Motor Vehicle Injury
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Infants must be placed in rear facing car seat until age 2
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5 point harness for infants and children
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Adhere to manufacturer warnings and guidelines
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45 degree angle to prevent airway obstruction
Prioritization and Time management
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Nurses need to set priorities and meet needs of multiple clients
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Establish priority settings
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Prioritize systemic before local injury
Use of bulb syringe
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Suction nose and mouth if respiratory efforts are strong, muscle tone is good and HR
>100
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Suction below vocal chords using endotracheal if respirations are depressed
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Have suction equipment ready, especially if meconium aspiration is suspected
Neonatal abstinence Syndrome
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CNS sx; High pitched shrill cry, irritability, hyperactivity reflexes,
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Nasal flaring, yawing, mottling, high temp
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Poor feeding, projectile vomiting, uncoordinated sucking
Pain in Labor
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Sacral counter pressure
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Epidural is very effective
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Have narcan on hand
Contraceptives
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All medications require follow up appointments and proper adherence
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Hormonal medicines have risk and contraindication for pt with hx of risk of
thromboembolism
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Oral contraceptive effectiveness decreases when taking meds that affect liver enzymes,
such as anticonvulsants and antibitoitcs
Diabetes management in pregnancy
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Adjust insulin dosage to meet the insulin needs
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Needs increase during second and third trimester of pregnancy
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Administer subq
Management of lapro pt
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Monitor CBC, fluid status, anemia and infection status
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Ensure client is NPO for at least 6 hours
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Establish large bore 18 gauge catheter
Evaluate outcomes of postpartum patient
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Observe pt for signs of HELLP syndrome, eclampsia with hemolytic conditions
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Hyperreflexia is a sign of eclampsia
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Severe headache is sign of eclampsia
Post partum findings
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Blood pressure is usually unchanged in uncomplicated pregnancy
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Epigastric pain, putting edema are signs of eclampsia
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Should not be having bright red blood after 2 days
Anticipating provider prescription for postpartum client
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24 hour urine for protein and creatinine clearance
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Liver enzymes, CBC, blood profile
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Mag sulfate is seizure prophylactic
Post surgery complications
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Abd distention si sign of bleeding post C section
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Assess skin color, temperature sensation and cap refill
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Expected range for O2 is 95-100%
Hypovolemic Shock
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Massage dat fundus
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Drop is pressure is late sign of shock
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Tachycardia
Ectopic pregnancy
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Unilateral stabbing pain
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Abnormal implantation of fetus in the tubes
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Spotting
Vaginal infection
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White discharge is normal
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Smelly discharge is abnormal
Painful urination