Flashcards
Nursing 370
Cards in this deck (113)
- 1impetigo contagiosaVery contagious
antifungal medication - 2Diaper dermatitis caused byIrritation of urine and feces
detergeants from clothing
Chemical irritants - 3Diaper dermatitis looks likeisolated into one area
- 4Cellulitis d/t puncture wound isInflammation of skin and subcutaneous tissue
- 5Cellulitis d/t puncture wound can progress to...Abscess
Can become very serious - 6Candidiasis of diaper looks..Beefy and central erythema with satellite pustules
- 7Candidiasis of diaper is caused by... and can be treated with...Yeast
Antifungal medication - 8Atopic dermatitis (eczema) is treated..The same as wounds...
Relieve itching
Keep moist - 9Atopic dermatitis (eczema) often is associated with..food allergies
allergic rhinitis
asthma - 10First degree burn is...Superficial
- 11Second degree burn is...Partial thickness
- 12Third degree burn is...Full thickness
- 13Fourth degree burn is...Full thickness and underlying tissue
- 14Simple or closed fracture is...No break in the skin
- 15Compound or open fracture...Protrudes through the skin
- 16Complicated fractures...Bone fragments damage other organs or tissues
- 17Comminuted fractures...Fragments lie in surrounding tissue
- 18Developmental dysplasia of hip (DDH) is due to...Shallow acetabulum (head in socket)
Subluxation (complete dislocation)
Dislocation - 193 planes of scoliosis are...Lateral curvature
Spinal rotation causing rib asymmetry
Thoracic hypokyphosis - 20Osteomyelitis is...Inflammation or infection of bone tissue
- 21Osteomyelitis is caused by...Exogenous or hematogenous sources
- 22High risk classification of infant based on... 3 thingsBirth weight
Gestational age
Predominant pathological problems - 23Four U's of late preterm infants are...Unrecognized
Underestimated deaths
Unpredictable
Understudied - 24Respiratory distress syndrome is due to...Lack of surfactant in prematurity
Immature lungs - 25Patent ductus arteriosus is...Persistent opening of 2 vessels coming from the heart
- 26PDA can cause...Too much deoxygenated blood to the heart
Weakened heart
Causes heart failure/complications - 27Periventricular-intraventricular hemorrhage can lead to...Intraventricular hemorrhage
Graded 1-4 - 28NEC is...Acute inflammatory disease of the bowel
- 29Retinopathy of prematurity can lead to...Blindness
- 303 types of neonatal sepsis are...Prenatally acquired
Early (1-3 days)
Late (1-3 weeks) - 31If no meconium is passed in first 24h, assess for...Hirschsprung's disease
Hypothyroidism
Meconium plus
Meconium ileus - 32Hirschsprung's disease is...Abnormal nerves in the rectum and colon
- 33Encoperesis is...Child holds stool d/t stress, psychological or developmental issues
- 34How is GER diagnosedpH test of stomach contents
- 35GERD occurs when...LES relaxes and may enter airway
- 36Esophageal atresia and tracheoesophageal fistula (TEF) is...Esophagus and trachea not parallel tracks
Eso ends with either blind pouch or connect by fistula - 37Gastroschisis is..When the abdominal contents are on the outside
- 38Omphalocele is...Abdominal wall not closed... Contents poke through
- 39Intussusception is when...Proximal bowel telescopes into distal segment
- 40Indirect bilirubin is...Fat soluble
Not easily excreted
Must be conjugated into direct by liver - 41Direct bilirubin is...Water soluble
Easy excreted into stool - 42Kernicterus is...Bilirubin encephalopathy
Permanent damage of brain tissue - 43Positional plagiocephaly is...Flattening of part of the back of head
From being in the same position - 44Steps to a postpartum assessmentVP BUBBLESS
Vital signs, Pain
Breasts/nipples
Uterine fundus
Bladder/Bowel function
Lochia
Episiotomy/lacerations
Swelling (leg edema)
Psychosocial status - 45C/S incision inspection...REEDA
Redness
Ecchymosis
Edema
Discharge
Approximation - 46Thrombocytopenia refers to...Low platelet counts
- 47Aplastic anemia is...All blood elements are depressed
Pancytopenia - 48Types of leukemia... 4 typesALL
AML
ANLL
Stem cell leukemia - 49What are the 4 phases of chemotherapy and how long does each one last?Induction (4-6 weeks)
CNS prophylactic therapy
Intensification (6-8 mos)
Maintenance (2-3 year) - 50What does the consolidation/intensification phase of chemo do?Eradicates residual leukemic cells
Prevent resistant clones - 51What does maintenance phase of chemo do?Preserves remission
- 52What are the 2 types of lymphomasHodgkin's disease
Non-Hodgkin's lymphoma - 53What is the force field theory?Through change transition you identify the forces
Restraining
Driving - 545 stages of trans-theoretical modelPrecontemplation
Contemplation
Planning or preparation
Action
Maintenance - 55What are the orders of change1st order - Part of system changes
2nd order - System itself changes. New rules
Spontaneous - one thing one day and next is completely different - 56What are the 3 parts of glasgow coma assessment?Eyes
Verbal response
Motor response - 57What are the complications of head trauma? 4 thingsEpidural hemorrhage
Subdural hemorrhage
Herniation
Cerebral edema - 582 types of brain tumorsInfratentionial (cerebellum/brain stem) 60%
Supratentorial
