Reproduction I
This pregnancy complication is defined as new-onset hypertension after 20 weeks gestation with proteinuria or organ dysfunction.
preeclampsia
This treatment can be used to help the newborn get rid of unconjugated bilirubin, and may be given with a blanket or overhead lights.
phototherapy - blue LED light therapy converts unconjugated bilirubin into water soluble isomers that can be eliminated via bile and urine. Can be blanket or bank of lights
List two potential symptoms you may see in a patient diagnosed with cellulitis
At site of plaque: redness, swelling/edema, tenderness/pain, heat, drainage
Systemic: fever, chills
This is the standard imaging test used in diagnosis of DVT.
US
This supplement may help reduce the rate of recurrent UTIs.
daily cranberry - especially in form of capsules
Painless, bright red vaginal bleeding in the second half of pregnancy is most consistent with this obstetric emergency.
Placenta previa
This condition refers to a birth weight greater than 4,000 grams, regardless of gestational age.
Macrosomia
This may be the only indicator of the presence of a UTI in older adults who do not display the classic symptoms.
alteration in mentation, such as agitation, confusion, and delirium
This is a lab test that may be used to help diagnose an MI.
Troponin
List three potential risk factors for delirium.
pre-existing cognitive impairment, sleep deprivation, immobility, visual impairment, hearing impairment, dehydration, certain medications, age
What might betamethasone be given for in preterm labor?
This steroid is given to patients in preterm labor to reduce neonatal respiratory morbidity by enhancing surfactant production.
Encouraging frequent early feedings are a nursing priority to prevent this complication in SGA and LGA newborns.
Hypoglycemia
Children are recommended to receive the HPV vaccine at this age.
11 - 12 years of age
List three potential signs of a PE.
Dyspnea, chest pain, anxiety, fever, tachycardia, tachypnea, cough, hemoptysis, diaphoresis, and syncope
What would the nurse expect to see in medical management of stable PE?
immediate anticoagulation to prevent recurrence/ extension of thrombus (examples - LMWH, unfractionated heparin, rivaroxaban)
long-term anticoagulation (warfarin, LMWH, or other DOACs) up to 6 months following PE, or longer if high risk for recurrence
This term refers to the presence of excessive (>2000 mL) amniotic fluid as is associated with maternal diabetes and fetal anomalies of development
Polyhydramnios
This intervention promotes thermoregulation, bonding, pain management, and infection prevention in preterm infants.
Skin to skin / kangaroo care
Define pyelonephritis.
a bacterial infection of the renal pelvis, tubules, and interstitial tissue of one or both kidneys
This procedure is preferred as the initial treatment for acute MI in all age groups and should be performed less than 60 minutes after arrival to ER.
Emergent percutaneous coronary intervention (PCI)
In prolonged (>24 hours) cases of PROM, the birthing parent’s risk for this complication increases the longer the time since the amniotic sac ruptured.
Infection - chorioamnionitis, endometritis, sepsis, and neonatal infections
You are taking care of a patient who has been diagnosed with preeclampsia. She reports right-sided abdominal pain and you note her platelets have been trending down. What potential complication do you suspect?
HELLP syndrome
This are three actions a nurse can take to promote adequate oxygenation in the preterm infant.
Observe for cues (grunting, shallow breathing, tachypnea, apnea, tachycardia, central cyanosis, hypotonia, retractions, nasal flaring)
slight head elevation
continuous O2 sat monitoring with supplemental O2 prn (80-95%)
administer exogenous surfactant via nebulizer as ordered
cluster cares
maintain neutral thermal environment
have bag and mask and suction at bedside
List the 5 "P's" used to guide the nursing interview when assessing a patient with a suspected STI
partners, practices, protection from STIs, past history of STIs, pregnancy intention/prevention
What is Virchow's triad?
Three factors believed to play a significant role in development of DVT/PE: endothelial damage, venous stasis, and altered coagulation
(see Hinkle p. 845)
A provider may order this diagnostic scan to diagnose PE if a CT angiogram is not available or otherwise not used for a patient.
V./Q. scan