Maternal Child Final Exam- Rasmussen

What is the first line treatment for anaphylactic shock? What teaching do we need to do with patients who are at risk for anaphylactic shock and are prescribed an epi pen? {Ans: Epi-Pen, then emergency room for immediate treatment even if epi is effective.}What is the priority nursing intervention with a prolapsed cord? {Ans: Two fingers in to lift pressure off cord until baby is out call provider immediately}What are epiphyseal lines and when do they close? {Ans: Ossified growth plate Closure happens at 16-17yrs for females *18-20 yrs in males.*}Nursing care/goal for a patient with meningitis. (Infection of the cerebral meninges) {Ans: Plan precautions for seizures/ Initiate respiratory precautions Children may hold their back arched and their neck hyperextended (opisthotonos) fontanelles may bulge upward and feel tense, sharp pain when they bend their head forward, newborn, poor sucking, weak cry and lethargy Fever *Pain control* Mental Status/ Vital Signs *Dexamethasone/ Mannitol to reduce ICP.*}Nursing interventions for seizures: {Ans: *Lay on side* pillow for head *loosen restrictive clothing* *protect airway* *provide safe environment.*}What are common treatments for croup? (Think medications) {Ans: Cool moist air combined with a corticosteroid, such as dexamethasone, or *racemic epinephrine