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171 Cards in this Set

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Assessment of the newborn to determine the number of weeks from conception to birth. The determination is based on physical and neurologic characteristics. It is important because neonates born before or after term and those whose size is not appropriate for gestational age are at increased risk for complications.
estimation of gestational age
In regards to physical maturity of baby, we look at skin ____, ___ ____, ____, ___ form and cartilage
lanugo, sole creases, breast, Ear
In regards to sole creases, ____ term does not have creases throughout foot but ___ term does
pre, full
Physical gaging gestational age, the breast bud tissue should be __ mm at full term
10
The ear form and cartilage of a baby at full term is ___ defined and when you press the oracle forward it should ___ back right away. With a premie baby the ear will ___ go back to normal for a while.
well. flip. not
Geintals of a full term baby you will see ____ on the sac of the testes. These are the ridges and creases on the ball sac.Pre- term babies the testes will be _______ with no ___ on the testes
Rugae. Undescended. Rugae
Preterm female genitalia the ____ is more prominent then the ___ _____. and at full term the ___ ___ is more prominent than the ____.
clitoris, labia majora. labia majora, clitoris.
This is the cheesy looking stuff that covers newborns it protects their skin while in the womb
vernix
There is alot more vernix on the baby if it is ___ term than if a baby is _____ term
pre. full
Hair of a preterm baby is ____ and ____. Term babies have ___ _____ of hair.
matted, wooley. Single strands
True or false. Full term babies have a more firm skull?
true
Nails of a full term baby is at __ to __ weeks and they extend over the finger tips
38 to 40
Preterm babies are more ___. Ful term babies are usually in the ___ position
flaccid. fetal
what is it called when you fold the hand of a baby towards the forearm.
square window sign
If the hand folds next to the forearm then the baby is at ___ term. If the hand forms a square window then the baby is at ___ term
full. pre
If you extend the arms and legs of a baby a full term baby should ___ fast. Preterms remain flaccid
recoil
Posture, square window, recoil, politeal angle, scarf sign, heal to ear, ankle dorsiflexion are signs of what?
neuromuscular maturity
In popliteal angle of a newborn, when you flex a knee to the abdomen then straighten out the leg.. if the baby resists you then it is a ___ term baby
full
the scarf sign, draw the arm across the chest to the other shoulder if there is resistance then the baby is _____ term
full
Heal to ear extension of the baby's leg goes all the way without resistance then the baby is __ term
pre
Head circumference of a baby is _-__, chest is __-__, crown to rump is __-__, head to heal is __. Weight is __ ___ lbs and pulse is __-__ is normal
13-15,12-13,12-14,21,7-7.5,120-160
A new born baby should have ___-___ skin
pinkish red
Cheesy stuff on baby
vernix
wooley hair on baby
lanugo
Little white pimples, baby acne
milia
baby's hands and feet come out blue
acrocyanosis
Swelling of the scalp of a new born
caput succedeum
This is the reflex when you touch the roof of the babys mouth
sucking reflex
This is the reflex when you brush the cheek of a baby and it moves to find the nipple
rooting reflex
The reflex of baby enclosing toes or fingers around the persons finger
grasp reflex
this reflex is when you pick up the baby and it gets startled and flings its hands straight out in a C portion.
The moro reflex
This reflex is when the baby turns its head to one side and then the limbs on that side straighten out but the limbs on the opposite side flex
tonic neck reflex
This medicine is used to prevent eye infection in new borns and to prevent potential blindness. This is put in every baby
erythromycin
In new born care it is very important to keep the umbilicus ___. If it does get wet you should wipe it down with alcohol.
dry
In new born care this is the removal of foreskin
circumcision
Youneed to give this vitamin to babies because of the blood clotting factor. In new borns this is supplemented for the first 8 days
Vitamin K
How many kcalories should a newborn take in
50-55kcal/lbs/day
Is forumula or cows milk better for the baby?
formula
Supplements should only be recommended by a physician?
True
Which vitamin is the most important for women to take? It determines defects on the fetus?