(Cerebrum) 40% - 59What is a neuroblastoma?Malignant solid tumor
Majority develop in the adrenal glands - 60Bacterial meningitis is... and what is the definitive test of diagnosis?Acute inflammation of meninges and CSF
LP is test - 61What is aseptic meningitis usually caused by?Viral infiltration
- 62Encephalitis causes an alteration of...Brain and spinal cord functioning
- 63Reye's syndrome is what?Toxic encephalopathy with other characteristic organ involvement
- 64A partial seizure is...Local onset
Involves small location of the brain - 65Generalized seizure involves...Both hemispheres of the brain
No local onset - 66Absence seizuresPetit mal or lapses
Brief loss of consciousness - 67Atonic seizuresSudden momentary loss of muscle tone
Sudden fall to ground
Head droops several times - 68Myoclonic seizuresBrief contractions of muscle groups
Single/repetitive
No LOC
Associated with falling asleep - 69Hydrocephalus is...Imbalance in production/absorption of CSF
- 70Hydrocephalus is associated with...Myelomeningocele
- 71The most common cause of hyperthyroidism isGrave's disease
- 72Grave's is...Enlarged thyroid gland
Autoimmune response to TSH receptors - 73Cushing's syndrome is the result of...Excess circulating cortisol
Side effect of steroid treatment - 74T1DMDestruction of B cells
leads to absolute insulin deficiency - 75T2DMInsulin resistance
A lot of sliding scale for chidren - 76Difference between PROM and PPROM is...PROM more than 1 hour before onset of labor
PPROM before 37wks - 77Amniotic fluid testing positive if...Fern's test
Vaginal pH >6-6.5
Fluid passing from cervical os
Visual pool in posterior fornix - 78Define dystocia...Long, difficult or abnormal labor
- 79Labor dystocia causes:Cervical dilation
Effacement (Primary powers)
Descent (secondary powers) - 80What is precipitous labour?From onset of labour to birth is < 3 hours
- 81Induction of labour is...Initiation of uterine contractions
- 82Augmentation of labour is...Artificial stimulation given when it has progressed abnormally
- 83Methods of labour augmentation (3 types)Oxytocin
Amniotomy
Nipple stimulation - 84Action steps if oxytocin causes hyper-stimulation?Discontinue
position on left side
O2 mask = 10L
IV bolus if needed - 854 obstetric emergenciesShoulder dystocia
Prolapsed cord
Ruptured uterus
Amniotic fluid embolism - 86What augments and decreased uterine contractionsincrease - prostaglandins
oxytocin
Decrease - tocolytics - 87What are the 3 postpartum phases?Taking-in (2-3days)
Taking-hold (3-14days)
Letting-go (15d-6mos) - 88Rh isoimmunization is needed for..-ve mother
+ve infant
Prevent sensitization in subsequent pregnancies
28weeks - 89What are the 3 types of beliefs?Facilitating
Restraining
Core beliefs - 90What are 5 methods to soften suffering?Acknowledgment
Social support
Hope
Prayer
Individual/family counselling - 91The first stage of labour is...Begins with onset of regular contractions
Ends with full dilation/effacement - 92What are the 3 phases of the 1st stage of labour?Latent (0-3cm)
Active (4-7cm)
Transition (8-10cm) - 93What are the 3 lab tests done during the first stage of labour?CBC
Type and hold
Urinalysis - 94What is the second stage of labour?Begins with full effacement/dilation and ends with childbirth
- 95What are the 3 phases in the second stage of labour?Latent (passive descent into canal)
Descent (Active pushing, bearing down)
Transition (Presenting part on perineum, bear down) - 96What don't you want to labour on your back?Compresses the inferior vena cava
Decreases even more O2 for babe - 97What is the third stage of labour?Placental separation and expulsion
- 98How do you know the placenta separating in the third stage?Vaginal fullness
Gush of blood
Change in uterine shape
Lengthening of umbilical cord - 99What is the fourth stage of labour?Assessment
Post-anesthesia recovery
Family-newborn relationship - 100What are the 3 R's of coping with labour pain?Relaxation
Rhythm
Ritual - 101What are the 3 types of pharmacological management of labour?Sedatives
Analgesics and anesthetics
Nerve block - 102What do the lobules in the breasts do?Clusters of alveoli
Drain the lobes - 103What expels the milk from the alveoli?Myoepithelium
- 104What contracts to help with latching?Smooth muscles in the areola
- 1051 mammary gland consists of...15-20 lobes
divided into lobules - 106Breasts are made of what kind of tissue?Adipose
Glandular
Fibrous - 107What do montgomery glands on the breast do?Lubricate the nipple
- 108What are the 3 types of phases of breast milk?Colostrum (2-3d)
Transition milk (1-2w)
Mature milk (2w-on) - 109What kind of breast milk is increased fats, lactose and calories?Transitional milk
- 110What is transitional milk composed of?Combination of colostrum and mature milk
- 111What kind of milk has increased proteins and immunological factors?Colostrum
- 112What are the 2 types of mature milk?Foremilk (incr. water)
Hindmilk (incr. fat) - 113What does manual expressing of breastmilk do?Increases milk production
Information
- Description
- Flashcards on Nursing 370, created by 1js4 on 07/12/2013.
- Created by
- 1js4
- Views
- 31
- Rating