Exam 2 FC's Flashcards

Question

how long does alcohol stay in breast milk?

Answer 1

oxytocin-which is stimulated by baby sucking on nipple

Answer 2

digestive enzymes, antioxidants, quinones, immunoglobulins, and growth factors

Answer 3

nuzzling and opening mouth, tense appearance, grunting, kicking/waving arms, had to mouth, crying

Answer 4

day 1- 1pee, 1 black poo, day 2- 2pee, 1 black poo, day 6- 6 pee, 3-4 yellow poo

Answer 5

8-10 per day or every 3hrs, wake them up

Answer 6

reduces neonatal mortality rates, passes on antibodies to protect from inf, digests easier than formula, may protect against diseases later in life, facilitates attachment of mom and baby

Answer 7

dec risk of breast, uterine, ovarian cancer, dec postpartum bleeding, facilates weight loss, dec risk of osteoprosis and hip fx.

Answer 8

additional 500 calories daily, extra Ca, prenatal vitamins, extra fluids

Answer 9

chronic nonprogressive neurologic disorder resulting from insult to the brain, usually Dx occurs before 18mo b/c they are not meeting development milestones, infant reflexes persist past infancy (moro, babinski, startle)

Answer 10

Prenatal-preeclampsia, exposure to toxins, genetics, Rh type incompabilities, intrauterine ischemia, toxoplasmosis, CMV, rubella. Perinatal-breech birth, cord around neck, low birth weight, birth trauma, hematoma, abruption, previa. Postnatal-shaken baby, meningitis, head trauma/MVA, CVA

Answer 11

hypertonic (spastic), Athetoid(dyskinetic), Ataxic

Answer 12

spastic type, most common, stiff musc, contractures, scissoring of leggs, flexion of arms, hip dysplasia. Classified by number of limbs affected (ex. diplegia, tri, quad, L or R hemiparesis). Lots of surgeries

Answer 13

dyskinetic- 10-20% of CP, slow writhing movements of head arms, legs, face, tongue, can cause drooling and grimacing. Movements inc with stress or when child is upset. They dec when child is sleeping

Answer 14

rare form of CP, affects balance and depth perception, walk with wide gait, diff with fine motor skills, have tremors

Answer 15

contractures, frequent resp inf, cognitive impairment, self care deficit

Answer 16

crying for no reason that cant be consoled

Answer 17

PT, OT, Speech, meds to control seizures, relax spasms, dec pain, surgeries to release tight muscles or contractures, nutrition through mickey

Answer 18

protrusion of the upper part of stomach into the thorax through a tear or weakness in the diaphragm

Answer 19

surgical fixing of a hialal hernia that surrounds the esophagus pushing down on it and causing GERD or inability to eat

Answer 20

risk for injury, aspiration, falls, etc.

Answer 21

keep suction and 02 nearby, low beds, side rails up, prevent ulcers, no sharp objects, no metal silverware

Answer 22

back sleeping, firm bedding with tight fitting sheet, no loose objects or toys in crib, uncover baby's head during sleep, use pacifiers while sleeping, don't smoke, don't overheat baby

Answer 23

mom smoked, sleeping on side or stomach, sharing a bed/crib, premature, multiples, teen mom, late or no prenatal care, short interval between pregnancy, African Ameriacans, Native Americans

Answer 24

plagiocephaly- flattened back of head, have tummy time while awake and try and rotate baby's head a little while sleeping

Answer 25

Late preterm 34-37wks, moderately preterm 32-34, very preterm <32 wks

Answer 26

1. infection(body's inflam response) 2.maternal or fetal stress(stress releases CRH horm that triggers uterine cont) 3. bleeding (causes release of proteines which trigger cont) 4. stretching(d/t twins, excess amniotic fluid or placental abnormalities). BISS-baby is so small

Answer 27

previous preterm (bigest risk factor), preg with multiples, cerv or uterine abnormalities, inf, DM, HTN, preeclampsia, clotting disorders, vag bleeding, preg d/t IVF, obesity, underweight, short term b/t pregnancies, teens, over 35, low income, substance abuse, smokers

Answer 28

cervical length (short cervix=inc risk), fetal fibronectin (fFN)-biological glue that helps fetal sac attach to uterine lining, is normally seen in secretions up to 22 weeks, and then reappears 1-3wks before delivery. Only high risk women get this test

Answer 29

want to dec the amount of PTL to less than 7.6% of births

Answer 30

1. protective barrier 2.provides nutrients 3. eliminates fetal waste 4.synthesis of horms that promote growth