Folic acid
the involuntary action of milk stimulation of oxytocin.
let down reflex
white cream colored vaginal dischrage
lochia alba
bright red vaginal discharge
lochia rubra
pink or brown tinged vaginal discharge
lochia serosa
the cutting of the perineum to help with birth process
episiotomy
vital signs of newborns: RR=__, _-__ seconds of apnea, P=__-__ bpm, BP TERM __-__ Preterm __/__, T=__-__, rectal __-__
30-60, 5-15, 120-160, 74/47, 64/39, 97.7 to 99.1, 97.7 to 99.8
Heat loss do to drafts or air
convection
Heat loss due to sun or being near a window
radiation
Heat loss due to being wet
evaporation
The first stool a a baby passes at birth a black tarry green messy stool. Passes within 12 hours of birth
meconium
This stool follows the meconium. It is a mix of meconium and milk stools. Thin brown and green.
transitional
This type of stool is seedy, mustard and sweet-sour smell, soft and mushy
breast fed babies
This stool is pale yellow, formed and pasty
bottle fed babies
Breast fed babies poop ___ than bottle fed babies. Voids are scanty at first because baby is not well ___.
more, hydrated.
this birth injury is edema of the soft scalp
caput succedaneum
this birth injury is the blood in the soft scalp of tissue
cephalhematoma
This birth injury is bleeding in between duran and the brain
subdural hematoma
The most common fracture in the birthing process
clavical
Pressure on the facial nerve, forceps can cause this, loss of movement in the face after baby is born
facial paralysis
at birth This is lack of movment of an extremity injury to the brachial nerve may result in the paralysis of the shoulder and arm muscles. Range of motion is performed on this.
Erb's palsy
Hypoglycemia in the newborn appears within __-__ hours after delivery of babies with diabetic mothers
2- 4
Hypoglycemia is serum glucose of < __ mgdl
40
S/s of hypoglycemia in the newborn. Jittery irritable,tremors, The treatment is to feed the baby early
info
Do narcotics pass the placental barrier?
yes
Infants with drug addicted mothers get addicted ____.
passively
Narcotic addicted infants go thru withdrawal, they are irritable, poor sucking an swallowing reflexes. We can not give ___, but unfortunately need to give them a drug to eventually wing them off
narcan.
the chronic or periodic intake of alcohol during pregnancy. Alcohol is considered teratongenic. It causes slow growth after birth, facial abnormalities, short upturn noses, small lips, limb abnormalities. Developmentally delayed
FAS
Infants born prior to 38 week sgestation
premature
This is inflammatoin of ovaries, fallopian tubes and peritoneum
Pelvic Inflammatory disease
s/s of this female reprodcutive problems. Fever chills discharge, intercourse can be painful, spotting after intercourse
PID
This female reproductive problem that lies within the uterus, sometimes cells are in tubes or uterus. They have heavy bleeding during periods, adhesions and cysts
Endometriosis
This medication stops ovulation.
danazol
benign tumors on the ovaries. The cause of these are unknwon. There are almost no symptoms usually. Laparotomy or laprascopy is used to remove these
ovarian cysts
The most common tumor of the female genital tract. They are estrogen dependent and go away once menopause hits.
uterine fibroids
breast changes during the reproductive years. fibrosis or thickening of the normal breat tissue, occurs in early stages. Cysts form in the latter stages and are felt as multiple, smooth, well-delineated nodules that have a tender, moveable character. the lumpy, rubbery, rope-like nodules vary in size for less than 1 cm to sever cm.
fibrocystic breast changes
The best time to do a self breast exam is right after your period when breasts are not tneder or swollen. Do it on the same day every month
info
IN breast exams use the 3 middle fingers. There are 3 ways of doing it.. one is ciruclar, starting from the inside going up and down working out. then piece of pizza working out towards the aereola
info
Mammograms should be done every year after the age of )).
40
an inflammatory condition o fthe breast that occurs most frequently in lactating women
mastitis
Mastitis is usually caused by carcked or infected nipples.
true
This is the inflammation of the breast, usually caused by engorgement withh stasis of milk in the ducts or by infection. The best thing to do to prevent mastitis is washing of hands. latch on properly and take cood care of nipples
Mastitis
risk factors for breast cancer
female
age 50 or over
family history
personal history of breast cancer, colon cancer, endometrial cancer, ovarian cancer
early menarche (period) < 12 late menopause >55,
fist time prego after age 30
benign breast disease with atypical epithelial
hyperplasia, lobular carcinoma in situ
weight gain and obesity after menopause
exposure to ionizing radiation
Breast cancer
This type of breast cancer arrises from the epithilial lining of the ducts. Ductal carcinomas tned to be unilateral and if left untreated it will develop into invasive breast cancer
noninvasive breast cancer
rare malignancy, persistency lesion of the nipple and areole with or without palpable mass. . may have itching burning bloody nipple discharge, maybe some superficial erosion and may have some ulceration
pagets disease
most malignant form all of the breast cancers.. it is rare. if women does have this, it is fast growing. skin of breast looks red, warm, looks like orange peel appearance.. dimpling. metastasis quickly. treatment radiation, chemo and hormone therapy.
