Exam 1 OB/Peds Flashcards

1
Q

Before the medicalization of childbirth, where did women have babies if they had enough money?

A

In the home, under the care of a nurse and doctor. sometimes the nurse would even stay a couple days and aid in the chores of the house.

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2
Q

Is a mother instructed to begin pushing as soon as she is dilated?

A

No, because they now think that there should be a relaxation period and that the woman should begin to push whenever her body tells her to do so.

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3
Q

What is CHOP?

A

America’s first children’s hospital started by Francis West after he visited a hospital in London.

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4
Q

Who is known as the father of pediatrics?

A

Abraham Jacobi because of his many contributions to the field.

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5
Q

What is pediatric nursing?

A

care of children birth to adolescence including health promotion, education, disease prevention, illness management, health restoration

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6
Q

Can a child be given the same medical treatment as an adult with the same condition?

A

No, because their care is affected by their physical and mental developmental stages. They also have a difference in body functions. It is also important for the nurse to remember that there are two patients when treating a child: the caregiver and child.

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7
Q

How does the immaturity of the BBB affect medications taken by the child?

A

Some drugs will cause different effects than in adults because there is an ability to cross the BBB

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8
Q

Why does chemotherapy work differently in children?

A

They have lots of rapidly dividing cells.

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9
Q

What are the maternal and infant mortality rates in the US?

A

Maternal 17/100,000 live births

Infant 5.87 per 1,000 live births

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10
Q

Why are accidents the leading cause of death in children?

A

They tend to be healthier, so have lower rates of deaths from health-related causes.

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11
Q

What are the largest causes of death in children?

A

Accidents, infection, and dehydration.

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12
Q

Define prematurity?

A

The birth of an infant before 38 weeks gestation

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13
Q

What issues are premature babies more likely to have?

A

Smaller head sizes, respiratory, vision, and hearing issues.

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14
Q

What is the US preterm birthrate?

A

9.6%

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15
Q

What percent of pregnancies are unintended? Of these, what percent are terminated?

A

50% are unintended. 40% terminated.

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16
Q

What percent of all pregnancies end in elective abortion?

A

21%

17
Q

What percent of known pregnancies end in miscarriage?

A

15-20%

18
Q

What things have caused increased pediatric illness?

A

antibiotic resistant organisms, obesity, HTN, diabetes, asthma

19
Q

What are the four principles of patient and family centered care?

A

dignity and respect, information sharing, participation, collaboration

20
Q

Who are the preferred care providers for infants?

A

Mothers

21
Q

What things put children at a higher risk of medication error than adults?

A

Dosages vary based on weight, formulas and strengths vary, children can’t or don’t recognize errors

22
Q

Which minors can give consent for their care?

A

Emancipated minors - those who are married, parents, living independently, or who are in the armed forces. If a parent refuses to consent, the child can petition a judge for the right.

23
Q

Most states allow minors to consent to treatment for what things?

A

Drugs/alcohol, STDs, and access to birth control