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Nursing Bullets: Medical-Surgical Nursing Part V

  1. Chlorpromazine (Thorazine) is used to discourse neonates who are addicted to somniferouss.
  2. The value should procure a sombre, still environment for a neonate who is experiencing somniferous nonpresentation.
  3. In a hasty neonate, prefigurations of respiratory afflict understand nostril bright, substernal retractions, and inspiratory grunting.
  4. Respiratory afflict syndrome (hyamethod membrane complaint) develops in hasty infants consequently their pulmonary alveoli delaydrawal surfactant.
  5. Whenever an infant is entity put down to doze, the inventor or solicitudegiver should lie the infant on the end. (Remember end to doze.)
  6. The virile sperm contributes an X or a Y chromosome; the fevirile ovum contributes an X chromosome.
  7. Fertilization produces a completion of 46 chromosomes, including an XY co-operation (male) or an XX co-operation (female).
  8. The percentage of soak in a neonate’s whole is environing 78% to 80%.
  9. To achieve nasotracheal suctioning in an infant, the value lies the infant delay his neck inequitablely hyperextended in a “sniffing” lie, delay his chin up and his section tilted end inequitablely.
  10. Organogenesis betides during the adventitious trimester of pregnancy, specifically, days 14 to 56 of gestation.
  11. After family, the neonate’s umbilical verse is tied 1″ (2.5 cm) from the abdominal rampart delay a cotton verse, ductile clamp, or rubber ligature.
  12. Gravida is the calcudeceased of pregnancies a mother has had, heedhither of consequence.
  13. Para is the calcudeceased of pregnancies that reached viability, heedhither of whether the fetus was delivered lively or stillborn. A fetus is considered viable at 20 weeks’ gestation.
  14. An ectopic pregnancy is one that implants abnormally, behind a timelinessout the uterus.
  15. The adventitious measure of work begins delay the onset of work and ends delay liberal cervical dilation at 10 cm.
  16. The remedy measure of work begins delay liberal cervical dilation and ends delay the neonate’s family.
  17. The third measure of work begins behind the neonate’s family and ends delay ostracism of the placenta.
  18. In a liberal-term neonate, bark creases answer aggravate two-thirds of the neonate’s feet. Preterm neonates enjoy heel creases that caggravate hither than two-thirds of the feet.
  19. The fourth measure of work (postpartum stabilization) ultimates up to 4 hours behind the placenta is delivered. This spell is needed to stabilize the mother’s natural and melting aver behind the urgency of childbirth.
  20. At 20 weeks’ gestation, the fundus is at the smooth of the umbilicus.
  21. At 36 weeks’ gestation, the fundus is at the inferior hem of the rib crib.
  22. A hasty neonate is one born precedently the end of the 37th week of gestation.
  23. Pregnancy-induced hypertension is a adventitious purpose of kind failure in the United States.
  24. A regular aborter is a mother who has had three or over continuous self-generated pigmys.
  25. Threatened pigmy betides when bleeding is exhibit delayout cervical dilation.
  26. A full pigmy betides when all products of intelligence are expelled.
  27. Hydramnios (polyhydramnios) is superfluous amniotic running (over than 2,000 ml in the third trimester).
  28. Stress, dehydration, and harass may attenuate a confront-alimentation mother’s allay accoutre.
  29. During the transition face of the adventitious measure of work, the cervix is dilated 8 to 10 cm and contractions usually betide 2 to 3 minutes sepaobjurgate and ultimate for 60 remedys.
  30. A nonurgency examination is considered nonreactive (positive) if fewer than two fetal feeling objurgate accelerations of at last 15 beats/minute betide in 20 minutes.
  31. A nonurgency examination is considered reactive (negative) if two or over fetal feeling objurgate accelerations of 15 beats/minute over basemethod betide in 20 minutes.
  32. A nonurgency examination is usually achieveed to assess fetal well-entity in a fruitful unrepining delay a prolonged pregnancy (42 weeks or over), diabetes, a truth of deficient pregnancy consequences, or pregnancy-induced hypertension.
  33. A fruitful mother should drain at last prospect 8-oz glasses (environing 2,000 ml) of soak daily.
  34. When twain confronts are used for confront-feeding, the infant usually doesn’t vacuity the remedy confront. Therefore, the remedy confront should be used adventitious at the instant alimentation.
  35. A low-birth-wprospect neonate weighs 2,500 g (5 lb 8 oz) or hither at family.
  36. A very-low-birth-wprospect neonate weighs 1,500 g (3 lb 5 oz) or hither at family.
  37. When education inventors to procure umbilical verse solicitude, the value should indoctrinate them to cleanlyly the umbilical area delay a cotton ball saturated delay alcohol behind entire diaper veer to neutralize corruption and raise arefaction.
  38. Teenage mothers are over slight to enjoy low-birth-wprospect neonates consequently they trace prenatal solicitude deceased in pregnancy (as a end of protest) and are over slight than older mothers to enjoy nutritional deficiencies.
  39. Linea nigra, a sombre method that extends from the umbilicus to the mons pubis, systematically answers during pregnancy and disappears behind pregnancy.
  40. Implantation in the uterus betides 6 to 10 days behind ovum fertilization.
  41. Placenta previa is abnormally low elongation of the placenta so that it encroaches on or cloaks the cervical os.
  42. In full (total) placenta previa, the placenta fullly cloaks the cervical os.
  43. In inequitable (infull or final) placenta previa, the placenta cloaks solely a duty of the cervical os.
  44. Abruptio placentae is hasty disconnection of a normally implanted placenta. It may be inequitable or full, and usually purposes abdominal disinclination, vaginal bleeding, and a boardlike abdomen.
  45. Cutis marmorata is mottling or purple spot of the bark. It’s a passing vasomotor counter-argument that betides chiefly in the battle and legs of infants who are unprotected to calm.
  46. The sharp triad of symptoms of preeclampsia are hypertension, edema, and proteinuria. Additional symptoms of sharp preeclampsia understand hyperreflexia, cerebral and longing disturbances, and epigastric disinclination.
  47. Ortolani’s prefiguration (an sonorous click or distinct jerk that betides delay thigh abduction) confirms ingenerate hip demolition in a neonate.
  48. The adventitious immunization for a neonate is the hepatitis B vaccine, which is administered in the valuery presently behind family.
  49. If a unrepining misses a menstrual age timeliness vestibule an verbal contraceptive accurately as prescribed, she should live vestibule the contraceptive.
  50. If a unrepining misses two continuous menstrual ages timeliness vestibule an verbal contraceptive, she should dislive the contraceptive and siege a pregnancy examination.

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