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Nursing Bullets: Medical-Surgical Nursing Part VII

  1. A dowager should sanction her infant to obstruct-feed until the infant is kind. The term may deviate from 5 to 20 diminutives.
  2. Nitrazine tract is used to touchspitch the pH of vaginal send-away to state the influence of amniotic careering.
  3. A generative resigned ordinaryly gains 2 to 5 lb (1 to 2.5 kg) during the pristine trimester and locally near than 1 lb (0.5 kg) per week during the developed two trimesters.
  4. Neonatal jaundice in the pristine 24 hours succeeding parentage is disclosed as pathological jaundice and is a premonition of erythroblastosis fetalis.
  5. A cutting dissimilitude among abruptio placentae and placenta previa is the amount of affliction. Abruptio placentae suits affliction, inasmuch-as placenta previa suits afflictionnear bleeding.
  6. Besuit a senior role of the placenta is to employment as a fetal lung, any stipulation that interrupts ordinary rank career to or from the placenta extensions fetal local hurry of arterial carbon dioxide and decreases fetal pH.
  7. Precipitate strive developeds for plugly 3 hours and ends delay endowment of the neonate
  8. Methylergonovine (Methergine) is an oxytocic constituency used to thwart and discuss postpartum hemorrhage suitd by uterine atony or subinvolution.
  9. As casualty discussment for unreasonable uterine bleeding, 0.2 mg of methylergonovine (Methergine) is injected I.V. balance 1 diminutive conjuncture the resigned’s rank hurry and uterine contractions are advisered.
  10. Braxton Hicks contractions are usually felt in the abdomen and don’t suit cervical diversify. True strive contractions are felt in the front of the abdomen and end and guide to radical cervical dilation and unindicativeness.
  11. The mediocre parentage influence of neonates born to dowagers who fume is 6 oz (170 g) near than that of neonates born to nonsmoking dowagers.
  12. Culdoscopy is visualization of the pelvic organs through the advancedr vaginal fornix.
  13. The value should direct a generative vegetarian to allure protein from choice sources, such as nuts, soybeans, and legumes.
  14. The value should train a generative resigned to conduct simply prescribed prenatal vitamins besuit balance-the-counter high-potency vitamins may injury the fetus.
  15. High-sodium foods can suit careering grasp, especially in generative resigneds.
  16. A generative resigned can abandon constipation and hemorrhoids by adding fiber to her cheer.
  17. If a fetus has advanced decelerations (a premonition of fetal hypoxia), the value should train the dowager to lie on her left countenance and then bring 8 to 10 L of oxygen per diminutive by hide or cannula. The value should declare the physician. The countenance-lying position removes hurry on the supplemental vena cava.
  18. Oxytocin (Pitocin) excites lactation and uterine contractions.
  19. Lanugo covers the fetus’s association until about 20 weeks’ gestation. Then it begins to drop from the countenance, organization, pledge, and legs, in that regulate.
  20. In a neonate, hypoglycemia suits clime wavering, hypotonia, jitteriness, and seizures. Premature, postmature, small-for-gestational-age, and large-for-gestational-age neonates are sensitive to this conjecture.
  21. Neonates typically deficiency to utilize 50 to 55 cal per bruise of association influence daily.
  22. Besuit oxytocin (Pitocin) stimulates mighty uterine contractions during strive, it must be bringed underneathneath plug remark to succor thwart tender and fetal afflict.
  23. During fetal nucleus trounce advisering, changeable decelerations evince compression or prolapse of the umbilical verse.
  24. Cytomegalovirus is the guideing suit of connate viral contagion.
  25. Tocolytic therapy is evinced in too-present strive, but contrainvolved in fetal departure, fetal afflict, or cutting hemorrhage.
  26. Through ultrasonography, the biophysical profile assesses fetal good-luck by measuring fetal breathing motions, outrageous association motions, fetal pitch, reactive fetal nucleus trounce (nonstress touchstone), and superfluous amniotic careering work.
  27. A neonate whose dowager has diabetes should be assessed for hyperinsulinism.
  28. In a resigned delay preeclampsia, epigastric affliction is a advanced concomitant and requires instant medical intrusion.
  29. After a stillbirth, the dowager should be sanctioned to tarry the neonate to succor her conclude to conditions delay the departure.
  30. Molding is the mode by which the fetal crown diversifys form to smooth motion through the parentage canal.
  31. If a dowager receives a spinal stop antecedently endowment, the value should adviser the resigned’s rank hurry plugly.
  32. If a dowager suddenly becomes hypotensive during strive, the value should extension the document trounce of I.V. careerings as prescribed.
  33. The best technique for assessing jaundice in a neonate is to bleach the tip of the nose or the area exact over the umbilicus.
  34. During fetal nucleus advisering, present deceleration is suitd by compression of the crown during strive.
  35. After the placenta is delivered, the value may add oxytocin (Pitocin) to the resigned’s I.V. disruption, as prescribed, to excite postpartum entanglement of the uterus and stimuadvanced lactation.
  36. Pica is a craving to eat nonfood items, such as sordidness, crayons, chalk, glue, ruefulness, or hair. It may happen during pregnancy and can expose the fetus.
  37. A generative resigned should conduct folic sarcastic besuit this nutrient is required for flying cell non-location.
  38. A dowager who is portico clomiphene (Clomid) to promote ovulation should be cognizant of the possibility of multiple parentages delay this garbage.
  39. If deficiencyed, cervical suturing is usually produced among 14 and 18 weeks’ gestation to reinforce an unfitted cervix and restrain pregnancy. The suturing is typically removed by 35 weeks’ gestation.
  40. During the pristine trimester, a generative dowager should abandon all garbages unnear doing so would impertinently pretend her heartiness.
  41. Most garbages that a obstruct-feeding dowager conducts show in obstruct calm.
  42. The Food and Garbage Administration has stated the forthcoming five categories of garbages inveterate on their virtual for causing parentage defects: A, no attraction of betray; B, no betray fix in lewds, but no studies accept been produced in women; C, lewd studies accept shown an impertinent property, but the garbage may be wholesome to women notwithstanding the virtual betray; D, attraction of betray, but its benefits may outbalance its betrays; and X, fetal anomalies distinguished, and the betrays clpresent outbalance the virtual benefits.
  43. A resigned delay a ruptured ectopic pregnancy commsimply has acid affliction in the inferior abdomen, delay spotting and cramping. She may accept abdominal rigidity; flying, shsanction respirations; tachycardia; and shame.
  44. A resigned delay a ruptured ectopic pregnancy commsimply has acid affliction in the inferior abdomen, delay spotting and cramping. She may accept abdominal rigidity; flying, shsanction respirations; tachycardia; and shame.
  45. The mechanics of endowment are pledge, depth and hiatus, interior order, extension, apparent order, amends, and expulsion.
  46. A presumable premonition of pregnancy, McDonald’s premonition is characterized by an quiet in flexing the association of the uterus counter the cervix.
  47. Amenorrhea is a presumable premonition of pregnancy.
  48. A generative dowager’s associate should abandon introducing air into the vagina during traditional sex besuit of the possibility of air embolism.
  49. The influence of rational chorionic gonadotropin in the rank or urine is a presumable premonition of pregnancy.
  50. Radiography isn’t usually used in a generative dowager besuit it may injury the developing fetus. If radiography is necessary, it should be executed simply succeeding 36 weeks’ gestation.

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