NUR 238 - Heather's Notes Flashcards
What are the signs and symptoms of Hyperbilirubinemia?
- Jaundice due to excess breakdown of RBC’s
- Poor feeding/lethargy
If you are having fertility issues related to fallopian tubes, what would you need to do in order to become pregnant?
IVF.
If Chlamydia is left untreated, what happens?
Ascending infection which is pelvic inflammatory disease (PID) that leads to infertility, ectopic pregnancies, or sterility.
What are the signs and symptoms of Bacterial Vaginosis?
- Thin, watery, white/grey, vaginal discharge
- Foul odor (fish scented)
What are the contraindications for oral contraceptives?
- Smoker
- Obese
- > 40
- Hx of HTN
- On meds that affect liver enzymes (anticonvulsants, so ABX)
What are the adverse effects of Clomid?
- Pelvic Cramping
- Ovarian Hyper-Stimulant Syndrome (OHSS)
What is a Hysterosalpingogram?
X-ray test to outline the internal shape of the uterus and show whether the fallopian tubes are blocked.
What is the common sign for ovulation?
Spirano or sticky mucous.
What is the appearance of Vaginal Warts?
- Dry, hard areas that may be very small
- Cauliflower-like clusters
How do babies produce heat?
Brown fat metabolism.
Circumcision care and teaching.
- 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
What are ways to keep a baby warm?
- Skin to skin
- Hat
- Dry well
- Warmers
What is an important aspect of car seat safety?
Make sure carriage is rear facing.
What is a typical symptom of Group B Strep in babies?
Unstable temperature.
What are common complications with large gestational babies?
- Hypoglycemia
- Polycythemia
- RDS
- Tremors from Hypocalcemia
What are the reasons for a Vitamin K injection?
- Prevention of hemorrhagic disease
- Coagulation factors activated
- Given in DR to initiate clotting process
What are the signs and symptoms of Respiratory Distress?
Subtle Signs:
- Low temperature
- Nasal flaring
- Sternal & subcostal retractions
- Tachypnea (>60/min)
Acute Sign:
- Expiratory grunting
Why do we give Narcan to newborns?
.
What is the reason for venting premies?
.
What is involved with the care of parents in NICU?
- 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
APGAR Scoring details.
- 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
What are the signs and symptoms of Neonatal Abstinence Syndrome?
- CNS disturbance
- GI disturbance
- Respiratory disturbance
- Metabolic
What are the CNS Disturbances with Neonatal Abstinence Syndrome?
- Shrill, constant cry,
- Not sleeping
- Exaggerated Moro reflex
- Rigid muscle tone
- Tremors/seizures
- Skin excoriation due to continuous movements
What are the GI Disturbances of Neonatal Abstinence Syndrome?
- Excessive sucking
- Poor feeding
- Regurgitation
- Projectile vomiting
- Loose watery stool.
What are the Respiratory Disturbances of Neonatal Abstinence Syndrome?
- Nasal stuffiness
- Nasal flaring
- Tachypnea
- Dyspnea.
What are the Metabolic Disturbances of Neonatal Abstinence Syndrome?
- Sweating
- Hyperthermia
- Frequent yawning
- Sneezing
- Mottling
What are the elements that constitute an APGAR score?
- A = Appearance (Color)
- P = Pulse (HR)
- G = Grimace (Reflex Irritability)
- A = Activity (Muscle Tone)
- R = Respiratory (Respiratory Effort)
