NP 2- TOP 8 > OB: SIR AKZ > Flashcards

OB: SIR AKZ Flashcards

(71 cards)

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1
Q

What enters the placenta:

A

Nutrients:
-Glucose
-Thyroxine (T4)

Ilnnesses:
-T-O-R-C-H

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2
Q

Placenta side ;attached to the uterus

A

Duncan

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3
Q

Manuever to deliver placenta by applying pressure on lower abdomen

A

Crede’s Manuever/ Fundal Pressure

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4
Q

Protective structure of umbilical cord from trauma

A

Wharton’s Jelly

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5
Q

Position of choice Cord Proplapse:

A

1st: Knee Chest
2nd: Trendelenburgs

-Prevents compression to umbilical cord

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6
Q

-Small passages that direct blood needs to be oxygenated
-To bypass the lungs & liver. be not fully work until afterbirth.

A

Fetal Shunts

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7
Q

Diagram of Fetal Shunts

A

PLACENTA
↓
Umbilical Vein
↓
Ductus Venosus (Liver)
↓
Inferior Vena Cava
↓
Right Atrium
↓
Foramen Ovale between Right & Left Atrium
↓
Left Atrium
↓
Pulmonary Artery
↓
Ductus Arteriosus
↓
AORTA

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8
Q

-Flexible for movement of crianial bone
-Growth of the brain

A

Suture

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9
Q

Normal, when crying
Abnormal, when not crying/ ↑ICP

A

Bulging Fontanel

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10
Q

Early closure of fontanel

A

early closure is x/sx of abnormality

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11
Q

General measurements

A

Head: 33-35cm/ 13 -14 inches
Abd & Chest: 30-33 cm
Length/ ht: 46-54 cm
Weight: 2.5-4.5 kg

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12
Q

Cranial Bone of Newborn

A

1: Frontal
1: Occipital
2: Parietal
2: Temporal

Overall= 6

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13
Q

0Hormone for brain development in fetus
-Iodine forms this hormone

A

Thyroxine (T4)

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14
Q

GOOD TO KNOW!

A

-No intermingling of maternal & fetal blood occurs in the placenta.
-Mixing of blood of mother and fetus occurs by 3rd stage of labor

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15
Q

-Spaces between bone of skull
-allow molding during birth

A

Fontanel

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16
Q

B-A-D Fontanel

A

Big/Bregma
Anterior
Diamond

(12-18 months)

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17
Q

L-P-T fontanel

A

Liit/Likod/ labda
Posterior
Triangle

(3rd month; 1st to close)

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18
Q

Suture that divides 2 halves of frontal bone

A

Metopoic

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19
Q

Suture that extends across the skull between parental & frontal bone

A

Coronal

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20
Q

Suture between two parietal bones

A

Sagittal

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21
Q

Suture between occipital and two parietal bone at the back of skull

A

Lamboidal

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22
Q

-Birth defects, skull joined too early before brain fully formed
-Premature closure of cranial suture
-2 y.o., before brain becomes developed

A

Craniosynostosis

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23
Q

Softening of skull one.
Rickets, HYper vitamins, congenital syphilis, pathologic conditions, hydrocephalus

