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NUR259 2015 > From Lecture Slides > Flashcards

From Lecture Slides Flashcards

1
Q

Healthy behaviours important to pregnancy?

A
  • Eat like a diabetic always
  • Drugs and alcohol are tetrogenics, avoid!
  • Limited caffeine
  • Take folic acid supplements
  • Adequate hydration
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2
Q

Foods to avoid while pregnant?

A
  • Soft cheese
  • Raw eggs
  • Limited fish (no uncooked)
  • No buffets
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3
Q

Complications that may place pregnant woman and foetus at risk?

A
  • Anaemia
  • Diabetes
  • Ectopic pregnancy
  • Pre eclampsia
  • Eclampsia
  • Hyperemesis gravidarum
  • Antepartum bleed
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4
Q

Pre existing illness of pregnancy?

A
  • Anaemia

* Diabetes

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5
Q

Normal fatal heart rate?

A

110-160bpm

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6
Q

What is the Peuperium?

A

6 weeks after placenta delivery

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7
Q

Post birth changes?

A
  • Placenta separation
  • Placenta delivery
  • HR and BP return to normal
  • Ice the peritoneum
  • Uterus contracts back to normal size
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8
Q

Latent (1st) phase of labour?

A
  • Cervix dilates to approx 3cm

* Mild to moderate contractions

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9
Q

Transitional / Advanced (3rd) phase of labour?

A
  • Cervix dilates from 7-10 cm

* Strong contractions

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10
Q

Active (2nd) labor phase?

A
  • Cervix dilates to 7cm

* Stronger contractions

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11
Q

First stage of labour?

A
  • Cervix dilates
  • Contractions begin
  • Latent / Active / Transitional phases
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12
Q

Second stage of labour?

A
  • Birth of baby

* Cervix fully dilated

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13
Q

Third stage of labour?

A
  • Afterbirth / placenta delivery

* Immediate newborn care

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14
Q

Primary PPH occurs when?

A

Within 24 hours post birth

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15
Q

Secondary PPH occurs when?

A

After 24 hours and up to 6 weeks port birth

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16
Q

Causes of PPH

A
  • Previous Hx
  • Prolonged labour
  • Clotting disorders
  • Fibroids
  • Multiple births
17
Q

What are the 4 T’s of PPH?

A
  • Tone
  • Trauma
  • Thrombin
  • Tissue
18
Q

Management of PPH

A
  • MET call
  • Massage fundus
  • Administer oxytocin
  • IV fluid
  • Bloods
  • Fluid balance
  • Bimanual compression
19
Q

Physiological adaptation of newborn to extra-uterine life?

A
  • Cord clamped
  • Lungs breathe in O2
  • Fetal shunts close
  • Resps established
  • Voids within 24 hours
20
Q

Characteristics of newborn?

A
  • Sleeps 16-24 hours first week

* Wakes every 2-8 hours for feed

21
Q

Vaccinations given in hospital?

A
  • Vitamin K

* Hepatitis B

22
Q

Nutritional requirements for term newborn?

A
  • First feed 2-4 hours post birth
  • Bottle feeding every 2 hours
  • Formula feeding read instructions
23
Q

Vaccinations registered up to?

A

7 years

24
Q

Vaccination schedule?

A
  • Birth / 4 / 8 / 12 / 18 months

* 4 / 7 years

25
Q

Family centred care involves what?

A
  • Family is the best place for children
  • Have family involved in all medical treatment
  • Offer parents / siblings support
  • Education for informed decisions
26
Q

Developmental milestones for 0-18 years

A
  • Vision
  • Fine motor
  • Hearing
  • Speech
  • Language
  • Gross motor
  • Social - Emotional - Play
  • Cognitive
27
Q

Developmental screening tools?

A
  • Ages and Stages (PEDS)
  • Head circumference / weight / height
  • Communication / gross and fine motor / problem solving / personal - social
28
Q

Failure to Thrive? Causes?

A

Children less than 5, poor weight gain. Weight is less than the 3rd percentile on two seperate occasions.

Causes can include insufficient calorie intake / absorption, psychological factors.

29
Q

What does APGAR stand for?

A
  • Activity
  • Pulse
  • Grimace
  • Respirations
  • Appearance
  • Respirations
30
Q

Pain assessment QUESTT stands for?

A
  • Question the child
  • Use a pain score
  • Evaluate behaviour
  • Secure parents involvement
  • Take action and evaluate results
31
Q

What is CHIPPS?

A

Children and infant post-operative pain scale

32
Q

What is FLACC?

A

Face, legs, arms, cry, consolability pain scale

33
Q

Unique characteristics of child’s airway?

A
  • Short neck
  • Narrow nostrils
  • Loose teeth
  • Horse shoe shaped epiglotis
  • Short soft trachea
34
Q

Clinical symptoms of dehydrated child?

A
  • Sunken eyes
  • Dry mucous membranes
  • Poor skin turgor
  • Cool peripheries
  • Lethargic
  • Pale - white skin
35
Q

Why are children susceptible to acid base imbalances?

A

Higher water percentile, immature tubules and nephrons

36
Q

Symptoms of ICP in infants?

A
  • High pitched cry
  • Tense bulging fontanelle
  • Dilated scalp veins
  • Poor intake
  • Widened pupils
37
Q

What is AVPU?

A

Consciousness level for children

Alert and awake
Verbal stimuli response
Painful stimuli response
Unresponsive

NUR259 2015 (1 decks)

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