Postpartum 68WM6 Medications and Nursing Phase 2
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| How long is the puerperium and what happens during that time? | show 🗑
|
||||
| show | Is the process that results in the return of the reproductive organs to their non pregnancy size.
🗑
|
||||
| show | If temperature persists at 100.4 for longer than 24 hours or exceeds 100.4 it is considered abnormal.
🗑
|
||||
| What hormone is responsible for stimulating milk production postpartum? | show 🗑
|
||||
| What is the hormone that causes milk ejection? | show 🗑
|
||||
| How long does it take for lactation to be suppressed? | show 🗑
|
||||
| show | Lactation referral could indicate a bad latch. Avoid soap on nipples keep them dry. Lanolin or express a small amount of colostrum.
🗑
|
||||
| Nursing intervention for psychological adaptation should be to? | show 🗑
|
||||
| show | Passive reactions, either verbal or nonverbal. Hostile reactions. Disappointment over the sex of the baby. Lack of eye contact. Non-supportive interaction between parents.
🗑
|
||||
| show | Primary caregiver to the infant. Loss of freedom. Must be sensitive to concerns.
🗑
|
||||
| show | Must involve from birth to develop a bond. Eager to help, but lack confidence. Must be included in teaching.
🗑
|
||||
| show | Toddler may think the Infant is competition, may have sleep problems, may experience regression. Preschooler may look more than touch, and the school age may easily adapt.
🗑
|
||||
| During the Postpartum Period if the fundus is not firm, and massaging and breast feeding does not increase the muscle tone the nurse should prepare to give? | show 🗑
|
||||
| Which drug is given to an Rh negative mom who has an RH-positive infant? | show 🗑
|
||||
| The criteria for discharge is? | show 🗑
|
||||
| show | Uterine Massage. Lochia norms. Involution. Care of abdominal incisions. Breast care. Bowel and urinary functions. Nutrition.Rest and sleep. Exercise. Sexual activity. Follow-up appointments. Medications. Emotional responses. Infant care and feeding.
🗑
|
||||
| show | To prevent hemolytic disease.
🗑
|
||||
| show | Fever. Localized redness, swelling or pain in either breast that is not relieved by support or analgesics. Persistent abdominal tenderness. Feeling of pelvic fullness or pressure. Persistent perineal pain. Frequency, urgency or burning on urination.
🗑
|
||||
| show | Foul smelling, bright red discharge. Clots are passed which are larger than the size of your fist. Pad is saturated in less than one hour.*
🗑
|
||||
| REEDA stands for? | show 🗑
|
||||
| show | Blood content; bright red colored for the first couple days.
🗑
|
||||
| show | Pink to brown discharge lasting the first postpartum week.
🗑
|
||||
| show | Slightly yellow to white discharge which lasts 10 days to 2 weeks.
🗑
|
||||
| Name 3 signs of hypertonic uterine activity that would tell you to stop pitocin? | show 🗑
|
||||
| Name 3 contraindications to starting pitocin? | show 🗑
|
||||
| Why is recording I&O important for the patient on oxytocin? | show 🗑
|
||||
| show | muscle contraction, catabolism, epithelial regeneration
🗑
|
||||
| How much should the fundus descend per day postpartum? | show 🗑
|
||||
| show | day 10
🗑
|
||||
| These mothers are more likely to experience intense afterpains? | show 🗑
|
||||
| show | decreased urge to void and pain from birth trauma
🗑
|
||||
| Breastfeeding can delay the onset of these two natural processes postpartum? | show 🗑
|
||||
| Normal WBC level in a postpartum woman? | show 🗑
|
||||
| Why should we give the premie a pacifier during tube feeding? | show 🗑
|
||||
| show | ovulation and menstration *
🗑
|
||||
| Normal WBC level in a postpartum woman? | show 🗑
|
||||
| show | 7-9 weeks
🗑
|
||||
| How long does it take for menses to resume in breastfeeding women? | show 🗑
|
||||
| How much weight does a woman usually lose during childbirth? | show 🗑
|
||||
| How much weight does a woman usually lose during involution of the uterus? | show 🗑
|
||||
| Are tachy or bradydysrhythmias common in pospartum? | show 🗑
|
||||
| show | fundal massage
🗑
|
||||
| show | Respiratory, GI, and wound assessments
🗑
|
||||
| show | turning coughing, deep breathing and early ambulation, IS
🗑
|
||||
| show | snug bra, avoid nipple stimulation
🗑
|
||||
| Early Hemorrhage | show 🗑
|
||||
| Two causes of early uterine hemorrhage is? | show 🗑
|
||||
| Factors that increase uterine atony? | show 🗑
|
||||
| show | The woman's uterus is difficult to palpate, and when found, it is boggy (soft). The fundal height is high, often above the umbilicus. If bladder is full, the fundus is high and off to one side or the other instead of being midline. Lochia will increase
🗑
|
||||
| show | Nurses are responsible for the initial management of uterine atony. If the uterus is not firmly contracted, the first intervention is to massage the fundus until it is firm and to express clots that may have accumulated in the uterus
🗑
|
||||
| show | oxytocin cytotec methergrine prostin
🗑
|
||||
| show | Often increases uterine tone and controls bleeding (rapid infusion).
