pediatric final exam Flashcards
asking a pt about her concerns helps promote
understanding of individualized care
(FMLA) how many weeks does it provide after childbirth?
12 weeks
critical thinking results in
problem prevention in designing nursing care
what decreases sperm production
heat, tight pants, and environmental toxins
first sign of puberty in
boys and girls
breasts begin to develop.
testicles get bigger
gametes contain…?
23 chromosomes
folic acid supplement can prevent neural tube defects such as
spina bifida
sperm ejaculated near the cervix can survive
up to five days and can cause pregnancy before ovulation
Chadwick’s sign
dark bluish or purplish discoloration of the vaginal tissue, vulva, or cervix, which is caused by an increase in venous (from the veins) blood flow to the area
nageles rule
add 7 days subtract 3 months
recommend to pt. eating dry toast or crackers before getting out of bed to alleviate
nasuea in the morning
the positive signs of pregnancy
fetal heart sounds, ultrasound scanning of the fetus, and palpation of fetal movements
hyperemisis graviderum
Excessive nausea and vomiting that interferes with food and fluid balance. Low-birth weight. Dehydration leads to reduction of blood oxygen and nutrients to the fetus.
morning sickness
mild nausea and vomiting
bleeding accompanied by abdominal or lower back pain is typical for manifestation for
abruptrio placentae
rh incompatibility
-baby is rh positive and the mother is negative.
a RH mother will receive RH immune globulin (rogam) at 28 weeks (also at birth)
why do women take insulin during pregnancy?
oral hypoglycemics cross the placenta
a sudden excessive weight gain, swelling of the feet, hands, and face is the first sign of…?
gestational hypertension
calcium glucanate reverses the effect of
magnesium sulfate
magnesium sulfate is a central nervous system depressant to prevent seizures. Should you have this at the bedside for preeclampsia?
yes
placenta previa
placenta partially or totally covers the mother’s cervix
gestational diabetes
only during pregnancy
what marks the end of the third stage of labor ?
(expulsion of placenta) uterus contracts to size of a grapefruit
amniotic fluid should be clear. greenish color indicates meconium was passed and is associated with
fetal compromise
boggy fundus needs to be
massaged. (boggy fundus indicates hemorrhaging)
in an emergency situation the nurse can
baptize a child
bladder distension can cause
uterine atony( loses tone) have pt void after massaging the uterus
rooting reflex
when the corner of the baby’s mouth is stroked or touched. The baby will turn his or her head and open his or her mouth to follow
how do you facilitate breastfeeding?
full breast in mouth, nipple faces the roof of the mouth, and should not be painful
infants level of maturation refers to
how well developed the infant is at birth and how well their organs function out of the uterus
how to check tube placement when administering a gavage
check for stomach fluids and, check the pH(under 5) of the fluid. Return the stomach fluids into the stomach.
fetal distress may occur in the post term infant because…?
the placental function becomes inadequte
nursing care for an infant with hydrocephalus
fetal surgery or shortly after birth to prevent brain damage.
observe for signs of increased cranial pressure (ICP) or infection at the operative site.
post op care for surgical repair of a cleft lip
prevent infant from sucking or crying. Never position on abdomen
testing PKU should be obtained how many hours after birth
48 to 72 hours after birth