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70 Cards in this Set
- Front
- Back
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Hegars sign
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softening of the lower uterine segment
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Normal WBC after delivery
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25000-30000
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Involution
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Reproductive organs return to normal state (6wks)
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Subinvolution
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Failure of organs to return to prepregnancy state
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Where is the fundus a few minutes after birth?
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Halfway between symphisis pubis and umbilicus
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How long till umbilical cord falls off
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7-10 d
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A child with PKU is at risk of developing
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brain problems
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Para
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# of pregnancys that reach the age of viability
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Tocolytics can cause
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tachycardia
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Terbutaline is given
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SQ
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PROM
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rupture at least 1 hr prior to onset of labor at any gestational age
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PPROM
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PROM that occurs before 37wks
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What color is colostrum?
Breastmilk? |
Yellow and thin
Blue tint |
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kangaroo care helps with infants
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temp control
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To relieve engorgement use
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warm compress, shower and pump
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hypertonic contractions
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too frequent
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Hypotonic
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too spaced out
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Shoulder dystocia
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head is born but shoulders stuck
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McRoberts maneuver is done for
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shoulder dystocia
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After rubella a women cant
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get pregnant for 3 mos
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After birth what changes take place in a woman? (3)
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Maternal adjustment
1.taking in 2.taking hold 3.letting go |
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Normal HR in infant
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100-160
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What 5 areas are included in the apgar score
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HR, RR, muscle tone, relex irritability, color
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On the apgar what score indicates severe distress? What is a good score?
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0-3
7-10 |
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Why is Vit K given after birth?
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Gut is sterile, need the clotting factors
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Classic sign of pyelonephritis?
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flank pain
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What infection usually follows strep throat?
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Glomeronephritis
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s/s glomeronephritis
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hematuria, proteinuria, HTN, PERi orbital swelling
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What is the 1st line therapy in nephrotic syndrome?
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Steroids (need abd girth)
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Wilms Tumor is also called
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nephroblastoma
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Is Wilms Tumor malignant or benign
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Malignant
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s/s wilms tumor
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abd swelling/mass
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S/s Acute RF
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Oliguria, increased K+, HTN, Anemia, Sz
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s/s Chronic RF
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Uremia (retention of waste products) caused by vesicouretral reflex
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Treatment of Chronic RF
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Peritoneal dialysis
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What is the therapy after transplant
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immunosuppressant
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hydrocephalus is caused from
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increased ICP
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Change in LOC is the 1st indication of Increased
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ICP
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Temp in febrile seizures
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101.8
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Do baths work to treat febrile sz
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no
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In glascow coma scale less than ____ is a coma
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8
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With a VP shunt what are 2 risks
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infection and malfunction
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Epidural hematoma is located between
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dura and skull
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Subdural hemaotoma is located between
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dura and cerebrum
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causes of subdural hematoma
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birth trauma, fall, assault, shaken baby
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s/s of epidural hematoma (child may not exhibit)
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Momentary loss of conciousness followed by normal period then lethargy or coma
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Concussion halmark signs are
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confusion and amnesia
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Is a concussion reversible
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yes
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RICE is used for
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soft tissue injury (sprain)
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Simple or closed fracture
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no break in skin
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Open or compound fractures
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bone protrudes thru skin
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Complicated Fractures
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shattered
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Comminuted Fracture
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1 piece breaks off
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Juvenile idiopathic arthritis 1st line med
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NSAID
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What is the cure for Juvenile idiopathic arthritis
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NO CURE
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Spika Cast teaching
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toileting, cleanliness
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Causes of Bacterial Meningitis
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meningococcal, hemophyllis, pneumococcal
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Decrease in Bacterial Meningitis due to
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HIB vaccine
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Absence seizures
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daydream- more common in females
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Most common seizure
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generalized
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Seizure treatment
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control the sz decrease frequency and severity
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Epilepsy
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2 or more seizures
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Epilepsy treatments 1-4
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1.drugs (phenytoin)
2. Ketogenic diet 3. Vagus Nerve stimulation 4. Surgery |
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What is a ketogenic diet
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high fat, low carb, adequate protein
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1st line tx for status epilepticus
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ativan
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tx for epilepticus
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abc, BP, temp
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S/s hydrocephalus
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high pitch cry, irritability
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Type of hydrocephalus that is often seen
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myelomeningocele (spina bifida)
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Clinical manifestation of hypopituarism
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absent rate of growth, short stature
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Hypopituitarism is caused from
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growth hormone deficiency (anterior pituitary)
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