Exam 2 Flashcards

Question

tonic neck/fencing reflex

Answer 1

Usain bolt posture

Answer 2

your egg, goes to a different parent

Answer 3

counseling antidepressants social support (family, friends) \*\*for at least 6 mo.

Answer 4

collapse of alveoi (precursor to pneumonia) common in abdominal surgery

Answer 5

* clinical signs w/in 1 hr of life * 90% symptomatic by 24 hr * respiratory distress most common * also: lthargy, temp instability, poor perfusion, hypotension * risk factors: * maternal fever, chorioamnionitis, prolonged ROM, prematurity, LBW

Answer 6

* increase postprandial triglyceride levels, LDL cholesterol, apoplioprotein B * little effect on serum glucose and insulin concentrations * abosrbed differently * immediately transported to liver: becomes gluocose, fatty acids, lactate * fatty acids play key role in insulin resistance: block insulin signal transduction

Answer 7

just FHR in response to movement should elevate baby has to be 28 wks for reliable data

Answer 8

high correlation between increased adiposity in adopted children and biologic parents twins reared together/apart have similar rates of obesity one or two obese parents increases risk, specifically mother

Answer 9

changing behavior

Answer 10

continuous fetal monitoring for stress

Answer 11

* support person * pain management * subtley inform staff * ritual/funeral/closure

Answer 12

back of neck, generally fade

Answer 13

low: * barbituates * opiates * tranquilizers * GHB

Answer 14

* rate * 40/60 breaths/min * periodic breathers * obligate nose breathers * watch stomach to count breaths * can go up to 15s of apnea - count for a full min

Answer 15

happens w/in 5 days of delivery - normal\ NO desire to harm self/baby

Answer 16

major depressive disorder

Answer 17

* jealous vs desire to bond * can be all over the place * PPD can manifest in partners too (sleep deprivation)

Answer 18

* breast cancer * baby obesity * work lost * PPD

Answer 19

more likely to: * use alcohol * have unprotected sex * 8x more likely to use marijuana * 22x more likely to use cocaine BUT, think about their home life if they begin smoking at age 12

Answer 20

metabolic disorder can't break down phenylaline amino acid need pre-digested diet

Answer 21

* grunting on expiration (working hard) * tachynea (\> 60 breaths/min) * flaring * chest wall retractions * Tx: * magnesium sulfate to mom (prevention) * steroids to mom (lung development) * surfactant (when born) * tactile stimulation, caffeine * oxygen - nasal cannula, hood * mechanical ventilation * CPAP - forced air

Answer 22

Appearance Pulse Grimace Activity Respiration

Answer 23

* health insurance * comprehensive coordinated benefits * knowledgeable health care providers * affordability for preventative services * confidentiality * visiblity and flexibility of sites/services * walk in hours * goals coordinated at multiple levels

Answer 24

transition: green, mustardy

Answer 25

preoccupation with thoughts about committing suicide

Answer 26

* lungs * heart * brain * GI/nutrition * blood * thermoregulation

Answer 27

genitals can indicate gestational age can't find testse? notify pediatrician - need to descend to fxn

Answer 28

spread toes out

Answer 29

* non-stress testing * amnitoic fluid index * biophysical profile (BPP) * fetal movement

Answer 30

appropriate for gestational age: 10-90th percentile

Answer 31

marker in pediatrics anxiety in childhood leads to depression in adolescents

Answer 32

super advanced maternal age

Answer 33

high doses or mixed drugs = overdose threat of dependence

Answer 34

* drugs/alcohol contribute to physical and sexual aggression * repeated and regular recreational use can lead to other problems * anxiety, depression * some teens regularly use drugs/alchol to compensate for anxiety, depression, lack of positive social skills

Answer 35

* MCV4 at 11-12 w. booster at 16 * 1 dose at 13-15 if not previously vaccinated * 1-time booster recommended at 16-18 yo

Answer 36

* insomnia * temperament: emotional dysregulation * conduct disorder * chronic medical illness * medications

Answer 37

common scores: 8 or 9/10 taken at 1 min and 5 min (want to see improvement) a little out of date

Answer 38

burning a Chinese herb and touching it to the mom's toe to turn a breeched baby (while baby is moving)

