Circumcision care
*No immersed baths for 2 weeks or until circumcision has healed completely
*Don't remove yellow exudate on the of the penis
*Clean
... [Show More] the penis with each diaper change
False labor s/s
*painless, irregular and intermittent contractions that decrease in frequency, duration and intensity w/ walking or position changes
*felt in lower back and able the umbilicus
*no bloody show
Purpose of non-stress test
test monitors response of FHR to fetal movement (assess fetal CNS)
Late decelerations
*BAD caused by uteroplacental insufficiency (cause hypoxemia from insufficient placental perfusion)
*reposition client, initiate oxygen, and increase IV fluid rate
Variable decelerations
BAD caused by umbilical cord compression
placenta previa
implantation of the placenta over the cervical opening or in the lower region of the uterus
Manipulation can cause tearing of placenta and increased bleeding
Question vaginal exams
Correct C-Section position
Supine position with foam wedge positioned under one hip
Neonatal abstinence syndrome s/s
*increased wakefulness
*sleep pattern disturbances
*shrill, high-pitched cries
*hypothermia
After being admitted to the nursery, the infant exhibits a weak, high pitched cry. The priority action is _________
*perform heel stick for serum glucose test
*offer neonate breast milk or formula
*these aren't drug abstinence s/s
Nagele's rule
*subtract 3 months and add 7 days to the first day of the client's last menstrual period
where should the funds be on postpartum day 2
one centimeter below umbilicus
*descends 1-2cm per day
diaphragm teaching
leave in at least 6 hour post coitus
*ineffective w/o use of a spermicide
magnesium sulfate therapy is effective for
*gestational HTN
*preterm labor (ceases contractions)
Magnesium sulfate therapeutic levels
4-8
Mag. Sulfate s/s of toxicity
*lethargy
*respiratory depression
*decreased DTRs (first sign)
*absence of reflexes (late sign)
*hypotension
*prolonged PR intervals
Mag. sulfate antidote
calcium glutinate
breast engorgement relief
*breast feed q2h to empty breast
*apply warm pack to each breast prior to feeding
*use breast pump if breasts do not soften
appropriate psychological task for 11 week pregnant client
accept fact she is pregnant
A displaced uterus indicates
a full bladder
A boggy uterus indicates
hemorrhage
the uterus should be
midline in the abdomen and firm
Ectopic pregnancy (fallopian tubes) s/s
*unilateral, lower, stabbing abdominal pain
*nausea, vomiting, may have some s/s of shock
late decelerations indicate
placental insufficiency which can lead to fetal hypoxemia
*notify PCP immediately
what is high in folic acid
lentils
folic acid aids in the development of
neuronal tubes
when performing a newborn heelstick, __________ can be used for pain relief prior to the procedure
oral sucrose
postpartum moms and rubella
don't get pregnant for 28 days
encourage moms on methadone to
breastfeed so it can help the infant during withdrawal
Babinski reflex
Reflex in which a newborn fans out the toes when the out edge of the sole of the foot is touched
Babinski reflex normal for
First year of life
Commonly seen with rheumatic fever
Polyarthritis
pyloric stenosis
narrowing of the opening of the stomach to the duodenum
Pyloric Stenosis s/s
Hard, olive like mass in right upper quadrant
Vomiting after feedings
Constant hunger
S/S of dehydration
Failure to gain weight
Diabetic sick rule
Check glucose at least q3h
Notify PCP if vomiting occurs more than once
Encourage oral antidisbetic agents and sugar free, non-caffeinated liquids
cystic fibrosis (CF)
genetic disorder that is present at birth and affects both the respiratory and digestive systems
Cystic fibrosis education
Yearly flu vaccine
High protein diet (r/t) lack of pancreatic enzymes to aid in digestion
O2 at 2L/min
Encourage physical activity
Mono education
Blood test detecting heterophil antibody
Viral infection
At risk for ruptured spleen
Low grade fever, sore throat, fatigue
Percutaneous renal biopsy will require
Pressure dressing to site following procedure
Early signs of increased ICP in kids
Nausea
Nephrotic syndrome teaching
Provide quiet activities to decrease O2 consumption during edema phase
hyperglycemia toddlers
Lethargic
Flushed skin
S/s of dehydration
Dry mucous membranes
Deep rapid respirations
Crib slats should be
6cm apart
Early sign of cerebral palsy
Moro reflex at 6 months
Tetralogy of Fallot s/s
Strider
Heart murmur
Cyanotic spells
Juevenile arthritis
Wear splints at night
nutrition toddler
2 oz protein
1 cup veggies
3 cups milk
1,000-1,300 cals
4 month old milestone
Absence of grasp reflex
Fear of strangers at
6 months
Roll belly to back
6 mo
glomerulonephritis kids
Elevated BUN above 18
Elevated or normal potassium
Protein in urine
Urine specific gravity over 1.022
Give what for cerebral palsy muscle spasms
Baclofen
Moderate dehydration
Tachypnea [Show Less]