🗑
|
||||
| methylergonovine (Methergine) | show 🗑
|
||||
| show | Is given intramuscularly or into the uterine muscle if oxytocin is ineffective.
🗑
|
||||
| show | Is a less expensive drug that also may be used to control bleeding.
🗑
|
||||
| If massaging and pharmacological measure do not stop postpartum hemorrhage what might be necessary? | show 🗑
|
||||
| show | During the second stage of labor
🗑
|
||||
| Predisposing risk factors for lacerations? | show 🗑
|
||||
| Signs and symptoms of uterine lacerations? | show 🗑
|
||||
| show | The vulva or inside the vagina.
🗑
|
||||
| show | Prolonged or rapid labor. Large baby. Use of forceps or vacuum extract.
🗑
|
||||
| Medical management of hematomas includes? | show 🗑
|
||||
| show | Inspect the perineum to determine whether a laceration is visible or if examination of the vaginal walls and cervix is warranted by the provider.
🗑
|
||||
| show | Hemorrhage that occurs later than 24 hours after delivery. Typically it occurs without warning 7 to 14 days after delivery
🗑
|
||||
| Most common causes of late postpartum hemorrhage is? | show 🗑
|
||||
| Medical management of late postpartum hemorrhage? | show 🗑
|
||||
| Nursing interventions for postpartum late hemorrhage? | show 🗑
|
||||
| show | Monitor vital signs every 3-5 minutes, temperature, cap refill, SPO2 levels, Monitor I&Os. Teach patient to observe signs and symptoms of bleeding.
🗑
|
||||
| show | Retained placenta and pelvic infection
🗑
|
||||
| show | Prolonged discharge of lochia. Irregular or excessive uterine bleeding. Pelvic pain or feelings of pelvic heaviness. Backache, fatigue and persistent malaise.
🗑
|
||||
| Nursing interventions of subinvolution of the uterus include? | show 🗑
|
||||
| show | Thromboembolic Disorders
🗑
|
||||
| show | Venous Stasis. Hypercoagulation. Blood Vessel Injury.
🗑
|
||||
| show | Persistent red bleeding. Return of red bleeding after it has changed to serosa or alba.
🗑
|
||||
| show | Result of compression of the large vessels of the legs and pelvis by the enlarging uterus.
🗑
|
||||
| Venous Stasis is most pronounced when? | show 🗑
|
||||
| show | Promote venous statis and increase the risk of thrombus formation.
🗑
|
||||
| show | True
🗑
|
||||
| Thromboembolic Disorders Predisposing Factors | show 🗑
|
||||
| show | Swelling of the involved extremity. Redness, tenderness and warmth. An enlarged, hardened, cordlike vein may be palpated. The woman may experience pain when walking. Often there are no signs at all.
🗑
|
||||
| show | Analgesics, rest, and elastic support. Elevation of the lower extremity improves venous return. Warm packs may be applied to promote healing. Woman should avoid standing for long periods and should continue to wear support hose.
