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PEDS Flashcards

1
Q

The nurse caring for a client who is receiving oxytocin (Pitocin) should

A

monitor the fetal heart rate.

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2
Q

Oxytocin

A

produces uterine contractions

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3
Q

Oxytocin

A

can cause fetal anoxia

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4
Q

The umbilical cord normally contains

A

two arteries and one vein

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5
Q

RhoGam

A

given to unsensitized Rh-Negative mother after delivery or abortion of an Rh-positive infant

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6
Q

Given to fetus to prevent the development of sensitization

A

RhoGam

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7
Q

Direct Coomb’s test

A

done on the cord’s blood after delivery

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8
Q

if both are negative and neonate is Rh-positive

A

mother is given RhoGam

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9
Q

Administration of RhoGam is given at

A

26 to 28 weeks gestation

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10
Q

RhoGam is ineffective against

A

RH-positive antibodies already in maternal circulation

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11
Q

Circumoral cyanosis

A

bluish discoloration around the mouth

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12
Q

The purpose of administering vitamin K to a neonate is to

A

increase the prothrombin time

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13
Q

The fetus of a pregnant woman that acquires rubella may develop

A

congenital rubella syndrome

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14
Q

blindness, deafness, heart defects, mental retardation, cleft lip and palate

A

congenital rubella syndrome

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15
Q

Breastfeeding

A

has an antidiabetogenic effect

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16
Q

teach Diabetic mother to use less

A

insulin

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17
Q

Growth

A

refers to the process which results in an increase in size

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18
Q

Development

A

refers to increases in complexity of form or function

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19
Q

Maturation

A

refers to the total way in which a person grows and develops, as dictated by inheritance

