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In Abruptio Placenta, the placenta ____________ from the uterine wall ____________.
Separates, prematurely
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Abruptio Placenta usually occurs in (prima/multi) gravida over the age of ____________.
Multigravida, 35 (HTN, trauma, cocaine)
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How is the bleeding of Abruptio Placenta different from that in Placenta Previa?
Usually painful; bleeding is more voluminous in placenta previa
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If you are the nurse starting the IV on the client with Abruptia Placenta, what guage needle should you use?
18 (in preparation to give blood if necessary)
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How often should you measure the VS, vaginal bleeding, fetal HR during Abruptio Placenta?
Q5-15 minutes for bleeding, maternal VS and continuous fetal monitoring
Deliver baby at earliest sign of fetal distress
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How is an infant delivered when Abruptio Placenta is present?
Usually C-section
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Is there a higher or lower incidence of fetal death with Abruptio Placenta compared to Placenta Previa?
Higher
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In what trimester does Abruptio Placenta most commonly occur?
Third
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At what age are accidental poisonings most common?
2 years old
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If a child swallows a potentially poisonous substance, what should be done first?
Call for medical help
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Should vomiting be induced after ingestion of gasoline?
No- not for gas or any other petroleum products
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When taking a child to the ER after accidental poisoning has occurred what must accompany the child to the ER?
the suspected poison
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An elderly client is a (high/low) risk for accidental poisoning? What about a school age child?
high - due to poor eyesight, high
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What types of chemicals cause burns to oral mucosa when ingested?
Lye, caustic cleaners
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Children at highest risk for seizure activity after ingestion are those who have swallowed _____________ and ______________.
drugs, insecticides
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Can impaired skin integrity ever be an appropriate nursing diagnosis when poisoning has occurred?
Yes, when lye or caustic agents have been ingested
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What is the causative organism of acne?
P. acnes (propionibacterium acnes)
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What structures are involved in acne vulgaris?
The sebaceous glands
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Name 3 drugs given for acne?
Vitamin A, Antibiotics, Retinoid
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Dietary indiscretions and uncleanliness are causes of acne
False
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What are the 3 causative factors in acne vulgaris?
Hereditary, Bacterial, Hormonal
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Uncleanliness is a cause of acne?
False
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What is the most common retinoid given to people with acne
Accutane
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Accutane is an analog of which vitamin?
Vitamin A
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What is the most common side effect of accutane? And what is most important in health teaching in administration?
Inflammation of the lips; Causes birth defect
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What is the antibiotic most commonly given to clients with acne?
Tetracycline
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How long will it take for the person to see results when acne is being treated?
4-6 weeks
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Does stress make acne worse?
yes
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How often should the client with acne wash his face each day?
Twice a day
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What instructions do you give to a client taking tetracycline
Take it on an empty stomach and avoid the sunlight (photosensitivity)
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What are comedones?
Blackheads and white heads
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