🗑
|
||||
| show | Swelling of the leg. Erythema, heat or tenderness. Pedal edema. Positive Homan’s Sign Affected leg may become pale and cool to the touch with decreased peripheral pulses. Pain on ambulation. Chills, general malaise.
🗑
|
||||
| Diagnosis of DVT includes what procedures? | show 🗑
|
||||
| Medical management for DVT? | show 🗑
|
||||
| Nursing management for DVT? | show 🗑
|
||||
| show | Episiotomy. Lacerations. Surgical incision. Uterus. Urinary tract. Breasts.
🗑
|
||||
| show | An infection of the uterine lining, often at the site of the placenta.
🗑
|
||||
| show | Fever, chills, malaise, lethargy and anorexia. Uterine tenderness. Abdominal pain and cramping. Foul-smelling lochia. Leukocytosis after the first day that does not decrease
🗑
|
||||
| Medical Management of endometritis? | show 🗑
|
||||
| show | Keep patient in Fowler's position Analgesics Antibiotics as ordered. Observe patient for: Spread of infection. Absent bowel sounds. Abdominal distention. Nausea/vomiting. Increasing abdominal pain.
🗑
|
||||
| Name two nursing interventions for UTIs? | show 🗑
|
||||
| Name two patient teaching to reduce reocurrance of UTIs? | show 🗑
|
||||
| show | Hormonal fluctuations that normally follow childbirth. Medical problems during pregnancy or after childbirth such as preeclampsia. Personal or family history of depression or mental illness.
🗑
|
||||
| show | Postpartum Depression
🗑
|
||||
| Signs and Symptoms of postpartum depression? | show 🗑
|
||||
| show | Postpartum depression impacts and creates strain for the entire family. Communication is impaired. Infants of depressed mothers are at risk for later cognitive and behavioral problems
🗑
|
||||
| show | Simply asking women if they are often sad or depressed and if they have felt a loss of pleasure or interest in things they once enjoyed may identify depression.
🗑
|
||||
| show | Observe for subjective symptoms such as apathy, lack of interest or energy, anorexia or sleeplessness. Focus on the frequency, duration, and intensity of the woman’s feelings to determine their severity.
🗑
|
||||
| What should the nurse teach the patient abour postpartum depression? | show 🗑
|
||||
| show | Sleep disturbances, confusion, agitation, irritability. Hallucinations and delusions. Tearfulness. Preoccupation with guilt and feelings of worthlessness. Lack of appetite. Excessive concern with baby’s health. Withdrawn and loses touch with reality.
🗑
|
||||
| What might the infant and mother be at risk for if the mother is suffering from major depression? | show 🗑
|
||||
| show | Postpartum blues, depression & psychosis.
🗑
|
||||
| show | False postpartum psychosis is a medical emergency!
🗑
|
||||
| Bipolar disorder, a disorder characterized by episodes of mania and depression, increases the risk of developing what disorder in pregnancy? | show 🗑
|
||||
| show | The head is palpated to assess the shape and identify abnormalities.
🗑
|
||||
| show | Changes in the shape of the head to allow it to pass the birth canal. Caused by overriding of the cranial bones at the sutures and is common. The parietal bones often override the occipital and frontal bones, and a ridge can be felt at those areas
🗑
|
||||
| show | Resolves gradually within a few days-1 week
🗑
|
||||
| Seperations can indicate what? | show 🗑
|
||||
| show | Areas of the head where sutures between the bones meet.
🗑
|
||||
| Caput Succedaneum | show 🗑
|
||||
| show | Assess for symmetry. Positioning of the facial features. Movement. Expression. A transient asymmetry from pressure may occur, lasting a few weeks of months.
🗑
|
||||
| show | Abnormalities/signs of inflammation. Symmetric and same size. Transient strabismus. Color. Pupils. Tears. Eyelid edema/hemorrhage. Visual acuity.
🗑
|
||||
| show | Patency, discharge and septal deviation.
🗑
|
||||
| show | Assess visually and by palpation. Inspect for pink mouth, gums and tongue . Epstein's pearls.
🗑
|
||||
| show | Visually assess neck. Check for clavicle fractures.
