Peds I
Fontanels that close by 2 months of age
Posterior Fontanels
Vaccines recommended for a child 4-6 yrs of age
Very DIM
Varicella, DTap, IPV, MMR
Stages of Labor
First- Latent/ Active
Second
Third
Fourth
What does REEDA stand for
redness
edema
ecchymosis
discharge
approximation
Heart medication would you hold for an infant with a heart rate of under 90bpm or older child with a heart rate under 70bpm
Digoxin
MMR and Varicella are first given at this month of age
Cystic Fibrosis
Normal Resp Rate for a 3 year old child
20-25
Manifestations of a DVT
Calf pain
erythema
sensation changes
warmth
swelling
This is a synthetic progestin used most commonly as the morning after pill for emergency contraception and is contraindicated in history of blood clots, hypertension, diabetes, stroke
Levonorgestrel
Place the client in the side lying position for this type of deceleration to improve oxygenation
Late
In addition to meds- stool softeners, Vit A,D,E,K, sodium chloride supplements, lipase and megestrol acetate are taken for this condition
Cystic Fibrosis
This age group views death in this way: it is temporary, they caused it, it is punishment to them
Preschool
5 P's
Passenger- fetus and placenta
Passageway-birth canal
Powers-contractions
Position- client
Psychological response
Meaning of VEAL CHOP
Variable-Cord
Early-Head
Accel OK
Late- Placental insufficiency
Reposition client side to side or knee chest to elevate pressure from the cord in this type of deceleration
variable
Contraindications for this specific vaccine include pregnancy, immunosuppression and severe allergic reaction to gelatin or neomycin
Varicella Vaccine
Electrolyte you need to monitor while giving digoxin do to increase risk of toxicity
Potassium
Characterized by BP 160/110 or greater, proteinuria greater than +3 elevated creatinine, cerebral or visual disturbances hyperreflexia, pulmonary, cardiac, hepatic issues, thrombocytopenia
Preeclampsia with severe features
epidural and Spinal adverse effects
N/V
Bradycardia/Tachycardia
Hypotension
Resp Depression
Pruritis
Elevated Temp
Bowel and Bladder decreased sensation
Possible diagnosis in infant with diaphoresis esp during feeding, irritability, lethargy, failure to thrive, resp distress, tachycardia, decrease urine output
Heart Failure
Complications from this procedure to check for meningitis include headache, CSF leak, infection or bleeding
Lumbar Puncture
Two nursing interventions to prevent complications post fracture repair
encourage ambulation
administer anticoagulants
provide active and passive range of motion
elevate HOB
Administer O2
Apply SCD's
Medications used in a PPH
Oxytocin- first line
Methergine
Hemabate
TXA
Misoprostol
Apgar score includes what 5 things
HR
RR
Muscle Tone
Reflexes
Color
Keep a constant bedtime routine, use a night light in room, provide a favorite toy, ignore attention seeking behaviors, leave drink of water by bed are interventions for what
Sleep terrors