Maternal Child Health Final Review

Maternal/Child Final Review with Instructor Judi 1 1. Before administering baby/child Iron a. Teaching give with orange juice, b. May cause black tarry stool, c. and constipation 2. Baby with n/v and they have anterior bulging fontanel, you realize head circumference is not normal size. a. Brain tumor 3. Infant with cancer, what do you give for meds? a. Zofran (Ondansetron), offsets the chemotherapy effects of nausea and vomiting. med is for safe and effective and given to ped, PRN 6-8 hr 4. What Stage of grief, Pt/Child dx of cancer, they may not want to talk to about Denial. 5. Health care setting, you have child life specialist, they provide: a. Opportunities b. Interact with the child and patient c. Therapeutic communication therapies d. To provide opportunities for therapeutic play. 6. If you have a pregnant mother, hemoglobin, 7.0,8.0,9.0 - What will happen to the developing fetus? It decreases oxygen…so, Intrauterine growth restriction (IUGR). Restricts growth of fetus. Interfere with the fetus growth. 7. A mother who has been smoking marijuana and pregnant. What do you think will happen to fetus? a. Child will have low birth weight b. Miscarriage c. Preterm birth. d. or other complications are a risk. 8. Dysmorrhea, pt has pain with menses-What is effective medication: a. Give Ibuprofen, Aleve, (no Tylenol). b. NSAID/anti-inflammatory agent. – endomethacin, ibuprofen, aleve. 9. Pt who is 25 weeks pregnant have gestational diabetes. Why would you not want patient to go full term? a. Mascrosomia baby. (they take all sugar) 10. Pt is 38 weeks, uncomfortable, sleeping. What is the best side to sleep on.? a. Turn them to the left.- sidelying. 11. Discharge teaching for a 34 weeks pregnant patient: patient should be advised to report: a. Bleeding b. Ruptured membrane, c. Headache that does not respond to medication d. Heartburn accompanied by headache. 12. Preterm labor –interventions-Contractions two to three minutes apart. Happening last three hours. a. Hook up to fetal monitor, b. IV therapy, bolus 500 ml fluids, c. Get urine sample/ a UTI could cause contractions!!!!! 13. Prevent hypotension in a patient during labor and they just got an epidural: a. IV fluids, (nothing by mouth) administer a rapid 500 ml of normal saline. 14. Fetal monitor with non-reassuring contractions-what do you do? a. Change position, first, Change position to lateral side. Left is best. b. If not working and the heart rate of 80 or Delivery baby now! Position the pregnant woman to the left side. If this does solve the problem prepare for the delivery of the baby. 15. Newborn skin assessment- (not breaking down bili) a. Eyes are yellow, and the Skin is yellow. –jaundice TREATMENT. a. Treatment is light therapy,-cover the newborn eyes. b.Treatment is breastfeed/bottle-feed 16. Most common trauma on a child being born is: a. …clavicle fracture/shoulder break 17. Child born on drugs (drug mom) What do you look for,: a. Incessant crying, b. Inconsolable crying. c. They tend to posture when cuddled. 18. Suspect child abuse, and signs of skin bruising…. a. Report to supervisor b. Report to authorities. As healthcare worker we are mandated reporters. Maternal/Child Final Review with Instructor Judi 3 19. Accelerations of fetal heart monitor. What do you do? a. Record as normal finding b. Document the findings and tell the mother that the patterns on the monitor indicates well-being. 20. Labor dystocia, not progressing normally through labor process: Non pharmacological procedure: a. Amniotomy (rupture of membrane) 21. Pt had 9-pound baby. What do you do if bleeding? a. Fundal massage with lower segment support. Meds for bleeding. -Pitocin -Hemabate -Methergine 22. Precaution for child who is immunocompromised. a. Hand washing Health teaching that the nurse would provide for parents of an immunocompromised child focuses on which important measure? Hand washing. 23. Know that to do parallel play…. a. side by side, not together b. Brian playing with his truck next to Kristina playing with her truck. 24. Diagnosis for a child with anemiaa. Activity intolerance due to weakness 25. Discipline to child that is appropriatea. Redirection, b. Consequences of actions. c. Time out, d. Removal of privileges, e. Distraction 26. You have a child comes with croup, they can’t breathe. Assess? a. – Check airway Maintain airway patent. 27. Type 1 diabetes in a 10 year old, what do you expect to see? a. Weight los