-
What is can the alphafetoprotien (AFP ) test indicate ?
If it is high it can indicate neural tube defects, such as spina bifida
-
What does the stress test measure?
placental insufficancy and the reaction of the fetus to uterine contractions
negative is good
positive is bad
-
At what age during pregnancy can you distingush the sex of the fetus?
and 3 months or 9-12 weeks.
-
What does the Umbilical vein carry?
oxygenated blood from the placenta to the fetus
-
What is Ductus venosus?
allows oxygenated blood from the placenta to bypass the liver
-
What are the (MOM) internal changes that take place during pregnancy ?
Hegars sign, softening of the uterus from the uterus getting larger.
-
Is appetite increased or decreased in the first trimester?
INCREASED baby and mom need nutrients
-
What is nageles rule ?
- used to calculate EDC.
- 1st day of LMP, add 7 days and count back 3 months.
-
How is pregnancy diagnosed?
positive HCG
-
What are some of the positive signs of pregnancy ?
- Fetal heart tones
- x ray
- ultrasound
- palpation of fetal head, feet, hands
-
Why is medical hx important for a pregnant woman?
- habits-drug, alcohol
- gravida is # of pregnancy's
- para is #of living children
-
It is important to do a thorough complete physical on your pregnant patient because?
PIH ! Increased blood pressure is the biggest complication !
-
What kinds of nutrition teaching do you need to give for a pregnant woman?
increase Iron, so eat liver, kidney beans , green leafy vegetables, eggs, tofu. etc.
-
What is an incomplete abortion?
loss of fetus, placenta remains inside and pt will usually need a D & C to evacuate contents.
-
What are the symptoms of placenta previa?
painless uterus bleeding, scanty to severe bright red, and in the 3rd trimester.
-
DIC when does it most often occur?
cause is unknown , but often occurs with placenta abruption, missed abortion.
-
What is Eclampsia?
it is pre-eclampsia but also has the convulsions. caused by high blood pressure.
-
When would you NOT give mag sulfate
?
if DTR's are absent.
-
What effects does syphilis have on the fetus?
Rhegades on corners of mouth and anus, cracks and linear fissurs, snuffles, obstruction in nasal breathing.
-
Can the pt breastfeed if the have cardiac disease?
- NO it is contraindicated
- also teach contraceptive education
- watch for s/sx of left and right sided heard failure.
-
Preschoolers age 3-5 years are in what stage according to erickson?
- initiative VS guilt
- - confidence is gained through learning
- -activily seek new experiences
- -explore how and why
- -restrictions and reprimand result in guilt with hesitation to attempt challenging skills in motor and language development
-
Industry VS inferiority
- Focus on end acheivment
- pleasure from finishing projects
- inferiority ofr lack of self worth when not accepted by peers
-
What is treatment for a laryngeal stridor?
Oxygen and suction
-
What are the vaccines given at age 2 months?
-
What is characteristics of downs syndrome?
Simian crease. where hand has one crease instead of two.
-
What are s/sx of failure to thrive baby?
listlessness, unresponsive to holding and attention. prolonged periods of sleep.
-
What is important to remmeber when you have a pt in Bryants traction?
Butt off the mattress slightly
-
What is wilms tumor
cancerous kidney tumor in children
-
What is cryptorchidism
- one or more testes is absent from scrotum.
- *if not corrected will cause sterility
-
What is s/s of pyloric stenosis in a 3- 8 week old infant?
projectile vomiting irritability, weight loss, and dehydration
-
What is Tetralogy of Fallot?
a birth defect of the heart that consists of four abnormalities that result in insuffeciently oxygenating the blood that is pumped to the body. it is a cyanotic heart defect that causes syanosis. surgery to repair the defects is usually performed between ages 3-5 if more severe may be earlier but in most cases the outcome is good.
-
What is Pulmonary Valve Stenosis?
Partially closes making the right ventricle work causing hypertrophy
-
What are the symptoms of sickle cell anemia?.
- Jaundice
- Fatigue
- Breathlessness
- Hand swelling
- joint pain
- foot swelling
- arm and leg pain
- back pain
-
What is otitis media
middle ear infections that is caused by nasopharyngeal infections traveling through the eustachian tubes because they are wider and shorter in children
-
SIDS(sudden infant death syndrome)
90% of cases occur by age 6 months
-
What are s/sx of meningitis?
- elevated temp, irritability, high pitched cry, bulging fontanel
- TX: isolation and IV atx
-
What is treatment for infantile eczema?
- tepid baths
- skin care
- antihistamines
- mittens
- elbow restraints
|
|
