Maternal Child Nursing Test 4 PHCC
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| PKU | inborn error of metabolism
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| TX PKU | diet restricted amino acids (proteins)
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| Effects on Fetus | microcephaly, IUGR, cardiac defects, mental retardation
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| Hyperemesis Gravidarum | Excessive "morning sickness' prolonged after 12 th week. Severity causing dehydration, ketonuria, significant weight loss (5-30lbs)
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| Problems r/t hyperemeisis | dehydration, F&E imbalances, metabolic acidosis severe protein and vitamin deficiency, weight loss, ketones in urine, jaundice and hemorrhage from mucosal bleeding may occur.
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| Other S/S hyperemesis | hypotension, inc HCt, hypokalemia, dec urinary output.
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| TX Hyperemesis | IV fluids 3000ML D5LR 1st 24hrs then keep urine output @ 1000ml/24hrs, IV glucose, Thiamine IV or IM, may need NG tube
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| Meds Hyperemesis | Sedative Phenobarbitol; Antiemetics (Phenergan, compazine, reglan) MOM tablets 2-3 X daily to sooth stomach and replace Mg. B6 25 mg PO q 8hrs X 3 days may also have antiemetic effect
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| Diet Hyperemesis | NPO 1st 24 hrs, then advance as tolerated. Small meals, no fluids at same time as food, hi carbs, low fat, low caffeine, non spicy
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