Mark Klimek Blue Book Part 1

In Abruptio Placenta, the placenta ____________ from the uterine wall ____________. - Answer - Separates, prematurely Abruptio Placenta usually occurs in (prima/multi) gravida over the age of ____________. - Answer - Multigravida, 35 (HTN, trauma, cocaine) How is the bleeding of Abruptio Placenta different from that in Placenta Previa? - Answer - Usually painful; bleeding is more voluminous in placenta previa If you are the nurse starting the IV on the client with Abruptia Placenta, what guage needle should you use? - Answer - 18 (in preparation to give blood if necessary) How often should you measure the VS, vaginal bleeding, fetal HR during Abruptio Placenta? - Answer - Q5-15 minutes for bleeding, maternal VS and continuous fetal monitoring Deliver baby at earliest sign of fetal distress How is an infant delivered when Abruptio Placenta is present? - Answer - Usually C-section Is there a higher or lower incidence of fetal death with Abruptio Placenta compared to Placenta Previa? - Answer - Higher In what trimester does Abruptio Placenta most commonly occur? - Answer - Third At what age are accidental poisonings most common? - Answer - 2 years old If a child swallows a potentially poisonous substance, what should be done first? - Answer - Call for medical help Should vomiting be induced after ingestion of gasoline? - Answer - No- not for gas or any other petroleum products When taking a child to the ER after accidental poisoning has occurred what must accompany the child to the ER? - Answer - the suspected poison An elderly client is a (high/low) risk for accidental poisoning? What about a school age child? - Answer - high - due to poor eyesight, high What types of chemicals cause burns to oral mucosa when ingested? - Answer - Lye, caustic cleaners Children at highest risk for seizure activity after ingestion are those who have swallowed _____________ and ______________. - Answer - drugs, insecticides Can impaired skin integrity ever be an appropriate nursing diagnosis when poisoning has occurred? - Answer - Yes, when lye or caustic agents have been ingested What is the causative organism of acne? - Answer - P. acnes (propionibacterium acnes) What structures are involved in acne vulgaris? - Answer - The sebaceous glands