Answer 39

may worsen post-partally

Answer 40

2% (1:1::boys:girls)

Answer 41

cycled lighting containment kangaroo care

Answer 42

* decreased fetal movements * severe headache unrelieved by Tylenol * blurred vision, spots * severe swelling of face, extremities * RUQ pain

Answer 43

parents answer for children

Answer 44

* increased bilirubin can affect brain - kernicterus * put pressure on forehead and look for pink (normal) or yellow (jaundice) * descends head to toe * put baby in winow - sunlight * breastfeed - increase output

Answer 45

* active psychiatric disorder * 90% of teens with a psych disorder attempt suicide * co morbid conditions * substance abuse * LGBTQ * others * academic, LD, ADHA, victim of sexual abuse

Answer 46

iron: 15 mg/d zince: 9 mg/d folate: 400 mg/d Vit. D: 600 IU

Answer 47

usually requires repair

Answer 48

in utero: bypasses lungs and liver blood is shunted

Answer 49

* not as in touch about rights/wrongs in harming self/others * manifests usually within a few days after delivery * hallucinations common * physician, psychiatrists, counseling, meds

Answer 50

* for same amount of etoh in adult, you get cell death and permanent brain damage in teen * impedes learning, blocks learning, learning doesn't even start * complete amnesia after binge episode * teen brian doesn't recover as well

Answer 51

C: ridden in car by someone who was high? R: use alcohol/drugs to relax? A: use drugs/alcohol alone? F: forget things you did on drugs/alcohol? F: family/friends say you should cut down? T: gotten into trouble on drugs/alcohol?

Answer 52

complications of preeclampsia

Answer 53

1st degree - just the skin 2nd degree - into muscle 3rd degree - goes to rectal capsule but doesn't completely separate 4th degree - tear all the way into the rectum

Answer 54

* smooth muscle relaxer - for seizures * can cause respiratory distress * can decrease kidney fxn - monitor I/Os * intake max 125 ccs/hr

Answer 55

* addiction is a form of learning: reward circuit * in teen brain, creates larger, stronger, harder, longer-lasting connection/synapse * addiction more efficient in teen brain * teen brain not resilient * more permanent * more toxic * more deleterious

Answer 56

* acute, potentially severe illness caused by Neisseria meningitidis * 75% of infections in persons 11 or older caused by serogroups: * C, Y, or W-135

Answer 57

very low birth weight \< 1500 g

Answer 58

indicates liver abnormality

Answer 59

1. do you consider yourself more a happy, unhappy, or middle person? 2. have you ever been so unhappy or upset you just felt like being dead? 3. have you ever thought about hurting yourself? 4. have your ever developed a plan to hurt yourself or kill yourself? 5. have you ever attempted to kill yourself?

Answer 60

associations between chronic short sleeping and increased BMI

Answer 61

hypoxic ischemic injury decreased cerebral blood flow simultaneous with perinatal depression major reason for litigation

Answer 62

women: 10-25% men: 5-12%

Answer 63

* placental breakdown * decreased oxygen, decreased labor tolerance * IUFD * intrauterine fetal demise (increases past 42 wks) * meconium aspiration

Answer 64

* pulse ox * auscultate lungs * spirometer, cough * get up and get moving (especially C-section - pneumonia risk)

Answer 65

serious indicator for possible suicide completion in future as many as half of adolescent suicides had many previous attempts

Answer 66

* opiate antidote * binds to opioid receptors and reverse/block effects of other opiods * restore normal respiration * widely used by first responders * Rx? for patient, family * intransal formulation vs IM

Answer 67

* systemic disease with HTN accompanied by proteinuria after 20th wk gestation. * eclampsia = convulsive stage of disease * 10% of all 1st pregnancies affected by preeclampia/eclampsia * involved reduced oragn perfusion s/t vasospasm and endothelial activation

Answer 68

* positive parent-child relationship * connection to school * prosocial peer group * higher IQ

Answer 69

* IUGR * premature * tolerate labor poorly * require resusciation

Answer 70

* parental monitoring * know about teen's life * authoritative vs authoritarian * reach out to fathers * LGBTQ * increased depression, suicide * learn to be supportive * talk to teens about sex

