Random 5 Flashcards

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1
Q

when does anterior fontanelle close?

A

12-18 months

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2
Q

posterior fontanelle close?

A

2-3 months

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3
Q

position earloab to see in childs ear?

A

back and down

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4
Q

how many cups of milk for 15 month old

A

2-3

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5
Q

school age child need aprox how many calories/day?

A

2400

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6
Q

VS for child

A

> observe

> resps/HR
BP
temp

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7
Q

temp most reliable for < 2years

A

rectal

Oral age 5-6

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8
Q

Epiglotits (upper)

A

> No cough
dysphagia
tripod
severe resp distress

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9
Q

Croup (upper)

A

Laryngotracheobronchitis

< 5 yrs viral infection

> barky/brassy couge

> warm/cool air to vasoconstrict blood vessels
or hospital will give epi nebs and steroids

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10
Q

RSV

A

resp syncytial virus

> effects broncioles
< 2 yrs old

> weak lungs
> non product cough
> retraction with wheezing
> mild fever
> nasal drainage >> tons of drainage
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11
Q

what 2 body systems are affected by CF

A

cystic fibrosis
Think thick sticky secretions every where!

  1. Resp
  2. GI
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12
Q

what type of enz can be given for CF?

A

pancreatic

> take within 30 min of eating

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13
Q

diet for CF

A

high:
fat, calorie, protein
Well balanced

statorrhea poops

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14
Q

diagnose CF

A

sweat/chloride test

baby tastes salty.
> risk for hyponatremia»>

Baby no meconium, might be CF = ileus

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15
Q

therapy for CF

A

intense pulmonary therapy to move secretions

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16
Q

Down syndrome prone to what infections

A

Resp d/t poor immune systems

> heart defects are common

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17
Q

HF for babies

A

Fluid retention
> weight gain of > or = to 1 lb / day

N: uninterrupted sleep

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18
Q

Meds for HF babies

A
  1. Dig:
    early sign of toxic:
    &raquo_space; bradycardia and vomiting

Infant: hold dose if pulse < 110

Children: hold dose if pulse < 70
»» always check Dig with another nurse»>

2. ACE Inhibit:
>> watch for:
> decreased BP
> kidney probs
> dry cough
-- blocks aldosterone. stop retaining Na and water and excrete K+ 
  1. Furosemide- decrease vol
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19
Q

olive shaped mass in epigastric region?

A

Pyloric stenosis = projectile vomiting

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20
Q

what is it called when a piece of bowel goes back into self?

A

Intussusception

> forms an obstruction
intermit abd pain
current jely poop. blood and mucus

> sometimes a barium enema can be done and it corrects otherwise surg

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21
Q

Hirschsprung’s disease

A

congenital anomaly.

> aganglionic megacolon–> piece of intestine that doesnt have nerves. back up bowel content

> constipation
ribbon-like stools
abd distension

> must remove portion of bowel that is diseased

22
Q

UTI common for age

A

2-24 months

23
Q

CBT 5 basic components:

A
  1. educate about the PTs specific disorder
  2. self-observe and monitoring - the client learns how to monitor anxiety, identify triggers, and assess the severity
  3. Physical control strategies - deep breathing and muscle relaxation exercises
  4. Cognitive restructuring - learning new ways to reframe thinking patterns, challenging negative thoughts
  5. Behavioral strategies - focus on situations that cause anxiety and practice new coping skills, desensitizing to anxiety-provoking situations or events
24
Q

L
I
O
N

A

Left side

I V

O2

Notify

for fetal monitoring patterns if BAD

25
Q

which fetal heart tones are BAD?

A
  1. HR < 110
  2. Low baseline variability
  3. Late decelerations - slow near end or after contraction
  4. Variable decelerations - VERY BAD - prolasped cord
26
Q

VEAL CHOP

A

Variable = Cord compress
Early Decel = Head compress
Acceleration = OK
Late Decel = Placenta Insufficient

27
Q

stages of baby delivery

A

1st- labor
2nd- delivery of baby
3rd- delivery of placenta
4th- first 2 hrs after placenta delivery

28
Q

what do you do post-delivery

4x4x4

A

4 things, 4 x in first hr, in 4th stage

1. Q15 min VS
>>shock
>> pressures down
>>rates up
>>cool/clammy
  1. fundus
  2. check pads
    > saturate in 15 min or less
  3. Roll her over
    > bleeding under
29
Q

postpartum check

BUBBLEHEAD

A
Breasts
Uterine fundus
Bladder
Bowel
Locia 
Epesiotomy
Hgb and Hct
Extremity 
Affect- emotion
Discomforts
30
Q

caput succedaneum

A

CS = cross sutures

or

caput symmetrical

31
Q

Cephalohematoma

A

not sutures not symmetrical ?

32
Q

Aortic

All Ppl Enjoy Time Magazine

A

2nd intercoastal space at R sternal border

33
Q

pulmonic

A

2nd intercoastal space at L sternal border

34
Q

ERB’s

A

S1 and S2

L, 3rd intercoastal space

35
Q

Tricuspid

A

4th intercoastal space at L sternal border

36
Q

Mitral

A

5th intercoastal space at midclavicular line (APICAL)

37
Q

fetal position

A

presenting part of fetus

38
Q

Beneficence

A

taking positive action to helping others and a desire to do good. PT advocacy

39
Q

Autonomy

A

support indep PT decision making

40
Q

Fidelity

A

keeping a commitment

41
Q

Nonmaleficence

A

reporting faulty equipment. To do no harm

core of nursing ethics

42
Q

HELLP

A

Hemolysis Elevated
Liver enzymes
Low
Platelet count

form of preeclampsia with severe liver damage

43
Q

what is essential to check with PPI’s?

Omeprazole

A

bone density check

> long-term therapy = decreased absorption of Ca and promotes osteoporosis

44
Q

olanzapine and risperidone

A

antipsychotic drugs

45
Q

dropplet precautions

A
meningitis 
influenzae type B
diptheria
mumps
rubella
pertussis 
strep 

wound care is considered splash precaution as well as suction

46
Q

antidote for norepinepherine

A

phentolimine - a vasodilator

47
Q

why are NSAIDS bad for heart failure

A

bc they contribute to Na retention = fluid retention

48
Q

Bishop score

A

Predictor of successful induction: cervix
1. consistency - firm, med, soft

  1. position - posterior, mid, anterior
  2. Dilation -
    0-> or = 5
  3. Effacement-
    0-80 percent
  4. station -3 –> +2
49
Q

V.fib

A

D.fib, epi, amioderone, vassopressin

50
Q

V.tac

A

150-250 looks like shark teeth

51
Q

A.fib

A

has sharp top spikes PQ but not the descending R

52
Q

Ciprofloxacin for UTI

A

floxacin

watch out for tendon rupture. Tendonitis. Achilles