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Med Surge and Maternity > pediatric final exam > Flashcards

pediatric final exam Flashcards

1
Q

asking a pt about her concerns helps promote

A

understanding of individualized care

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2
Q

(FMLA) how many weeks does it provide after childbirth?

A

12 weeks

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3
Q

critical thinking results in

A

problem prevention in designing nursing care

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4
Q

what decreases sperm production

A

heat, tight pants, and environmental toxins

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5
Q

first sign of puberty in

boys and girls

A

breasts begin to develop.

testicles get bigger

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6
Q

gametes contain…?

A

23 chromosomes

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7
Q

folic acid supplement can prevent neural tube defects such as

A

spina bifida

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8
Q

sperm ejaculated near the cervix can survive

A

up to five days and can cause pregnancy before ovulation

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9
Q

Chadwick’s sign

A

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

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10
Q

nageles rule

A

add 7 days subtract 3 months

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11
Q

recommend to pt. eating dry toast or crackers before getting out of bed to alleviate

A

nasuea in the morning

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12
Q

the positive signs of pregnancy

A

fetal heart sounds, ultrasound scanning of the fetus, and palpation of fetal movements

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13
Q

hyperemisis graviderum

A

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.

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14
Q

morning sickness

A

mild nausea and vomiting

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15
Q

bleeding accompanied by abdominal or lower back pain is typical for manifestation for

A

abruptrio placentae

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16
Q

rh incompatibility

A

-baby is rh positive and the mother is negative.

a RH mother will receive RH immune globulin (rogam) at 28 weeks (also at birth)

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17
Q

why do women take insulin during pregnancy?

A

oral hypoglycemics cross the placenta

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18
Q

a sudden excessive weight gain, swelling of the feet, hands, and face is the first sign of…?

A

gestational hypertension

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19
Q

calcium glucanate reverses the effect of

A

magnesium sulfate

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20
Q

magnesium sulfate is a central nervous system depressant to prevent seizures. Should you have this at the bedside for preeclampsia?

A

yes

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21
Q

placenta previa

A

placenta partially or totally covers the mother’s cervix

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22
Q

gestational diabetes

A

only during pregnancy

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23
Q

what marks the end of the third stage of labor ?

A

(expulsion of placenta) uterus contracts to size of a grapefruit

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24
Q

amniotic fluid should be clear. greenish color indicates meconium was passed and is associated with

A

fetal compromise

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25
boggy fundus needs to be
massaged. (boggy fundus indicates hemorrhaging)
26
in an emergency situation the nurse can
baptize a child
27
bladder distension can cause
``` uterine atony( loses tone) have pt void after massaging the uterus ```
28
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
29
how do you facilitate breastfeeding?
full breast in mouth, nipple faces the roof of the mouth, and should not be painful
30
infants level of maturation refers to
how well developed the infant is at birth and how well their organs function out of the uterus
31
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. ```
32
fetal distress may occur in the post term infant because...?
the placental function becomes inadequte
33
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.
34
post op care for surgical repair of a cleft lip
prevent infant from sucking or crying. Never position on abdomen
35
testing PKU should be obtained how many hours after birth
48 to 72 hours after birth
36
appropriate room assignments for hospitalized children
do not assign teenagers with infants or senile older adults
37
illness during early adolescence (12-15) is seen as a
threat to body image
38
apical pulses are advised for children under
5 years of age
39
ear drops for an infant (child 3 and under)
down and back
40
ear drops for a child
up and back
41
common treatment for amblyopia
eye patch
42
how do you prevent reyes syndrome
up to date flu and varicella (chickenpox) vaccines | Do Not Give aspirin to a child with chicken pox
43
RICE
rest, ice, compression, and elevation
44
normal capilary refill
less than 3 seconds
45
penicillin is used for group ...?
group A beta hemolytic strep
46
why would a child be swallowing repeatedly after a tonsillectomy
bleeding
47
When does pulmonary edema appear in a child with smoke inhalation?
6 to72 hours after exposure
48
tet squat
returns venous flow
49
parameters for dioxin in an infant
HR must be above 100
50
mother ask why her infant is suffering from clubbing of the fingers
lack of oxygen | clubbing of the fingers is a sign of hypoxia
51
a child with rheumatic fever needs?
penicilin for a minimum of 5 years
52
acid base imbalance of vomiting
metabolic alkalosis
53
diarrhea acid base balance
metabolic acidosis
54
rapid breathing
Respiratory alkalosis
55
how should the nurse administer iron supplements
with orange juice
56
vomiting is an outstanding symptom of
pyloric stenosis
57
the antidote for acetaminophen
mucomist or acetylcysteine
58
an illial conduit diverts urine to the colon. The urine is then
excreted with the feces
59
how does an adults skin differ from a child's skin?
children absorb more
60
first aid treatment of a second degree thermal burn
cold water
61
a purple flush indicate return of sensation with extreme pain
improvement of frostbite
62
Tay sachs disease
is a deficiency of hexoamnisdase
63
s/s of ketoacidosis
Fruity-smelling breath, Fast, deep breathing, and Nausea | Lab values include ketonuria, decreased serum bicarbonate concentration (decreased CO2), low pH hypertonic dehydration.
64
what is a macular, vesicular, pusturlar, papular types of
lesions
65
a child with varicella is contagious for
6 days after the rash
66
comvax is a hepatitis b vaccine that should be given to infants born to
hepatitis b positive moms 12 hours after birth
67
vaccines contraindicated to a child allergic to eggs
flu and yellow fever
68
the nurse should teach adolescence to take all their prescribed medications to avoid microorganisms becoming...?
resistant
69
discrediting parents threatens the child's security and creates...?
anxiety
70
the risk of death decreases when there is a definite
plan of action
71
how to describe a person who is bulimic? s/s
Calluses on the back of the hands/knuckles, compulsive eater, episodes of binge eating with induced vomiting. Binge-purge cycle. Muscle weakness, tooth decay
72
large amounts of vitamin C can be
passed during breastfeeding and it can cause colic
73
hospital policy's in the 1960s
mom was intensely sedated, visitors were restricted, and delayed
74
allergic salute
does not include productive cough
75
what should be in a natural disaster preparedness kit
flashlight, blankets, batteries, food for 5 days, water, transistor radio, medications, first aid kit, cash
76
know what a hyperbaric oxygen therapy is for what?
wounds, decompression illness, and carbon monoxide poisoning
77
When mag sulfate is given the first reaction is
flushed face | this is normal
78
Signs of hemorrhagic shock
Low BP, high pulse, and respirations
79
macule
flat lesions that are less than 1 cm in size
80
vesicle lesion
small fluid-filled sacs or blisters
81
pustular lesion
blister-like sores filled with pus
82
papular lesion
a solid, raised area, usually less than 1 cm in diameter, with distinct borders
83
prenatal visit frequency for a normal pregnancy
conception to 28 weeks- every 4 weeks 29 to 36 weeks- every 2 to 3 weeks 37 weeks to birth- weekly
84
the rubella vaccination is contraindicated for
pregnancy
85
recommended silver nitrate to prevent
blindness in newborns
86
what pelvis is most favorable for vaginal birth
gynecoid
87
HGC is the basis for
a pregnancy test
88
dyspareunia
painful intercourse

Med Surge and Maternity (14 decks)

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