RNC-MNN Questions and answers, 100% Accurate. Rated A

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RNC-MNN Questions and answers, 100% Accurate. Rated A Medication administered for meconium aspiration in neonate - ✔✔-Beractant (survanta) Spina Bifida occulta - ✔✔-Gap in spine, without s... pinal opening or sac protrusion Craniosynostosis - ✔✔-Premature fusion of cranial sutures. Absence of fontanels, misshapen head that doesn't resolve in a few days, and hard raised ridge along affected sutures. Diaphragmatic hernia in neonate - ✔✔-Scaphoid abdomen and decreased left breath sounds. Tx:immediate intubation and insertion of orogastric tube to help with ventilation and decompress stomach in order to maximize lung inflation Spo2 for neonate in transition period - ✔✔-1 min- 60-65% increase by 5% each min until 10min 85-90% Café au lait spots - ✔✔-Multiple flat irregular spots. Possibly indicates neurofibromatosis (genetic disease that affects skeletal/neuro development and cell proliferation involution of the uterus - ✔✔-the uterus returns to its normal nonpregnant size HELLP syndrome - ✔✔-hemolysis, elevated liver enzymes, low platelets (<100,000) HELLP syndrome labs to determine syndrome class of 1,2,3 - ✔✔-CBC, AST/ALT and LDH (lactate dehydrogenase) Hemolysis, elevated liver enzymes, low platelets Congenital torticollis in neonate appearance - ✔✔-Asymmetrical face, head positioned as if infant is looking over shoulder Phenylketonuria - ✔✔-A human metabolic disease caused by a mutation in a gene coding for a phenylalanine processing enzyme (phenylalanine hydroxylase), which leads to accumulation of phenylalanine and mental retardation if not treated; inherited as an autosomal recessive phenotype. PKU diet restrictions - ✔✔-Low protein, no artificial sweeteners, limited breastfeeding Desquamation post term infant - ✔✔-Peeling, cracking, dry skin Calorie requirements neonate - ✔✔-100 kcal/kg/day (premature 120-150) Absent moro reflex - ✔✔-Indication of bilirubin encephalopathy (kernicterus) Change of lochia - ✔✔-Rubra, serosa, alba Closure of PDA - ✔✔-(Pulmonary ductus arteriosus) 24 hours. infants with transposition of great arteries, pda may need to be kept open TTN (transient tachypnea of the newborn) - ✔✔-respiratory distress in a term infant related to to delayed absorbtion of fluid in lungs from delivery. Should not last more than 6hrs Lab indicates fetal lung maturity - ✔✔-Lecithin-sphingomyelin (L/S) ratio of 2:1 they are components of Lin surfactant Cause of neonatal/congenital pneumonia - ✔✔-Staphylococcus epidermidis, group b strep, E. coli, ureaplasma urealyticum. Or viral (hsv, hiv) Risk for abo incompatibility - ✔✔-Mom o, infant a or b puerperal infection - ✔✔-infection of the reproductive tract at any time during the 6 weeks following birth Para - ✔✔-delivery of a live/stillborn fetus >20wks nullipara - ✔✔-a woman who has not given birth to a viable offspring, >20wks HCG - ✔✔-human chorionic gonadotropin gestational sac - ✔✔-can be seen 5-6 weeks transabdominally, 3-4 transvaginally Maternal Weight Gain - ✔✔-Healthy weight BMI: 25 to 35 lb 1st trimester: 3.5 to 5 lb 2nd & 3rd trimesters: 1 lb/week BMI < 19.8: 28 to 40 lb 1st trimester: 5 lb 2nd & 3rd trimesters: 1+ lb/week BMI > 25: 15 to 25 lb 1st trimester: 2 lb 2nd & 3rd trimesters: 2/3 lb/week assisted reproductive technology (ART) - ✔✔-any infertility treatment in which the egg is fertilized outside the womb Gamete intrafallopian transfer (GIFT) - ✔✔-procedure in which the sperm and ovum are placed directly in a fallopian tube intracytoplasmic sperm injection - ✔✔-fertilization accomplished by injecting a sperm cell directly into an egg invitro fertilization - ✔✔-Fertilization occurs in a petri dish in a lab, and then the fertilized eggs are implanted into the female. zygote intrafallopian transfer (ZIFT) - ✔✔-procedure in which an egg is fertilized in the laboratory and then placed in a fallopian tube. From there they travel to the uterus to implant amenorrhea - ✔✔-absence of menstruation Surfactant - ✔✔-any substance that interferes with the hydrogen bonding between water molecules and thereby reduces surface tension positive pressure ventilation - ✔✔-a technique that uses a