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6336 Mgnt of childbearing family > Test 3 > Flashcards

Test 3 Flashcards

(61 cards)

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1
Q

When is it imparitive that you suction the infant immediately

A

in the presence of meconium when the newborn is not vigorous

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2
Q

In a 3 kg baby what size ETT should you use?

A

3.5 cm

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3
Q

What is the correct size blade to use on a preterm newborn?

A

No. 0

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4
Q

What is the optimal placement for the Ett?

A

1-1.5cm above the carina

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5
Q

what is the correct depth insertion for a 2.5 kg baby?

A

8.5cm (6 plus the weight in kg

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6
Q

What does the laryngeal mask do and a size one is the smallest but is too large for a ___kg baby

A

PPV 1.5kg or less

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7
Q

A late preterm infant needs to be followed up within ___ hrs post discharge

A

24-48 hours

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8
Q

What is the best EBP for umbilical cord care?

A

air dry

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9
Q

What is a health benefit for circumcision?

A

Decrease risk of UTI in 1st year of life

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10
Q

What is the most effective way to prevent pain in a circumcision?

A

Doral penile block

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11
Q

The AAP guidelines for car seats state:

A

keep toddlers in rear-facing seats until age 2 or the maxium height and weight is reached for their carseat.

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12
Q

What sleep position carries the lowest risk for SIDS?

A

supine sleep

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13
Q

When is it safe to immunize preterm infants?

A

by their chronological age

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14
Q

AAP recommends breastfeeding as a sole source of nutrition until the age of

A

6 months

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15
Q

Infant cereals should contain what?

A

iron fortified

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16
Q

When should all infants have a hearing screen done by?

A

1 month

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17
Q

With a late pre-term infant, when should the follow-up visit be?

A

24-48 hours post discharge

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18
Q

What does AAP say about elective circumcisions?

A

Circs do decrease the risk of UTI in 1st year of life

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19
Q

What are the guidelines set by AAP for car seats?

A

rear-facing until 2 years old or reach a max wt and ht for car seat

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20
Q

AAP set for safe transportation of late pre-term and LBW infants are

A

Car seat test from 90-120 minutes or longer is they live far away

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21
Q

What position caries the lowest risk for SIDS?

A

supine sleeping

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22
Q

When should vaccines begin for infants?

A

at 2 months after birth - chronological

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23
Q

What does the AAP recommend for starting solid foods?

A

sitting up in chair with good head control

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24
Q

AAP recommends breastfeeding as a sole source of nutrition until _____ age, add solid food but continue until 12 months old

A

6 months

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25
Breastfed infants should be started on ____ supplements during first year
Iron supplements and vit D
26
What two arteries are NOT SUITABLE for blood sampling, infusions, or pressure monitoring?
Gluteal and femoral artery
27
What is one contraindication for umbilical line placement?
omphalitis
28
Where should the catheter tip be for a high placement UAC?
from T5-T10 *UAC*
29
An infant weighting >3.5kg should receive ___fr UVC catheter for emergency med administration
8 fr
30
An infant with polycythemia needs a isovolumetric partial exchange with ____ rather than albumin or plasma?
Normal saline. (isotonic saline)
31
What fluid could also be used for partial exchange transfusions?
crystalloid or colloid solutions
32
According to the AAPexchange transfusion graph, if a baby at 36 hours with a bili of 25 with phototx use you should?
do exchange
33
What are the parameters need to calculate a single-vol or partial exchange transfusion?
Infant's blood vol (vol/kg), HCT, and weight
34
Placement of a UVC should be verified by x-ray (lateral) and the desired location should be ____-____ just above the right _______
T9-T10, the right diaphragm
35
Where are two places the UAC catheter can be place but should be removed immediately!
Superior and inferior gluteal arteries
36
What are indications for ETT placement?
1. Mec with a non vigorous infant 2. to improve ventilation efficacy after bag and mask 3. coord cc and ventilation 4. admin epi
37
What size ETT for a 2-3 kg baby?
3.5cm
38
If a mother says she gets depressed feeling the loss of the infant one month ago. The best response is…
How often do you have these feelings
39
What is the response to loss of valued object. It is a personally experienced as the deep emotion of sadness and sorrow.
Grief
40
What occurs in phases over time. Gradual with change of emotion of feelings.
Mourning
41
What is not appropriate of the staff in grieving parents?
Avoid grieving parents
42
What is used to improve the quality of life of patients and families when faced with traumatic issues.
Palliative care
43
Kubler Ross stages of crying
Denial, anger, bargaining, depression, and acceptance
44
Which indicator is most specific to the pain experience?
Facial expression
45
Pain assessment in hospitalized neonates is best evaluated by
A composite neonatal pain tool with established reliability and validity
46
True or false: The frequency of painful procedures encountered in the NICU may impact subsequent behavioral responses to pain.
True
47
Assessing and managing pain in neonates should be based on?
Acute, episodic pain may lead to establish or chronic pain
48
Which infant pain instrument is best for pain in healthy NB?
NIPS (neonatal and Infant pain scale)
49
Most common source of pain in neonates results from
test/procedures
50
The "windup phenomenon" is defined as?
Perform all necessary nursing interventions immediately following the heelstick procedure so that the infant can rest and recover after the pain.
51
Perception of pain following a noxious stimulus occurs in the.
Thalamus
52
Which is a recommended for acute pain management in neonates?
Therapy should begin with nonpharm and progress to pharmacologic interventions
53
Infant is desating, has high BP and HR, given pavulon for CDH surgery. What would you given for pain?
Bolus of fentanyl and increase infusion drip
54
What drug is appropriate for severe pain?
Morphine
55
What drug is appropriate for severe pain?
Morphine
56
Clinical signs of opioid W/D in neonates include.
Respiratory depression
57
Sucrose helps with pain through the..
endogenous opioid system
58
What is true regarding term vs. preterm infants?
Preterm infants are more sensitive to pain than term
59
Pain mgnt for a heelstick include all but...
YES: Pacifier, sucrose, swaddling NO: EMLA cream
60
After a circ, the infant has increase wakefulness and irritability. You should...
given chloral hydrate to enhance sleep and pain relief.
61
EMLA cream is not effective in reducing pain in...
venipunctures and heelsticks

6336 Mgnt of childbearing family (3 decks)

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