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113 Cards in this Set
- Front
- Back
Conversion Disorder
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Neurological symptoms, (ie paralysis or weakness), which cannot be currently attributed to neurological diseases
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Bowlby's Theory
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With regard to loss
Numbness Emotional Cognitive Reorganizing |
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Kubler Ross
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Denial
Anger Bargaining Depression Acceptance |
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Signs of Placental Seperation
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Gush or trickle of blood
Cord lengthens Uterus becomes round (globular) Uterus rises above abdomen Treat with o2 after placenta arrives |
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Late Decelerations
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Begin after contraction begins, often worst after contraction
Baby is in trouble, little or no variability to contraction Turn mother to left, give IV boulus, stop uterine stimulant, prepare c/s |
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Bloody Show
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Expulsion of mucous plug and blood
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Braxton Hicks contractures
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Irregular contraction
no change in intervals no change in intensity abdominal discomfort walking helps relieve pain |
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Phenylketonuria (PKU)
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Defective protein metabolism in baby
Test done after baby has formula or breastmilk. Can be done at birth and 2 to 6 weeks. Untreated = Mental retardation |
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Talipes
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club foot
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Nevus Pilosus
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Hairy nerve @ spine... associated with spina bifida
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Erythema toxicum
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transient maculopadular rash
It goes away on its own |
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Teleangiectatic nevi
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Stork bites
flat reddened vascular area on back of neck and front face |
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Nevus flameus
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Portwine stain, below dermis. It is purple and red in color, taken off with laser surgery
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Nevus vasculosus
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Strawberry mark, no treatment necessary
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Ortolani's Manuveur
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+ if click felt on abduction of hips. Treatment is;
Frejka pillow Pavlik harness triple diaperes |
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APGAR
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Appearance (color)
Pulse (heart rate) Grimace (reflex) Attitude (muscle tone) Respirations |
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IgA
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From breastmilk...If not breastfeeding, keep baby at home for first 6-8 weeks. After that, baby begins making own
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Intrinsic factor
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Mom's nutrition passed directly to baby
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Extrinsic factor
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Emotions, etc, that baby picks up on it's on. Their environment
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IgG
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Crosses placenta, from mom. Passive acquired immunity against bacterial toxins. Infant makes own during first 3 months of life, to compensate for moms.
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IgM
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Fetus makes IgM by 20th week. If it is high in a newborn, indicates infection
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Erythroblastosis Fetalis
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Jaundice Mom's (RH+) crosses placenta and destroys baby's RBC's.
S/S Anemia Jaundice Hepatodplenomegaly |
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Hydrops fetalis
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Usually fetal death...
S/S Blanch skin, sclera yellow, stools green and squirty TX Phototherapy, administer albumin by IV, it binds with bilirubin, O- blood |
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Babinski Reflex
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Used to check for Kernicterus and other things.
Inverted "J" curve from the heel, upward. Newborn fans toes out |
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Moro Reflex
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Used to check for Kernicterus and other things
Lower head about 1 inch, baby abducts, finger in a "C" postion, then arms come up and embrace and protect themselves |
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Transient Strabismus
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Crossed eyes
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Anti-Depressants
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Reduce Panic Attacks
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Schizophrenia
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Gross distortion of reality, withdrawal from social interactions.
Disorganized and fragmented thougts |
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Mastis
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An infection frequently associated with a break in skin surfaces
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Severe pre-eclampsia treatment
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Magnesium sulfate
Knee jerk reflex disappears if too much is given |
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During second trimester, BP usually?
increases decreases stays the same can either go up or down |
decreases, by 5-10 mm
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Chloasma
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Darkening of the face during pregnancy, particularly in the forehead, cheeks, and nose
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Signs and Symptoms of Pregnancy Induced Hypertension
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Higher BP, eclampsia, gestational proteinuria
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Leukorrhea
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Whiteish, viscous vaginal discharge, or an increase in normal vaginal discharge, caused by higher estrogen levels, and increased blood supply to the vagina
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For a child more than 3 years of age, pull pinna __________ before giving medication in external hear.
forward and upward, back and downward, forward and downward, back and upward |
back and upward
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During an exam, a blueish discoloration of the cervix and vaginal mucosa is observed. This is a sign of pregnancy, and is documented as???
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Chadwicks Sign.
uterus, cervix, and isthmus soften, and the cervix and vagina appear to be a blueish color |
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Avoid administering more than -_________ of medication in a singe injection when giving IM injection to small children. .5, .75, .25, 1ml
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1 ml
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For infants, the ____________ muscle is preferred for IM injections
Deltoid, ventrogulteal, dorsogluteal, vastus lateralis |
vastis lateralis
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Vulvar Pruritus
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Tenderness of, or discharge, from external genitals of female
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Antepartum
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Maternal well being from conception to the onset of labor
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PIH
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Pregnancy Induced Hypertension
S/S Gain more than 2 lbs/week swelling of face or fingers flashing of lights or dots eyes dimness or blurring of vision severe continous headache decreased urine output |
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Show
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The release of the cervical plug, (operculum), that formed during pregnancy.