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20
Q

Ordinal position

A

has a bearing on development

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21
Q

Apgar score

A

used to determine major body systems responses to birth

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22
Q

Infant mortality rate

A

defined by the number infant deaths per 1,000 live births

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23
Q

The higher the score of the Apgar system

A

the better the neonate’s condition is, with a maximum total of ten

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24
Q

Nasal flaring

A

sign of respiratory distress

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25
Sunken eyes and fontanel
suggests dehydration in an infant
26
Lack of eye muscle control is present in all
newborns
27
At birth eye function
limited but matures fully during the early years
28
Normally a child achieves 20/20 vision acuity by
6 to 7 years of age
29
The normal respiratory range for a newborn
30 to 80 breaths/minute
30
The anterior fontanel closes by
12-18 months of age
31
The posterior fontanel ossifies usually by the end of the
second month
32
Depressed fontanels means the child is
dehydrated
33
Bulging fontanels
increased Inter-cranial Pressure (ICP)
34
Lanugo
fine hair
35
Lanugo
on the skin of the newborn tends to disappear during the first week of life
36
The normal vital signs for a newborn I hour after birth
HR 140 bpm, R 50
37
Strabismus
normal in the first month of life
38
Small white dots on the nose
milia
39
milia on the nose are
Normal
40
Vernix caseosa
cheese like substance that covers the skin of the neonate
41
Normal on the infant's skin
Vernix caseosa
42
thought to protect the skin from infection
Vernix caseosa
43
The circumference of the newborn infant’s head is expected to be
equal or slightly larger than the chest
44
average head circumference of neonates
13 to 14 inches
45
Newborn babies like
human faces and simple patterns
46
Check for urine retention after the
circumcision of the neonate
47
A soft swollen area on the newborn infant’s scalp that extends over the suture lines
caput succedaneum
48
caput succedaneum
no nursing intervention necessary
49
The umbilical cord normally contains
two arteries and one vein
50
A breast –fed baby has 6 to 10 small
loose, golden yellow stools per day
51
A formula fed baby has
dark green, pastry stools
52
A 5% weight loss is normal among
healthy newborns, some few days after delivery
53
Willingness and motivation to breastfeed are
important for successful breastfeeding
54
The signs and symptoms of hypoglycemia in the newborn
jitteriness and lethargy
55
The nurse should perform a hell stick to check for hypoglycemia
which can cause jittery movements in a neonate
56
Signs and Symptoms of cocaine addicted neonate
constant crying, jitteriness, and poor feeding emesis, respiratory distress and seizures
57
A cocaine addicted neonate typically experience withdrawal
8-10 hours after birth
58
Vitamin K
Vitamin K
59
is given to neonates to promote blood clotting and prevent hemorrhage
Vitamin K
60
Ophthalmia neonatorum
an acute conjunctivitis of the newborn infant
61
often caused by Neisseria gonorrhoeae and Chlamydia trachomatis
Ophthalmia neonatorum
62
A 0.5% erythromycin solution
instilled in the neonate’s eye to prevent chlamydial ophthalmia and gonococcal ophthalmia
63
Indirect Coombs test
during the prenatal period can show previous exposure to Rh-positive antigens
64
direct Coombs test
done on umbilical cord blood
65
positive result usually indicates Rh incompatibility
direct Coombs test
66
RhoGam
administered to women at risk for Erythroblastosis fetalis within 72 hours after birth
67
RhoGam
Give within 72 hours after birth
68
Treatment of Erythroblastosis fetalis includes a
combination of phototherapy and exchange transfusion
69
Severe jaundice
may cause Kernicterus
70
Kernicterus
accumulation of bilirubin in the brain tissue
71
may cause severe brain damage, may leave newborn mentally retarded, and frequently results in death
Severe jaundice
72
Children with PKU need to avoid
sweetner Aspartame (Nutra Sweet)
73
Children with PKU need to avoid sweetner Aspartame (Nutra Sweet)
because it is converted to phenylalanine in the body
74
The 3 classic signs of congenital hip dysplasia
i) unequal skin folds (ii) limitation of abduction (iii) unequal knee height
75
The Ortolani’s sign or Ortlani’s click is considered diagnostic for
congenital hip dysplasia
76
A body (spica cast)
maintains the legs in a frog-like position (with hips abducted
77
used to treat congenital dislocations of the hip
A body (spica cast)
78
The infant with Down’s syndrome often has
slanting eyes and low set ears
79
The most desirable behavioral state to test infant responses is
quiet-alert
80
A sign of adequate hydration in a neonate is
six to eight wet diapers a day
81
Umbilical cord care
cleaning the cord stump three times per day with alcohol until the cord falls off in 1 to 2 weeks
82
Newborn infants should not be discharged before
meconium stool is observed and recorded
83
Meconium stools shoud be expected between
24 and 48 hours
84
Any remark that indicates dissatisfaction with the infant may indicate a problem with
attachment or bonding
85
When caring for a neonate receiving phototherapy the nurse should
remember to reposition the neonate frequently
86
PKU
phenylketonuria
87
As part of your discharge instruction, tell the mother of a neonate to have the child tested for PKU (phenylketonuria) between
48 and 72 hours after birth
88
Denver Development Screening Test
evaluates the development level of social, motor and language skills in children ages 1 month to 6 years
89
Physiological jaundice, in contrast to pathological jaundice
appears between the third and fifth day of life and last for a week
90
Extracorporeal membrane oxygenation (ECMO) is used with
meconium aspiration syndrome to oxygenate the blood while the lungs heal
91
One outstanding symptom of a child with Down syndrome
a deep straight line across the palm
92
SIMIAN crease
a deep straight line across the palm
93
One of the most distinctive features of infants with down syndrome at birth is
decreased muscle tension and strength called hypotonia
94
decreased muscle tension and strength
hypotonia
95
Because phenylalanine is found in all natural protein foods
a synthetic food providing enough protein for growth and tissue repair must be substituted
96
inspect the gluteal and popliteal folds of the hips to assess for
congenital hip dysplasia
97
heart rate of the newborn infant should be determined by
auscultation of the apical pulse
98
Mongolian spots
bluish discoloration of the skin
99
Mongolian spots
common in black babies disappear in the first year of life
100
When measuring the head circumference, the nurse measures the head slightly
above the eyebrows and pinnae to the occipital prominence

NURSING (18 decks)

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