MSN 572 WEEK 2 COMPLILED NOTES FOR TEST (AUTORECOVERED).

MSN 572 WEEK 2 COMPLILED NOTES FOR TEST (AUTORECOVERED). Week 2 Special Populations: Dr. Porter Blocks in book (blue or grey) focus on those important points Child development Tanner staging- go up to stage 5- stages of development that lead up to puberty (i.e. Breast buds) Pubic hair is tanner staging 3 Sexual maturity ratings- breast buds stage 2 (Bright Futures pg 123) Well child visit- start with looking (eyes) – Look listen feel Developmental milestones are important and ages Startle reflex (surprise reaction) develops in utero (birth) and last until 3-6 mths Incurvation- rub baby spine and turn towards way you are rubbing it Red eye reflex- related to retinoblastoma; if not present it is abnormal Failure to thrive- assess weight, height, head circumference, length Gestational diabetes babies are large Moms are high risk if they have gestational diabetes and can develop diabetes after birth – 50% rate Contraindications of vaccines- fever over 105, cry for 3 hrs. after vaccine, seizure after vaccine, allergy to components Flublok- does not have egg components in it Wait 4 weeks between live vaccines; don’t give 2 live vaccines at same time because immune system will be down before going up Mild illness at last vaccine is fine; and okay to vaccinate Immunoglobulins- IgG – Stays the longest; had it and now Gone (needs to ensure it goes up to ensure protection) IgM- immediate; have now 12-year-old PPD skin test- positive if induration, if active TB in the house you will need a chest x-ray and always refer to specialist; and you can still vaccinate What vaccine given every 10 years? Toxoid vaccine Working with adolescent- ask if sexually active; invite parent to leave to ask personal questions; offer privacy BCG vaccine can cause positive reaction with PPD Pregnant women- Baby heart rate is higher than adult- 60 is abnormal; heart rate of 160 is normal in a baby Presumed signs of pregnancy- breast tenderness, increased urination, amenorrhea, If pregnant- cervix exam would be soft and cyanotic Round ligament pain- hormonal change cause this Diastasis recti - when abdominal muscles spread- you don’t treat Normal expected weight gain in pregnancy- 20-25 lbs. healthy is 27 lbs average