🗑
|
||||
| Assessment of Integumentary System | show 🗑
|
||||
| show | A thick white cream cheese-like substance. Preterm vs Postterm. Most vernix is removed during the first bath and the remaining vernix is absorbed by the skin.
🗑
|
||||
| show | Respirations: Assess at least once every 30 min. Noted Abnormalities. Lung sounds.
🗑
|
||||
| show | Tachypnea. Retractions. Nostril flaring. Cyanosis. Grunting. Seesaw Respirations. Asymmetry. Choanal Atresia.
🗑
|
||||
| Tachypnea | show 🗑
|
||||
| What are the three types of retractions? | show 🗑
|
||||
| show | A widening of the nostrils when the infant is receiving insufficient oxygen. Decreases airway resistance & increases the amount of air entering the lungs. Flaring may occur in the first hour after birth. Continued flaring indicates a more serious problem.
🗑
|
||||
| Central cyanosis | show 🗑
|
||||
| show | Describes a noise made on expiration when air crosses partially closed vocal cords.
🗑
|
||||
| Persistent grunting is a common sign of respiratory distress syndrome and necessitates expanded assessment and referral for treatment. True or False | show 🗑
|
||||
| show | In the infant with severe respiratory difficulty, the chest falls when the abdomen rises and the chest rises when the abdomen falls, causing a seesaw effect. Infants without other signs of respiratory difficulty should not cause alarm.
🗑
|
||||
| show | One or both nasal passages are blocked or narrowed by bone or membrane that protrudes into the area Assessed by closing the infant’s mouth and occluding one nostril at a time. Significant because newborns are nose breathers for the 1st 3 weeks of life
🗑
|
||||
| Heart Sounds | show 🗑
|
||||
| show | Not normally part of assessment but can be ordered if doctor suspects heart anomaly. Should be assessed when infant is quiet.
🗑
|
||||
| Cap Refill on newborn | show 🗑
|
||||
| show | First stools that are dark greenish-black, tarry, odorless, but very tenacious material. Should occur within 12 hours following birth.
🗑
|
||||
| show | Newborn voids within first 12 hours. Record first void. By 4th day of life, at least six wet diapers can be expected.
🗑
|
||||
| show | In the full term infant, the labia majora should be large and completely cover the clitoris and labia minora.
🗑
|
||||
| show | a normal response to exposure to mother’s hormones before birth.
🗑
|
||||
| Edema of the labia and white mucous vaginal discharge are normal. True or False | show 🗑
|
||||
| show | A small amount of bleeding may occur from the sudden withdrawal of maternal hormones at birth.
🗑
|
||||
| Scrotum | show 🗑
|
||||
| Meatus | show 🗑
|
||||
| show | Rooting. Sucking. Moro Reflex. Palmar Grasp Reflex. Plantar Grasp Reflex. Tonic Neck Reflex. Babinski. Dance or Stepping Reflex.
🗑
|
||||
| show | Stimulated by touching the side of the newborn's cheek near the mouth. Infant turns head toward that side and opens the lips.
🗑
|
||||
| Sucking | show 🗑
|
||||
| show | Occurs when the infant’s head and trunk are allowed to drop 30 degrees when the infant is in a slightly raised position. Infant’s arms and legs extend and abduct, with the fingers fanning open and thumbs and forefingers forming a C position.
🗑
|
||||
| show | Occurs when the area below the toes is touched. Infant’s toes curl over the examiner’s fingers.
🗑
|
||||
| show | In a supine position, the infant's head is quickly turned to one side, arm and leg will extend on that side, and opposite arm and leg will reflex; posture resembles a fencing position.
🗑
|
||||
| How does a nurse differentiate acrocyanosis and central cyanosis? | show 🗑
|
||||
| show | Prostaglandins. Oxytocin.
🗑
|
||||
| show | Prostaglandins. misoprostol (Cytotec). Magnesium sulfate.
🗑
|
||||
| show | Produces contractions similar to those occurring during labor at term by stimulating the myometrium (oxytocic effect). Initiates softening, effacement, and dilation of the cervix ("ripening"). Also stimulates GI smooth muscle.
🗑
|
||||
| show | Therapeutic Effects: Initiation of labor. Expulsion of fetus.
