Random 2 Flashcards

(106 cards)

1
Q

Pediatric Medication Formula

A

amount available/volume available

amount perscribed/volume to administer

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2
Q

best pelvic shape for childbearing

A

gynecoid

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3
Q

fetal lie

A

transverse or longitudinal

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4
Q

front fontanel shape

A

diamond

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5
Q

back fontanel shape

A

triangle

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6
Q

presentation

A

part of baby coming out first

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7
Q

attitude

A

flexion or extension

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8
Q

position

A

anterior, posterior, transverse

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9
Q

when can you administer pain meds during labor?

A

5-7cm dilated during active labor

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10
Q

volume of nonpregnant uterus

A

10cc

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11
Q

volume of pregnant uterus

A

5,000cc

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12
Q

normal range specific gravity

A

1.005 - 1.030

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13
Q

when will fetal outline be palpable?

A

20-24 weeks

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14
Q

what causes nasal stuffiness in pregnant women?

A

estrogen

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15
Q

blood volume and cardiac output increase by how much when pregnant?

A

about 50%

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16
Q

modifies metabolic state of mom to facilitate energy of growing fetus

A

human placental lactogen

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17
Q

promotes maintenance of corpus luteum during pregnancy

A

human chorionic gonadotropin

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18
Q

amenorhhea, frequent urination, quickening

these are all what kiind of signs of pregnancy?

A

Presumptive

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19
Q

chadwicks sign, palpable fetal outline

these are what kind of signs of pregnancy?

A

Probable

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20
Q

fetal heart sounds and ultrasound view of fetus are what kind of sign of pregnancy?

A

Positive

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21
Q

nausea and vommitting during pregnancy are caused by what?

A

HCG

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22
Q

breast tenderness during pregnancy is caused by what?

A

estrogen and progesterone

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23
Q

2nd and 3rd trimesters bring what additional symptoms?

A

heartburn, ankle edema, backache, dyspnea

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24
Q

Psychological tasks of pregnancy

A

role playing, fantasizing

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25
AFP tests for what?
fetal abnormalities too low - neural defects too high - chromosomal defects taken from mom's blood, produced in baby's liver
26
Intrauterine APGAR score
Biophysical Profile
27
The 3 main groups of fetal cells from outermost to innermost
ectoderm mesoderm entoderm
28
ectoderm
skin, nails, nervous system
29
mesoderm
muscles, bone, blood vessels
30
entoderm
digestive tract, respiratory tract, thyroid
31
placental segmants are called what
cotelydeons
32
diagonal conjugate
pelvic inlet
33
ishial tuberocity
pelvic outlet
34
Prenatal appointments should be how frequent from 1-32 weeks?
every 4 weeks
35
prenatal apps should be how frequent from 32-36 weeks?
every 2 weeks
36
prenatal apps should be how frequent after week 36?
every week
37
amount of amniotic fluid at term
800-1,200 cc
38
first fetal system to become functional
cardiovascular system
39
left recumbant position after meal and record # of fetal movements over the next hour
Sandovsky method
40
total pregnancy weight gain
25-35lbs
41
total weight gain pregnant w/ twins
31-50lbs
42
increase of caloric intake during 2nd trimester
340
43
increased caloric intake during 3rd trimester
452
44
increase of protein intake while pregnant
60 grams a day
45
folic acid intake while pregnant
600 grams
46
how much calcium should you consume per day?
1,000 grams
47
neuro tube defects result from what deficiency?
folic acid
48
iron is best absorbed with what vitamin
vitamin C
49
caffeine intake per day
300 mg/day or 2 coffees
50
pica is often a defficiency of what?
iron
51
Dick Reade method
reducing fear to reduce pain
52
Bradley method
engaging the partner in preparation
53
fraternal twins
Dizygotic
54
identical twins
Monozygotic
55
which twins share the amniotic sac?
monozygotic
56
mechanisms of labor in order
``` engage, decent, flexion internal rotation extension external rotation expulsion ```
57
how often do you check fetal heart tones in each stage of labor
latent - 30 active - 15 2nd stage - 5
58
Bishop scale
indicates potential for successful induction | 0-3
59
amniotomy
crochet hook ROM
60
oxytocin can have what effect on BP
hypertension
61
late decels
make you nervous | begin after contraction ends and persist
62
variable decels
call dr. asap
63
amnioinfusion
dilute meconium | lessens cord pressure
64
fetal scalp stimulation does what to fetal heart rate
increases
65
fetal scalp sampling
acid/base levels
66
pudendal block
numbs vaginal area
67
epidural between these vertabrae
T12 - S5
68
a spinal provides pain relief for how long
2 hours
69
which result of vaccuum assisted delivery is most dangerous
subgleal hemorrhage
70
fluid diminishes 2-4 days before birth; how much is left at delivery in lungs?
80-100mL
71
core temp at birth
99
72
how much does the baby's temp drop every minute?
.5 a minute
73
baby's stomach holds
60-90cc
74
4th day stool
breastfed - soft and sweet; 3-4x a day | bottle fed - formed 2-3x a day
75
neonatal blood volume
300cc
76
baby's liver functions
``` iron storage produces RBC;s Carb metabolism conjugates billirubin coagulates vitamin k ```
77
ADH deficiency causes babies to do this
dehydrate, lose fluid
78
not fully functioning at birth
endocrine system | myelenation of fibers
79
maintain baby's temp to what
97.4-99.4
80
small white raised spots
millia
81
cephalhematoma
one side of the other from vaccum suctioning localized edema
82
hypoglycemia in neonates
<25 preterm
83
signs and symptoms of hypoglycemia in neonates
poor feeding jittery sweating flacid muscles
84
when is a heel stick done
after 1 hour of undisturbed rest
85
when is PKU tested
after 48 hours | after baby has had breast feeding and sufficient protein
86
PKU diets need more of this
tyrosine
87
PKU diets need less of this
phenylalanine
88
nevus flammeus
port wine stain
89
hyperbillirubinamia peaks at what day
day 3
90
greater than 7 billirubin
jaundice
91
greater than 25 billirubin
mental retardation and death
92
phototherapy is used to treat hyperbillirubinamia, how often must you take axillary temp?
Q4H
93
Direct Coomb's test tests for what?
low RBC anemia
94
how often should you breast feed?
2-3 hours
95
how often do you bottle feed?
3-4 hours
96
where is breast milk formed
alveolar cells
97
how long will colostrum last
3-4 days
98
L A T C H
``` Latch Audible swallowing type of nipple Comfort Hold ```
99
how do you know baby is adequately nourished
doesn't lose more than 10% birth weight voids 6x a day sleeps between feedings 2-3 bowel movements a day
100
formula is fortified with what
iron
101
urethra ends under surface of foreskin
hypospadias
102
urethra ends at dorsum of penis
epispadias
103
this circumcision method stays on and falls off at home 5-8 days later
Plastibell
104
NIPS
neonatal infant pain scale | 7 is severe
105
circumcision can cause what complication
hypoglycemia
106
film of yellow mucus after 2nd day of circumcision
don't wash it off!