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Nursing School > NUR 238 - Heather's Notes > Flashcards

NUR 238 - Heather's Notes Flashcards

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1
Q

What are the signs and symptoms of Hyperbilirubinemia?

A
  • Jaundice due to excess breakdown of RBC’s

- Poor feeding/lethargy

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2
Q

If you are having fertility issues related to fallopian tubes, what would you need to do in order to become pregnant?

A

IVF.

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3
Q

If Chlamydia is left untreated, what happens?

A

Ascending infection which is pelvic inflammatory disease (PID) that leads to infertility, ectopic pregnancies, or sterility.

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4
Q

What are the signs and symptoms of Bacterial Vaginosis?

A
  • Thin, watery, white/grey, vaginal discharge

- Foul odor (fish scented)

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5
Q

What are the contraindications for oral contraceptives?

A
  • Smoker
  • Obese
  • > 40
  • Hx of HTN
  • On meds that affect liver enzymes (anticonvulsants, so ABX)
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6
Q

What are the adverse effects of Clomid?

A
  • Pelvic Cramping

- Ovarian Hyper-Stimulant Syndrome (OHSS)

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7
Q

What is a Hysterosalpingogram?

A

X-ray test to outline the internal shape of the uterus and show whether the fallopian tubes are blocked.

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8
Q

What is the common sign for ovulation?

A

Spirano or sticky mucous.

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9
Q

What is the appearance of Vaginal Warts?

A
  • Dry, hard areas that may be very small

- Cauliflower-like clusters

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10
Q

How do babies produce heat?

A

Brown fat metabolism.

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11
Q

Circumcision care and teaching.

A
  • Keep clean and dry
  • Leave yellow film, do not wash off
  • No tub bath, let water trickle down
  • Vaseline first few days
  • Watch for bleeding
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12
Q

What are ways to keep a baby warm?

A
  • Skin to skin
  • Hat
  • Dry well
  • Warmers
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13
Q

What is an important aspect of car seat safety?

A

Make sure carriage is rear facing.

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14
Q

What is a typical symptom of Group B Strep in babies?

A

Unstable temperature.

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15
Q

What are common complications with large gestational babies?

A
  • Hypoglycemia
  • Polycythemia
  • RDS
  • Tremors from Hypocalcemia
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16
Q

What are the reasons for a Vitamin K injection?

A
  • Prevention of hemorrhagic disease
  • Coagulation factors activated
  • Given in DR to initiate clotting process
17
Q

What are the signs and symptoms of Respiratory Distress?

A

Subtle Signs:

  • Low temperature
  • Nasal flaring
  • Sternal & subcostal retractions
  • Tachypnea (>60/min)

Acute Sign:
- Expiratory grunting

18
Q

Why do we give Narcan to newborns?

A

.

19
Q

What is the reason for venting premies?

A

.

20
Q

What is involved with the care of parents in NICU?

A
  • Not the “perfect” child, may feel guilt, anxiety, fear, helplessness
  • Give parents a sense of control
  • Encourage bonding: eye contact, don’t overstimulate, teach consoling measures, kangaroo care
  • Use good communication skills
21
Q

APGAR Scoring details.

A
  • Given at 1 & 5 minutes of life to determine newborn’s response to extrauterine life
  • Scores are divided into: 0-3, 4-7, 8-10
22
Q

What are the signs and symptoms of Neonatal Abstinence Syndrome?

A
  • CNS disturbance
  • GI disturbance
  • Respiratory disturbance
  • Metabolic
23
Q

What are the CNS Disturbances with Neonatal Abstinence Syndrome?

A
  • Shrill, constant cry,
  • Not sleeping
  • Exaggerated Moro reflex
  • Rigid muscle tone
  • Tremors/seizures
  • Skin excoriation due to continuous movements
24
Q

What are the GI Disturbances of Neonatal Abstinence Syndrome?

A
  • Excessive sucking
  • Poor feeding
  • Regurgitation
  • Projectile vomiting
  • Loose watery stool.
25
Q

What are the Respiratory Disturbances of Neonatal Abstinence Syndrome?

A
  • Nasal stuffiness
  • Nasal flaring
  • Tachypnea
  • Dyspnea.
26
Q

What are the Metabolic Disturbances of Neonatal Abstinence Syndrome?

A
  • Sweating
  • Hyperthermia
  • Frequent yawning
  • Sneezing
  • Mottling
27
Q

What are the elements that constitute an APGAR score?

A
  • A = Appearance (Color)
  • P = Pulse (HR)
  • G = Grimace (Reflex Irritability)
  • A = Activity (Muscle Tone)
  • R = Respiratory (Respiratory Effort)

Nursing School (25 decks)

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