In Class Questions Flashcards
For a 6 month old what form of compressions would we do?
Two fingers (index and middle finger) or two thumbs
1/3 depth of the chest
15 compressions:2 breaths
For a 8 year old what form of compressions would we do?
1 hand
1/3 depth of the chest
15 compressions:2 breaths
If a child collapses and is unresponsive what would you do?
Check for danger, send for help
Check the airway: open mouth and check for any foreign materials, if clear assess for breathing, if not put the child in the recovery position and clear mouth.
Assess breathing: Look, listen and feel, if breathing normally place child in the recovery position, if child is not breathing start cpr and rescue breaths.
When do we decide what form of hydration to use?
NGT is a safe and effective way of rehydrating most children with moderate dehydration
IV Hydration is used for severe dehydration and if NGT fails
How can you distract a child?
Technology Games Bubbles Balloons Toys Play therapy
Why dont we give sugary drinks?
We dont give sugary drinks as they have a high solute load which can increase water loss into the lumen of the small intestines
Why do we use burettes on children?
The purpose of using a burette is to prevent accidental fluid overload, to monitor exact fluid intake, and give a more accurate titrate of IV medication
What is the role of the RN during the birthing process and after?
Pregnancy Hx: Gestation, risk assessment
Womans description of events and birth plan: womans centered care, gives a clue to presenting stage of labour, frequency, duration and intensity of contractions, time commenced
Maternal Vital Signs: PV loss
Coping strategies: encourage the woman to remain active, offer water, analgesia provided by request
Skin-Skin: Promote breastfeeding
Newborn Assessment
What is the placenta examined for?
Note shape, size, colour and smell, weight, swab
Cord: Length, point of insertion, presence of any knots
Count the vessels, note areas of blot clots
Fetal surface for irregularities, estimate blood loss
Observe membranes and inspect for completeness, one hole present, look for extra vessels, lobes or holes
What exam is performed on the newborn infant?
A newborn assessment, APGAR score
What medications are given to the mother and infant?
Mother: IM oxytocin (Syntocinon)- Causes contraction of the uterus in order to stop bleeding following delivery
Newborn: Vitamin K- Assist in blood clotting abilities that the newborn has not developed yet
Consider potential complications related to each trimester such as hyperemesis and gestational hypertension and how we can treat the mother?
Hyperemesis: to determine amount and frequency of nausea and vomiting and that some women may require hospitalisation for around the 24hrs mark to monitor intake, output, blood chemistry, IV fluids and electrolytes. Antiemetics- ondansetron, ecourage plenty of rest, frequent light healthy meals.
Gestational hypertension: If its 20 weeks gestation with new onset of elevated BP. Should return to normal around the 3 months post partum. If it persists longer than 3 months it will be classified as chronic hypertension. Treatment is bedrest, regular BP monitoring, watch for signs of pre eclampsia
What does APGAR stand for?
Appearance, Pulse, Grimace, Activity, Respiratory effort
What is the name of the medication given in the 3rd stage of labour?
Syntocinon (Oxytocin)
What is hyperemesis gravidarum?
It is severe nausea and vomiting that results in weight loss and dehydration during pregnancy
