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Nur 4512 Tech > OB & Peds Content > Flashcards

OB & Peds Content Flashcards

1
Q

Amplitude range is undetectable

A

absent baseline variability

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2
Q

Amplitude range is visually undetectable < or = 5bpm

A

minimal baseline variability

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3
Q

Amplitude peak to trough 6-25bpm

A

moderate baseline variability

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4
Q

amplitude range >25bpm

A

marked baseline variability

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5
Q

the peak of the acceleration is > or = to 15bpm over the baseline FHR for > or = 15seconds and <2minutes; before 32wks gestation 10:10

A

Accelerations

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6
Q

normal FHR

A

110-160

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7
Q

the autonomic nervous system has what effect on the FHR

A

increases FHR

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8
Q

the parasympathetic nervous system has what effect on the FHR

A

decreases FHR

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9
Q

lowest point of deceleratoin

A

nadir

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10
Q

are early decelerations good or not?

A

good: mirror contraction

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11
Q

can be a sign of fetal intolerance to labor

A

late decelerations

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12
Q

nuchal cord is tanlgled (grabbed)

A

variable decelerations

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13
Q

intervention for variable decelerations:

A
  1. change position
  2. throw mask on mom 8-15mL
  3. more fluid (IV)
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14
Q

time frame of contraction beginning to end

A

duration

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15
Q

no numeric value, determine by palpate, subjective (strong=forehead, moderate=chin, mild=nose)

A

intensity

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16
Q

beginning of one contraction to next contraction

A

frequency

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17
Q

Output for peds:

A

1ml/kg/hr

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18
Q

• Oxygen Delivery (at childrens all air is humidified)

A

o Nasal cannula – 1/16L to 3L is typical
o Venturi Mask – 24-55% FiO2
o Simple face Mask – 35-60% Fi02 (6-10L/min)
o Partial rebreather – 70-90% Fi02 (6-15)
o Non-rebreather – 60-100% Fi02 (6-15L/min)
o Blow-by 02
 Croup

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19
Q

given at bedtime to give a more steady glucose level (longterm)

A

Lantis

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20
Q

catheter inserted directly through chest wall

A

Hickman

21
Q

Respiratory; WETFROG

A
  • W- wheezes
  • E- Effort
  • T- Tachy
  • F - Flaring
  • R - Retractions
  • O - Oxygen
  • G - Grunting
22
Q

FLACC

A
  •  Children under age of preschool
  •  Faces, Legs, Activity, CRY, Consolability (p.693 Ward & Hisley)
  •  Will be given a scale of 0-2, 2 being worst, per category
  • Pain Assessment
23
Q

pain assessment, 1st-3rd

A
24
Q

o Used in Primary Care
o Checking for developmental appropriateness

A

Denver II Assessment

25
Q

Newborn ~ Flexion of extremities
 If newborn’s extremities are hypotonic (not flexed)

A
  1. Prematurity
  2. Hypoglycemia (not been fed)
  3. Hypothermia
  4. May be due to medications
  5. May need to be stimulated (woken up)
26
Q

 Put tape cm side out just above eyebrow and top of ear (31cm)

A

head circumference

27
Q

 Use nipples as a point of reference (25cm)

A

chest circumference

28
Q

 Paper(measurement paper) on a flat surface

A

length

29
Q

uterus not supplying enough nutrients to provide for fetus (or one of the fetuses)

A

IUGR

30
Q

newborn breaths per minute

A

30-60

31
Q

looks like baby acne, mostly found on nose, chin, forehead (exposed sebaceous glands)
o Do not touch or pop, they will resolve on own

A

milia

32
Q

newborn hair, fine downy like hair, up to 16weeks gestation
o Shoulders, back, arms
o Provide thermoregulation and protection while in gestation
o As gestation progresses vernix starts to disinigrate
o A lot of this may be a sign of developmental prematurity

A

lanugo

33
Q

o Usually found in post term newborns, no sign of vernix

A

peeling/cracking

34
Q

looks like a thick layer of lotion on baby, slippery, slick, sticky (thick petroleum jelly)
o Moisturizes skin in womb
o Lubrication during birth process
o Protection – natural skin protector
o As gestation progresses this starts to disinigrate

A

vernix caseosa

35
Q

bluish spot found on buttock or lower back, common in African American, latino, not painful
o Record presence, location, size
o Should resolve by school age

A

mongolian spot

36
Q

red spots commonly found on forehead between eyes or on back of necks
o Resolves on own

A

hemangioma (stork byte)

37
Q

distict bright red color
o Don’t usually interfere with development unless around eyes or nose (interfere w seeing and eating) may need to be surgically removed

A

strawberry hemangioma

38
Q

newborn rash) – not congenital, wash with mild soap and water, do not rub

A

erythema toxicum

39
Q

result of baby journey through birth canal, occurs in back of head, fontanels crossing over eachother
o Normally resolves within a week

A

molding (head)

40
Q

bump on fetal head, can cross suture line
o Feels spongy
o Should resolve within a week

A

caput

41
Q

bump on fetal head from an accumulation of blood
o Will never cross the suture line on top of head, will only be over a plate
o May be a result of birth trauma from long labors or from external trauma to speed up birthing process (forceps)
o Can take up to three months to resolve

A

cephalatoma

42
Q

white bumps in mouth

A

mouth (epstein pearl)

43
Q

feet may appear bluish, normal finding within the first day of birth, body adjusting to environment
o Response to cold environment

A

acrocyanosis

44
Q

response to cold environment

A

mottling

45
Q

Half of baby’s face or body is more red than other, sometimes color may switch
o Abnormal vasodilating in newborn

A

Harlequin sign

46
Q

BUBBLEHE

A

~ Breasts
~ Uterus
~ Bowel
~ Bladder
~ Lochia
~ Episiotomy
~ Homan’s Sign
~ Emotions

47
Q

– physician inflicted cut on the floor of the perineal tissue (laterally)
o Tear on its own is called a laseration

A

episiotomy

48
Q

50% accurate, check for blood clot and DVT
o Positive if it hurts upon touch at top of calf – screening tool not diagnosis
 Visualize – any vein popping out, heat, call physician, check with doppler

A

homan’s sign

Nur 4512 Tech (7 decks)

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