Term
| What is the most important nursing intervention/teaching to promote maternal and fetal health? |
|
Definition
| teach the importance of early and continuing prenatal care |
|
|
Term
| what are common reflex tests at birth |
|
Definition
| Rooting, Sucking, Swallowing, Grasping, Tonic neck/fencing, Moro/Startle, Stepping, Crawling, Babinskis |
|
|
Term
| how do you preform Babinskis test and when does it disappear? |
|
Definition
stroking upward along the lateral aspect of the sole. A
positive response occurs when the toes hyperextend and the great toe dorsiflexes.
It disappears when the infant begins walking 12-18months |
|
|
Term
| How do you preform tonic neck/fencing? |
|
Definition
| rotating the infant’s head to the left with the left arm and leg extended and the right arm and leg flexed. Turn the head to the right, and the extremities assume the opposite posture. |
|
|
Term
| How do you preform Rooting test? |
|
Definition
stroking the infant’s cheek with the nipple or finger. In
response, the newborn turns his head toward the stimulus, opens his mouth, takes hold, and sucks. disappears at 3-4months |
|
|
Term
| when does Palmer reflex and plantar reflex lessen. |
|
Definition
palmer - 3-4months
Plantar - 8months |
|
|
Term
| what vitamins are critical to adolescent growth? |
|
Definition
|
|
Term
| What are Ericksons Stages? |
|
Definition
1. Trust vs mistrust (0-1.5yrs)
2. Autonomy Vs Shame (1.5-3)
3. Initiative vs guilt (3-5)
4. industry vs inferiority (5-12)
5. Ego identity vs role confusion (12-18)
6. Intimacy vs isolation (18-40)
7. generativity vs stagnation (40-65)
8. Ego integrity vs despair (65+) |
|
|
Term
| what is the basic virtue and age for ericksons stage 5 (ego identity vs role confusion) |
|
Definition
| Fidelity - adolescence 12-18 |
|
|
Term
| what is the basic virtue and age for ericksons stage 1 (trust vs mistrust) |
|
Definition
|
|
Term
| what is the basic virtue and age for ericksons stage 7 (generativity vs stagnation) |
|
Definition
|
|
Term
| what do pts lose when they come to the hospital? |
|
Definition
| privacy, autonomy, and dignity. "Loss of sense of self" "Permanent Loss" |
|
|
Term
| What id Piagets Theory of Cognitive Development? |
|
Definition
cognitive development is an orderly,
sequential process in which children form adaptive cognitive structures—called
schemes—in response to environmental stimuli. (Basically - Children learn from physical interactions with the world) |
|
|
Term
| Vygotsy's Theory of Sociocultural development is? |
|
Definition
children learn
through their culture and through social interactions with other people. Whereas Piaget
viewed children as independent learners, Vygotsky saw cognitive development as a
socially mediated activity in which children build knowledge through cooperative dialogue with adults. |
|
|
Term
what is the Priority action of the nurse when a child presents to the ER with
suspicious bruises? |
|
Definition
| report suspicions of child abuse. |
|
|
Term
| What are the 5 IOM core competencies? |
|
Definition
1. Provide patient-centered care
2. Work in interdisciplinary teams
3. Employ evidence-based practice
4. Apply quality improvement
5. Utilize informatics |
|
|
Term
| what methods are used to prioritize pts acuity? |
|
Definition
- ABCs Airway, Breathing, Circulation
- Maslow’s Hierarchy of Needs; Physiological, Safety, Love/Belonging, Self-Esteem, Self-Actualization |
|
|
Term
| What are the 10 caring behaviors of Brunton and Beaman? |
|
Definition
1. Appreciating the patient as a human being
2. Showing respect for the patient
3. Being sensitive to the patient
4. Talking with the patient
5. Treating patient information confidentially
6. Treating the patient as an individual
7. Encouraging the patient to call with problems
8. Being honest with the patient
9. Listening attentively to the patient |
|
|
Term
| What is the role of a nurse? |
|
Definition
assesses a client’s health status,
identifies health problems, and develops and coordinates care. |
|
|
Term
| what is the role of a case manager? |
|
Definition
counsels clients and their support people regarding problems, such as
finances, marital difficulties, and adoption of children. also, assist in making referrals to community based agencier |
|
|
Term
| what is the role of the physician |
|
Definition
| medical diagnosis and for determining the therapyrequired by an individual who has a disease or injury. |
|
|
Term
| what an RN is going to assess a client it is important to...? |
|
Definition
| Determine position contraindications for pt and to verbalize pain while performing the assessment. Such as when assessing a patients ROM. |
|
|
Term
| what are the 7 concepts of wellness? |
|
Definition
1. The environmental component
