Random 2 Flashcards

1
Q

Pediatric Medication Formula

A

amount available/volume available

amount perscribed/volume to administer

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2
Q

best pelvic shape for childbearing

A

gynecoid

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3
Q

fetal lie

A

transverse or longitudinal

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4
Q

front fontanel shape

A

diamond

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5
Q

back fontanel shape

A

triangle

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6
Q

presentation

A

part of baby coming out first

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7
Q

attitude

A

flexion or extension

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8
Q

position

A

anterior, posterior, transverse

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9
Q

when can you administer pain meds during labor?

A

5-7cm dilated during active labor

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10
Q

volume of nonpregnant uterus

A

10cc

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11
Q

volume of pregnant uterus

A

5,000cc

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12
Q

normal range specific gravity

A

1.005 - 1.030

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13
Q

when will fetal outline be palpable?

A

20-24 weeks

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14
Q

what causes nasal stuffiness in pregnant women?

A

estrogen

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15
Q

blood volume and cardiac output increase by how much when pregnant?

A

about 50%

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16
Q

modifies metabolic state of mom to facilitate energy of growing fetus

A

human placental lactogen

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17
Q

promotes maintenance of corpus luteum during pregnancy

A

human chorionic gonadotropin

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18
Q

amenorhhea, frequent urination, quickening

these are all what kiind of signs of pregnancy?

A

Presumptive

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19
Q

chadwicks sign, palpable fetal outline

these are what kind of signs of pregnancy?

A

Probable

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20
Q

fetal heart sounds and ultrasound view of fetus are what kind of sign of pregnancy?

A

Positive

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21
Q

nausea and vommitting during pregnancy are caused by what?

A

HCG

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22
Q

breast tenderness during pregnancy is caused by what?

A

estrogen and progesterone

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23
Q

2nd and 3rd trimesters bring what additional symptoms?

A

heartburn, ankle edema, backache, dyspnea

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24
Q

Psychological tasks of pregnancy

A

role playing, fantasizing

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25
Q

AFP tests for what?

A

fetal abnormalities
too low - neural defects
too high - chromosomal defects
taken from mom’s blood, produced in baby’s liver

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26
Q

Intrauterine APGAR score

A

Biophysical Profile

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27
Q

The 3 main groups of fetal cells from outermost to innermost

A

ectoderm
mesoderm
entoderm

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28
Q

ectoderm

A

skin, nails, nervous system

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29
Q

mesoderm

A

muscles, bone, blood vessels

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30
Q

entoderm

A

digestive tract, respiratory tract, thyroid

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31
Q

placental segmants are called what

A

cotelydeons

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32
Q

diagonal conjugate

A

pelvic inlet

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33
Q

ishial tuberocity

A

pelvic outlet

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34
Q

Prenatal appointments should be how frequent from 1-32 weeks?

A

every 4 weeks

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35
Q

prenatal apps should be how frequent from 32-36 weeks?

A

every 2 weeks

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36
Q

prenatal apps should be how frequent after week 36?

A

every week

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37
Q

amount of amniotic fluid at term

A

800-1,200 cc

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38
Q

first fetal system to become functional

A

cardiovascular system

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39
Q

left recumbant position after meal and record # of fetal movements over the next hour

A

Sandovsky method

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40
Q

total pregnancy weight gain

A

25-35lbs

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41
Q

total weight gain pregnant w/ twins

A

31-50lbs

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42
Q

increase of caloric intake during 2nd trimester

A

340

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43
Q

increased caloric intake during 3rd trimester

A

452

44
Q

increase of protein intake while pregnant

A

60 grams a day

45
Q

folic acid intake while pregnant

A

600 grams

46
Q

how much calcium should you consume per day?

A

1,000 grams

47
Q

neuro tube defects result from what deficiency?

A

folic acid

48
Q

iron is best absorbed with what vitamin

A

vitamin C

49
Q

caffeine intake per day

A

300 mg/day or 2 coffees

50
Q

pica is often a defficiency of what?

