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6336 Mgnt of childbearing family > Test 3 > Flashcards

Test 3 Flashcards

1
Q

When is it imparitive that you suction the infant immediately

A

in the presence of meconium when the newborn is not vigorous

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2
Q

In a 3 kg baby what size ETT should you use?

A

3.5 cm

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3
Q

What is the correct size blade to use on a preterm newborn?

A

No. 0

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4
Q

What is the optimal placement for the Ett?

A

1-1.5cm above the carina

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5
Q

what is the correct depth insertion for a 2.5 kg baby?

A

8.5cm (6 plus the weight in kg

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6
Q

What does the laryngeal mask do and a size one is the smallest but is too large for a ___kg baby

A

PPV 1.5kg or less

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7
Q

A late preterm infant needs to be followed up within ___ hrs post discharge

A

24-48 hours

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8
Q

What is the best EBP for umbilical cord care?

A

air dry

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9
Q

What is a health benefit for circumcision?

A

Decrease risk of UTI in 1st year of life

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10
Q

What is the most effective way to prevent pain in a circumcision?

A

Doral penile block

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11
Q

The AAP guidelines for car seats state:

A

keep toddlers in rear-facing seats until age 2 or the maxium height and weight is reached for their carseat.

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12
Q

What sleep position carries the lowest risk for SIDS?

A

supine sleep

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13
Q

When is it safe to immunize preterm infants?

A

by their chronological age

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14
Q

AAP recommends breastfeeding as a sole source of nutrition until the age of

A

6 months

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15
Q

Infant cereals should contain what?

A

iron fortified

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16
Q

When should all infants have a hearing screen done by?

A

1 month

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17
Q

With a late pre-term infant, when should the follow-up visit be?

A

24-48 hours post discharge

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18
Q

What does AAP say about elective circumcisions?

A

Circs do decrease the risk of UTI in 1st year of life

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19
Q

What are the guidelines set by AAP for car seats?

A

rear-facing until 2 years old or reach a max wt and ht for car seat

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20
Q

AAP set for safe transportation of late pre-term and LBW infants are

A

Car seat test from 90-120 minutes or longer is they live far away

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21
Q

What position caries the lowest risk for SIDS?

A

supine sleeping

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22
Q

When should vaccines begin for infants?

A

at 2 months after birth - chronological

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23
Q

What does the AAP recommend for starting solid foods?

A

sitting up in chair with good head control

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24
Q

AAP recommends breastfeeding as a sole source of nutrition until _____ age, add solid food but continue until 12 months old

A

6 months

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25
Q

Breastfed infants should be started on ____ supplements during first year

A

Iron supplements and vit D

26
Q

What two arteries are NOT SUITABLE for blood sampling, infusions, or pressure monitoring?

A

Gluteal and femoral artery

27
Q

What is one contraindication for umbilical line placement?

A

omphalitis

28
Q

Where should the catheter tip be for a high placement UAC?

A

from T5-T10 UAC

29
Q

An infant weighting >3.5kg should receive ___fr UVC catheter for emergency med administration

A

8 fr

30
Q

An infant with polycythemia needs a isovolumetric partial exchange with ____ rather than albumin or plasma?

A

Normal saline. (isotonic saline)

31
Q

What fluid could also be used for partial exchange transfusions?

A

crystalloid or colloid solutions

32
Q

According to the AAPexchange transfusion graph, if a baby at 36 hours with a bili of 25 with phototx use you should?

A

do exchange

33
Q

What are the parameters need to calculate a single-vol or partial exchange transfusion?

A

Infant’s blood vol (vol/kg), HCT, and weight

34
Q

Placement of a UVC should be verified by x-ray (lateral) and the desired location should be ____-____ just above the right _______

A

T9-T10, the right diaphragm

35
Q

Where are two places the UAC catheter can be place but should be removed immediately!

A

Superior and inferior gluteal arteries

36
Q

What are indications for ETT placement?

A
  1. Mec with a non vigorous infant
  2. to improve ventilation efficacy after bag and mask
  3. coord cc and ventilation
  4. admin epi
37
Q

What size ETT for a 2-3 kg baby?

A

3.5cm

38
Q

If a mother says she gets depressed feeling the loss of the infant one month ago. The best response is…

A

How often do you have these feelings

39
Q

What is the response to loss of valued object. It is a personally experienced as the deep emotion of sadness and sorrow.

A

Grief

40
Q

What occurs in phases over time. Gradual with change of emotion of feelings.

A

Mourning

41
Q

What is not appropriate of the staff in grieving parents?

A

Avoid grieving parents

42
Q

What is used to improve the quality of life of patients and families when faced with traumatic issues.

A

Palliative care

43
Q

Kubler Ross stages of crying

A

Denial, anger, bargaining, depression, and acceptance

44
Q

Which indicator is most specific to the pain experience?

A

Facial expression

45
Q

Pain assessment in hospitalized neonates is best evaluated by

A

A composite neonatal pain tool with established reliability and validity

46
Q

True or false: The frequency of painful procedures encountered in the NICU may impact subsequent behavioral responses to pain.

A

True

47
Q

Assessing and managing pain in neonates should be based on?

A

Acute, episodic pain may lead to establish or chronic pain

48
Q

Which infant pain instrument is best for pain in healthy NB?

A

NIPS (neonatal and Infant pain scale)

49
Q

Most common source of pain in neonates results from

A

test/procedures

50
Q

The “windup phenomenon” is defined as?

A

Perform all necessary nursing interventions immediately following the heelstick procedure so that the infant can rest and recover after the pain.

51
Q

Perception of pain following a noxious stimulus occurs in the.

A

Thalamus

52
Q

Which is a recommended for acute pain management in neonates?

A

Therapy should begin with nonpharm and progress to pharmacologic interventions

53
Q

Infant is desating, has high BP and HR, given pavulon for CDH surgery. What would you given for pain?

A

Bolus of fentanyl and increase infusion drip

54
Q

What drug is appropriate for severe pain?

A

Morphine

55
Q

What drug is appropriate for severe pain?

A

Morphine

56
Q

Clinical signs of opioid W/D in neonates include.

A

Respiratory depression

57
Q

Sucrose helps with pain through the..

A

endogenous opioid system

58
Q

What is true regarding term vs. preterm infants?

A

Preterm infants are more sensitive to pain than term

59
Q

Pain mgnt for a heelstick include all but…

A

YES: Pacifier, sucrose, swaddling

NO: EMLA cream

60
Q

After a circ, the infant has increase wakefulness and irritability. You should…

A

given chloral hydrate to enhance sleep and pain relief.

61
Q

EMLA cream is not effective in reducing pain in…

A

venipunctures and heelsticks

6336 Mgnt of childbearing family (3 decks)

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