mechanism such as a mechanical ventilator to force air into the lungs to provide breathing assistance Biophysical Profile (BPP) - ✔✔-Method for evaluating fetal status during the antepartum period based on five variables originating with the fetus: fetal heart rate, breathing movements, gross body movements, muscle tone, and amniotic fluid volume. Serum creatinine levels - ✔✔-normal is between 0.6 and 1.3, 0.5-0.9 during pregnancy (higher than 1.1 indicates preeclampsia) polyhydramnios - ✔✔-> 2000 ml of amniotic fluid preeclampsia vs gestational HTN - ✔✔-Preeclampsia: abnormal condition associated with pregnancy, marked by high blood pressure, proteinuria, edema, and headache; GHTN: Hypertension without proteinuria proteinuria level in mild vs severe preeclampsia levels - ✔✔-mild= 24 hour urine > 300mg severe=24 hour urine > 5 grams Severe preeclampsia - ✔✔-This disorder is defined as maternal BP of 160/100 mm Hg or greater, protenuria greater than 3+, oliguria, elevated Cr greater than 1.2mg/dLm visual disturbances, hyperreflexia, pulmonary/cardiac involvement, extensive peripheral edema, hepatic dysfunction & thrombocytopenia Disseminated Intravascular Coagulation (DIC) - ✔✔-condition in which small blood clots develop throughout the bloodstream, blocking small blood vessels. The increased clotting depletes the platelets and clotting factors needed to control bleeding, causing excessive bleeding. Aldomet - ✔✔-Methyldopa Antihypertensive Procardia - ✔✔-nifedipine (calcium channel blocker) vasodilator that has minimal affect on cardiac conduction and heart rate Labetalol - ✔✔-Trandate beta blocker, vasodilator, contraindicated in asthma and heart failure pts Hydralazine - ✔✔-Apresoline, vasodilator, relaxes smooth muscle. Increases heart contractility, HR, and o2 consumption. Contraindicated in lupus pts Novolog - ✔✔-insulin aspart; rapid acting; Onset:15m, Peak:30-90m, Duration:3-5h Humalog - ✔✔-insulin lispro; rapid acting; Onset:15m, Peak30-90:, Duration:3-5h Humulin R, Novolin R - ✔✔-Regular Insulin; Short acting; Onset:30-60m, Peak:2-4h, Duration:5-8h Humulin N, Novolin N - ✔✔-NPH; intermediate acting; Onset:1-3h, Peak:8h, Duration:12-16h Mixing Insulin - ✔✔-Rapid acting or Regular insulin (clear) can be mixed with NPH (cloudy). Air:cloudyclear, then pullup clear-cloudy Lantus can NOT be mixed with other insulin. Lantus - ✔✔-insulin glargine; long acting; Onset:1-1.5h, Peak:none, Duration:20-24h oligohydramnios - ✔✔-<500 ml amniotic fluid Apgar scale - ✔✔-appearance, pulse, grimace, activity, respiration 1,5,10min Reactive NST - ✔✔-Acceleration > 15 bpm for 15 seconds in 20 minutes (<32wks, 10x10) brick dust urine - ✔✔-normal if within 48hrs, urate deposits Coombs test - ✔✔-a test for the presence of anti-Rh factor antibodies in the blood (this is often given to pregnant women that are Rh- to see if they will mount an immune response against the blood of their fetus) L/S ratio - ✔✔-The lecithin-sphingomyelin ratio (components of surfactant) is a test for assessing fetal lung maturity. An L/S ratio of 2:1 or more indicates a relatively low risk of infant respiratory distress syndrome, and an L/S ratio of less than 1.5 is associated with a high risk of infant respiratory distress syndrome. (from amniotic fliud) Phosphatidyglycerol (PG) - ✔✔-2nd most abundant component in surfactant. appears around 35wks. Presence shows lung maturity. More accurate than L/S ratio in determining RDS risk at delivery. (from amniotic fliud) amniocentesis - ✔✔-the sampling of amniotic fluid using a hollow needle inserted into the uterus, to screen for developmental abnormalities in a fetus. 15-20wks for genetic diagnosis, 30-35 wks for lung maturity. Quad screen - ✔✔-the maternal blood test that includes analysis of HCG, AFP, estriol and inhibin-A to determine risk of genetic abnormalities. Done at 16-20wks. Trisomy 21 - ✔✔-condition in which an individual has three number 21 chromosomes, resulting in Down syndrome Trisomy 18 (Edwards Syndrome) - ✔✔-Trisomy 18 1 in 6,000 80% are female Most die before birth Increased risk with increased maternal age Feats: CARDIAC: VSD/ASD, PDA, CoA, Bicuspid aortic/pulm valv [Show More]

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