🗑
|
||||
| Prostaglandin Precautions | show 🗑
|
||||
| Elements of Nursing Assessment for Prostaglandin Administration | show 🗑
|
||||
| If no cervical/uterine response to initial dose of dinoprostone is obtained, repeat dose may be administered | show 🗑
|
||||
| show | Reproductive System: hemorrhoids, perineal trauma, episiotomy, lacerations, or bowel elimination. Cardiovascular System: hypervolemia. GI System: constipation. Urinary System: urinary tract infection caused by urinary retention and overdistention.
🗑
|
||||
| Care of the newborn also occurs during the postpartum period. The newborn will be treated with what medications? | show 🗑
|
||||
| What is the normal dose of Vitamin K for newborns | show 🗑
|
||||
| Nursing Interventions for Vit K Administration | show 🗑
|
||||
| When administrating Vit K which labs should be monitored? | show 🗑
|
||||
| When administering Vit K what nursing implementations should be used? | show 🗑
|
||||
| What should a nurse teach the parents regarding Vit K for newborns? | show 🗑
|
||||
| Normal Temp Range for Newborn? | show 🗑
|
||||
| Normal Heart Rate for Newborn? | show 🗑
|
||||
| show | Normal rate is 30 to 60 breaths/minute. Chest should move symmetrically, although pattern and depth of respirations are irregular. Respirations should not be labored. Count rate for 1 full minute for accuracy
🗑
|
||||
| How should the LPN provide Eye Treatment? | show 🗑
|
||||
| Ongoing assessment of the newborn should include? | show 🗑
|
||||
| show | First lactation fluid which is a thick yellow substance high in protein, minerals, fat soluble vitamins and immunoglobulins, which transfers some immunity to the infant. Its laxative effect speeds the passage of meconium.
🗑
|
||||
| What is transitional milk? | show 🗑
|
||||
| What is mature milk and when is it established? | show 🗑
|
||||
| Why are infants more predisposed for heat loss? | show 🗑
|
||||
| show | Conduction Radiation Evaportation and Convection
🗑
|
||||
| show | Bonding: the rapid initial attraction felt by parents soon after childbirth. Attachment: process by which an enduring bond between a parent and child is developed through pleasurable, satisfying interaction
🗑
|
||||
| show | ASAP after delivery, allow parents to see and hold infant (dictated by the condition of the mother and baby); encourages parents to touch the baby. Encourage frequent contact. Observe and assess for signs of progressive bonding and attachment
🗑
|
||||
| How many identification bands are made for baby? | show 🗑
|
||||
| show | Jaundice becomes visible when it reaches 5 to 7 mg/dl. A rough guide to the total bili level is that jaundice of the: Face occurs at 5 to 7 mg/dl. Midabdomen at about 15 mg/dl. Soles of the feet at 20 mg/dl.
🗑
|
||||
| show | Is not present during the first 24 hours of life in term infants but appears on the second or third day after birth and is considered a normal phenomenon.
🗑
|
||||
| Pathologic Jaundice | show 🗑
|
||||
| Clinical Jaundice | show 🗑
|
||||
| What are common causes of pathologic jaundice? | show 🗑
|
||||
| Pathologic Jaundice may result in? | show 🗑
|
||||
| Factors that increase hyperbilirubinemia? | show 🗑
|
||||
| show | Prematurity. Cephalohematoma. Bruising. Delayed or poor intake. Cold Stress. Asphyxia.Rh incompatibility. ABO incompatibility. Sepsis. Sibling with jaundice. Breastfeeding. Infection.
🗑
|
||||
| How should jaundice be assessed in a newborn? | show 🗑
|
||||
| What is the medical management of jaundice? | show 🗑
|
||||
| show | Performed when phototherapy cannot reduce high bili levels quickly.
🗑
|
||||
| show | Maintain a neutral thermal environment. Provide optimal nutrition. Protect the eyes. Enhance response to therapy. Detect complications. Parent Teaching.
🗑
|
||||
| Which test diagnosis ABO incompatibility? | show 🗑
|
||||
| show | Benign rash of unknown cause in newborns, blotchy red areas that may have white or yellow papules or vesicles in the center. Rash appears during the first 24 to 48 hours after birth, although occasionally not until 1 to 2 weeks
🗑
|
||||
| show | Most common over the face, back, shoulders, and chest.