inflammatory breast cancer
breast cancer happens in any area.. but in the upper outer quadrant is more prominent. if palpable-hard non mobile…non tender. some cancers will cause nipple discharge. breast tissue can get hard, orange peel.
info
The swelling of arms due to accumulation of lymph in small tissue and occurs as a result of excision or radiation of lymph nodes
lymphedema
Estrogen feeds ___-
cancer
what are job sleeves
helps push fluid backup away from arms in lymphedema
The study of breast tissue using very low dose of radiography. Women shoul d ahve this yearly starting at age 40
mammogram
This cancer is generally slow growing, more post-menopausal, 61 is the average age for diagnosis. risk factors are obesity, estrogen gets stored in fat cells, family history, colon rectal cancer, etc. s/s most times post-menopausal, have abnormal uterin bleeding, pain is later in the disease, uterus enlarges. treatment is surgery
cancer of the uterus
this cancer is slow growing and hits at a yonger age 30-50yoa. It is more non-invasive but gradually becomes invasive. S/S is vaginal discharge, spotting in b/t periods, late s/s is dark foul vaginal discharge. Gardacel is a vaccination given
cancer of the cervix.
a malignant neoplasm of the ovaries. Early on you have no sypmtoms. ascites, edema cramps are s/s. Family history of this cancer.
ovarian cancer
This genes are tumor suppressor genes that inhibit tumor gorwth when functioning normally. They are on chromosomes 17 and 11
BRCA
This is caused by stretching and weakiening of ligaments that support the uterus and perineum, the bladder sags below the uterus and presses agains vaginal wall . difficulty emptying bladder. repair- anterior colporrhaphy
cytocele
this happens when the vaginal wall weakens and rectum herniates into the vagina. the correction is a posterior colporrhaphy
rectocele
The displacement of uerus into the vaginal canal. The only thing to prevent that is keagle exercises and they a hysterrectomy
uterine prolapse
a device that is placed in the vagina to support the uterus
pessary ring
This sexually transmitted disease is called the clap or drip. Most women are asymptomatic. High risk women are screened during prenatal exam. Purulent yellowish green discharge. Dysuria and urinary frequency and swelling of vulva is s/s. Antibiotics can be used to treat it.
Gonnorhea
This std can cause babies to go blind.
Gonnorhea
This std can be treated at any of its stages. This STD can invade any part of the body. This is supposively not painful.
syphilis
This is effects of what std on a newborn: asymptomatic or enlarged liver and spleen, jaundice, lymphadenophaty, anemia, rhinitis, pink or copper-colored peeling rash, pneumonitis, osteochondritis, cns involvment. penicillin is usually ordered for this
Syphilis
The effects of this STD on a new born is conjucntivitis and erythromycin is given.
Gonnorhea
Stages of syphillis
The appearance of chancre on penis or vulva, lips, tongue hands. Exudates from lesions are highly contagious. 2-8 weeks
primary
S/s of this stage of syphilis is low-grade fever, headache, anorexia, weight loss, anemia. Exudates from lesions highly contagious, blood contains organisms now. appears 2-4 weeks after chancre appear
secondary
In this stage of syphilis, there are no s/s. It is contagious for 2 years but after that it is not contagious. Blood contains organisms but may be transmittted placentally to fetus. 5-20 years
latent
This stage of syphillis is terminal if not treated. Tumorlike mass an any area of body. causes heart problems, impaired judgement. etc etc. It is noncontagious; spinal fluid may contain organisms
late
This type of STD is cold soars which is type 1 and then type 2 is below the belt. THe primary episode is usually the worst. You never get rid of this.
genital herpes
You can never get rid of herpes
true
Valtrex is a treatment of herpes
true
Gram negative bacteria, most common reported STD in the US. Spread by sexual contact for adults and to children thru birth canal. If left untreated cause blindness in infant
chlamydia
The s/s of this infection is thin purulent discharge, burning and frequence with urination and lower abdominal pain. Can be asymptomatic while others have vaginal discharge, coitius hurts and urination hurts. Men have urethritis or epididymitis.
chlamydia
DX: blood tests that detects antibodies
TX: amoxicilin, e-mycin, leavaquin, zithromax
Chlamydia
This infection can cause eye infections and pheumonia of newborn and is responsible for premature labor and fetal death
chlamydia
this is caused by HIV, and is a fatal disorder. It enters body sexually or via blood. Decreases body's immune responses, incubation period of 5-7 years.
