Family Final Review

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Author:
vanwin
ID:
273484
Filename:
Family Final Review
Updated:
2014-05-07 00:46:58
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OB Pedi nursing Pediatrics
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uttyler nursing
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  1. Growth and development Stages
    • Newborn: 0 - 1mo
    • Infant: 0 - 1yr
    • toddler: 1-3yr
    • Preschool: 3-5yr
    • school: 6-12
  2. Growth and Development; Infant behavior
    Protest
    Despair
    Detachment
    attachment
    • protest: cries, screams
    • despair: inactive, withdraws, may refuse to eat
    • detachment: rare, show increased intersted in suroundings
    • attachment: stranger anxiety
  3. Growth and Development; Toddler behavior
    Protest
    Despair
    Detachment
    attachment
    • protest: verbal cries for parent
    • despair: sad, regresses to earlier vehaviors
    • detachment: similar to infants
    • egocentric:  developing sense of independence
  4. Growth and Development; preschool behavior
    Protest
    Despair
    Detachment
    attachment
    • protest: less direct & aggressive than toddler but may
    • displace feelings on others (hitting other kids, refuse to cooperate)  
    • despair: similar to toddler-- inactive, sad, regresses to earlier behaviors
    • detachment: similar to toddler

    magical thinking
  5. Growth and Development; school age behavior
    Protest
    Despair
    Detachment
    attachment
    • don't have behaviors associated with earlier stages but show fear of separation from close ones
    • increased language skills, interest in knowledge & increased concept of time
  6. Idiopathic Thrombocytopenia patho acute vs chronic
    • acute: sudden onset of bruising & petechiae
    • chronic:follows viral infection, autoimmune
  7. idiopathic thrombocytopenia signs and symptom
    • bruising
    • bleeding
    • epistaxis
    • hematuria or
    • blood in stool
  8. Idiopathic thrombocytopenia nursing implications
    • assess for bleeind
    • no NSAIDs/aspiring
    • LOC!
  9. Partial thickness burn patho
    • destruction of epidermis & some dermis, red to pale ivory
    • children can loose a lot more fluids r/t more surface area
  10. partial thickness burn assessment
    • fluids (I&o)
    • wound care
    • skin integrity
    • need for teaching
  11. Hodgkin's disease general assessment (3)
    lumps around neck while bathing

    airway from radiation/ clog up throat**sitting & lying down**

    *Night sweats!
  12. Hodgkins disease lymph node assessment (3)
    • painless
    • firm
    • moveable
  13. Facial Cellulitis patho (2)
    infection of subcutaneous tissue & dermis associate with break in skin