Answer 31

RDS, pneumothroax, apnea, IVH, PDA, NEC, ROP, CLD

Answer 32

d/t lack of surfactant or immature alveolia, common in newborns before 34 wks, lungs don't expand enough

Answer 33

give 02, CPAP, or vent

Answer 34

pneumothorax-excessive ambu bagging, retinopathy of prematurity-from excess 02, chronic lung disease-from prolonged vent use

Answer 35

20sec or more, or less than 20sec if with dec 02sat or bradycardia

Answer 36

is a stroke, usually in babies younger than 32 wks, if 24wks or less this will most likey occur within 72hrs of birth since brain and vessels are not mature or in babies less than 1500gm

Answer 37

heart issue where duct doesn't close, may be treated with indomethacin or surgery

Answer 38

acute inflam disease of GI mucosa complicated by perforation, occurs d/t vascular compromise. Body conserves blood for brain and heart and therefore GI suffers

Answer 39

eye problme d/t eye vessels being exposed to too much 02

Answer 40

aka bronchopulmonary displasia (BPD)-results from prolonged vent use, not common now d/t steroid injections and surfactant being given

Answer 41

newborn assessment scale- adapted from Dubowitz assessment

Answer 42

extracorporeal membrane oxygenation therapy-taking blood out and adding oxygen then putting it back in providing oxygen directly to heart and lungs through a catheter

Answer 43

safety device that limits amoutn of IV fluid available to prevent accidental overdose in infants

Answer 44

may give pacifier to encourage sucking in premie to help sucking and swallow reflex develop

Answer 45

flattening of head d/t back sleeping, give them tummy time while awake

Answer 46

False, they dec the risk

Answer 47

birthweight <10th percentile

Answer 48

ROM can cause baby to be exposed, Tx with erythromycin ointment . Can cause BLINDNESS

Answer 49

if mom + then she will get penicilin early in preg. Want tests to be NON REACTIVE, can cause STILLBORN or abortion

Answer 50

found in cat feces, don't eat raw sheep or beef, can cause death of baby, MR, and severe pshcyomotor issues. Tx is pyrimethamine & sulfonamides

Answer 51

transmitted through placenta, maternal blood, and breast milk. If mom treated <3% chance baby will get it, if not treated much higher, test baby for up to 15mo, do NOT breastfeed

Answer 52

mom should get titer > 1:8, can cause HEARING loss

Answer 53

can cause HEARING & LEARNING DISAB, can get during birth or through breastmilk

Answer 54

treat mom with penicilin-2 doses before labor, causes SEPSIS and MENINGITIS

Answer 55

transmitted through placenta or birth canal, if active outbreak mom may have C/S, treat mom with antiviral meds, affects SKIN/EYE, or ENCEPHALITIS

Answer 56

mom may be asymptomatic, give baby erythromycin ointment, CONJUNCTIVITIS & PNEUMONIA, NOTIFY CDC

Answer 57

any hx of hemophilia or bleeding disorders? Vit K given

Answer 58

Gomco clamp-most common, clamps around head, cut off foreskin with scapal. Will be inflamed after, put petrolium jelly gause wrap till healed, watch for urine within 24hrs. Plastibell-plastic piece is put around head and sutured, skin and plastic piece will fall off in few days-no petrolium jelly needed, clean with drops of water

Answer 59

All are Dx before age 3, developmental disorder, causes severe problems with communication, behavior, and social skills, 4:1 males, repetitive movements, strict routines, avoid eye contact, no fear of danger, may not want to be touched

Answer 60

five diff types Autistic disorder, asperger's, Rett's, childhood disintegrative disorder, pervasive development disorder NOS.

Answer 61

impaired social interaction, comm, and behavior, usually noted in first year of life

Answer 62

high functioning autism

Answer 63

rare, mostly in females

Answer 64

diagnosed late, boys appear to regress in toileting and other skills

Answer 65

CAM-yoga, massage, music, applied behavior analysis, snoozalin, dietary

Answer 66

antidepressants, antisychotics (risperdal), stimulants (ritalin)

Answer 67

when infant does not achieve age appropriate wt gain, either from not taking in enough or not absorbing nutrients, usually caused by psych problems or neglect

Answer 68

growth chart in 5-3rd percent

Answer 69

chronic condition, affects self esteem, relationships and school, symptoms must be present in more than one setting

Answer 70

hyperactive, inattentive, impulsive

Answer 71

boys-more common in boys, more likely to be hyperactive, less compliant, act out more. Girls-more inattentive, daydream

Answer 72

LEAD, and polychlorinated biphenyls (PCB), smoking and drugs are also associated with it

Answer 73

safety-they are impulsive and don't like to listen, also may have other psych problems