NLE Pre-Test Review Flashcards

Vocabulary flashcards generated from the NLE Pre-Test material covering Fundamentals of Nursing, Maternal & Child Health Nursing, and Pediatric Health Nursing concepts.

Fifth Vital Sign

Recognized as pain, which is assessed alongside body temperature, pulse, respirations, and blood pressure.

Sequence of Abdominal Assessment

The specific order required for physical assessment of the abdomen: Inspection, Auscultation, and Palpation.

Diastolic Blood Pressure (Auscultation)

In adult blood pressure measurement, the best indication of diastolic pressure is the point at which the auscultated sounds completely disappear.

Cheyne-Stokes Breathing

A breathing pattern characterized by marked rhythmic waxing and waning of respirations from very deep to very shallow breathing, interrupted by temporary apnea.

Semi-Fowler's Position

A client position that promotes maximum lung expansion by elevating the head of the bed to an angle between 30^\bar{\text{o}} and 45^\bar{\text{o}}.

Pellagra

A nutritional deficiency disease caused by a lack of Vitamin B3 (Niacin) in the diet.

Nasogastric Tube Length Measurement

The method of measuring NGT insertion length by measuring from the tip of the nose to the earlobe and then to the xiphoid process.

Hematochezia

The passage of stool containing bright red blood, caused by lower gastrointestinal bleeding.

Betty Neuman's Nursing Theory

Conceptualizes nursing as a unique profession concerned with all variables (intrapersonal, interpersonal, and extrapersonal) affecting an individual's response to stressors.

Florence Nightingale's Environmental Theory

Defines nursing as the act of utilizing the environment of the patient to assist him in his recovery.

Counselor Role of the Nurse

The nursing role in which the nurse helps the client recognize and cope with stressful psychological or social problems, develop improved personal relationships, and promote personal growth.

Body Image

The way a person pictures and perceives his appearance and function, and how he compares himself with others.

Percussion (Chest Physiotherapy)

The manual technique of forcefully striking the skin over the lung fields with cupped hands to loosen secretions.

Partial Rebreather Mask

An oxygen delivery device equipped with a reservoir bag that must remain inflated during inspiration to ensure proper oxygen concentration.

Second Stage of Labor

The stage of labor that begins when the cervix is completely dilated to $10\,\text{cm}$ and ends with the birth of the infant.

Late Deceleration

A visual drop in fetal heart rate occurring after the peak of a contraction, caused by uteroplacental insufficiency and managed by actions such as administering oxygen via face mask.

Station -1

A fetal station measurement indicating that the fetal presenting part is located $1\,\text{cm}$ above the level of the ischial spines.

Variable Decelerations

Abrupt decreases in fetal heart rate seen on external monitor tracings during contractions, caused by umbilical cord compression.

Episodic Accelerations

Transient accelerations in fetal heart rate that are not tied to uterine contractions, indicating fetal well-being.

Signs of Placental Separation

Clinical signs observed after delivery, including lengthening of the umbilical cord and a sudden spurt of blood from the vagina.

Protruding Umbilical Cord Management

An emergency management procedure where the nurse performs a vaginal examination, applies upward digital pressure to the presenting part to relieve pressure, and places the mother in a knee-chest position.

Lactation Suppression

Postpartum interventions for non-breastfeeding mothers to stop milk production, including applying ice bags and avoiding pumping or breast stimulation.

Displaced Uterine Fundus

A postpartum fundus that is firm, elevated above the umbilicus, and displaced to the right, indicating a full bladder; managed by assisting the client to void.

Magnesium Sulfate Toxicity

A adverse complication during PIH therapy indicated by deep tendon reflexes of $+1$, respiratory rate below $12\,\text{breaths/minute}$ (e.g., $10\,\text{breaths/minute}$), and urine output below $30\,\text{mL/hour}$ ($20\,\text{mL/hour}$); requires immediate discontinuation of the infusion.

Chadwick's Sign

A bluish discoloration of the cervix and vaginal mucosa caused by increased vascularity due to elevated estrogen levels during pregnancy.

Corpus of the Uterus

The main, central body of the uterus located between the fundus and the cervix.

Hirschsprung's Disease

A congenital intestinal disorder in newborns manifested by the failure to pass meconium within the first $24\text{--}48\,\text{hours}$ of life.

Patent Ductus Arteriosus (PDA)

A congenital heart anomaly in a newborn characterized by a loud, machinery-like murmur on auscultation.

Neutral Thermal Environment

An environment maintained for a neonate to prevent cold stress, which increases oxygen consumption and metabolic rate.

Pincer Grasp

A fine motor skill where an infant picks up objects using the thumb and index finger, typically demonstrated between $9$ and $12\,\text{months}$ of age.

Growth Hormone Deficiency (Pediatric)

A disorder resulting in slow growth rate, small stature, immature facial appearance, and a chubby body, while maintaining normal body proportions and intelligence.

Type 1 Diabetes Mellitus

An autoimmune condition in which the body does not produce insulin, requiring daily subcutaneous insulin injections rather than oral hypoglycemic pills.