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MCN (Theory) > Unit 4: Nursing Care of the High Risk Client > Flashcards

Unit 4: Nursing Care of the High Risk Client Flashcards

1
Q

Jaundice that begins after the first 24 hours of life

A

Physiologic jaundice

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2
Q

Jaundice that begins within the first 24 hours of life

A

Pathologic Jaundice

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3
Q

Jaundice related to hemolytic diseases such as Rh and ABO incompatibility

A

Pathologic Jaundice

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4
Q

Form of Bilirubin that can be excreted by the body

A

Conjugated/Direct Bilirubin

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5
Q

Factors such as Dehydration, Pregnanediol, Infection, Cephalhematoma, and Sepsis increase risk of _________

A

Physiologic Jaundice

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6
Q

Another term for Physiological Jaundice of the Newborn

A

Icterus Neonaturum

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7
Q

Physiologic Jaundice lasts for __ - __ days in full-term babies

A

7-10

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8
Q

Physiologic Jaundice lasts for ___ days in pre-term and breastfed babies

A

14

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9
Q

An accumulation of blood under the scalp that leads to hemolysis and thus, buildup of bilirubin

A

Cephalhematoma

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10
Q

Kernicterus is a _______ Jaundice

A

Pathologic

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11
Q 
A type of brain damage wherein excessive
bilirubin reaches the brain and damages
the brain cells. It may lead to deafness, severe
developmental disabilities and unusual
form of cerebral palsy.
A

Kernicterus

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12
Q

What gender of babies have higher risk of jaundice?

A

Boys

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13
Q

Rh Incompatibility aka

A

Isoimmunization

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14
Q

Rh incompatibility happens when the Mom is Rh ___ and the Father/Fetus is Rh___

A

(-), (+)

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15
Q

The _____ child is severely affected related

to degree of sensitization to Rh(+)RBC

A

4th

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16
Q

ABO Incompatibility happens when mother is Type ____ and fetus is type ___________

A

O…..A, B, AB

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17
Q

Most common ABO Incompatibility

A

O - A

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18
Q

Most severe ABO Incompatibility

A

O - B

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19
Q

The ____ child can be severely affected with ABO incompatibility

A

1st

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20
Q

Hemolysis during ABO incompatibility starts upon ______ ________

A

Uterine Contractions

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21
Q

Hyperbilirubinemia has a total serum greater than _______

A

1.3-1.5mg/dl

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22
Q

Guess the Condition:
Concentrated dark urine
Jaundice on forehead, sternum, sclera, palms, and soles
Enlarged liver and spleen

A

Hyperbilirubinemia

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23
Q

3 Diagnostic Tests for Hyperbilirubinemia

A

Total Direct Bilirubin
Hematocrit
Hemoglobin

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24
Q

Normal Range of Direct Bilirubin

A

0-0.3 mg/dl

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25
Q

Normal Range of Indirect Bilirubin

A

0.1-1mg/dl

26
Q

Normal Value of Total Bilirubin

27
Q

Gold Standard of treatment for hyperbilirubinemia

A

Phototherapy

28
Q

SIDS is also commonly known as ____

A

Crib Death

29
Q

Sudden Unexpected Early Neonatal Death (SUEND) occurs in the ______ week of life

30
Q

Sudden unexpected infant death (SUID) occurs during

the______ period

A

Postneonatal

31
Q

SIDS usually happens during the age range of _______ months

32
Q

3 Nursing Interventions for Hyperbilirubinemia

A

Frequent Feedings
Phototherapy
Exchange Transfusions

33
Q

3rd leading cause of infant mortality in the US

34
Q

Two Hypothesis for SIDS etiology

A

H1: Brain Abnormalities
H2: Prolonged Sleep Apnea

35
Q

2 Parental Risk Factors for SIDS

A

Young Age

Smoking

36
Q

2 Infant Risk Factors for SIDS

A

BPD (Bronchopulmonary Dysplasia)

Twins

37
Q

3 Environmental Risk Factors for SIDS

A

Prone position
Soft Bedding
Hyperthermia

38
Q

Imperforate Anus aka ______ and ___________

A

Anorectal Malformation

Anal Atresia

39
Q

On the _______ week of intrauterine life two pouches meet to form the anal passageway

40
Q

Imperforate anus is common in what gender?

41
Q

3 Etiologies for Imperforate Anus

A

Spinal Cord Disorders
Membrane between 2 pouches do not dissolve
Genetics

42
Q

Type of Imperforate Anus where no opening is present and the bowel ends above the muscles
at the bottom of the pelvis

43
Q

Type of Imperforate Anus where there may be an opening and the bowel ends below the muscles at the bottom of the pelvis.

A

Low

There is often an opening present,
but it is in an abnormal position
or is covered by a membrane.

44
Q

1st Sign of Imperforate Anus

A

Failure to pass meconium within 24-36 hours

45
Q

3 Nursing Interventions for Imperforate Anus

A

Colostomy Care
Side-lying/Prone Positioning
Anal Dilation

46
Q

Surgical procedure for Imperforate Anus

A

Anastomosis

47
Q

5 Etiologies for Cleft lip and Cleft palate

A

Maternal Diet
Teratogens
Viral Infections

Multiple Gene Transmission
Environment

*MTV - ME

48
Q

3 Assessments for Cleft lip and Cleft palate

A

Sonogram
Inspection
Tongue Blade

49
Q

A congenital anomaly when the maxillary process fails to fuse with the nasal process

50
Q

Nasal and Maxillary processes normally fuse between ____ weeks of IU life

51
Q

Cleft lip is more prevalent on what gender?

52
Q

Cleft lip happens ___ in every____ live births

53
Q

3 Nursing Interventions for Cleft Lip

A

Supine/Side-Lying position (Post-op)
Prepare for Cheiloplasty
Feeding with Large, Soft nipples, Breck feeder, or dropper

*Lippy uses SPF sunscreen

54
Q

Condition where Anterior Hard and/or Posterior Soft palate fails to fuse

A

Cleft Palate

55
Q

Cleft palate is more prevalent on what gender?

56
Q

Cleft palate occurs ___ in every ____ births

57
Q

4 Nursing Interventions for Cleft Palate

A 
Prepare for Uraroplasty or Palatoplasty
Use Cup (Post-op)
Prone positioning (Post-op)
Soft Diet (Post-op)

*PUPS

58
Q

5 Nursing Interventions for Cleft Lip and Cleft Palate

A 
Small, Frequent Feedings
Prevent Colic, Burp every 1 oz.
Encourage breastfeeding
Avoid Sharp Objects in mouth
Keep suction/syringe at bedside

*SPEAK

59
Q

ESSR method of feeding

A

Enlarge (crosscut) the nipple
Stimulate Sucking
Swallow
Rest

60
Q

Surgery for Soft Palate can be as early as between ______ months or between ______ months

A

3-6…12-18

61
Q

Surgery for Hard Palate can be as early as between ______ months

MCN (Theory) (8 decks)

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