2. The occupational component
3. The intellectual component
4. The spiritual component
5. The physical component
6. The emotional component
7. The social component |
|
|
Term
|
Definition
is a healthcare delivery system in which the goal is to provide cost-
effective, high-quality care that focuses on decreased costs and improved outcomes for groups of clients. |
|
|
Term
| what traits are needed to perform the nurses role? |
|
Definition
Clinical decision making and critical thinking skills are critical to the development of a
well-coordinated care plan and its execution. |
|
|
Term
| What is the difference between delegate and assign? |
|
Definition
| Delegate transfers both responsibility and authority. assignments are bureaucratic functions that reflect job descriptions and client or organizational needs. No authority is transferred. |
|
|
Term
| what acts can you transfer to a UAP? |
|
Definition
- Taking vital signs (on a stable person, not on an unstable person)
● ■ Measuring and recording intake and output
● ■ Client transfers and ambulation
● ■ Postmortem care
● ■ Bathing
● ■ Feeding
● ■ Gastrostomy feedings in established systems
● ■ Attending to safety
● ■ Weighing
● ■ Performing simple dressing changes
● ■ Suctioning chronic tracheostomies
● ■ Performing basic life support |
|
|
Term
|
Definition
| adherence to a strict moral code |
|
|
Term
|
Definition
| an awareness of and concern about other individuals suffereing |
|
|
Term
|
Definition
the principle that requires us to act in ways that are loyal. i.e. keeping your promises, doing what is expected of you,
performing your duties, and being trustworthy. |
|
|
Term
|
Definition
treating people equitably, fairly,
and appropriately. do not
arbitrarily discriminate. |
|
|
Term
| What are the different roles and functions of a nurse? |
|
Definition
| caregiver, teacher, client advocate, change agent. |
|
|
Term
| what are potential causes for preeclampsia? |
|
Definition
| chronic HTN, Kidney disease, obesity, birthplace in Africa, age 35 or older, twins or molar pregnancy, previous eclampsia, fetal congenital abnormality |
|
|
Term
| when does preeclampsia usually occur? |
|
Definition
| after the 20th gestational week and is defined as an increase in BP. (its exact cause is unknown) |
|
|
Term
| urine changes in a pt with preeclampsia are? |
|
Definition
■ Elevated serum creatinine, blood urea nitrogen, uric acid
■ Sodium retention, which increases extracellular fluid retention,
resulting in edema, hypertension
■ proteinuria and
decreasing serum albumin levels, further contributing to edema |
|
|
Term
What education would you provide to a client who had a negative pregnancy
test but period has still not started a week later? |
|
Definition
pt should repeat the home pregnancy test. {{hCG is detectable in more than 98% of clients by day 11 after conception. False-
negative or -positive results can also occur. In pregnancy, levels normally peak at 10–12 weeks’ gestation}} |
|
|
Term
| common s/s of depression or postpartum depression? |
|
Definition
| Lack of sexual intrest, appetite change, fatigue, anxiety, irritability, poor concentration, forgetfulness, sleep difficulties, appetite change, fatigue, tearfulness |
|
|
Term
| What cultures fear that reaching over the head during pregnancy can harm the baby? |
|
Definition
| European, African and mexicans |
|
|
Term
|
Definition
|
|
Term
| what does multipara mean? |
|
Definition
|
|
Term
| what are that stages of labor? |
|
Definition
first stage - Latent phase
First Stage - Active phase
Transition phase
Second stage |
|
|
Term
| how long does the latent phase last? |
|
Definition
(first stage - latent phase)
nullipara 8.6hrs
multipara 5.3hrs |
|
|
Term
| how long does the active phase last? |
|
Definition
(First Stage - Active phase)
Nullipara - 4.6
multipara 2.4 |
|
|
Term
| how long does the transition phase last? |
|
Definition
nullipara - 3
multipara - less than 1hr |
|
|
Term
| how long does the second stage last? |
|
Definition
nullipara - 3hrs
multipara - less than 1hr (15mins average) |
|
|
Term
| What is the cause of nausea and vomiting during the first trimester? |
|
Definition
| elevated hCG levels and changed carbohydrate metabolism. |
|
|
Term
What priority “Actual” nursing diagnosis would you give to a mother who
has experienced a recent miscarriage? |
|
Definition
■ Grieving (Actual. I remember this from the test)
■ Risk for Complicated or Disenfranchised Grieving
■ Risk for Spiritual Distress
■ Risk for Infection related to a retained fetus
■ Risk for Bleeding related to placental abruption |
|
|
Term
| What is the path of blood flow through the fetus? |
|
Definition
Blood leaves the placenta and enters the fetus through the umbilical vein.