AIDS
which STD: s/s adults fatigue, anemia, weight loss, lympadenopathy, diarrhea, fever, neurologic dysfunction
AIDS
In pregnancy this can pass to the fetus as early as 1st trimester transplacentally, during labor and birth by ingestion of maternal blood or infected fluids or thru breast milk. Can give antiretroviral drug during pregnancy to decrease the chance of transmission.
AIDS
S/S of infatns and children with this diesase: microcephaly, large lips, prominent boxlike forehead. wide set eyes, flattened nose. increase in liver and spleen.
aids
T
O
R
C
H
Toxplasmosis
other
rubella
cytomegalovirus
herpes genitalia
This is a protozoan parasite infection if gotten during pregnancy may be passed on to the fetus transplacentally. Can be contracted by eating raw or poorly cooked pork or by inadequate handwashing after handling cat feces
toxoplasmosis
S/S for adults with this disease: may have rash, malaise or spleenomegaly
toxoplasmosis
S/s for fetus, infant with this disease is severe damage to the fetus if infected prior to 20 weeks gestation. May result in abortion, still birth neonatal death., severe congeintal anomalies
toxoplasmosis
DX: blood test for antibodies
TX sulffadiazine
Toxoplasmosis
Other in torch:
gonorrhea, shyphilis, HPV, HIV
These are the geman measles. A mild, febrile, highly infection viral disease. All children and young women should be vaccinated but not while the woman is pregnant. This can cause a chronic infection in the fetus. Begins in the 1st timester and persists after birth. If born with this needs to be isolated.
rubella
S/s: infant may be born asymptomatic or with heart defects, IUGR, cataracts mental retardation with rubella. The baby needs to be isolated
Rubella
Tx: Prevention is the only effective protection for the fetus.
RUbella
This Torch disease is part of the herpes virus group. The most prevalent of the TORCH group. Some have antibodies for this virus. Many infections are asymptomatic or produce minimal symptoms
cytomegalovirus
The Primary infection of this is most dangerous to the fetus Can be passsed on to the fetus tansplacentally or through the vaginal route during delivery or breast milk. The virus is in the urine, saliva, cervical mucus, feces and breast m ilk
CMV
S/s of this TORCH disease is enlarged spleen and liver, CNS abnormalities. THis is the leading cause of hearing loss in children and routine newborn hearing screens help id the loss early
cytomegalovirus
NO effective therapy available for this torch disease
CMV
agents that stimulate uterie contractions, they accelerate childbirth
Oxytocics
This medication produces strong, prompt contractions of the uterine smooth muscle. This evacuates the uterus if incomplete abortion. Route is by vaginal suppository. Reactions may be H/A, N/V, hypotension, fever, shivering, chills. Nursing consideration after giving birth place in spuine position for at least 10 minutes. Abortion is complete within 30 hours. May repeat 3 to 5 hours prn.
Prostin E2
This medication selectively stimulates smooth muscle of uterus, stimulates mammary gland which promotes let-down reflex of breast milk.
Oxytocin (pitocin)
The route of this medication is IV gradually increase to induce or agument labor. IM or IV after dlivery of placenta to stimulate uterine contractions and conrol uterine atony. Adverse reactions: hyptension, tachycardia, N/V... Do not use this in fetal distress. Discontinue if contractions are more than every 2 minutes or larst longer than 90 seconds
oxtocin (pitocin)
These medications are important in the development of the female reprodcutive system and secondary sex characteristics, They affect the release of pituitary gonadotropins; cause capillary dilatation, fluid retention, protein anabolism. Inhibits ovulation and prevents postpartum breast discomfort
estrogen
Examples of ____ are prmarin and estradiol
estrogen
These medications respond in secretory changes in the endometrium an increase in bbt, relaxation of the uterine smooth muscle. Examples of this is provera and megace
progesterone
this relieves moderate to severe pain, decreases the perception of pain
narcotic analgesics
this is an opiod agonist-antagonist analgesic. it binds with opiate receptors- altes the perceoption and emotional response to moderate to severe pain
Nubain
Dosage of nubain is 10-20 mg route is sc im iv.. Adverse reactions: sedation, respiratory depression, monitor vital signs.
