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NP 2- TOP 8 > OB: SIR AKZ > Flashcards

OB: SIR AKZ Flashcards

1
Q

What enters the placenta:

A

Nutrients:
-Glucose
-Thyroxine (T4)

Ilnnesses:
-T-O-R-C-H

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2
Q

Placenta side ;attached to the uterus

A

Duncan

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3
Q

Manuever to deliver placenta by applying pressure on lower abdomen

A

Crede’s Manuever/ Fundal Pressure

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4
Q

Protective structure of umbilical cord from trauma

A

Wharton’s Jelly

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5
Q

Position of choice Cord Proplapse:

A

1st: Knee Chest
2nd: Trendelenburgs

-Prevents compression to umbilical cord

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6
Q

-Small passages that direct blood needs to be oxygenated
-To bypass the lungs & liver. be not fully work until afterbirth.

A

Fetal Shunts

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7
Q

Diagram of Fetal Shunts

A

PLACENTA
↓
Umbilical Vein
↓
Ductus Venosus (Liver)
↓
Inferior Vena Cava
↓
Right Atrium
↓
Foramen Ovale between Right & Left Atrium
↓
Left Atrium
↓
Pulmonary Artery
↓
Ductus Arteriosus
↓
AORTA

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8
Q

-Flexible for movement of crianial bone
-Growth of the brain

A

Suture

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9
Q

Normal, when crying
Abnormal, when not crying/ ↑ICP

A

Bulging Fontanel

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10
Q

Early closure of fontanel

A

early closure is x/sx of abnormality

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11
Q

General measurements

A

Head: 33-35cm/ 13 -14 inches
Abd & Chest: 30-33 cm
Length/ ht: 46-54 cm
Weight: 2.5-4.5 kg

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12
Q

Cranial Bone of Newborn

A

1: Frontal
1: Occipital
2: Parietal
2: Temporal

Overall= 6

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13
Q

0Hormone for brain development in fetus
-Iodine forms this hormone

A

Thyroxine (T4)

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14
Q

GOOD TO KNOW!

A

-No intermingling of maternal & fetal blood occurs in the placenta.
-Mixing of blood of mother and fetus occurs by 3rd stage of labor

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15
Q

-Spaces between bone of skull
-allow molding during birth

A

Fontanel

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16
Q

B-A-D Fontanel

A

Big/Bregma
Anterior
Diamond

(12-18 months)

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17
Q

L-P-T fontanel

A

Liit/Likod/ labda
Posterior
Triangle

(3rd month; 1st to close)

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18
Q

Suture that divides 2 halves of frontal bone

A

Metopoic

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19
Q

Suture that extends across the skull between parental & frontal bone

A

Coronal

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20
Q

Suture between two parietal bones

A

Sagittal

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21
Q

Suture between occipital and two parietal bone at the back of skull

A

Lamboidal

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22
Q

-Birth defects, skull joined too early before brain fully formed
-Premature closure of cranial suture
-2 y.o., before brain becomes developed

A

Craniosynostosis

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23
Q

Softening of skull one.
Rickets, HYper vitamins, congenital syphilis, pathologic conditions, hydrocephalus

A

Craniotabes

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24
Q

-Change in skull, Distinctive boxlike
“Square Headed”
-Frontal Bossing

A

Caput Quadratum

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25
Q

10% of weight loss in the 1st week is

A

Physiologic Weight loss

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26
Q

Important indicator of nutritional Status of child?

A

Weight

Doubles= 6 mons
Triples= 12 mons
Quadrupule= 24 mons

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27
Q

When the dorsum of the foot is drawing under the edge of a table top it results in Flexion followed by Extension of the leg.

Disappers by: 2-3 months

A

Placing Reflex

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28
Q

Which among the two develop first? Fine motor or Gross Motor?

A

Gross Motor

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29
Q

Good to know!

A

Colostrum is high in Vitamin A
-Prevents Xeropthalmia

30
Q

Good to know!

A

*Drying stimulates breathing
*Prone position= SIDS
*Hypoglycemia= Comatose

31
Q

Cold stress diagram

A

COLD
↓
↑O2 consumption
↓
↑Respiratory Rate
↓
Pulmonary Vasoconstriction
↓
↓O2 uptake by lungs

COLD
↓
↑O2 consumption
↓
↑Respiratory Rate
↓
Peripheral Vasconstriction
↓
↓O2 to tissue (Hypoxia)
↓
↑Anaraeobic glycolysis
↓
↓in PO2 and Ph
↓
Metabolic Acidosis

32
Q

Rooming in refers to?