A

Craniotabes

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24
Q

-Change in skull, Distinctive boxlike
“Square Headed”
-Frontal Bossing

A

Caput Quadratum

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25
10% of weight loss in the 1st week is
Physiologic Weight loss
26
Important indicator of nutritional Status of child?
Weight Doubles= 6 mons Triples= 12 mons Quadrupule= 24 mons
27
When the dorsum of the foot is drawing under the edge of a table top it results in Flexion followed by Extension of the leg. Disappers by: 2-3 months
Placing Reflex
28
Which among the two develop first? Fine motor or Gross Motor?
Gross Motor
29
Good to know!
Colostrum is high in Vitamin A -Prevents Xeropthalmia
30
Good to know!
*Drying stimulates breathing *Prone position= SIDS *Hypoglycemia= Comatose
31
Cold stress diagram
COLD ↓ ↑O2 consumption ↓ ↑Respiratory Rate ↓ Pulmonary Vasoconstriction ↓ ↓O2 uptake by lungs COLD ↓ ↑O2 consumption ↓ ↑Respiratory Rate ↓ Peripheral Vasconstriction ↓ ↓O2 to tissue (Hypoxia) ↓ ↑Anaraeobic glycolysis ↓ ↓in PO2 and Ph ↓ Metabolic Acidosis
32
Rooming in refers to?
Newborn & mother in the same room NSVD: within 30 minutes CS: 3-4 hours
33
good to know
E-coli--- Vit. K--- Liver =Clotting
34
Good to know
Crying= Breathing Shrill Cry= Abnormal ↑ICP= Lusty: 2 Shrill: 1
35
↑Vernix Caseosa, ↑Lanugo
Preterm
36
serves as a thermoregulator
Vernix Caseosa
37
Bluespots
Mongolian Spot
38
Reddish-purple Blood vessel
Nevi/ stork bites
39
Jaundice -normal - occurs after 24 hours -due to immature liver; small/gradual rise in bilirubin MANAGEMENT: Brrastfeeding
Physiologic Jaundice
40
Jaundice -Abnormal -occurs within or less than 24 hours -RBC destruction/ Hemolysis -↑ Amount of bilirubin MANAGEMENT: Phototherapy, Drop light, Bili light Nursing Alert: PHOTOTHERAPY -Turning of sides -Don't expose eyes & genitals
Pathologic Jaundice
41
42
Brain damage from increase level of bilirubin in the newborn's brain
Kernicterus
43
Heart defect Right to Left Shunt
Cyanotic Heart Defect Tetralogy of fallot Truncus Arteriosus Transposition of greater aorta Hypoplastic left heart Syndrome
44
Heart defect Left to Right Shunt
Acyanotic Heart Defect Ventricular septal defects Atrial Septal Defects Patent Ductus Arteriosus
45
4 structural defects V-P-O-R -Ventricular Septal defect; hole in septum -Pulmonary stenosis; narrowing -Right Ventricular hypertrophy; positioned to ventricular septal instead of left ventricle -Overriding aorta; Overworked Right Ventricle
TETRALOGY OF FALLOT
46
Most critical disorder among the 4 defects?
Pulmonary Stenosis -Early detection, to undergo surgery -More narrowed=More severe
47
Complications of TOF:
-Hypercyanotic spells (tet spells) -Right ventricular dysfunction -Bacterial endocarditisi -Polycythemia -Death
48
Assessment for TOF:
-cyanosis (tet spells) -clubbing of fingers -polycythemia -tripod position to reduce SOB -Position of Choice: Knee chest/Tripod
49
Dx test for TOF
C-Xr: Boot-shaped cardiac silhouette ECG: Right Ventricular Hypertrophy
50
Republic Act of breastfeeding
RA 10028
51
Breastfeeding month
August
52
Milk code
EO 51
53
RA 7600
Rooming in Law (Old)
54
RA 10028
Rooming in law (new) NSVD: w/in 30 mins CS: w/in 3-4 hours
55
A-B-C's of Breastfeeding
AWARENESS: -watch for sx of hunger -feeding on demand (every 3 hours) -8-10x day BE PATIENT: -dont hurry the infant through feeding -10-15 mins per breast (complete emptying) COMFORT -relax while breastfeeding (let-down reflex); oxytocin -avoid stress
56
Properties of BF
-Antiviral: interferon -Anti-infective: IgA -Enhance Iron absorption: Casein ↑ formula milk -Lactalbumin (whey): Enahnce iron absorption ↑BF -Lacto Bifidus: GI protection
57
easy to digest ↑BF
Whey
58
Hard to digest ↑formula milk
Casein
59
TYPE OF BREASTMILK C-T-M
Colostrum: 4 days :Rich in antibodies Vit. A Transitional: 4-9 days Mature: 10 day : Free milk: Beginning of feeding water w/ nutrition : Hind milk: End of feeding highly fatty
60
BF should be:
Early: Within 1 hour after birth Exclusive: Breastfeeding only for 6 months : Except Meds Extended: up to 2 years
61
BF Problems
Cracked & sore nipples -Air drying, lanolin, sterile water, no soaping Breast engorgement -Ice pack & hot water (Warm shower) alternate Mastitis -Antibiotics if with puss, no breastfeeding -If no puss, Breastfeeding
62
Hormone in breat milk
Prolactin
63
Hormone on let down reflex
Oxytocin
64
Breastfeeding Contraindication: G-U-C-H-I
Galactosemia Untreated active TB Chemotherapy pt. HIV positive Illegal Drugs (Cocaine, Marijuana)
65
Proper Latching
Mouth: Wide Open Lips: Lower Lip Outward Chin: Raised on breast Areola: Above is visible Sucking: Deep with pause, blowing Body: Straight
66
BF Position
Cross cradle position Football hold Cradle Position Side lying Laid back positions
67
Arms holds the majority of the baby with other arm, gently hold their bottom as they are lying comfortably perpendicular to the breast
Cross-cradle Position
68
One hand free option: using arm on the same side as nursing breast, fully support baby, allowing leg to dangle. -large breast or after C-section
Football hold
69
Cuddle baby into crook of your arm, using that arm support their back & head. other arms, gently hold their bottom so they are comfortably lying perpendicular to your breast.
Cradle position
70
lying down on your side allows your baby to do the same when side lying, the surface on your baby up, and they can nurse without a lot of support. if necessary, you can use your arm to support their neck or back.
Side lying
71
If yore wanting to lay down during a nursing sessions, cradle your baby in the arm on the same side as the nursing breast, using good care to support their neck.
Laid back positions

NP 2- TOP 8 (12 decks)

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