🗑
|
||||
| What is the cause of Erythema Toxicum and when does it go away? | show 🗑
|
||||
| show | Bluish black marks that resemble bruises. Usually occur in the sacral area.
🗑
|
||||
| What babies does Mongolian Spots more commonly occur on? | show 🗑
|
||||
| Petechiae | show 🗑
|
||||
| Nervus Simplex | show 🗑
|
||||
| Nervus Flammeus | show 🗑
|
||||
| Nevus Vasculosus | show 🗑
|
||||
| show | Lacelike red or blue pattern. Cold stress, overstimulation, hypovolemia, or sepsis. May indicate a chromosomal abnormality.
🗑
|
||||
| Harlequin Color Change | show 🗑
|
||||
| show | May occur on any part of the body. Bruising on the head. Document size, color, and location.
🗑
|
||||
| show | Hands and feet may appear slightly blue. Acrocyanosis is common during the first day and is a result of poor peripheral circulation.
🗑
|
||||
| Milia | show 🗑
|
||||
| What should the nurse teach the parents about Milia? | show 🗑
|
||||
| show | Child Abuse
🗑
|
||||
| Circumcision | show 🗑
|
||||
| show | Gomco clamp. Plastibell.
🗑
|
||||
| What are the nursing interventions associated with circumcision? | show 🗑
|
||||
| show | refers to the prenatal age of the developing baby (measured in weeks) calculated from the first day of the woman’s LMP; approximately 2 weeks longer than the fertilization age. An SGA, AGA or LGA infant may be preterm, term or post-term.
🗑
|
||||
| Preterm can be defined as? | show 🗑
|
||||
| Term can be defined as? | show 🗑
|
||||
| Postterm can be defined as? | show 🗑
|
||||
| Ballard Score | show 🗑
|
||||
| show | size is below the 10th percentile.
🗑
|
||||
| show | infant whose size is AGA falls between the 10th and 90th percentiles.
🗑
|
||||
| show | size is above the 90th percentile.
🗑
|
||||
| Extremely low birth weight (ELBW): | show 🗑
|
||||
| Very low birth weight (VLBW): | show 🗑
|
||||
| Low birth weight (LBW): | show 🗑
|
||||
| Why are preterm infants predisposed to fluid and electrolyte imbalance? | show 🗑
|
||||
| show | I & O. Urine specific gravity. Daily weights. Signs of dehydration or fluid overload must be carefully monitored by the nurse.
🗑
|
||||
| show | Breakage of the retina's blood vessels resulting in disattachement of the retina. Infants of less than 28 weeks 1500 g or less. Exact cause unknown.
🗑
|
||||
| show | Check pulse oximetry. Treatment: Consult with an ophthalmologist. Possible laser photocoagulation surgery. Cryotherapy. Reattachment of the retina.
🗑
|
||||
| show | Exact causes unknown. Blood is diverted from the GI tract. Other causes of decrease blood flow. Incidence much higher after infants have been fed.
🗑
|
||||
| What are the signs and symptoms of necrotizing enterocolitis? | show 🗑
|
||||
| How is necrotizing enterocolitis? | show 🗑
|
||||
| What are some nursing interventions for necrotizing enterocolitis? | show 🗑
|
||||
| What is the definition of hydrocephalus? | show 🗑
|
||||
| Pathophysiology of Hyrocephalus | show 🗑
|
||||
| Arnold Chiari Malformation | show 🗑
|
||||
| Dandy Walker Syndrome | show 🗑
|
||||
| show | Fontanel is full or bulging. Head is enlarged. Setting-sun is apparent.
🗑
|
||||
| show | Time of onset. Presence of preexisting structural lesions.
🗑
|
||||
| Diagnosis of Hyrdrocephalus is made how? | show 🗑
|
||||
| show | Primary diagnostic tools are CT and MRI.