    worry about MRSA
  14. Facial cellulitis assessment (5)
    • edema & purple discoloration of eyelids
    • decreased eye movement
    • red
    • hot tender
    • indurated
  15. Facial cellulitis treatment (3)
    • warm compress
    • incision drainage if needed
    • worry about MRSA
  16. Premature of membrane can lead to (3)
    • infection (chorioamionitis)
    • umbilical cord compression
    • oligohydramios
  17. Premature rupture of membrane nursing care (6)
    • supportive
    • teaching
    • signs of infection
    • proper peri care
    • kick counts
    • inform HCP
  18. Premature rupture of membrane assessment
    assess fetal activity & well-being
  19. Types of Infertility
    • primary: inability to conceive after 1 year of unprotected sex
    • secondary: had child but unable to have to conceive after
  20. Infertility assessment (5)
    • infertility treatment status?
    • thought on faults
    • affects on relationship
    • support systems
    • coping with stress
  21. Newborn pain assessment (7)
    • rapid changes in behavioral state
    • sleep/activity patterns
    • crying
    • fist clenching
    • frimacing
    • wrinkling of forehead
    • fussiness
    • restlessness
  22. APGAR (6)
    • HR
    • respiratory
    • muscletone
    • reflex
    • irritability & color
    • done at 1 & 5 mins
  23. Postpartum Assessment
    • Breast
    • Uterus
    • Bladder
    • Bowel
    • Lochia
    • Episotomy
    • Holman's sign
    • Emotional
  24. PP Breast Assessment (6)
    • feeding preferences
    • discomfort
    • milk production
    • size & shape
    • nipple type (inverted/everted)
    • latching technique
  25. PP Uterus Assessment
    • involution: expected; no longer palpable after 14 days
    • consistency: firm & boggy
    • at birth: +1
    • day one umbilicus
    • day two: one finger breath below
    • day three: two finger breath below
  26. PP Bowel Assessment(4)
    • bowel sounds all 4 quadruants
    • able to pass gas
    • date of last BM
    • avoid constipation
  27. PP bladder assessment(4)
    • if uterus deviated, make them go
    • complications of UTI
    • stress incontinence - kegel exercises
    • diuresis is expected
  28. Type of Lochia
    • Rubra: 1-3
    • serosa: 4-10
    • alba: 10 - after
  29. Lochia pt. teaching
    call HCP if soak pad in 1 or less or clot lemon size or larger, or foul odor
  30. PP Episotomy assessment
    • Redness
    • Edema
    • Echymosis
    • Drainage
    • Approximation
  31. Homan's sign
    • [+] pain  in calf during dorsiflexion -> indicates DVT
    • assess for other indications of DVT (unilateral redness, tenderness, swelling, warmth)
  32. PP emotional status
    • bonding, mother/baby/family
    • baby blues
  33. Coartion of Aorta patho
    constriction of aorta (near ductus arteriosus)
  34. Coartion of Aorta Manifestation (3)
    • LHF
    • decrease cardiac output
    • poor lower extremity perfusion
  35. Coartion of aorta treatment
    • digoxin
    • diuretics
    • prostaglandins to keep aorta patent
  36. Scabies patho & complications
    • "itch mite"
    • impetigo
  37. Scabies Manifestations
    • Pruritus, worse at night
    • papules
    • vesicles
    • nodules at wrist
  38. Scabies treatment
    • OTC topical agent
    • not for pregnant and <2yrs
  39. Strep Throat
    • Acute onset
    • discomfort
    • tonsillar exudate
    • headache
    • fever
    • abdominal pain
    • difficult swallowing
  40. Brain tumor manifestation (5)
    • Increased ICP- in the morning
    • headaches
    • N/V
    • focal symptoms
    • neurological defects
  41. Scoliosis
    spinal deformity, lateral curvature of spine, spinal rotation...3 dimensional deformity
  42. Bacterial Vaginosis
    • "fishy' odor with gray discharge
    • treat with flagyl
  43. Epidural complications (4)
    • Maternal Hypotension: turn on side, increase fluids
    • bladder distension
    • prolonged 2nd stage of labor from not pushing
    • migration of catheter
  44. Nursing care of pediatric hemophilia patient
    goal: prevent excessive bleeding & tissue by supplying body with clotting factors
  45. Traction nursing care 5p's
    • Assess 5p's
    • assume traction to be continuous
    • circulation
    • sensation
    • motion
  46. S&S of dying child (3)
    • decrease heart rate
    • increased pulse
    • cold body
  47. Nursing care of pediatric end of life
    • stages of grief
    • coping strategies
    • pain relief
  48. Pain & strain Nursing care
    • Ice first 24 hrs
    • heat after 48 or swelling
    • RICE/ICES
    • Iice
    • Compression
    • Elevation
    • Support
  49. PP nursing care of mother
    'mother the mother'
  50. Pediatric Asthma teaching(6)
    • peak expiratory flow meter
    • green: good
