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MCN (Theory) > Unit 4: Nursing Care of the High Risk Client > Flashcards

Unit 4: Nursing Care of the High Risk Client Flashcards

(61 cards)

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1
Q

Jaundice that begins after the first 24 hours of life

A

Physiologic jaundice

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2
Q

Jaundice that begins within the first 24 hours of life

A

Pathologic Jaundice

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3
Q

Jaundice related to hemolytic diseases such as Rh and ABO incompatibility

A

Pathologic Jaundice

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4
Q

Form of Bilirubin that can be excreted by the body

A

Conjugated/Direct Bilirubin

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5
Q

Factors such as Dehydration, Pregnanediol, Infection, Cephalhematoma, and Sepsis increase risk of _________

A

Physiologic Jaundice

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6
Q

Another term for Physiological Jaundice of the Newborn

A

Icterus Neonaturum

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7
Q

Physiologic Jaundice lasts for __ - __ days in full-term babies

A

7-10

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8
Q

Physiologic Jaundice lasts for ___ days in pre-term and breastfed babies

A

14

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9
Q

An accumulation of blood under the scalp that leads to hemolysis and thus, buildup of bilirubin

A

Cephalhematoma

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10
Q

Kernicterus is a _______ Jaundice

A

Pathologic

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11
Q 
A type of brain damage wherein excessive
bilirubin reaches the brain and damages
the brain cells. It may lead to deafness, severe
developmental disabilities and unusual
form of cerebral palsy.
A

Kernicterus

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12
Q

What gender of babies have higher risk of jaundice?

A

Boys

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13
Q

Rh Incompatibility aka

A

Isoimmunization

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14
Q

Rh incompatibility happens when the Mom is Rh ___ and the Father/Fetus is Rh___

A

(-), (+)

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15
Q

The _____ child is severely affected related

to degree of sensitization to Rh(+)RBC

A

4th

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16
Q

ABO Incompatibility happens when mother is Type ____ and fetus is type ___________

A

O…..A, B, AB

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17
Q

Most common ABO Incompatibility

A

O - A

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18
Q

Most severe ABO Incompatibility

A

O - B

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19
Q

The ____ child can be severely affected with ABO incompatibility

A

1st

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20
Q

Hemolysis during ABO incompatibility starts upon ______ ________

A

Uterine Contractions

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21
Q

Hyperbilirubinemia has a total serum greater than _______

A

1.3-1.5mg/dl

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22
Q

Guess the Condition:
Concentrated dark urine
Jaundice on forehead, sternum, sclera, palms, and soles
Enlarged liver and spleen

A

Hyperbilirubinemia

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23
Q

3 Diagnostic Tests for Hyperbilirubinemia

A

Total Direct Bilirubin
Hematocrit
Hemoglobin

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24
Q

Normal Range of Direct Bilirubin

A

0-0.3 mg/dl

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25
Normal Range of Indirect Bilirubin
0.1-1mg/dl
26
Normal Value of Total Bilirubin
<1.5mg/dl
27
Gold Standard of treatment for hyperbilirubinemia
Phototherapy
28
SIDS is also commonly known as ____
Crib Death
29
Sudden Unexpected Early Neonatal Death (SUEND) occurs in the ______ week of life
1st
30
Sudden unexpected infant death (SUID) occurs during | the______ period
Postneonatal
31
SIDS usually happens during the age range of _______ months
2-4
32
3 Nursing Interventions for Hyperbilirubinemia
Frequent Feedings Phototherapy Exchange Transfusions
33
3rd leading cause of infant mortality in the US
SIDS
34
Two Hypothesis for SIDS etiology
H1: Brain Abnormalities H2: Prolonged Sleep Apnea
35
2 Parental Risk Factors for SIDS
Young Age | Smoking
36
2 Infant Risk Factors for SIDS
BPD (Bronchopulmonary Dysplasia) | Twins
37
3 Environmental Risk Factors for SIDS
Prone position Soft Bedding Hyperthermia
38
Imperforate Anus aka ______ and ___________
Anorectal Malformation | Anal Atresia
39
On the _______ week of intrauterine life two pouches meet to form the anal passageway
7th
40
Imperforate anus is common in what gender?
Males
41
3 Etiologies for Imperforate Anus
Spinal Cord Disorders Membrane between 2 pouches do not dissolve Genetics
42
Type of Imperforate Anus where no opening is present and the bowel ends above the muscles at the bottom of the pelvis
High
43
Type of Imperforate Anus where there may be an opening and the bowel ends below the muscles at the bottom of the pelvis.
Low There is often an opening present, but it is in an abnormal position or is covered by a membrane.
44
1st Sign of Imperforate Anus
Failure to pass meconium within 24-36 hours
45
3 Nursing Interventions for Imperforate Anus
Colostomy Care Side-lying/Prone Positioning Anal Dilation
46
Surgical procedure for Imperforate Anus
Anastomosis
47
5 Etiologies for Cleft lip and Cleft palate
Maternal Diet Teratogens Viral Infections Multiple Gene Transmission Environment *MTV - ME
48
3 Assessments for Cleft lip and Cleft palate
Sonogram Inspection Tongue Blade
49
A congenital anomaly when the maxillary process fails to fuse with the nasal process
Cleft Lip
50
Nasal and Maxillary processes normally fuse between ____ weeks of IU life
5-8
51
Cleft lip is more prevalent on what gender?
Boys
52
Cleft lip happens ___ in every____ live births
1...750
53
3 Nursing Interventions for Cleft Lip
Supine/Side-Lying position (Post-op) Prepare for Cheiloplasty Feeding with Large, Soft nipples, Breck feeder, or dropper *Lippy uses SPF sunscreen
54
Condition where Anterior Hard and/or Posterior Soft palate fails to fuse
Cleft Palate
55
Cleft palate is more prevalent on what gender?
Girls
56
Cleft palate occurs ___ in every ____ births
1...1000
57
4 Nursing Interventions for Cleft Palate
``` Prepare for Uraroplasty or Palatoplasty Use Cup (Post-op) Prone positioning (Post-op) Soft Diet (Post-op) ``` *PUPS
58
5 Nursing Interventions for Cleft Lip and Cleft Palate
``` Small, Frequent Feedings Prevent Colic, Burp every 1 oz. Encourage breastfeeding Avoid Sharp Objects in mouth Keep suction/syringe at bedside ``` *SPEAK
59
ESSR method of feeding
Enlarge (crosscut) the nipple Stimulate Sucking Swallow Rest
60
Surgery for Soft Palate can be as early as between ______ months or between ______ months
3-6...12-18
61
Surgery for Hard Palate can be as early as between ______ months
15-18

MCN (Theory) (8 decks)

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