Answer 71

asphyxia from plastic bags lead poisoning possible irreversible damage to CNS, kidneys, liver, bone marrow

Answer 72

* HPV4/9 (Gardasil) * females and males 9-26 yo * HPV2 (Cervarix) * types 16 and 18 (high risk) * females 10-25

Answer 73

* interview patient * safety! * assess suicidality * SLAP * social issues * psychiatric disorders * family Hx

Answer 74

* driver permit signed by MD/CRNP * teen signs permit in presence of provider * chance for injury prevention education * seat belt * put cell phone out of reach * new teen driver has same reaction time as 70 yo

Answer 75

* ice for 24 hrs * peri bottle when you urinate * sitz baths * stool softener * water * kegel exercises * increase blood flow to area to promote healing

Answer 76

grabbing reflex

Answer 77

* macrosomia * multiples * grandmultiparia (many previous children) * uterus can't contract as well * bleeding disorders, anemia * polyhyperamnio * long labor * magnesium sulfate * augmentation of labor (pitocin)

Answer 78

during pregnancy or time of delivery s/t placental leaks

Answer 79

* interferes w. oxygen and nutrient supply * hypoxia and malnourishment * placenta has shelf life of 42 weeks

Answer 80

* 2x more in males * racial disparities pronounced * transportation largest sources * drivers and passengers * also as cyclists, pedestrians * drowning, poisoning, fires, sports, work-related

Answer 81

breaking the water

Answer 82

* 2-dose HepA series at 12 thru 23 months * separate doses by 6-18 months * anyone 2yo+, 2 doses separated by 6-18 mo can be administered if immunity is desired

Answer 83

* increased consumption associated with obesity across all age groups * high fructose corn syrup * 300% increase in past 20 years * 56-85% of children in school consume at least one/day

Answer 84

* high * amphetamines * PCP * LSD * withdrawals * low * narcotics

Answer 85

modify thoughts and behaviors to modify feelings/emotions

Answer 86

* facilitate discussion with parents and child * not bound by confidentiality to tell parents, but child should be encouraged * patient and family education * referral to mental health providers * insurance can be an issue

Answer 87

local fever, systemic symptoms not common exaggerated local reactions severe systemic rxns rare

Answer 88

late onset, not nosocomial

Answer 89

can be treated but doesn't go away on its own

Answer 90

* prenatally * post-partum in hospital/birth center * phone calls pp * home visits * screening tools * risk factors * S/Sx

Answer 91

* BPP * ultrasound + NST and amniotic fluid index * apgar on the inside basically

Answer 92

* baby/parent sleep needs * days and nights mixed up * sleep when the baby does

Answer 93

* more potent than ever * more plasticity in teen brain - can lock onto more areas * lands on more receptors and stays longer * impairment of ability to make memories and learn * learning impaired several days out

Answer 94

small for gestational age: 10th percentile

Answer 95

* DRI 1300 mg/day * increased need b/c of increased skeletal growth * 45% peak bone mass attained * 90% adult bone bass by 17 yo * window of opportunity for bone density

Answer 96

advanced maternal age

Answer 97

* mastitis * womb - endometritis * water - UTI (stasis, cath) * wind - respiratory (adelectisis, pneumonia) * wound - episiotomy, laceration, C-section incision * walking - phlebitis

Answer 98

* increased 27% from 1970 to 1997 * now 25% of energy intake * increased % in those drinking sweetened drinks * dietary carbs consist of polysaccarhides, disaccharides, and monosaccharides * 45-70% of energy intake in developed countries

Answer 99

* connectedness = take home message * successful evidence-based approahces * multiple systems and multiple issues * increase connectedness * enhance protective factors * school connectedness * parental engagement in school * parental monitoring

Answer 100

* more than 100 enzymes use zinc * protein formatoin * serum zinc levels fall in puberty r/t rapid growth * 18-33% adolescents have mild zinc deficiency * red meat, shellfish, whole grains, fortified cereals * zinc and iron comepte for absoprtion * vegans at highest risk for deficiency

Answer 101

* rapid eye testing * injection, glazing, tearing, eyelid swelling, ptosis (one droopy eyelid) * pupil size * reaction to light * nystagmus (pupil moves side to side or in small circles quickly) * convergence