🗑
|
||||
| Treatment of hydrocephalus goal is to: | show 🗑
|
||||
| Medical treatment of hydrocephalus is? | show 🗑
|
||||
| show | Observe carefully for s/s increasing intracranial pressure. Measure the head circumference daily at the point of largest measurement and record. Gently palpate fontanels and suture lines for size and signs of bulging, tenseness and separation.
🗑
|
||||
| PostOp Nursing Interventions for Hydrocephalus | show 🗑
|
||||
| show | Educate parents on shunt malfunction and infection. Teach parents how and when to "pump" the shunt by pressing against the valve behind the ear. Emphasize the importance of multidisciplinary care. Educate parents on support groups
🗑
|
||||
| show | Communicating and noncommunicating hydrocephalus.
🗑
|
||||
| Spina Bifida | show 🗑
|
||||
| show | Defect that is not visible externally. Occurs most frequently in the lumbosacral area. Failure of the vertebral arch to close, usually without other anomalies. It is seen by a dimple on the back, which may have a tuft of hair over it
🗑
|
||||
| Spina Bifida Cystica | show 🗑
|
||||
| show | meninges and spinal fluid.
🗑
|
||||
| Meningomyelocele | show 🗑
|
||||
| show | MRI. Ultrasound. CT. Myelography. Prenatal detection by elevated AFP, & fetal ultrasound. CVS: chorionic villus sampling.
🗑
|
||||
| Initial Care of Neural Tube Defects | show 🗑
|
||||
| show | Most authorities believe that early closure, within the first 24 to 72 hours, offers most favorable outcome. Improved surgical techniques do not alter major physical disability, spinal defect, or chronic UTIs that affect these kids.
🗑
|
||||
| Nursing Interventions for Neural Tube Defects | show 🗑
|
||||
| Definition of Cleft Lip | show 🗑
|
||||
| show | Midline fissure of the palate that result from failure of the two sides to fuse. Only the soft palate or division of entire hard and soft palate.
🗑
|
||||
| show | May be an isolated anomaly, or may occur with recognized syndrome. May be exposure to teratogens. Alcohol. Smoking (twice the risk). Certain medications.
🗑
|
||||
| show | Lip surgery is generally performed by 3 months. Further surgery may be needed at 4 to 5 years. Palate repair surgery is done in stages, depending on the degree, usually beginning before one year to minimize speech problems.
🗑
|
||||
| show | Long-term follow-up is necessary for orthodontia, speech therapy, treatment of possible hearing problems, and potential for emotional and social adjustment difficulties
🗑
|
||||
| What are some nursing interventions for CL/CP? | show 🗑
|
||||
| What patient teaching should be done with PreOP CL/CP? | show 🗑
|
||||
| show | Position infant on back or side postoperatively. Place infant in arm restraints. Prevent infant from sucking and crying. Avoid injury to operative site. Prevent infection/scarring. Elbow restraints Provide appropriate pain relief and sedation
🗑
|
||||
| show | Lie on abdomen. May resume feeding. Oral packing. Clear to full liquids.
🗑
|
||||
| What patient teaching should be done with PostOP CL/CP? | show 🗑
|
||||
| Talipes varus: | show 🗑
|
||||
| Talipes valgus: | show 🗑
|
||||
| show | plantar flexion in which the toes are lower than the heel.
🗑
|
||||
| Talipes calcaneus: | show 🗑
|
||||
| show | Hip joint is maintained by dynamic splinting in a safe position with the proximal femur centered in the acetabulum in an attitude of flexion.
🗑
|
||||
| Hip Dysplasia Treatment 6-18 months? | show 🗑
|
||||
| show | open reduction is performed and child is placed in hip spica for 2-4 months until hip is stable and a flexion-abduction brace is applied
🗑
|
||||
| Nursing Considerations for Hip Dysplasia? | show 🗑
|
||||
| show | A genetic disorder that causes central nervous system damage from toxic levels of the amino acid phenylalanine in the blood.
🗑
|
||||
| PKU Causes | show 🗑
|
||||
| show | Feeding difficulties. Vomiting. Hypertonia. Irritability. Infant has eczema and musty odor of urine.
