NUR 401 Exam 5
1. Patient education of HSV: Flu-like s/s
initial vs secondary
initial worse than secondary outbreaks
prevent transmission - condoms or abstinence
antivirals - help with s/s but is not curative
2. Record an obstetric history (GTPAL): G: # of pregnancies - including current
T: # Term deliveries
P: # Preterm deliveries
A: # abortions
L: # living children
**Multi births only count as one except # living children
3. Nursing interventions for laboring patient with an epidural placement: Fall risk
(precautions)
call light
bed in low position
hypotension - turn on side
I&Os - typically receive a foley
,4. Nursing priorities during newborn transition: breathing - respirations /airway
dry, warm (SSC with mom)
suction mouth and nose
5. Processes of development: Growth
Differentiation
Maturation
6. Identify abnormal physical assessment and provide nursing interventions
(APGAR): - APGAR <7
- blue and pale
- HR <100, absent
- Grimace or no response
- Activity weak or limp
- RR irregular/slow or absent
,Interventions:
Airway maintenance: Ensure breathing
- Bulb syringe: mouth first than nose
- Mechanical suctioning
Adequate oxygen supply
- Clear airway
- Effective establishment of respirations
- Adequate circulation, perfusion and cardiac function
- Thermoregulation
Body temp maintenance
- Skin-to-skin contact
- Drying and wrapping immediately after birth
- Incubator
7. Areas of growth: Neurological
Cognitive
Emotional
Physical/physiological
8. Nursing priority of development: Early identification and promotion of social interactions and
interpersonal skills
9. Identify patterns of development: Development is directional
, - Cephalocaudal (head to feet)
- Proximodistal (middle of body to extremities)
Development is differentiated - becomes increasingly integrated and complex
- speech (cooing -> syllables -> words -> sent -> etc)
Development is orderly and sequential
- follows a pattern (crawling -> walking)
Development is unique to each child
- may skip crawling/pull themselves up but still follows orderly pattern
- may occur at different times
10. Identify developmental screen tools base on age group: Children (1 mo - 6 yrs)
- Denver Developmental Screening Tool (DDST II)
Adolescents
1. Patient education of HSV: Flu-like s/s
initial vs secondary
initial worse than secondary outbreaks
prevent transmission - condoms or abstinence
antivirals - help with s/s but is not curative
2. Record an obstetric history (GTPAL): G: # of pregnancies - including current
T: # Term deliveries
P: # Preterm deliveries
A: # abortions
L: # living children
**Multi births only count as one except # living children
3. Nursing interventions for laboring patient with an epidural placement: Fall risk
(precautions)
call light
bed in low position
hypotension - turn on side
I&Os - typically receive a foley
,4. Nursing priorities during newborn transition: breathing - respirations /airway
dry, warm (SSC with mom)
suction mouth and nose
5. Processes of development: Growth
Differentiation
Maturation
6. Identify abnormal physical assessment and provide nursing interventions
(APGAR): - APGAR <7
- blue and pale
- HR <100, absent
- Grimace or no response
- Activity weak or limp
- RR irregular/slow or absent
,Interventions:
Airway maintenance: Ensure breathing
- Bulb syringe: mouth first than nose
- Mechanical suctioning
Adequate oxygen supply
- Clear airway
- Effective establishment of respirations
- Adequate circulation, perfusion and cardiac function
- Thermoregulation
Body temp maintenance
- Skin-to-skin contact
- Drying and wrapping immediately after birth
- Incubator
7. Areas of growth: Neurological
Cognitive
Emotional
Physical/physiological
8. Nursing priority of development: Early identification and promotion of social interactions and
interpersonal skills
9. Identify patterns of development: Development is directional
, - Cephalocaudal (head to feet)
- Proximodistal (middle of body to extremities)
Development is differentiated - becomes increasingly integrated and complex
- speech (cooing -> syllables -> words -> sent -> etc)
Development is orderly and sequential
- follows a pattern (crawling -> walking)
Development is unique to each child
- may skip crawling/pull themselves up but still follows orderly pattern
- may occur at different times
10. Identify developmental screen tools base on age group: Children (1 mo - 6 yrs)
- Denver Developmental Screening Tool (DDST II)
Adolescents
