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Maternal- Child > Unit 2 > Flashcards

Unit 2 Flashcards

1
Q

data findings for a child with CHD

A
  • respiration abnormalities and infection
  • clubbing (chronic hypoxia) !
  • sweating !
  • activity intolerance !
  • need of frequent rest periods !
  • abnormal color, pulses, rhythm, and cap refill
  • fatigue during feeding !
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2
Q

what are the acyanotic defects

A

PDA, ASD, VSD
THEY INCREASE PULMONARY FLOW
SHUNTS BLOOD LEFT TO RIGHT

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3
Q

what is ASD? s/s? severity? tx? complications?

A

atrial septic defect (hole between the atria
s/s: murmur
- not that severe
tx: surgery, may close randomly, dacron patch/suture
complications: stroke and heart failure

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4
Q

what are s/s of PDA

A
  • dyspnea, wide pulse pressure present, radial pulse full and bounding on exertion
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5
Q

in COA what happens to the vessels

A

they are pinched or narrowing

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6
Q

s/s of COA

A
  • elevated bp and bounding pulses in upper extremities
  • decreased or absent pulse and decreased bp in lower extremities
  • leg pain post-exercise
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7
Q

is a cyanotic defect

A

TOF (makes heart look like boot)
- shunts blood from right to left

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8
Q

what are the 4 abnormalities of TOF

A
  1. stenosis
  2. VSD
  3. displaced aorta
  4. hypertrophy of right ventricle
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9
Q

never let a baby do what in cardiac

A

cry for a long time

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10
Q

what does a cardiac catheter show

A

blood pressure within heart

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11
Q

after a cardiac catheterization the px should not do what

A

px should not move and leg should stay still

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12
Q

what age is a cardaic cath done in an infant/kid

A

4 months - 2 years old

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13
Q

what should the pulse rate be on an infant if you want to give digoxin

A

if pulse rate of infant is lower than 100 bpm hold the med

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14
Q

what should the pulse rate be on an older child if you want to give digoxin

A

to give digoxin to an older child pulse rate should be more 70 bpm

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15
Q

how long do you count apical pulse for to give digoxin

A

count apical pulse for 1 full minute

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16
Q

how many nurses do you need to verify digoxin dose? can you skip doses? can you make up doses? can you mix it with food or formula?

A
  • need two nurses to verify digoxin dose
  • do not skip dose
  • do not make up dose
  • do not mix with food or formula
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17
Q

what are the s/s of TOF

A

cyanosis increase with age
clubbing fingers
growth retardation
respiratory infections
feeding problems
syncope

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18
Q

s/s of kawasaki disease?

A
  • strawberry tongue
  • peeling skin
  • increased platelet and coagulation labs
  • abrupt fever
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19
Q

if you have Kawasaki disease what do you do about immunizations

A

postpone immunizations for 11 months if you have Kawasaki disease

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20
Q

tx of Kawasaki disease

A

IVIG
- aspirin for anticlotting

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21
Q

what is the big difference between croup and other respiratory problems

A

barky cough

22
Q

what kind of precaution is RSV

A

contact precaution

23
Q

what will you hear with RSV

24
Q

if px have tonsillectomy and is frequently swallowing what could be happening

A

px could be bleeding in throat

25
with tonsillectomy what do you avoid
avoid milk, red dyes, coughing, sneezing
26
what medication is used for exercise-induced asthma? do not use this med for what?
cromolyn - do not use Cromolyn for acute episode
27
how do you relief tet spells in infant with TOF
knee to chest position
28
what are the early signs of heart failure
- tachycardia - fatigue during feedings - sweating - dyspnea - weight gain
29
s/s of left-sided heart failure
LEFT SIDED HEART FAILURE IS LUNGS - tachypnea - cough, crackles - blood-tinged sputum
30
s/s of right-sided heart failure
RIGHT SIDED HEART FAILURE IS GI - enlarged liver - ascites - weight gain/dependent edema - gi distress/ anorexia - distended jugular veins
31
administer what when a baby is crying
oxygen
32
s/s of bronchitis (RSV)
- mild fever, serous nasal discharge , wheezing cough
33
what is epiglottis? caused by? is there a cough? severity?
swelling of tissue above vocal cords - cough is absent - caused by influenzae B - life threatening
34
what are s/s of asthma
- wheezing, restlessness, and itchy chest, shortness of breath
35
what kind of stool do you have with cystic fibrosis
bulky foul smelling stool that is frothy
36
thick impacted feces from cystic fibrosis can cause what
rectal prolapse
37
what diet is px on with cystic fibrosis
high protein high calorie
38
what kind of chest does a CF px have
barrel chest
39
do you swab anything on px if they have epiglottitis
NO do not swab at all
40
goals of CF treatment
fat soluable vitamins ( ADEK) give pancreatic enzymes with apple sauce infection prevention is key
41
what Hgb and Hct value do you suspect anemia
less than 11g/dl for Hgb Hct less than 33
42
for iron deficiency anemia take supplements with what? avoid what?what does the stool look like?
take with straw, vitamin C, on empty stomach - no dairy products 1 hr before or 2 after - green tarry stool
43
do not give cows milk to child before what age
1
44
what triggers a sickle cell attack or crisis
- exposure to cold - dehydration - infection - physical or emotional stress -
45
how do infants perceive death
they dont
46
how do toddler perceive death
it is just separation or abandonment
47
how do preschooler perceive death
reversible or in deep sleep state, death is temporary
48
how do school age children perceive death
realize death is final by 8-9 y/o decrease in sense of belonging
49
how do adolscents perceive death
they feel anger and resentment less future-oriented trouble accepting diagnosis
50
s/s of death
slow breathing, grey skin, vital signs drop
51
how to educate on prevents SIDS
put to sleep on back

Maternal- Child (2 decks)

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