Answer 102

depressive or anxiety reactions

Answer 103

* precipitating factors * often impulsive * method * FIREARMS * hanging * poisoning

Answer 104

startle reflex

Answer 105

work on relational problems that are causing or caused by patient's depression

Answer 106

dark, sticky stool in GI tract already when born

Answer 107

* patient health questionnaire * 9 items * self-administered

Answer 108

* social isolation * poor peer relationships * religious affilitation, esp. for LGBTQ * acute loss of bf/gf * FIREARMS IN HOME

Answer 109

* vacuum * episiotomy * forceps baby needs to come out - stress

Answer 110

* cerebral edema/hemmorhage/stroke * disseminated intravasulcar coagulation * blood clots throughout small vessels * decreases free platelets, increases bleeding risk * pulmonary edema * congestive HF * hepatic failure * renal failure * abruptio placenta

Answer 111

usually manifests first, w/in depression also OCD behaviors

Answer 112

* neonate withdrawal syndrome * neonatal abstinence scoring * nursing interventions * tx * morphine * phenobarbital - adjunct * family support * social services

Answer 113

interaction stimulation crying curve sleep

Answer 114

* milk replaced by soft drinks * lactose intolerance (yogurt) * hormonal birth control (depo) * supplements * must be taken with food * no more than 500 mg/dose

Answer 115

* feeding intolerance/increased residuals * abdominal distention/tenderness * bilious vomiting * blood in stools * erythema/bluish discoloration of abdominal wall * visible dilated loops of bowel * sepsis * apnea * bradycardia * decreased platelets * temp instability * lethargy

Answer 116

heel stick blood test for metabolic disorders

Answer 117

1. drink alcohol (more than a few sips)? 2. marijuana, hashish? 3. anything else to get high?

Answer 118

* massage fundus * straight cath - place for uterus to fall and contract * IV line * prepare meds (pitocin, then methergen if pit doesn't work) * cytotec (rectally)

Answer 119

6% 1:2 boys:girls

Answer 120

clotted sebaceous glands - normal in newborns

Answer 121

* 2nd largest time of growth for body * total nutritional needs higher than any other time * failure to consume adequate diet = * delay in sexual maturation, slow/arrested linear growth * gender-specific nutritional needs arise * need is greatest during peak velocity of growth

Answer 122

1. individual tx goals and approaches 1. child's age, degree of overweight, presence of comorbidities 2. family, major caregivers 3. assessment and monitoring 4. behavioral, psychological, social correlates of weight gain 1. decreased/maintained weight = achievement 5. recommendations for dietary changes and increased physical activity 1. within family 2. foster optimal health,g rowth, development

Answer 123

normal newborn rash - looks like acne

Answer 124

not yet acknowledging that there is a problem behavior that needs to be changes

Answer 125

enhancing protective factors may have a greater health impact than targeting health risk behaviors need connectedness to one adult protective factors: * reduce effects of stressful life events * increase ability to avoid risks or hazards, promote social/emotional competence to thrive

Answer 126

* 0 = blue, pale all over * 1 = pink body, blue extremities * 2 = pink all over

Answer 127

* sexual health education policies, curricula * if well designed: can derease adolescent sexual risk behaviors * access to sexual health services * increase condom use and decrease sexual risk behavor * supportive school climate: bullying prevention * bullies and victims of bullying and sexual harrassment may be more liley to have casual sex and sex under influence * school connectedness * teens who believe adults/peers care about their learning are more likely to delay start of sexual activity, use condoms and contraceptives, have fewer sexual partners

Answer 128

* hydrate - IV and water * clean catch urine sample (UTI) * check cervix (dilating?) * vitals

Answer 129

acute, often fatal disease caused by exotoxin produced by Clostridium tetani characterized by generalized rigidity and convulsive spasms of skeletal muscles. usually involves lockjaw and neck and then becomes generalized

