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21 Cards in this Set
- Front
- Back
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Why is it important to identify minor abnormalities?
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they can be a s/s of something bigger
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Cleft palate may involve the ? palate, ? palate, or ? and may appear alone or with a Cleft ?
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soft,
hard, both, lip |
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If a Cleft palate is present that only involves 1/2 of the lip and not any part of the palate it is considered a ? and it is a congenital anomaly. If the cleft involves both sides of the lip and none of the soft palate, it is considered a ?. If the Cleft involves half of the lip and only one part of the palate soft or hard it is cosidered ?/? If the Cleft palate involves both sides of the lip and both parts of the palate it is considered a ?/? congenital anomaly.
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unilateral cleft lip,
bilateral cleft lip, unilateral/incomplete, bilateral/complete |
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Risk factors for Cleft lip/palate include maternal use of ?, ?, ? abnormalities.
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anticonvulsants,
alcohol(FAS), chromosomal |
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Nursing management for Cleft lip/palate includes- Breastfeeding helps because breast tissue fills in the ? If bottle feeding, Feed with a special longer ? with the baby in a ? position, frequently ? the baby. Feed the baby with a high ? per oz formula to increase caloric intake. Suction the nasophayngeal cavity ? Offer ? after feeding to rinse out cleft. Monitor respiratory status to screen for ? Promote bonding, support parental ? involve parents in baby's care.
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Cleft,Nipple, sitting, burp,
calorie, PRN, water, infection, coping |
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Nsg Dx for cleft lip/palate - High risk for ? R/T ?-? secondary to fluid aspiration.
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infection,
aspiration-pneumonia, |
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When the esophagus is divided into 2 parts, and the upper portion ends in a blind pouch and the lower portion is attached to the trachea this creates a ? This is the most common type of ?
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tracheoesophageal fistula,
Atresia |
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? means divided into 2 segment. The most common Atresia is a ?
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Atresia,
Tracheoesphageal Fistula |
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If we see polyhydramnios during birth, we know that we should be watching for ? especially if we see ? drooling, if the baby needs ? more than usual, which is caused by regurgitation of secretions that pool in the blind pouch. If we cannot pass a ? into the stomach this can be a sign also.
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TEF, frothy, suctioning,
catheter |
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An neonate presents with a distended stomach we should be thinking ? problem. This may be caused by a fistula between the distal esophagus and trachea. When this is the case ? secretions can be aspirated into the ? causing a sever ? reaction.
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TEF,
GI, gastric, lungs, inflammatory |
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Therapeutic managment for TEF includes continuous ? of the upper pouch. A ? tube is placed in the stomach for feeding or to remove air/decompress the stomach. Surgery will be performed in ? to allow for growth.
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suction,
gastrostomy, stages |
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If the upper esophagus in TEF is connected to the trachea the feeding will enter the lungs, what would this look like - We may see ?, ?, and ?
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coughing,
choking, cyanosis |
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If there is polyhydramnios and TEF is suspected whom ever feeds the baby for the first time should monitor the feeding ?, have ? equipment available and if it is Dx the infant will require ?
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closely,
suction, surgery |
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A congenital defect in the abdominal wall that has intestines protruding into the base of the umbilicus is an ? If there is a defect to the side of the abdomen, next to but not involving the umbilicus, where the intestines protrude through the defect and float freely in the amniotic fluid inutero or are hanging out after the birth this is a ? This can be Dx before birth with a ? or at birth. Tx for this is the use of a ? to hold intestines over the top of the abdomen so they slowly move back into the abdomen.
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Omphalocele,
Gastroschisis, US, Silo |
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If the diaphragm fails to fuse during the 1st trimester and abdominal contents move into the chest cavity this is known as ? If this is sever, the lungs do not develop this is known as ?
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diaphragmatic hernia,
hypoplastic lungs |
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A neonate presents with mild respiratory distress, diminished breath sounds, and a barrel shaped chest the RN knows that these are S/S of ? This can be Dx prenatally with an ?
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Diaphragmatic hernia,
US |
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A neonate presents with severe respiratory distress, diminished breath sounds, and a concave/scaphoid shaped abdomen the RN knows that these are S/S of ? This can be Dx prenatally with a ?
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Diaphragmatic hernia,
US |
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Diagnosis of omphalocele or gastroschesis are Dx by a measurment of elevated ? level and by prenatal ? and they are obvious at birth.
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alpha feto-protein,
US |
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If the neonate presents with respiratory distress, diminished or absent breath sounds on the left side and a barrel chest, with heartbeat to the right of the sternum and bowel sounds present on the left side of the sternum the RN will be thinking ? and knows that surgery will take place ? This can be performed after birth or ? surgery may be performed, depending on severity.
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Diaphragmatic hernia,
ASAP, fetal |
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Tx for diaphragmatice hernia- If the pt is having trouble breathing a ? will be placed for ventilation or ? is used to provide enough oxygen to the baby while allowing time for the lungs and heart to rest or heal. and for decompression of the stomach a ? will be placed.
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endotracheal tube,
extra corporeal membrane oxygenation(ECMO), gastric tube |
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If the neonate is showing S/S of diaphragmatic hernia, the RN should place the infant on the ? side to allow the ? lung to expand. The baby's head should be ? to decrease pressure on the heart and lungs, the RN should continue to monitor ?
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affected,
expand, ellevated, respiratroy status |