A

iron

51
Q

Dick Reade method

A

reducing fear to reduce pain

52
Q

Bradley method

A

engaging the partner in preparation

53
Q

fraternal twins

A

Dizygotic

54
Q

identical twins

A

Monozygotic

55
Q

which twins share the amniotic sac?

A

monozygotic

56
Q

mechanisms of labor in order

A
engage, decent, flexion
internal rotation
extension
external rotation
expulsion
57
Q

how often do you check fetal heart tones in each stage of labor

A

latent - 30
active - 15
2nd stage - 5

58
Q

Bishop scale

A

indicates potential for successful induction

0-3

59
Q

amniotomy

A

crochet hook ROM

60
Q

oxytocin can have what effect on BP

A

hypertension

61
Q

late decels

A

make you nervous

begin after contraction ends and persist

62
Q

variable decels

A

call dr. asap

63
Q

amnioinfusion

A

dilute meconium

lessens cord pressure

64
Q

fetal scalp stimulation does what to fetal heart rate

A

increases

65
Q

fetal scalp sampling

A

acid/base levels

66
Q

pudendal block

A

numbs vaginal area

67
Q

epidural between these vertabrae

A

T12 - S5

68
Q

a spinal provides pain relief for how long

A

2 hours

69
Q

which result of vaccuum assisted delivery is most dangerous

A

subgleal hemorrhage

70
Q

fluid diminishes 2-4 days before birth; how much is left at delivery in lungs?

A

80-100mL

71
Q

core temp at birth

A

99

72
Q

how much does the baby’s temp drop every minute?

A

.5 a minute

73
Q

baby’s stomach holds

A

60-90cc

74
Q

4th day stool

A

breastfed - soft and sweet; 3-4x a day

bottle fed - formed 2-3x a day

75
Q

neonatal blood volume

A

300cc

76
Q

baby’s liver functions

A
iron storage
produces RBC;s
Carb metabolism
conjugates billirubin
coagulates vitamin k
77
Q

ADH deficiency causes babies to do this

A

dehydrate, lose fluid

78
Q

not fully functioning at birth

A

endocrine system

myelenation of fibers

79
Q

maintain baby’s temp to what

A

97.4-99.4

80
Q

small white raised spots

A

millia

81
Q

cephalhematoma

A

one side of the other from vaccum suctioning localized edema

82
Q

hypoglycemia in neonates

A

<25 preterm

83
Q

signs and symptoms of hypoglycemia in neonates

A

poor feeding
jittery
sweating
flacid muscles

84
Q

when is a heel stick done

A

after 1 hour of undisturbed rest

85
Q

when is PKU tested

A

after 48 hours

after baby has had breast feeding and sufficient protein

86
Q

PKU diets need more of this

A

tyrosine

87
Q

PKU diets need less of this

A

phenylalanine

88
Q

nevus flammeus

A

port wine stain

89
Q

hyperbillirubinamia peaks at what day

A

day 3

90
Q

greater than 7 billirubin

A

jaundice

91
Q

greater than 25 billirubin

A

mental retardation and death

92
Q

phototherapy is used to treat hyperbillirubinamia, how often must you take axillary temp?

A

Q4H

93
Q

Direct Coomb’s test tests for what?

A

low RBC anemia

94
Q

how often should you breast feed?

A

2-3 hours

95
Q

how often do you bottle feed?

A

3-4 hours

96
Q

where is breast milk formed

A

alveolar cells

97
Q

how long will colostrum last

A

3-4 days

98
Q

L A T C H

A
Latch
Audible swallowing
type of nipple
Comfort
Hold
99
Q

how do you know baby is adequately nourished

A

doesn’t lose more than 10% birth weight
voids 6x a day
sleeps between feedings
2-3 bowel movements a day

100
Q

formula is fortified with what

A

iron

101
Q

urethra ends under surface of foreskin

A

hypospadias

102
Q

urethra ends at dorsum of penis

A

epispadias

103
Q

this circumcision method stays on and falls off at home 5-8 days later

A

Plastibell

104
Q

NIPS

A

neonatal infant pain scale

7 is severe

105
Q

circumcision can cause what complication

A

hypoglycemia

106
Q

film of yellow mucus after 2nd day of circumcision

A

don’t wash it off!