Answer 130

HEADSSS CRAFFT KADS: depression, suicide PHQ-9 MDD

Answer 131

high: * PCP * MDMA * amphetamines low: * morphine * bariburates

Answer 132

* from warm, fluid-filled uterus to cool environment * stimulating

Answer 133

* increased demand r/t rapid growth/expansion of blood volume, muscle mass, onset of menstruation * 1/2 adolescent females consume 15g DRI iron * bioavailability * heme: * meat, fish, poultry * high bioavailability * nonheme: * grains, veggies * low bioavailability * enhanced with vit. C

Answer 134

* monitor FHR * if it becomes distressed, turn off pit and increase fluid intake * left sided position of mom to relieve pressure on major vessels * monitor baby position * don't induce a breached baby

Answer 135

methergen ibuprofen antibiotics

Answer 136

* 0 = absent pulse * 1 = \< 100bpm * 2 = \> 100bpm

Answer 137

* 60% of youth have suicidal thoughts * 30% of MDD youth attempt suicide * 3rd leading cause of death in young people * asking about suicide will not push people to kill themselves

Answer 138

peaks at 36 wks

Answer 139

* higher IQ does not equal emotional intelligence * knowing yourself and your buttons and how they get pushed. not reacting when buttons are pushed * ability to understand others and what they need and your role * can be devloped, not static

Answer 140

natural antidepressant

Answer 141

adequate protein exces carbs, total fat, sat. fat, cholesterol inadequate vitamins and minerals

Answer 142

stroke side of face; should turn towards it (for eating purposes)

Answer 143

deliberate act of self-injury with the intent of death

Answer 144

in utero or during labor * toxoplasmosis * other (syphilis, Hep B, Epstein-Barr, varicella, human parvovirus) * rubella * cytomegalovirus (CMV) * HSV

Answer 145

sedentary: 1800 moderately active: 2000 active: 2400

Answer 146

local rxns (pain, swelling) fever (10-13% - may faint) - same as placebo no serious adverse rxns associated

Answer 147

* previous attempt * males, impulsiveness, hopelessness, gun in home, anxiety, pain, substance abuse, family hx of suicide * 1/3 adolescent suicide victims had homicidal ideation week before suicide * most suicides occur wthin days or week of improvement of depressive sx (and primary care provider)

Answer 148

* skin turgor * fontanels sink in

Answer 149

47% increase between 2010-2011 * cheaper than Rx * readily available * can be smoked, not only injected

Answer 150

post-partum depression post-partum psychosis anxiety, bipolar, hypomania (preexisting conditions)

Answer 151

* infection * hemorrhage * affective disorders

Answer 152

can show impairment from decreased or lack of oxygen

Answer 153

* low levels may result in fetal distress * may pass meconium

Answer 154

* HR: 120-160 bpm * murmurs * blood pressure * may show PDA or cardiac abnormalities

Answer 155

warning signs: * drop in school performance * change in groups of friends * delinquent behavior * deterioration in family relationships

Answer 156

* SES * demographic * medical conditions * past pregnancy hx * current pregnancy problems

Answer 157

exposure to Hep B surface antigen (HBsAg) in amniotic fluid, vaginal secretions, or maternal blood 90% of neonatal infections

Answer 158

prior Hx of preterm birth/labor causes: * dehydration (more preterm labors in July) * UTI * infecton

Answer 159

* chemical * thermal * mechanical

Answer 160

precontemplation contemplation preparation/determination action/willpower maintenance relapse

Answer 161

carbs: 45-65% protein: 10-30% fat: 25-35%

Answer 162

acknowleding there is a problem but not yet ready or sure of wanting change

Answer 163

* immunizations * HPV * TdaP * Hep A * meningitis * influenza * connectedness * school attendance * family dinner * HEEADS * mental health

Answer 164

* congential anomalies * CNS, cardiac, vertebral, skeletal, renal * 6-9% incidence compared to 2% incidence in general population * CONTROL diabetes

Answer 165

blue hands and feet

Answer 166

* Vitamin K * build up gut flora * clotting mechanism * weight loss/gain * loss 10% initially (lose meconium) * gain it back in 2 wks * double weight w/in 3-6 mo

Answer 167

* chemoreceptors in carotid and aorta * respond to decreased oxygen and increased carbon dioxide

Answer 168

* inhaling chemicals often found in hosuehold such as industiral solvents from a bag or cloth * common in 11-15 yo - access * aka: amy, army, bolt, climax, lockerrom, nitrates, ox, snappers, thrust, whippets * can cause: * heart attacks * heart damage * pneumonitis * lung injury