🗑
|
||||
| PKU Signs and Symptoms in Older Children | show 🗑
|
||||
| show | Further evaluations. Low-phenylalanine diet. Special formula for infants. Diet is primarily fruits, vegetables, and starches with a phenylalanine-free protein supplement. Small amounts of phenylalanine are allowed.
🗑
|
||||
| show | Ensure newborns are screened for PKU at the appropriate time. The optimal time is 24-48 hours post birth Assist parents in regulating the diet to meet infant’s changing phenylalanine needs.
🗑
|
||||
| show | Most common chromosomal abnormality of a generalized syndrome. Trisomy 21 (nonfamilial trisomy 21). Translocation of chromosomes 15 and 21 or 22. Mosaicism.
🗑
|
||||
| Trisomy 21 | show 🗑
|
||||
| show | This type of genetic aberration is usually hereditary. Not associated with advance parental age.
🗑
|
||||
| Mosaicism | show 🗑
|
||||
| Diagnostic Tools for Downs Syndrome | show 🗑
|
||||
| show | Separated sagittal suture. Brachycephaly. Skull rounded and small. Flat occiput. Enlarged anterior fontanel. Face: flat profile.
🗑
|
||||
| show | Oblique palpebral fissures (upward, outward slant). Innerepicanthal folds. Speckling of iris. Short, sparse eyelashes. Nose: small, depressed nasal bridge (saddle nose).
🗑
|
||||
| An infant with Down Sydrome mouth may: | show 🗑
|
||||
| show | Broad, short stubby fingers. Incurved little finger. Transverse palmar crease. Increased ulnar loops on fingers. Feet: Wide space between big and second toes. Plantar crease between big and second toes. Broad, stubby, and short
🗑
|
||||
| show | Congenital heart malformation (septal defects). Respiratory tract infections. Dysfunction of immune system. Thyroid dysfunction (congenital hypothyroidism). Increased incidence of leukemia.
🗑
|
||||
| show | Family support and education. Allow parents to express concerns. Involve parents in infant care to promote bonding. Involve siblings in infant care and include them in discussions. Refer parents to others for help or advice
🗑
|
||||
| show | Defined as bleeding around and into the ventricles of the brain.
🗑
|
||||
| PIVH Etiology | show 🗑
|
||||
| show | Hypoxic injury to the vessels. Increased or decreased blood pressure. Increased or fluctuating cerebral blood blow. Rapid blood volume expansion. Hypercarbia. Anemia. Hypoglycemia
🗑
|
||||
| show | Lethargy. Poor muscle tone. Deterioration of respiratory status with cyanosis or apnea. Drop in hematocrit levels. Decreased reflexes. Full or bulging fontanelles. Seizures.
🗑
|
||||
| show | Ultrasonography on preterm infants. Treatment is supportive. Hydrocephalus may develop.
🗑
|
||||
| PIVH Nursing Considerations | show 🗑
|
||||
| Infant of Diabetic Mother Risks | show 🗑
|
||||
| show | Includes controlling the mother’s diabetes throughout the pregnancy to decrease complications. Be prepared for shoulder dystocia or cephalopelvic disproportion and C- Section.
🗑
|
||||
| Nursing Considerations for IDM | show 🗑
|
||||
| Nursing Interventions for IDM | show 🗑
|
||||
| What two complications are common in infants born to diabetic mothers? | show 🗑
|
||||
| How often should you check gastric residuals on gavage fed infants | show 🗑
|
||||
| show | nippling consumes a great deal of energy. Some premies have difficulty coordinating sucking, swallowoing and breathing and are unable to consume sufficient calories before they become fatigued and may be at risk for aspiration.
🗑
|
||||
| When should the plastibell fall off? | show 🗑
|
||||
| What is “Doll’s eyes”? | show 🗑
|
||||
| show | temp > 100.3, hot, red tender area on breast usually the upper outer quadrant often accompanied by a flu like malaise.
🗑
|
||||
| What is the difference between postpartum blues, postpartum depression and postpartum psychosis? | show 🗑
|
||||
| What is erythroblastosis fetalis? | show 🗑
|
||||
| show | port wine stain Permanent flat dark reddish purple birthmark
🗑
|
||||
| What are café au-lait spots? | show 🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
alexandra.bell
Popular Nursing sets