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Excess energy
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Occurs as part of the body's physiologic preparation for labor
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Effleurage
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The technique of gentle abdominal massage
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Coombs Testing
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Determination if Rh antibodies are present in an Rh negative mom. If titers are not elevated, Rh negative mom will receive RhIG at 28 weeks, and also after any procedure that might cause placental bleeding, for example an amniocentesis
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Aspirin
(acetylsalicylic acid) |
Never given during labor, it increases the risk for bleeding
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Meperidine
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Analgesic in labor, plus has additional qualities of sedative and antispasmatic actions
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Demerol
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Peaks in fetus 2-3 hours after administration.
So if baby delivered 1 after giving drug, monitor closely for next 4 hours, for respiratory distress |
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Naloxone Hydrochloride
Narcan |
Counteracts the effects of narcotic analgesics
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Intrathecal Narcotics
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Injected into spinal cord
Morphine, fentanyl citrate |
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Diazepam (valium)
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Anticonvulsant..used in emergencies with anesthetic leaking into blood from epidural block
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Oxytocin
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Given to shorten labor. Also given in C/S to increase uterine contraction and reduce blood loss
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PDPH
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Postpartal dural puncture headache
From spinal anethesia NX.. Drink much H20, lie flat, administer analgesic |
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Epidural anethesia
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Between L3 and L4, into epidural space. If placed wrong, S/S Hypotension, slurred speech, rapid pulse, BP less than 100 or BP decreases by more than 20
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Placenta previa
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Low implanation of the placenta
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Placenta accreta
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An unusually deep attachment of the placenta to the uterine myometrium
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Human chorionic gonadotropin hormone
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Present when small or large part of the placenta is still present after delivery
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DIC
Disseminated Intravascular Coagulation |
Deficiency in clotting ability caused by vascular injury
miscarriage or fetal death |
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Subinvolution
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Incomplete return of the uterus to its prepregnant size
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Perineal Hematomas
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Collection of blood in the subcutaneous layer of the skin
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Endometritus
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Infection of the endometrium, the lining of the uterus
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Peritonitis
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An extension of endometritis.
Infection of the peritoneal cavity. Very serious....infection spreads thru lymphatic system, or thru fallopian tube |
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Lithotomy position
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Stirrups
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Breast feeding with drugs
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Heparin == good
Coumadin == not good, passed on in milk |
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Mastitis
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Infection of the breast
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Baby's Blood Values
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Erythrocyte > 6 million
Hemoglobin 17-18g Hematocrit 45-50 WBC 15,000-30,000 |
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Periodic Respirations
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Short periods of apnea, without cyanosis, in newborn
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Grey Color of skin in Newborn
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Sign of infection
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Umbilical cord breakthru time of baby
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Usually with 6 to 10 days
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Craniotabes
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Localized softening of the cranial bones, usually gone within 3 months, mothers milk helps with this
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Caput Succedaneum
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Edema of the scalp @ the presenting part of the head. It disappears by itself
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Milia
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Sebaceous immature glands on nose and chin Disappear by 2-4 weeks
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Prenatal visits should be
every month Q 4weeks until 28, Q 2 wks until 36, q 1 week till delivery Q 6 weeks until 36, q 1 week until delivery Q 4 weeks until 24, q 2 wke till 32, then weekly |
every 4 weeks until 28 weeks, q 2 weeks until 36, then every 1 week until delivery
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Physiologic of anemia pregnancy
Decrease in red blood cell production during pregnancy Increase in maternal blood volume during pregnancy Hemolysis fo maternal red blood cells by fetal antibodies that cross the plancenta |
Increase in maternal blood volume during pregnancy
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First sign of fluttering in womb is called?
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Quickening
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PICA
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Influenced by cultural beliefs, an appetite or craving for non-food substances, such as clay or ashes
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Hyperemesis Gravidarum
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excessive vomiting disorder of pregnancy
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Naegele's Rule
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7 days added to the first day of last menestrual period, 3 months subtracted and 12 months then added
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Pitocin
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Uterine smooth muscle stimulant
Affects uterine myofibril activity. It enhances lactation Assess baseline for vitals Can cause tachycardia, hypotension |
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Methergine
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Uterine stimulant
Also prevention of postpartum, post abortion hemorrhage due to atony side effects nausea, uterine cramping |
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"Baby Dropping"
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Lightening
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Teach children to _______________
when they hold their breath for 10 seconds after installing medication smile, giggle, count on fingers, laugh |
count on fingers
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Pavlik Harness
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Splinting device that holds an infants hips flexed, abducted, and externally rotated. For hip dysplasia
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What hormone makes pregnancy tests positive??