Answer 169

* delivery ASAP * magensium sulfate, aspirin, diuretic for edema, seizure, inflammation * FHR and contractions monitored * change mom's position * mom's BP monitored * cervix assessment for dilation * take vitals every hour * reflexes * I/Os

Answer 170

* 0 = absent * 1 = some flexion of extremities * 2 = active motion

Answer 171

returning to older behaviors and abandoning the new changes

Answer 172

* stress and fatigue * low BMI, didn't gain much in pregnancy * low milk production * multiparia (exhaustion)

Answer 173

* term baby: * labia: closed w/ puffy vulva * scrotal rugae * chick pea testes in scrotum * preterm baby * labia separated with possible visible hymen tissue * flat, shiny, vascular scrotum * 35/36 wks: testes not descended

Answer 174

* bathe baby immediately (before injection) * Hepatitis B immune globulin (HBIG) w.in 12 hrs of delivery * vaccine * birth * 1 mo * 6 mo

Answer 175

bedrest antihypertensives inducing labor magnesium sulfate for seizures

Answer 176

* usually on buttocks * on darker skinned babies * can look like bruising * inform pediatrician

Answer 177

* hx of depression * depression/stress in pregnancy * prior hx of PPD * low socioeconomic status (other stressors) * partner issues * hx of abuse * age

Answer 178

whooping cough: acute infectious disease cuased by Bordetella pertussis * significant mortality in infants * on the rise in the US * immunity wanes after 7 yo

Answer 179

sponge wash soiled, creased places until cord falls off, then you can submerge

Answer 180

recreational peer acceptance intermittent use

Answer 181

3wks-3mo desire (not action) to harm baby/self

Answer 182

high: * hallucinogens * stimulants * withdrawal low: * GHB

Answer 183

* red bull: 13.75/oz * coke classic: 12/oz * pepsi: 12/oz * starbucks grande mocha latte: 20.6/oz

Answer 184

* 12 hrs bedrest * foley needs to come out * incentive spirometry * prevents pneumonia * cough by holding incision w/ pillow * bowel movements, passing gas * breastfeeding help

Answer 185

* HTN * preeclampsia * post-date * anything that affects circulation/placenta

Answer 186

* protein synthesis * severe deficiency (megablastic anemia) rare * mild, subclinical more common * reduce neural tube defects * early in fetal development * DRI = 400ug/d for all sexually active teen females

Answer 187

picornavirus (RNA) humans are only natural host

Answer 188

* after 20th wk * BP \> 140/90 w/ proteinuria * if ABSENT proteinuria: * headache, visual changes * abdominal pain * lab abndormalities * low platelet, elevated liver enzymes * progresses to eclampsia with emergence of grand mal seizures

Answer 189

* GI tract disintegrates * not fully developed * decreased oxygen because preterm * Tx * rest bowel * antibiotics * gastric decompression * serial radiographs * product transfusion * colostomy if necessary * enteral or breast milk * ischemia * accumulation of gas in sub-mucosal layers of bowel wall * necrosis --\> perforation --\> sepsis --\> death

Answer 190

* entry into mouth * viral replication in liver * GI disruptions, diarrhea, etc. * present in blood/feces 10-12 days after infection * how it travels person to person * virus excretion may continue up to 3 wks after onset of symptoms

Answer 191

maintaing the behavior change

Answer 192

* term baby: * creases 2/3 down foot * preterm baby: * flat soles of feet - no creases

Answer 193

meconium aspiration syndrome first passage of stool into amniotic fluid, then aspiration * decreased amniotic fluid, cord compression * intrauterine asphyxia

Answer 194

* bathing * cord care * circumcision care * diapering

Answer 195

* DTap: everyone udner 7 * Tdap: everyone over 7 (recommended 11-12 yo) * recommended for all pregnant teens * 1 dose of Tdap to 11-12 yo * administered regardless of last tetanus and diphtheria toxoid-containing vaccine * 1 dose of Tdap for each pregnancy (27-36 wks) regardless of previous vaccination

