final Flashcards
infant reflex, infent turns head to one side and extends arm and leg on that side and reflexes arm on opposite side
tonic neck
early signs of cerebral palsy
failure to meet developmental mile stones
persistant primative reflexes (moro or tonic)
gagging/choking with feeding, poor suck reflex
tongue thrust and excessive drooling
poor head control
rigid posture extremities and abnormal posturing
vision, speech, hearing impairments
seizures
failure to meet developmental mile stones
persistant primative reflexes (moro or tonic)
gagging/choking with feeding, poor suck reflex
tongue thrust and excessive drooling
poor head control
rigid posture extremities and abnormal posturing
vision, speech, hearing impairments
seizures
are all signs of what?
cerebral palsy
Hormone replacement therapty is contraindicated in what kinds of patients
Liver disease
gallbladder disease
blood clotting disorders
pulmonary embolism
untreated HTN
uterine cancer
breast cancer
smokers over 35
Liver disease
gallbladder disease
blood clotting disorders
pulmonary embolism
untreated HTN
uterine cancer
breast cancer
smokers over 35
should all avoid what kind of therapy
hormone replacement
Warning signs you should tell a woman starting birth control to look out for
Chest pain, shortness of breath, leg pain (thromboembolism), headache, vision changes (stroke), hypertension, not indicated for women 35 and older that smoke
best birth control for breast feeding mothers
minipill
where should the fundus be at 12-16 weeks?
top of the pubic bone
Where shuld the fundus be at 20, 21, or 22 weeks?
Naval
Where should the uterus be at 21-36 weeks?
bottom of the uterus
Sources of folic acid
beans, lentil, peaas, oranges, asparagus, broccoli, dark leafy greens, spinach
s/s of magnesium toxicity
decreased respirations
absent DTR
Decreased urine output, less than 30 mL/hr
Decreased levels of consciousness
cardiac dysrhythmias
Interventions for magnesium toxicity
stop the infusion
administer calcium gluconate or calcium chloride
prepare for possible respiratory distress
prepare for possible cardiac arrest
Magnesium antidote
calcium gluconate
When administering pitocin, if there is a change in FHR what should you do?
stop pitocin
Painful vaginal bleeding
• Frequent uterine contractions
• Lack of uterine resting tone
• Late decelerations on electric fetal monitor tracing
• Stomach will be hard with no ease in contraction
• FHR will be below range (100-150)
these are all symptoms of what?
Placenta Abruption
Interventions for placenta abruption
Notify MD
• Place patient on left side
• Assess maternal svital signs
• Assess amount of blood loss (perineal pads)
• Place O2
• Place foley
• Prepare for cesarean
Painless bleeding
soft uterus non-tender
fundal height greater that expected
breech, oblique fetus
decreased urinary output
are all symptoms of what?
placenta previa
Interventions for a patient with placenta previa
Bed rest
Do not insert anything into vagina
Fever chills, pain or tenderness of affect breast, reddish or pink area on breast , tenderness to touch, warm at
infection site , generalized aches fatigue or malaise, sore nipples with cracks, auxiliary adenopathy on affected side,
purulent drainage from nipple.
all of this indicates what?
mastitis
Interventions for mastitis
• Instruct good hand washing
• Promote comfort
• Apply heat to the site as prescribed
• Maintain lactation in breastfeeding mothers
• Encourage manual expression of milk q3-4 hrs