Human chorionic gonadotropin Estrogen Progesterone Follic-stimulating hormone |
Human chorionic gonadotropin
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When administering eye medications, position an infant or child ___________
on his side supine with head tilting forward prone |
supine
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When administering ear medications, position an infant or child _________.
prone supine on his side with head tilted forward |
on his side
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For a child less than 3 years of age, pull pinna _______ before placing medication in external ear.
forward and downward, back and downward, forward and upward, back and upward |
back and downward
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When administering medications in liquid form to an infant, deposit medication along side the ________.
back of throat, tongue, lips, inner cheek |
inner cheek
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Avoid administering more than _______
of medication in a singe injection when giving an IM injection to small infants. .75ml, .5ml, .25ml, 1.0ml |
.5ml
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Avoid using a needle longer than ______ when giving an IM injection to infants and children.
1 inch, 3/4 inch, 1/2 inch, 1 1/2 inches |
1 inch
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Select a tubercline syringe to measure medication volume less than
1ml, 2ml, 5ml, 10ml |
1ml
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Woman experienced in childbirth, but without professional credentials, who can assist in labor
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Doula
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Meconium
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First baby stool, Sticky tarlike, blackish green color, and odorless
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Cause of bright green baby stools
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From under the bilirubin light, it's caused by increased bilirubin excretion
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APGAR Scoring
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Heart rate 0 <100 >100
Respiratory 0 Slow Good Muscle Tone Flaccid Some Well Flexed Reflex 0 Grimace Cough/Cry/Sneez Color Blue Blue Extrem Normal |
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Kenicterus
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Increased levels of bilirubin, about 20mg/100ml, interfere with chemical synthesis of brain cells. Can cause permanent damage
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Developmental tasks of 1st trimester?
Accept fact of pregnancy Accept fetus as distinct and seperate Prepare realistically for pregnancy Acknowledge she will be a good mom |
Accept fact of pregnancy
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How should female gain weight?
2 lbs per week 1/2 of weight by end of 1st trimester Amount is more critical than pattern 2-5 pounds should be gained in 1st trimester |
2-5 pounds should be gained in 1st trimester
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Approximate weight gain during pregnancy?
15 lbs, 15-25 lbs, 25-35 lbs, 28-40lbs |
25-35 lbs
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Plan of care for pregnancy?
Risk for injury due to medications Imbalanced nutrition<body requirements due to nausea and vomit Imbalanced nutrition<body requirements related to poor knowledge Deficient fluid volume, related to nausea and vomiting |
Imbalanced nutrition <body requirements due to nausea and vomiting
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Which of the following alleviate poor nutrition?
Eat a big breakfast Eat small, frequent meals Eat dry toast or crackers at bedtime Drink plenty of fluid when feeling nausea |
2 and 3
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Pitocin
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Labor inducing medication
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Which of the following is considered a positive sign of pregnancy that could be present at 8 weeks?
Fetal cardiac activity or body movement noted on ultrasound Palpitation of fetal movements Ballotment noted on vaginal discharge Uterine soufte noted by Doplar |
Fetal cardiac activity or body movement noted on ultrasound
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Intrauterine pregnancy
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In the uterus, (the womb). Normal pregnancies are intrauterine
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Fetal Demise
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Fetal death in uterus
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Intrauterine growth restriction
IUGR |
A condition in which a fetus is unable to achieve its genetically determined potential size
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Intrauterine pressure catheter
IUPC |
Used in labor induction to help measure the exact force of the contractions during labor. Helps doctor determine the amount of pitocin to be used
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Psychosomatic
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Stress and/or emotions are causing physical symptoms of illness
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Pregnancy Induced Hypotension
PIH |
Development of NEW arterial hypertension in a woman after 20 weeks of pregnancy
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Eclampsia
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A serious complication of pregnancy and is characterized by convulsions before, during, and after labor
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Eclamptic Convulsion
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4 Stages
Premonitory..Woman rolls eyes and facial and hand muscles twitch Tonic..Twitching turns into clenching arms and legs. Rigind Clonic...Spasm stops but muscles jerk violently Comatose..Deep unconciousness and make sure patient has patent airway to breath |
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Heroin withdrawal..S/S
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Pupillary dilation and diaphoresis
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Newborn baby has ______creases on sole of foot?
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3/4 of foot has creases
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