Exam 4 Ch 37

Nursing 3024 with O'neal at Oklahoma Christian University of Science & Arts

About this deck

By: Kassidy Murphy
Textbook:

Maternal Child Nursing Care (Wong, Maternal Child Nursing Care)

Maternity & Women's Healthcare: Irm

Study Guide for Maternity Nursing
Created: 2012-02-20
Size: 29 flashcards
Views: 4

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anticipatory grief

prepares parents who may experience loss of their infant, preterm or w debilitating disease, nurses should assess and support, use chaplain or social worker as needed

bronchopulmonary dysplasia

chronic caused by trauma from ventilation and O2 toxicity. S/S: tachypnea, retractions, nasal flaring, exercise intolerance, tachycardia. treat: O2, nutrition, fluid restriction, meds-diuretics, corticosteroids, bronchodilators. prevent: surfactant

corrected age

weeks at birth plus weeks extrauterine. Preterm babies may have to stay in nicu until they reach 37 wks corrected age

gavage feeding

feeding through OG or NG tube. document infant's response to feeding.

insensible water loss

water lost through skin and respirations

kangaroo care

Skin to skin contact between parent and infant >30 wks, can improve baby and mom.

NEC

Acute inflammatory disease of the GI mucosa (often fatal) Diagnosis confirmed by x-ray. Abdm distention, gross bloody stools, temp instability.

NEC conditions

Intestinal ischemia from asphyxia/hypoxia, Colonization of intestine with harmful bacteria before normal flora, Enteral feeding (provides a medium for bacteria to grow)

NEC symptoms

Abdominal distention, bile stained GI fluid, grossly bloody stools, abdominal tenderness, erythema of abdominal wall

NEC tx

supportive: Oral feedings stopped to rest GI tract, TPN, OG tube to suction to relieve pressure, Infectious disease—control spread of infection, Antibiotics, possible bowel resection, Breastfeeding, probiotics and MEN decrease incidence

patent ductus arteriosus

Ductus arteriosus is a normal muscular contractile structure in fetus connecting the left pulmonary artery and the dorsal aorta, diverts blood from lungs to placenta for gas exchange, Constricts after birth Causes systolic murmur, active precordium, bounding peripheral pulses, tachycardia, tachypnea, crackles, hepatomegaly. Fluid restriction and diuretics to decrease volume overloadrespiratory distress syndrome

Retinopathy of prematurity

affects retinal vessels. baby’s eyes and eyelids are immature, or can be caused by hyperglycemia, use low lighting or masks. Closely monitor blood oxygen levels

TPN

nothing by mouth, iv nutrition

LGA

over 90th percentile

Symmetric IUGR

whole body small(weight, length, head circumference), asymmetric: head is normal, weight below 10^th percentile. infants with asymmetric IUGR have potential for normal growth and development.

late preterm

34-36

posterm

>42 wks

s/s hypothermia

apnea, bradycardia, coag defects, hypogylc, hypotonic, hypoxic, bad feeding/metab, irritable/lethargic, met acidosis, vasocontric, poor weight gain, shivering, weak cry

s/s hyperthermia

apnea, CNS depression, dehydration, flushed, hypernatr, irrtib/lethargy, poor feeding, seizures, sweating, tachycardia, tachypnea, warm to touch, weak cry.

s/s infection

temp instablility, CNS changes, cyanosis, jaundice, poor perfusion, hypotension, brady.tachycardia, apnea, tachypnea, retractions, feeding issues, vomit, diarrhea, glucose instability, met acidosis.

neonatal ABG

pH- 7.35-7.45

PaO2- 60-80

PaCO2- 35-45

HCO3- 18-26

O2- 92-94

Meconium aspiration

Causes chemical pneumonitis and my lead to persistent pulmonary hypertension of the newborn

Posterm babies: }Associated with placental insufficiency

mec aspiration babies

Wasted appearance (dysmaturity),Skull looks large in comparison to smaller body, Dry, cracked, parchment-like skin, Long hair and nails, Loose skin from depleted fat reserves (old person), Long, thin body, Absence of vernix, Meconium staining of skin, nails and cord, alert, wide-eyed appearance from chronic intrauterine hypoxia, Perinatal mortality significantly higher, Large fetus’ increased O₂ may not be met during

SGA infant

o Normal skull but smaller body makes head look large

o Reduced fat stores

o Loose, dry skin

o Diminished muscle mass (esp over buttocks and cheeks)

o Sunken (scaphoid) abdomen

o Thin, yellowish, dry, dull umbilical cord

o Sparse scalp hair

o Wide skull sutures (inadequate bone growth)