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geri/ped care

care of term,peds & sp. needs test review

narrowing/constriction of a passage/orifice stenosis
imperforation/closure of a normal/tubular opening of the body atresia
assessment scoring system for newborns apgar
death of a fetus after 20 wks of gestation & before delivery fetal death
baby born at 38 or more gestational weeks term
baby born before 38 wks of gestation premature
age of fetus inutero
age of toddler 1 1/2 yrs to 2 1/2 yrs
newborns are evaluated to determine if they are at risk for neurological disorders
branch of medicine dealing w/the development,care & disease of children pediatrics
absensce of normal sense of pain analgesia
removal of the appendix is appendectomy
anastomosis along the alimentary canal may be the result of removal of an obstruction of all of the above
incision thru the pyloric muscle to release a stenosis is pyloroplasty
procedure to replace sm. bowel & other internal organs that have prolapsed thru the abdominal wall before birth is repair of gastroschisis
procedure done to repair a congenital malformation of the chest wall that has a pronounced funnel shaped depression over the lower end of the sternum is repair of pectus excavatum
procedure done most frequently to extract aspirated foreign bodies bronchoscopy
crainosynostosis is treated by craniotomy
procedure to transport cerebrospinal fluid from the ventricles of the brain to the peritoneal cavity is ventriculoperitoneal shunt
reconstructive procedure to correct the congential anomaly in which the urethra opens on the ventral surface of the penis or vagina hypospadias reapir
procedure to correct undescended testis is orchiopexy
procedure performed on the upper stomach/lower esophagus that have been forced up thru the diaphragm & into the thoracic cavity is hiatal herniorrhaphy
procedure to close an abnormal opening in the walls between the right/left atria is septal defect repair
procedure to correct the lack of fusion of the soft tissues of the upper lip/palate is known as cheiloplasty/platoplasty
ophthalmic procedure done to correct muscle imblance & promote coordination by strengthening a weak muscle or by weakening an overactive muscle resection-recession
parent's anxiety about hospitalization may be transferred to the child true
infants become dehydrated rapidly true
pediatric pts should be kept warm during surgical procedures to prevent hypothermia true
infants/childres are sensitive to temperature variations true
vocalizations,crying,facial expressions & body movements should be observed for signs of pain true
psychological disorder marked by feelings of sadness,hopelessness,inactivity,difficulty in thinking/concentrating, increased/decreased normal eating/sleeping patterns depression
psychological disorder characterized by loss of contact w/environment, lower level of functioning in everyday life & disintegration of personality schizophrenia
psychological disorder characterized by delusion of persecution/grandeur paranoia
abnormal/overwhelming apprehension/fear about upcoming events anxiety
relating social conditions to mental health psychosocial
relating to an organism's mental/behavioral functioning psychological
physiological/psychological requirements for the well-being of an organism needs
pt's w/special needs may require special attention by the surgical team such as in communication,positioning & evironmental climate true
pts w/long term illnesses such as diabetes chronic
pts w/traumatic injuries acute
pts who are most likely to have unrealistic approaches to their situation acute
pts w/terminal illnesses such as cancer chronic
pts w/recently diagnosed potentially terminal diseases acute
pts who are most likely to be overwhelmed & unable to focus on even simple tasks acute
pts w/disfigurements such as burn pts chronic
eating disorders include anorexia;bulimia
pts w/metabolic impairments include those with eating disorders
considerations for the surgical team may include allowing religious/cultural practices as much as possible true
greatest # of considerations for the surgical team caring for a pt who is physically challenged is in what area physical
considerations for the surgical team does not include speaking only to the pts family, never the pt
pts w/an inability to understand/remember does not include cerebral palsy
pts who have mental illnesses include paranoia
burn pts should be transported how on their bed directly to the or
psychosocial considerations do not include being jugmental
pts w/aseptically critical conditions do not include pacemakers
pts w/sexually related disorders/procedures include those who are having infertility procedures/removal of foreign bodies used for sexual gratification true
pts w/sexually related disorders/procedures include who have gender reassignments,penile prostheses & abortions true
pts w/sexually related disorders/procedures include those who have cancer of reproductive organs true
pts w/hematological disorders include those who have anemia
physical considerations may include the use of medications
when caring for a burn pt, it may be necessary to increase the temp in the or
prejudice;unreasonable distortion of judgment bias
sum of all processes used by living cells to provide energy for vital activities metabolism
degenerative disease of the cns characterized by premature senile mental deterioration alzheimer's disease
emotional condition characterized by extreme sadness,gloom,feelings of worthlessness & loss of hope depression
emotion of sorrow,sadness/anguish usually related to the death/loss of someone/something that was much loved/highly regarded grief
emotional condition characterized by apprehension,worry & distress regarding some past event or future uncertainty anxiety
wasting; a decrease in size of an organ/tissue atrophy
prognosis is the projection of the course and end of a disease and the est. chance of recovery true
attempt to deal w/unpleasant, uncomfortable, unknown,stressful or anxiety-producing situations coping
sexual drive, conscious/unconscious libido
resistance of the skin to deformation skin turgor
expressing grief/sorrow for a person's death, outward expressions of grief such as wearing black clothing/armband mourning
74 false
75 true
76 true
77 false
skin turgor does what during the aging process causing a breakdown of skin decrease
what in the blood supply to kidneys decreases the filtration ability & makes the pt susceptible to infections decrease
during the aging process, bones become porous
decrease in gastric secretions & absorption of nutrients results in what type of nutritional state poor
a what in cardiac strength & accumulation of fatty deposits around the heart results in problems w/arteriosclerosis,hypertenstion & arrhythmias decrease
functional capacity of the respiratory system decrease with what type of resistance to respiratory infections/problems decreased
atrophy of reproductive organs causes a what in hormones which may cause symptoms of fatigue,weight loss & decreased libido decrease
aging pts are very resistant to infection false
family members should not be a part of the pts care false
irreversible; permanent brain death due to lack of O2; no circulation to the brain biological death
pt is typically hostile,mad,frustrate & possibly guilty anger
pt does not believe the diagnosis, seeks no info about the disease, ignores loss denial
pt begins to accept loss/death, but also feels loneliness,grief & deep sadness depression
final stage when pt resumes normal activities or resolves conflicts about approaching death acceptance
pt attempts to make a deal w/themselves,drs or deity in order to regain what they have lose or lessen the severity of the loss bargining
a common 1st reaction to physical illness/disability is when people to thru a period of numbness. this is called denial true
after the denial stage they usually feel anger
an effective coping mechanism is hobbies
retreat from the present pattern of behavior to a previous level of behavior that appears more comfortable/safer to the individual regression
unconscious exclusion from awareness of unbearable ideas,experiences & impulses by forcing them down into the the unconscious repression
channeling of strong/socially unacceptable behaviors into a form that is accepted by society sublimation
consciously pushing unwelcome ideas,memories or feelings back into the subconscious mind suppression
Created by: clmcnees