Exam 2 Flashcards
is a hemorrhage of blood between the skull and the periosteum (outer layer of bone) of any age human, to rupture of blood vessels crossing the periosteum.
Or
is a traumatic subperiosteal haematoma that occurs underneath the skin, in the periosteum of the infant’s skull bone
A collection of blood between the periosteum of a skull bone and the bone itself
Cephalohematoma
One leg longer, extra skin folds on inner thigh , uneven gluteal folds, hip click maneuver
Congenital hip dysplasia
Cleft lip- what it is?
Feedings?
Education for parents ?
Safety precautions?
Fissure or opening in the upper lip
The result of failure of maxillary and medium nasal processes
Can be fixed with surgery - encourage them to fix it to improve speech, dental , feedings, positive self image
Feedings- by dropper until the wound is completely healed 1-2 weeks . Breast fed milk or formula as soon as clear liquids are tolerated
Safety- auctioning the mouth should be avoided in infants who have a cleft palate repair
What is presumptive pregnancy?
Signs?
Definite diagnoses of pregnancy.. can’t be made.. signs could be common during pregnancy but can indicate something else
Deepening pigmentation, urinary frequency, quickening(moving of baby), amenorrhea (late period) Period late, tired , breast are tender, nauseated.
Define primigravida ?
Someone who is pregnant for the first time
What is viability of fetus?
The gestational age at which a prematurely born fetus/ infant had 50% chance of long term survival outside the womb
24-25 weeks
How often should women make prenatal visits ?
Weeks 4-8: 1 prenatal visit a month
Weeks 28-36: 1 prenatal visit every two weeks
Weeks 36-40: 1 prenatal visit every week
Define supine hypotension ?
Signs/symptoms?
What to do/nursing intervention?
Feeling of sickness and low bp that Occurs when pregnant women lie on their back
May feel dizzy/weak, low bp, nausea, sweating, pallor (pale), tachycardia
Turn patient to left side to resolve
Teachings for pregnant women traveling far from home ?
Take plenty of rest breaks
Drink plenty fluids
Not recommended after third trimester
Check with airlines if they have cut off when pregnant women can fly
Prenatal records
Seatbelt below abdomen
Signs and symptoms of “true labor”?
With true labor contractions, they become stronger, closer together and more regular
Normal fetal heart tones ?
When to report?
110-160 bpm
Heard through Mother’s abdominal wall
Report anything under or higher heart rate
What is Gravita and Para status ?
Gravita - number of pregnancies
Para - number of births after 20 weeks
What makes up a normal umbilical cord?
AVA- Artery vein Artery
2 arteries and one vein
Nurses priority during labor and delivery?
Pg 183
Pg 197
? Preparing for delivery
Asses for abnormalities
Promote bonding
Fetal assessment/VS/HR Labor process Maternal and fetal tolerance to labor Pain management I and O Vitals Communication with MD Empty bladder Promote position changes Provide hygiene Support and encouragement Assist with breathing techniques
Normal location of zygote implantation ?
Upper section of the posterior uterine wall
How to figure out Nagels rule ?
First day of last normal period
Subtract 3 months
Plus 7 days
Correct the year if necessary
Interventions and education for nausea and vomiting during pregnancy ?
Dry carbs like saltine crackers , lemonade over ice , sea bands , small frequent , and non-greasy meals
Normal weight gain during pregnancy and education?
If under weight ?
If overweight ?
25-35 pounds
Healthy nutrition, take vitamins, exercise, watch weight
28-40
11-25
Intrauterine growth restriction
Causes
Treatment
A condition in which a baby doesn’t grow to normal weight during pregnancy
Problem with placenta (common cause)
or health problems such as diabetes , HTN, heart disease, infections, kidney/lung disease, anemia, malnutrition, smoking , alcohol, drugs , chromosomal defects
Regular dr apts , be aware of body movements, check meds , eat healthy nutrition, plenty of rest, stop smoking
How to measure frequency of normal contractions ?
Labor vs false labor?
Frequency: Time from the beginning of one contraction until the beginning of the next (minutes)
Duration: time from the beginning of a contraction until the end of the same contraction (seconds)
Braxton Hicks- false labor where contractions can be regular or irregular, practicing for labor , does not cause a change in cervix
Real labor - regular rhythmic contractions, cervix changes , bloody discharge, water breaks
Nursing interventions for back labor pain?
Put woman on hands and knees , lean forward , birthing ball