info
oxycodone ( percocet acetaminiphen) (percodan- aspirin) binds with opiate receptors
info
This drug displaces narcotic analgesic from receptors.
narcan
Tucks is the active ingredient, witch hazel-local soothing and cooling action for vagiinal infections, hemorrhoids, postepisiotomy discomfort, post hemorroidectomy.
astringents
this is a suppostitory, ____ has a antispasmotic action and ____ is the narcotic relaxes smooth muscles and depresses cns.
belladona and opium
This chart is used between the age of 3 and the age they can read the alphabet. ahslo helpful in children with mental retardation of those who speak a foreign language.
Preschool E chart
Child stand 20 ft from chart read first with R eye then L eye then both. Begin at the 40 ft line and work downward until the child passes all lines or cannot read the majority of they symbols on a line.
preschool E chart.
bening tumors on breastss are usually bilateral/unilateral. Malignant breast tumors are found on inner/outer quandrant or in central nipple portion. Malignant breast cancer is usually multiple/single. Breast malignancy is usuall moveable/nonmoveable, tendor/nontendor, has/does not have niple retraction with unilateral blood discharge
bilateral, outer, single, nonmoveable, has
simple removal of the tumor mass.

lumpectomy, partial mastectomy, subcutaneous masetectomy, simple mastectomy, modified radical mastectomy, radical mastectomy
lumpectomy
partial removal of tumor mass and 2.5 to 7.5 of surrounding tissue.

lumpectomy, partial mastectomy, subcutaneous
masetectomy, simple mastectomy, modified radical mastectomy, radical mastectomy
partial masectomy
removal of allunderlying breast tissue, leaving skin, areola, and nipple entact

lumpectomy, partial mastectomy, subcutaneous masetectomy, simple mastectomy, modified radical mastectomy, radical mastectomy
subcutaneous mastectomy
removal of entire breast but not axillary nodes

lumpectomy, partial mastectomy, subcutaneous masetectomy, simple mastectomy, modified radical mastectomy, radical mastectomy
simple mastectomy
complete mreoval of breast andremoval of some axilllary lymph nodes

lumpectomy, partial mastectomy, subcutaneous masetectomy, simple mastectomy, modified radical mastectomy, radical mastectomy
modified radical mastectomy
complete removal of breast, axillary lymph nodes, pectroalis muscle

lumpectomy, partial mastectomy, subcutaneous masetectomy, simple mastectomy, modified radical mastectomy, radical mastectomy
radical mastectomy
this is the nueromuscular maturity scoring
ballard score
protrusion of abdominal contents through inguinal canal into the scrotum
inqinal hernia
fluid in the scrotum
hydrocele
narrowing or stenosis of the preutial opening of the foreskin
phimosis
urethral opening located behind the glans penis o anwhere along the ventral surface of the penile shaft
hypospadias
ventral curvature of penis
chordee
meatal opening located on dorsal surfaace of penis
epispadias
failure of one or both testes to descend normall
cryptorchidism
eversion of posterior bladder through anterior bladder wall and lower abdominal wall; associated withopen pubic arch
exstrophy of bladder
This is a cross between male and femail genitalia.
ambiguous genitalia
The most common UTI is what?
echoli
the most common renal tumor in children. The cause is unknown. It is cancerous
wilms tumor
The wilms tumor arises from the renal nephons. It matastizes quickly usually to the ____.
lungs
Bourn without iris
aniridia
Mangament is surgery to reduce size of wilms tumor. Not suppose to palpate this be careful while btathing. Moms and dads find out because diaper doesn't fit. It can be bilateral or unilateral. The tumor does___ cross over the midline of hte body. If suruved 15% chance another cancer will shop w up. If no chemo or radiation after removal life span is 1 to 2 years
not
inqinial hernias occur more in __- than ____ . can be bilateral
boys than girls
Inginal hernias can fall back into place when laying down. Restrictions should be put on infant.
true