Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
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aspiration of amniotic fluid containing meconium into fetal
What is Meconium Aspiration?
or newborn trachea in utero or at first birth
preterm birth, gestational diabetes, maternal use of nar-
Are there any risk factors and/or prevention strategies for cotics, maternal hypotension, maternal bleeding in third
meconium aspiration? trimester, hypovolemia, hydrops fetalis (edema of fetus
caused by hyperbilirubinemia)
Why is meconium aspiration so important to treat? must treat promptly to prevent respiratory failure
meconium stained at birth, tachypnea, dyspnea, retrac-
What are the nursing assessments / clinical manifesta- tions, crackles, audible expiratory grunting, nasal flaring,
tions for meconium aspiration? cyanosis, hypoxia, hyperventilation (early), hypoventila-
tion(late)
monitor oxygenation, provide supplement o2 as needed,
maintain adequate ventilation and oxygenation, maintain
meconium aspiration nursing care?
temperature( cold stress), adequate hydration and nutri-
tion
What nursing education should be provided to
explain risk factors and monitoring in NICU if needed
client/family about meconium aspiration?
place infants on their backs to sleep, use firm mattress,
What strategies can be used to prevent SIDS (Sudden avoid loose bedding, share room without bed-sharing,
Infant Death Syndrome)? maintain a smoke-free environment, and encourage paci-
fier use at names and bedtime
the burden of care at home assumed by primarily one
What is the impact of a child's chronic condition in relation parent, financial burden, fear of child dying, pressure from
to the parental roles? relatives, hereditary nature of the disease, fear of preg-
nancy
mothers are often the primary caregiver and often need
What is the impact of a child's chronic condition in relation
social support and positive appraisal, fathers role of "pro-
to the mother-father ditterences?
tector" is challenged making them feel weak, guilty, pow-
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Frequently Tested Questions With ELABORATED 100% Correct COMPLETE SOLUTIONS
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erless, isolated, embarrassed or angry and often hide
theri feelings
What is the impact of a child's chronic condition in relation may feel an enormous burden with finances and need
to the single parent families? support as well as emotional support
psychosocial problems, responsibility of caregiving, less
What is the impact of a child's chronic condition in relation attention from parents, limitations on family and recre-
to the siblings? ational time, often think the condition is much worse than
it actually is
What interventions can be implemented to support the providing guidance, emotional support, assisting families
family with ongoing stress and periodic crisis related to in identifying stressors and helping them develop coping
their child's chronic condition? mechanisms, working collaboratively with parents
How can the nurse support the family at the time of diag- provide clear information, emotional support, connect
nosis of complex or chronic condition? with social services, and allow time for adjustment
stage of protest: cries screams, searches for parent with
eyes, clings to parent.
When a young child (6-30 months) is hospitalized, how Stage of despair: inactive, withdrawn, depressed, lack of
does separation anxiety attect them and what manifesta- interest, uncommunicative, regresses to ealier behavior (
tions might we see? thumb sucking, bed wetting).
stage of detatchment: increased interest in surroundings,
interacts with strangers, appears happy
family does not play as important role for school-age
When a pediatric client in later childhood or adolescent is children and adolescents as it does with toddlers. for ado-
hospitalized, what manifestations might you see? lescents they have diflculty being separated from peers
and group activities as they fear that are missing out
What are important interventions to implement in the primary goal is to prevent separation with family-centered
hospitalized child in relation to preventing or minimizing care, encourage family involvement with care, family visi-
separation? tation, family presense during procedures
if parents cant stay they should leave things from home of
childs favorite things,