NURSING CARE OF THE CHILD ( PART 1) EXAM GUIDE |
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A fetus is full term at
- answer-38 weeks
A mother with HSV should deliver
- answer-via c-section, 4-6 hours after membrane rupture
abortion
- answer-death of fetus at less than 20 weeks gestation
After a c-section birth the abdominal dressing and perineal pad should be checked
how often
- answer-Every 15 minutes for the first hour, and the fundus should be gently
palpated with a hand supporting the incision site
After a c-section birth the mothers vital signs are checked how often
- answer-every 5 minutes until stable, then every 15 minutes for one hour, the
every 30 minutes until release from recovery
After a vaginal birth lochia should be checked how often
- answer-every 15 minutes for the first hour, lochia should also be check for free
flow of blood during fundal massage, lochia should not exceed 1 pad/hour
After a vaginal birth mothers vital signs should be checked how often
- answer-every 15 minutes for the first hour
Anterpartal Tests: Alpha-Fetoprotein
, - answer-AFT is a protein produced by fetus and can be used to test for neural tube
defects (NTD's), most accurate results are tested between 15-16 weeks gestation.
Anterpartal Tests: Amniocentesis
- answer-Done at 15-20 weeks gestation for genetic testing and at 30-35 weeks to
determine fetal lung maturity. Risk for related miscarriages is 1:1600
Anterpartal Tests: Chronic Villus Sampling (CVS)
- answer-Obtained from placenta to test for genetic/DNA and metabolic
abnormalities. Risk for related miscarriages is 1:1600
Anterpartal Tests: Percutaneous umbilical blood sampling (PUBS)
- answer-aka cordocentesis, used to test for hemophilia's, blood disorders,
infection, and chromosomal abnormalities
Antiemetic drugs for acute treatment of N/V and HG
- answer-Promethazine (Phenergan), Prochlorperazine (Compazine),
Chlorpromazine (Thorazine)
Antiemetic drugs for maintenance treatment of HG
- answer-Metoclopramide (Reglan), Trimethobenzamide (Tigan), Ondansetron
(Zofran)
Antiemetic drugs for maintenance treatment of N/V
- answer-Doxylamine with pyridoxine (Unisom), Diphenhydramine (Benadryl),
Cisapride (Propulsid)
APGAR
- answer-appearance, pulse, grimace, activity, respiration
Betamethasone (Celestone)
- answer-steroid to mature babies lungs: