NUR418 FINAL EXAM
Social Issues in Maternity Care *** -Social support
-QOL
-stability of life
-functional relationships
-marital status
-SES
Family Centered Care *** Involves respecting all the members of the family, knowing who in particular
is the caregiver for the child, who knows the child the best, that is who should be getting the education
and information. Make sure they are understanding the education and the child's diagnosis. This
promotes good healthcare and outcomes.
Pediatric Community Health *** Distinction from acute care, may be:
- school based
- home health nurse
Pts may be high acuity, chronic, need more involved nursing care, can't have care delegated because
need constant care.
epidural placement *** L3-L4 interspace, local anesthesia
Placement of patient in the
lateral position with head flexed on chest, elbows on knees and feet supported on stool.
,Gate Control Theory of Pain *** The theory that pain is a product of both physiological and
psychological factors that cause spinal gates to open and relay patterns of intense stimulation to the
brain, which perceives them as pain.
Medication Dosing *** Weight based in kg! Always! Developmental abilities, what makes sense based
on age?
Routes Medication *** Can they swallow a pill? Do they need liquid? IV? What is there development/
what is their current condition.
Postpartum Assessment (BUBLLEE) *** B-breast
U-uterus (tone, position, location)
B-bladder and bowel
L-Locia (color, amount, odor)
LE- lower extremities (pain, swelling, redness)
E-Emotional state (risk factors)
Exam 1: Asks what you should do for firm fundus and bleed and small clots, there was an option to
document and continue monitoring
Normal weight loss after birth *** Weigh after delivery, in Kg, lb, oz. Weight loss of 5% -10% of birth
weight during the first week is normal.
Normal infant v/s *** T: 97.7-99ºF (axillary)
RR: 30-60bpm
HR: 120 - 160
BP is not a common assessment piece; If you have to take it, use a leg. 50-75/30-45 mm Hg
, APGAR *** Appearance (all pink, pink and blue, blue (pale)
Pulse (>100, <100, absent)
Grimace (cough, grimace, no response)
Activity (flexed, flaccid, limp)
Respirations (strong cry, weak cry, absent)
Infant Reflexes (6) *** Rooting - Turns mouth to the same side of the cheek that is being stroked
Moro (startle) - When dropped slightly, quickly abducts extremities and forms the index finger and
thumb into a "c" shape
Stepping - Simulates walking when held in an upright position and the sole of the foot touches a flat
surface
Palmar grasp - Wraps fingers around the examiner's finger when it is placed into the infant's palm
Plantar grasp - Curls toes downward in response to pressure applied to the sole of the foot at the base
of the toes
Babinski - Flexes the big toe when an object is dragged along the sole of the foot from the heel to the
head of the fifth metatarsal
Pediatric Pain Scale *** FLACC- newborn to 7
FACES- 3 and up
0-10- adolescent or adult
Physiological indicators of pain in an infant *** increase in BP
Social Issues in Maternity Care *** -Social support
-QOL
-stability of life
-functional relationships
-marital status
-SES
Family Centered Care *** Involves respecting all the members of the family, knowing who in particular
is the caregiver for the child, who knows the child the best, that is who should be getting the education
and information. Make sure they are understanding the education and the child's diagnosis. This
promotes good healthcare and outcomes.
Pediatric Community Health *** Distinction from acute care, may be:
- school based
- home health nurse
Pts may be high acuity, chronic, need more involved nursing care, can't have care delegated because
need constant care.
epidural placement *** L3-L4 interspace, local anesthesia
Placement of patient in the
lateral position with head flexed on chest, elbows on knees and feet supported on stool.
,Gate Control Theory of Pain *** The theory that pain is a product of both physiological and
psychological factors that cause spinal gates to open and relay patterns of intense stimulation to the
brain, which perceives them as pain.
Medication Dosing *** Weight based in kg! Always! Developmental abilities, what makes sense based
on age?
Routes Medication *** Can they swallow a pill? Do they need liquid? IV? What is there development/
what is their current condition.
Postpartum Assessment (BUBLLEE) *** B-breast
U-uterus (tone, position, location)
B-bladder and bowel
L-Locia (color, amount, odor)
LE- lower extremities (pain, swelling, redness)
E-Emotional state (risk factors)
Exam 1: Asks what you should do for firm fundus and bleed and small clots, there was an option to
document and continue monitoring
Normal weight loss after birth *** Weigh after delivery, in Kg, lb, oz. Weight loss of 5% -10% of birth
weight during the first week is normal.
Normal infant v/s *** T: 97.7-99ºF (axillary)
RR: 30-60bpm
HR: 120 - 160
BP is not a common assessment piece; If you have to take it, use a leg. 50-75/30-45 mm Hg
, APGAR *** Appearance (all pink, pink and blue, blue (pale)
Pulse (>100, <100, absent)
Grimace (cough, grimace, no response)
Activity (flexed, flaccid, limp)
Respirations (strong cry, weak cry, absent)
Infant Reflexes (6) *** Rooting - Turns mouth to the same side of the cheek that is being stroked
Moro (startle) - When dropped slightly, quickly abducts extremities and forms the index finger and
thumb into a "c" shape
Stepping - Simulates walking when held in an upright position and the sole of the foot touches a flat
surface
Palmar grasp - Wraps fingers around the examiner's finger when it is placed into the infant's palm
Plantar grasp - Curls toes downward in response to pressure applied to the sole of the foot at the base
of the toes
Babinski - Flexes the big toe when an object is dragged along the sole of the foot from the heel to the
head of the fifth metatarsal
Pediatric Pain Scale *** FLACC- newborn to 7
FACES- 3 and up
0-10- adolescent or adult
Physiological indicators of pain in an infant *** increase in BP
