27
Q

A child who is in a vasoocclusive crisis caused by sickle cell anemia is experiencing acute pain. The nurse understands that meperidine (Demerol) is not an appropriate pain medication to administer to this child because:

A

it may induce seizures

28
Q

Which principle whould the nurse teach the parent concerning administering liquid iron preparations to the child with iron-deficiency anemia?

A

Administer between meals

29
Q

Thalassemia major (cooley’s anemia) is treated primarily with?

A

multiple blood transfusions

30
Q

What is a characteristic manifestation of Hodgkin’s Disease?

A

Enlarged lymph nodes

Maternal Child Health (3 decks)

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