Answer 196

learn faster and what they learn leaves a more lasting memory humans programmed to have more molecules for excitation in teen years than an adult

Answer 197

chronic, will come back

Answer 198

* 34-37 wks * sluggish * A's an B's: apnea and bradycardia * in NICU until those go away

Answer 199

* car seat * 4 years * 2 years rear facing * back to sleep campaign * co-sleeping * don't drink/smoke * vs. safe co-sleeping * shaken baby syndrome

Answer 200

intended but unsuccessful act to cause injury ot death

Answer 201

family history

Answer 202

* measure amount of amniotic fluid around baby * less amniotic fluid in post-dates (less cushion, thick meconium) * if it's low, consider induction

Answer 203

breach baby can be turned from buttocks or foot first to head first usually happens ~ 37 wks

Answer 204

normal decreased liver fxn bilirubin peaks at day 3 - rate of increase is high

Answer 205

* insomnia * mood swings * decreased appetite * fear of harming baby or self * sadness, excessive crying

Answer 206

* surgical * D&C: dilation and curretage * medical (10 wk limit) * anemia is a contraindication * aspirate * syringe aspirates contents of uterus

Answer 207

can use a foley bult to put pressure on the cervix to make it soft

Answer 208

large for gestational age: 90th percentile

Answer 209

* quiet sleep * active sleep * drowsy (transitional) * quiet alert * active alert * crying

Answer 210

* complex condition * genetic and environmental factors * sedentary behaviors and high-calorie diets are major environmental factors * shortened sleep duration * stress * Rx drugs

Answer 211

* physiological and neurological assessment of newborn to determine gestational age when due date is unknown * important when lack of prenatal care * expectations for development depend on gestational age * neuromuscular maturity * physical maturity

Answer 212

trial of labor after C-section

Answer 213

will cry more during growth spurt so mom feeds baby more peaks in 2nd month, declines by 4th/5th month

Answer 214

* term baby: * fully-formed pinnum * cartilage springs back when pressed to head * preterm baby * no pinnum under 37 weeks - flat * cartilage doesn't spring back

Answer 215

* family hx of psych/SI/substance abuse * parental loss, family disruption * abuse, neglect * unavailable parents * parental indifference and low expectations * unrealistically high parental expectations

Answer 216

* percent of 12-17 yo in excellent/very good health: * 80.5% * percent of 12-17 yo who missed 11+ days in past 12 mo due to illness/injury: * 4.9%

Answer 217

61.5% of children had no participation in any organized physical activity during nonschool hours 55% adolescents do not meed recommended physical activity guidelines children choose sedentary behavior over physical activity

Answer 218

stops heavy vaginal bleeding via uterine contractions HTN is contraindication

Answer 219

lidocaine sugar water

Answer 220

* closes b/c of change in air pressure * can take a couple days to close * until then, a murmur is present * point out to pediatric cardiologists * usually normal - can take 72 hrs * when NOT normal: * affects circuulation * circumoral cyanosis (blue around mouth)

Answer 221

getting ready to change

Answer 222

unintentional injury suicide homicide malignant neoplasms heart disease

Answer 223

goal is intoxication or sustained intense effects periodic binges

Answer 224

* antibiotics * ibuprofen * methergen * contraception counseling

Answer 225

* feels like the flu * clogged duct - needs Tx to not turn into mastitis * big, red, sore breast * "an empty breast and plenty of rest"

Answer 226

if mom can't stop contracting * magnesium sulfate - smooth muscle relaxant * neuroprotective against cerebral palsy * steroids * to mature lungs (up to 34 wks) * terbutaline - smooth muscle relaxant

Answer 227

low birth weight \> 2500 g

Answer 228

overodse injection site infection withdrawal dental caries

Answer 229

* prematurity r/t induction * IUGR r/t decrease in uteroplacental perfusion * LBW * fetal intolerance to labor r/t decrease in placental perfusion * stillborn

Answer 230

* closely linked to * better student behavior * higher academic achievement * enhanced social skills * more likely children/adolescents will avoid unhealthy behaviors * sexual risk behaviors * tobacco, alcohol, drugs

Answer 231

* minimum age: 9 * 3-dose series * 0, 1-2, 6 mo to all adolescents 11-12 * females: HPV4 or 2 * males: only HPV4