After circulating through the fetus, the blood returns to the placenta through the
umbilical arteries. The ductus venosus, the foramen ovale, and the ductus
arteriosus allow the blood to bypass the fetal liver and lungs. |
|
|
Term
|
Definition
results in the production of diploid body (somatic) cells, which are
exact copies of the original cell |
|
|
Term
|
Definition
| a process of cell division leading to the development of the eggs and sperm needed to produce a new organism. |
|
|
Term
What signs and symptoms would alert you to an infant not tolerating
extrauterine life shortly after delivery? |
|
Definition
respirations drop below 30 or exceed 60 breaths/minute at rest,retractions, cyanosis, or nasal flaring and
expiratory grunting occur.increased use of the intercostal muscles (retractions) may
indicate respiratory distress. |
|
|
Term
| What is the Contraction stress test? (CST) |
|
Definition
evaluates respiratory function of placenta - itidentify the fetus at risk for intrauterine asphyxia by
observing the response of the FHR to the stress of uterine contractions
(spontaneous or induced). |
|
|
Term
If you were giving a patient Pitocin, at what duration of contraction
would you want to stop infusion the Pitocin? |
|
Definition
○ The pt. Was having frequent contractions.
○ Contractions were lasting longer than 120 seconds.
○ Fetal distress.
○ Continuous monitoring, but document monitoring q 15 minutes. |
|
|
Term
| Why do newborns get vit K IM? |
|
Definition
| Bc their bodies can not synthesize vit K which puts them at risk for transient blood coagulation alterations between the second and fifth day of life. |
|
|
Term
| where would you administer a vit K IM in a newborn? |
|
Definition
| with a 27-gauge 1/2-inch needle in to the middle third of the vastus lateralis muscle within the first hr of birth. |
|
|
Term
| what are s/s of magnesium toxicity in mother |
|
Definition
nausea, muscle weakness,
strict intake and output, and loss of reflexes. |
|
|
Term
| what are indicators of mag toxicity in a baby |
|
Definition
difficulty
breathing immediately after birth |
|
|
Term
|
Definition
| High-pitched sound, suggests narrowing of the tracheal passage. |
|
|
Term
|
Definition
High-pitched, popping sound like mike on rice crispies. Heard on inspiration
from fluid in lungs. |
|
|
Term
|
Definition
Long and low-pitched sound, that continues throughout inspiration. Suggestd
blockage of large airway passage, sometimes cleared by coughing. |
|
|
Term
|
Definition
High-pitched whistling sound, most often heard on expiration. Caused by
narrowing of bronchi. Can be heard on inspiration also. |
|
|
Term
| what should the cuff pressure of a trach be |
|
Definition
| less than 20mmHg per this exam. |
|
|
Term
| what are N/V commonly associated with? |
|
Definition
Nausea and vomiting are symptoms of underlying disorders.
They commonly are associated with food poisoning, drug and alcohol overuse,
infectious gastroenteritis, adverse effect of certain medications |
|
|
Term
| What are the responsibilities of the nurse when starting TPN? |
|
Definition
| remove from refrigerator 1 hr prior, compare ingredients with order, monitor vital signs, I/Os, daily weights, skin turgor, mucousal membrane, |
|
|
Term
| tests to diagnose ulcerative colitis are? |
|
Definition
| sigmoidoscopy, colonoscopy, barium upper and lower xray series |
|
|
Term
|
Definition
production of abnormally large amounts of urine by the
kidneys—often several liters more than the client’s usual daily output. |
|
|
Term
What education would you provide to a patient in order to prevent/ reduce
UTI occurrences? |
|
Definition
Healthy lifestyle habits, such as maintaining a healthy weight, exercising
regularly, and using good toileting habits, can prevent or delay the onset of
urinary problems. |
|
|
Term
| what labs are used to determine kidney function? |
|
Definition
● Serum Creatinine
● BUN
● GFR |
|
|
Term
| What risk does having a catheter in place pose to a patient? |
|
Definition
| CAUTI - catheter associated urinary tract infection |
|
|
Term
| What are common S/S that we would see in a pt with BPH? |
|
Definition
● Weak urinary stream
● Increased time to void
● Hesitancy
● Incomplete bladder emptying
● Post-void dribbling
● Frequency
● Urgency
● Incontinence
● Nocturia
● Dysuria
● Bladder pain |
|
|
Term
| what is a priority concern in the older adult with a UTI? |
|
Definition
| confusion. risk for injury d/t confusion. |
|
|