    • yellow: add short acting
    • red: call hcp
    • before exercise, take SABA
    • spacers: to get higher uptake
  51. Acute Glomerularnephritis manifestation & treatment
    • tea colored urine
    • treat with 10day antibiotics,
    • *most children recover completely
  52. Acute Glomerularnephritis (4)
    • self limiting
    • 10 day antibiotics, don't stop
    • positive prognosis
    • diuresis is sign of resolution
  53. Precocious Puberty Teaching (3)
    • dress child age appropriately
    • discuss issues of sexuality with child earlier
    • provid family counseling
  54. Pediatric Cardiac cath nursing considerations
    • locate & mark pulse
    • affected leg straight for 4-6h
    • vital signs
    • signs of bleeding
  55. Pediatric Cardiac cath pt teaching (8)
    • avoid strenuous exercise
    • return to school after 3 days
    • no soaking baths
    • notify HCP fever >101
    • bleeding
    • drainage
    • prophylactic antibiotics
    • resume normal pattern & meds after
  56. Gastroesophageal reflux
    • avoid caffeine, citrus, tomatoes, pepermint, spicy foods
    • thickened foods
    • sit up right 30 mins after feeding
    • parents should learn CPR
  57. Otitis media patient teaching
    • finish antibiotics
    • no swimming
    • ear plugs during shower
    • tylenol for comfort
    • fluids
  58. Active Labor patient teaching
    • pain management
    • guided imagery
  59. Contraction Patterns
    • frequency
    • duration
    • intensity
  60. Cleft lip/palate patient teaching
    • will have serial surgeries to fix it
    • modified feeding technique
  61. Matitis Patient Teaching
    position infant, avoid trauma
  62. Newborn Nutrition
    • 6-8 wet diapers/ day
    • breast milk vs cow's milk
  63. Feeding cues
    • smacking of lips
    • licking movements
    • rooting
    • hand to mouth
    • sucking on hands
  64. BTL/ Bilateral Tubal Ligation
    • considered permanent
    • after c section
  65. Nonsurgical female sterilization
    Essure" occludes fallopian tubes
  66. IUD/ Copper T
    • check for string every week,
    • for women who haven't been pregnant
  67. Sterilization Types
    • Bilateral Tubal
    • Nonsurgical, essure
    • Vasectomy
    • IUD/Copper T
  68. Acute Renal Failure Prevention
    avoid infections, e. coli
  69. Asthma Risk factors
    • smoking
    • urban area
    • Frequent upper respiratory infections
    • obesity
    • prematurity
  70. Abruptio Placentae Risk factors
    • HTN
    • smoking
    • multigravida
    • abdominal trauma
    • MVA
    • cocaine
    • hx of previous abruption
  71. Abruptio Placenatae 5 classical symptoms
    • vaginal bleeding
    • dull aching abd with low back pain
    • uterine irritability
    • high uterine resting tone
    • uterine tenderness/ rigid board like
  72. fetal development wk 4 (6)
    • heart, GI, Brain
    • Eyes
    • ears
    • nose
  73. fetal development 8wks (4)
    • heart beat
    • webbed phalanges
    • low set ears
  74. fetal development 12wks (4)
    • sucking
    • septum/palate complete
    • lanugo
    • urine production
  75. fetal development 16wks (3)
    • finger prints
    • meconium
    • swallow fluids
  76. fetal development 20wks (2)
    • complete auditory system
    • palpable movement
  77. 24wks fetal development (2)
    • surfactant production begins
    • testes descend
  78. wk 28 fetal development (3)
    • eyes open
    • bone marrow
    • brain gyri & sulci
  79. fetal development 32wks (3)
    • turns upside down
    • heart tracing
    • enough surfactant
  80. 38wks fetal development (3)
    • gas exchange
    • some lanugo
    • complete reproductive
  81. Weight gain with pregnancy
    • obese: 7-15 at least
    • overweight: 15-25
    • normal: 25-35
    • underweight: 28-40
  82. immunization is contraindicated in antepartum
    • live virus
    • MMR, small pox

    give third/late 2nd trimester-pertussis
  83. Magnesium toxicity
    • nausea
    • decrease/loss of deep tendon reflex
    • slurred speech
    • decreased LOC
    • respiratory/ muscle depression
    • antidote: calcium gluconate
  84. Clomiphene Citrate
    • stimulate follicle development
    • - *induces ovulation
  85. Depo-provera
    • prevent ovulation for 12wks
    • fertility returns 10-18months once its D/C
    • increase milk & weight bearing
  86. Juvenile Idiopathic Arthritis Management goal (4)
    • preserve joint function
    • control inflammatory process
    • minimize deformity
    • reduce the impact of the disease on child's development
  87. Juvenile Idiopathic Arthritis management
    • NSAIDs
    • Methotrexate
  88. Stages in Labor
    • 1st: 0-10cm
    • 2nd: birth
    • 3rd: placenta
    • 4: recovery

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