Sep 3 Flashcards

1
Q

Post partum: 3 things to check for

A

Fundus
Lochia
Extremity check

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2
Q

Post partum checks: Fundus height

A

should be the same as the post partum day

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3
Q

caput succedaneum vs cephalohematoma

A

caput succedaneum = C.S. = crosses sutures

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4
Q

OB meds: Tocolytics used to

A

slow contractions

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5
Q

OB meds: Tocolytic examples

A

terbutaline, magnesium sulfate

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6
Q

OB meds: Tocolytic: terbutaline causes

A

maternal tachy

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7
Q

OB meds: Tocolytic: magnesium sulfate causes

A

hypermagnesia (which makes everything go down)

If reflexes go below 1 or RR below 12, stop the infusion

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8
Q

OB meds: Oxytoxics are used to

A

stimulate contractions

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9
Q

OB meds: Methergine is used to

A

stimulate contractions (its an oxytoxic)

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10
Q

OB meds: Drugs for increasing fetal lung maturity

A

Betamethasone

Surfactant

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11
Q

OB meds: Betamethasone, 3 implications

A

Given to mom
Give IM
Give before delivery
(opposite Surfactant)

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12
Q

OB meds: Surfactant, 3 implications

A

Give to baby
Give transtracheal
Give after birth
(opposite Betamethasone)

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13
Q

Humulin 70 - 30

A

A mix of N and R

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14
Q

Needle size question: IM injection

A

pick the answer where both numbers have a 1

think I from IM looks like a 1

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15
Q

Needle size question: SQ injection

A

Think that the S in SQ looks like a 5. Pick answers that both have a 5

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16
Q

The only anti psyc you can give to a pregnant patient

A

Haloperidol

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17
Q

Heparin vs Warfarin: Works immediately

A

Heparin

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18
Q

Heparin vs Warfarin: Only given 3 weeks tops

A

Heparin (except lovenox)

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19
Q

Heparin vs Warfarin: Monitor PTT

A

Heparin

20
Q

Warfarin is only given via

A

PO

21
Q

Heparin vs Warfarin: takes a few days to a week to work

A

Warfarin

22
Q

Heparin vs Warfarin: Given long term

A

Warfarin

23
Q

Heparin vs Warfarin: antidote vit K

A

Warfarin

24
Q

Heparin vs Warfarin: monitor INR/PT

A

Warfarin

25
Q

Piaget: 0 - 2 years

A

Only think about the present

26
Q

Piaget: 3 - 6 years

A

Pre op (think pre school)

Illogical, can’t reason

27
Q

Piaget: 7 - 11 years

A

Concrete

Live strictly by the rules

28
Q

Piaget: 12 - 15 years

A

Formal operation

abstract thinking

29
Q

Piaget: 3 - 6 years: how should you teach

A

shortly before the event (answers that say, “the morning of” etc)

But you can also give a TOUR ahead of time

30
Q

Piaget: 7 - 11 years: how do you teach them

A

a couples ahead of time

you can teach them skills

31
Q

Pediatric teaching Hint: if it says “skills” in the question, think

A

7 to 11

32
Q

Pediatric teaching Hint: if it says “manage” in the question, think

A

12 - 15 (because younger kids can’t be trusted to manage their situation)

33
Q

Prioritizing who is the sickest: Look at the dx, but more importantly

A

look at the modifying phrase

34
Q

Prioritizing who is the sickest: Acute and Chronic

A

Acute beats chronic (its not just ABC)

35
Q

Prioritizing who is the sickest: Post op

A

fresh post op (12 hours) beats medical or other surgical, even if the other surgery is more intense, look at the fresh post op

36
Q

Rather than focusing on the severity of the symptoms, consider

A

if they’re expected of unexpected

37
Q

temp 105

A

even if its expected, the patient is automatically unstable and should be high priority

38
Q

If you can’t decide who is top priority (AFTER the hints) consider the order of organs:

A
Brain
Lung
Heart
liver
kidney
39
Q

the only meds a UAP can give

A

topical OTC barrier cream

40
Q

Guess: diet question

A

chicken, then fish

41
Q

Toddler diet question hint

A

pick finger foods, even if its not the most healthy

42
Q

If you have no idea what a drug is but the route is PO, pick a SE that has to do with

A

GI

43
Q

Growth and development; if no clue pick

A

that it’s a normal finding

44
Q

If in doubt about the ages in which a child should be able to do something, choose

A

the older age

45
Q

If they give you an age and your stuck between which is an appropriate task

A

pick the easier one

46
Q

Never push

A

K IV