A

Newborn & mother in the same room

NSVD: within 30 minutes
CS: 3-4 hours

33
Q

good to know

A

E-coli— Vit. K— Liver
=Clotting

34
Q

Good to know

A

Crying= Breathing
Shrill Cry= Abnormal
↑ICP= Lusty: 2
Shrill: 1

35
Q

↑Vernix Caseosa, ↑Lanugo

A

Preterm

36
Q

serves as a thermoregulator

A

Vernix Caseosa

37
Q

Bluespots

A

Mongolian Spot

38
Q

Reddish-purple Blood vessel

A

Nevi/ stork bites

39
Q

Jaundice
-normal
- occurs after 24 hours
-due to immature liver; small/gradual rise in bilirubin

MANAGEMENT: Brrastfeeding

A

Physiologic Jaundice

40
Q

Jaundice

-Abnormal
-occurs within or less than 24 hours
-RBC destruction/ Hemolysis
-↑ Amount of bilirubin

MANAGEMENT: Phototherapy, Drop light, Bili light

Nursing Alert: PHOTOTHERAPY
-Turning of sides
-Don’t expose eyes & genitals

A

Pathologic Jaundice

41
Q
A
42
Q

Brain damage from increase level of bilirubin in the newborn’s brain

A

Kernicterus

43
Q

Heart defect
Right to Left Shunt

A

Cyanotic Heart Defect

Tetralogy of fallot
Truncus Arteriosus
Transposition of greater aorta
Hypoplastic left heart Syndrome

44
Q

Heart defect
Left to Right Shunt

A

Acyanotic Heart Defect

Ventricular septal defects
Atrial Septal Defects
Patent Ductus Arteriosus

45
Q

4 structural defects
V-P-O-R
-Ventricular Septal defect; hole in septum
-Pulmonary stenosis; narrowing
-Right Ventricular hypertrophy; positioned to ventricular septal instead of left ventricle
-Overriding aorta; Overworked Right Ventricle

A

TETRALOGY OF FALLOT

46
Q

Most critical disorder among the 4 defects?

A

Pulmonary Stenosis

-Early detection, to undergo surgery
-More narrowed=More severe

47
Q

Complications of TOF:

A

-Hypercyanotic spells (tet spells)
-Right ventricular dysfunction
-Bacterial endocarditisi
-Polycythemia
-Death

48
Q

Assessment for TOF:

A

-cyanosis (tet spells)
-clubbing of fingers
-polycythemia
-tripod position to reduce SOB
-Position of Choice: Knee chest/Tripod

49
Q

Dx test for TOF

A

C-Xr: Boot-shaped cardiac silhouette
ECG: Right Ventricular Hypertrophy

50
Q

Republic Act of breastfeeding

A

RA 10028

51
Q

Breastfeeding month

A

August

52
Q

Milk code

A

EO 51

53
Q

RA 7600

A

Rooming in Law (Old)

54
Q

RA 10028

A

Rooming in law (new)

NSVD: w/in 30 mins
CS: w/in 3-4 hours

55
Q

A-B-C’s of Breastfeeding

A

AWARENESS:
-watch for sx of hunger
-feeding on demand (every 3 hours)
-8-10x day

BE PATIENT:
-dont hurry the infant through feeding
-10-15 mins per breast (complete emptying)

COMFORT
-relax while breastfeeding (let-down reflex); oxytocin
-avoid stress

56
Q

Properties of BF

A

-Antiviral: interferon
-Anti-infective: IgA
-Enhance Iron absorption: Casein ↑ formula milk
-Lactalbumin (whey): Enahnce iron absorption ↑BF
-Lacto Bifidus: GI protection

57
Q

easy to digest
↑BF

A

Whey

58
Q

Hard to digest
↑formula milk

A

Casein

59
Q

TYPE OF BREASTMILK
C-T-M

A

Colostrum: 4 days
:Rich in antibodies Vit. A

Transitional: 4-9 days

Mature: 10 day
: Free milk: Beginning of feeding water w/ nutrition
: Hind milk: End of feeding highly fatty

60
Q

BF should be:

A

Early: Within 1 hour after birth
Exclusive: Breastfeeding only for 6 months
: Except Meds
Extended: up to 2 years

61
Q

BF Problems

A

Cracked & sore nipples
-Air drying, lanolin, sterile water, no soaping

Breast engorgement
-Ice pack & hot water (Warm shower) alternate

Mastitis
-Antibiotics if with puss, no breastfeeding
-If no puss, Breastfeeding

62
Q

Hormone in breat milk

A

Prolactin

63
Q

Hormone on let down reflex

A

Oxytocin

64
Q

Breastfeeding Contraindication:
G-U-C-H-I

A

Galactosemia
Untreated active TB
Chemotherapy pt.
HIV positive
Illegal Drugs (Cocaine, Marijuana)

65
Q

Proper Latching

A

Mouth: Wide Open
Lips: Lower Lip Outward
Chin: Raised on breast
Areola: Above is visible
Sucking: Deep with pause, blowing
Body: Straight

66
Q

BF Position

A

Cross cradle position
Football hold
Cradle Position
Side lying
Laid back positions

67
Q

Arms holds the majority of the baby with other arm, gently hold their bottom as they are lying comfortably perpendicular to the breast

A

Cross-cradle Position

68
Q

One hand free option: using arm on the same side as nursing breast, fully support baby, allowing leg to dangle.
-large breast or after C-section

A

Football hold

69
Q

Cuddle baby into crook of your arm, using that arm support their back & head. other arms, gently hold their bottom so they are comfortably lying perpendicular to your breast.

A

Cradle position

70
Q

lying down on your side allows your baby to do the same when side lying, the surface on your baby up, and they can nurse without a lot of support. if necessary, you can use your arm to support their neck or back.

A

Side lying

71
Q

If yore wanting to lay down during a nursing sessions, cradle your baby in the arm on the same side as the nursing breast, using good care to support their neck.

A

Laid back positions

NP 2- TOP 8 (12 decks)

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