Answer 232

* low self esteem * boredom * lack of interest * somatic complaints (going to school nurse) * substance abuse (self medicating) * changes in weight * sleep changes * irritability/aggression * social withdrawal * academic difficulty * recent breakup/social stressors

Answer 233

* foley * IV * meds to decrease acidity * inform family

Answer 234

* 0 = absent * 1 = slow, irregular * 2 = good crying

Answer 235

peaks at 36 wks wrinkly, cracked skin = 40 wks (post term)

Answer 236

less likely to engage in: * early sex, alcohol, tobacco, drug, violence, gang more likely to: * better academics * higher grades, test scores * better school attendance * stay in school longer increased education leads to decreased health issues later in life

Answer 237

alcohol paradox: resilient ot sedative effect...so they drink more more target material for etoh to hit

Answer 238

* genetic dx * congenital anomalies * ABO incompatibilities * Rh sensitization * toxic exposure

Answer 239

fecal-oral spread, blood transfusion, other

Answer 240

* breastfeed whenever you want (every 2 hrs) * bottlefeed whenver you want (2oz every time) * diapers: * 6-8 wet diapers/day (indicates milk production) * stool within first 24 hrs

Answer 241

may disrupt classroom harder to make/keep friends

Answer 242

* listen, support * clarify * individualized examples * don't treat like they are dumb * ask how they feel about advice * show you care * focus on baby * ask questions * discuss wide variety of healthy foods

Answer 243

highly familial

Answer 244

* 8-90 days of life * acquired after birth * human contact * contaminated equiment (nosocomial)

Answer 245

within a period of time (10 min) of contractions X intensity to measure adequate contractions (for progression of labor)

Answer 246

* Home * Education/employment * Eating * Activities * Drugs * Sexuality * Suicide/depression * Safety

Answer 247

specificity lethality accessibility proximity

Answer 248

* 5-9: clinical judgment * 10-14: mild depressive symptoms * non-medication interventions * 15+: moderate to severe * treatment recommended

Answer 249

* medical assistance * federal funding not available * abortion fund * low income women, no insurance, public insurance * Women's Abortion Fund * rape, incest, risk for mother

Answer 250

* therapeutic * ensure patient safety * acute risk: * know resourcee * removal of access to lethal weapons * in patient * environmental safety * medication/counseling * antidepressants * variety of therapeutic modalities

Answer 251

kills more individuals than all other substances/firearms combined average smokers in US starts at age 12 more than 90% adolescent smokers become adult smokers

Answer 252

* can be acquired * intrauterine * intrapartum (90%) via ascending infections or traveling thru infected cervix or vagina * postnatal * portals of entry * skin, eyes, mouth, respiratory tract

Answer 253

* substance abuse * family hx of mental illness * stressful life evenin past 12 mo * unemployment * spouse unempoloyed/ill * unplanned pregnancy * contemplated termination * prior spontaneous abortion * not breastfeeding * hihg # prenatal visits * bipolar dx * congenitally malformed baby

Answer 254

* impaired neurological behaviors * tremors, high pitched cry, inconsolability * family services

Answer 255

touch feet to mattres; babies lift up one foot

Answer 256

darker, smells different

Answer 257

* mother obesity * mother gestational diabetes (large baby) * large baby * baby that is 1.5 lbs bigger than last baby * long time in transition

Answer 258

* seizures * cardiovascular collapse * stroke * MI * hyperthermia * psychosis

Answer 259

* 0 = no response * 1 = facial grimace * 2 = cough or sneeze

Answer 260

* 3 wks - 3 mo * 10-20% of all pp women * 30% report depression 2 years later

Answer 261

for pain: * oxycodone * morphine * hydrocodone heroin: popular, cheap, can now smoke it

Answer 262

* nulliparity * multifetal gestations * previous/family Hx * obesity * DM * vascular and connective tissue disorders * lupus * age \> 35 yo at first pregnancy * smoking * African American * some connection to father

Answer 263

* What is it? * What are the risk factors? * What are the S/Sx? * Treatment? * Nursing actions and interventions?

Answer 264

continuum of experimenters to compulsive users

Exam 2 Flashcards

(291 cards)