Podcast
Questions and Answers
What defines an infant as Small for Gestational Age (SGA)?
What defines an infant as Small for Gestational Age (SGA)?
Which factor is NOT listed as a cause of Small for Gestational Age (SGA) infants?
Which factor is NOT listed as a cause of Small for Gestational Age (SGA) infants?
What is a potential nursing diagnosis for an SGA infant related to their birth condition?
What is a potential nursing diagnosis for an SGA infant related to their birth condition?
Which assessment method is NOT typically used for SGA infants?
Which assessment method is NOT typically used for SGA infants?
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What appearance characteristic is NOT commonly associated with Small for Gestational Age (SGA) infants?
What appearance characteristic is NOT commonly associated with Small for Gestational Age (SGA) infants?
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What physical feature in SGA infants may cause difficulty in regulating protein, glucose, and bilirubin?
What physical feature in SGA infants may cause difficulty in regulating protein, glucose, and bilirubin?
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What is a measurement used to assess fetal lung maturity?
What is a measurement used to assess fetal lung maturity?
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What is the purpose of administering corticosteroids to the mother 2-3 days prior to premature delivery?
What is the purpose of administering corticosteroids to the mother 2-3 days prior to premature delivery?
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Which nursing diagnosis is related to immaturity of the newborn’s lungs and diminished surfactant?
Which nursing diagnosis is related to immaturity of the newborn’s lungs and diminished surfactant?
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What is an action used to manage respiratory distress syndrome in newborns?
What is an action used to manage respiratory distress syndrome in newborns?
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What are amniotic fluid phospholipid levels useful for assessing in fetuses?
What are amniotic fluid phospholipid levels useful for assessing in fetuses?
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Which factor is associated with a risk for imbalanced nutrition in newborns?
Which factor is associated with a risk for imbalanced nutrition in newborns?
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What should be monitored frequently when managing a burn injury patient?
What should be monitored frequently when managing a burn injury patient?
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Why is it important to assess the amount of urine obtained when a urinary catheter is inserted in a burn patient?
Why is it important to assess the amount of urine obtained when a urinary catheter is inserted in a burn patient?
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In what scenario would cardiac monitoring be initiated for a burn patient?
In what scenario would cardiac monitoring be initiated for a burn patient?
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What should be arranged for patients with facial burns based on the provided information?
What should be arranged for patients with facial burns based on the provided information?
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Why is it important to assess the depth of wound in a burn injury patient?
Why is it important to assess the depth of wound in a burn injury patient?
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What aspect of neurologic status should be assessed in a burn injury patient?
What aspect of neurologic status should be assessed in a burn injury patient?
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How can healthcare providers prevent complications of immobility in patients?
How can healthcare providers prevent complications of immobility in patients?
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What is a recommended method for preventing contractures and hypertrophic scarring after wound closure?
What is a recommended method for preventing contractures and hypertrophic scarring after wound closure?
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What is recommended to promote comfort during the healing phase?
What is recommended to promote comfort during the healing phase?
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How can healthcare providers assist patients in developing coping strategies?
How can healthcare providers assist patients in developing coping strategies?
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Why is it important to encourage early sitting and ambulation in patients?
Why is it important to encourage early sitting and ambulation in patients?
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What should healthcare providers monitor for when applying splints or functional devices for contracture control?
What should healthcare providers monitor for when applying splints or functional devices for contracture control?
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Study Notes
Maternal and Child Health Nursing Care
- The nursing care of at-risk/high-risk/sick clients (newborn/children) aims to promote health, prevent disease, restore and maintain health, and rehabilitate.
Small for Gestational Age (SGA)
- SGA infants are born with a birth weight below the 10th percentile on an intrauterine growth curve for that age.
- Causes of SGA include:
- Mother's nutrition
- Placental anomaly
- Women with systemic diseases
- Smoking and using narcotics
- Intrauterine infections
- Chromosomal abnormalities
- Assessment of SGA:
- Prenatal: fundic height, sonogram, biophysical profile, and ultrasound
- Appearance: below average weight, length, and head circumference, wasted appearance, small liver, wide skull sutures, dull and lusterless hair, and sunken abdomen
- Nursing diagnoses:
- Ineffective breathing pattern related to underdeveloped body systems at birth
- Risk for ineffective thermoregulation related to lack of subcutaneous fat
- Risk for impaired parenting related to child's high-risk status and possible cognitive impairment from lack of nutrients
- Nursing interventions:
- Assess daily weights
- Monitor respiratory rate, depth, and character
- Provide parental teaching and emotional support
- Encourage bonding
Respiratory Distress Syndrome (RDS)
- Prevention and treatment:
- Delay labor until fetal lung maturity
- Postnatal surfactant replacement therapy with oxygen and ventilator support
- Medications
- Regular prenatal check-ups
- L/S ratio (lecithin/sphingomyelin) to assess fetal lung maturity
- Nursing diagnoses:
- Impaired gas exchange related to immaturity of the newborn's lungs and diminished surfactant
- Risk for imbalanced nutrition, less than body requirements
- Ineffective breathing pattern related to surfactant deficiency, alveolar instability, and pulmonary immaturity
- Impaired gas exchange related to immature alveolar structure and inability to maintain lung expansion
Burn Care
- Nursing interventions:
- Assess circumstances surrounding the injury
- Monitor vital signs, respiratory status, and apical, carotid, and femoral pulses
- Measure fluid intake and output
- Monitor body temperature, body weight, and history of pre-burn weight
- Assess neurologic status, pain, and anxiety levels
- Check peripheral pulses on burned extremities hourly
- Promote comfort during healing phase with oral antipruritic agents, a cool environment, and frequent lubrication of the skin
- Prevent complications of immobility by deep breathing, turning, and proper repositioning
- Encourage early sitting and ambulation
- Apply splints or functional devices to extremities for contracture control
- Strengthen coping strategies by setting specific expectations, promoting truthful communication, and giving positive reinforcement
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Description
Test your knowledge on caring for mothers and children at risk or with health problems in the NCM 109 Maternal and Child Health Nursing course. This quiz covers topics such as acute and chronic conditions and nursing care techniques. Get ready to assess your understanding of maternal and child healthcare practices!
