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Ch 12-13
Maternal Pediatric
| Question | Answer |
|---|---|
| attachment | the enduring emotional bond that develops between the parent and infant |
| boggy uterus | a uterus that feels soft and spongy, rather than firm and well contracted |
| bonding | development of a close emotional tie between the newborn and the parent or parents |
| breakthrough pain | occurs when the basal dose of analgesia does not control the pain adequately |
| colostrum | thin, yellowish, milky fluid secreted by the woman's breasts during pregnancy or just after delivery (before the secretion of milk) |
| diastasis recti abdominis | separation of the rectus abdominis muscle that supports the abdomen |
| dyspareunia | painful intercourse |
| en face | establishment of eye contact in the same plane between the caregiver and infant -extremely important to parent-infant bonding (mutual gazing) |
| grand multiparity | five or more pregnancies |
| involution | the shrinking or returning to normal size of the uterus, cervix, and vagina |
| lochia | uterine discharge composed of blood, mucus, tissue, and white blood cells during the postpartum period |
| postpartum blues | sometimes called "baby blues" - a temporary depression that usually begins on the third day after delivery and lasts 2-3 days, in which the woman may be tearful, having difficulty sleeping/eating, and feel generally let down |
| puerperium | the postpartum period |
| acrocyanosis | cyanosis of the hands and feet seen periodically in the newborn |
| Apgar | a scoring tool used as an immediate assessment of newborn adaptation and transition to extrauterine life |
| brown fat | a specialized form of heat-producing tissue found only in fetuses and newborns |
| caput succedaneum | edematous swelling of the soft tissues of the scalp caused by prolonged pressure of the occiput against the cervix during labor and delivery. The edema disappears within a few days |
| cephalohematoma | collection of blood between the periosteum and the skull caused by excessive pressure on the head during birth |
| cold stress | exposure to temperatures cooler than normal body temperature so that the newborn must use energy to maintain heat |
| epispadias | condition in which the opening of the urinary meatus is located abnormally on the dorsal (upper) surface of the glans penis |
| Epstein pearls | small white cysts found on the midline portion of the hard palate of some newborns |
| frontal-occipital circumference (FOC) | measurement of the widest circumference of the head -from the occipital prominence around to just above the eyebrows |
| Harlequin sign | characterized by a clown suit-like appearance of the newborn. Skin is dark red on one side of the body and the other side is pale. Dark red color is cause by dilation of blood vessels, and pale is caused by contraction of blood vessels. |
| hyperbilirubinemia | high levels of unconjugated bilirubin in the bloodstream (serum levels of 4-6 mg/dL and greater) |
| hypospadias | condition that occurs when the opening to the urethra is on the ventral (under) surface of the glans |
| jaundice | a yellow staining of the skin that occurs when a large amount of unconjugated bilirubin is present (serum levels greater than or equal to 4-6mg/dL) |
| lanugo | fine, downy hair that covers the skin of the fetus |
| meconium | first stools of the newborn |
| molding | elongation of the fetal skull to accommodate the birth canal |
| mottling | a red and white lacy pattern sometimes seen on the skin of newborns who have fair complexions |
| phimosis | adherence of the foreskin to the glans penis |
| physiologic jaundice (icterus neonatorum) | jaundice that occurs in a large number of newborns but has no medical significance -result of the breakdown of fetal red blood cells |
| pseudomenstruation | false menstruation - slight red-tinged vaginal discharge in female infants resulting from a decline in the hormonal level after birth compared to the higher concentration in the maternal hormone environment before birth |
| simian crease | a single straight palmar crease -an abnormal finding that is associated with Down Syndrome |
| smegma | the cheese-like secretion of the sebaceous glands found under the foreskin |
| surfactant | a substance found in the lungs of mature fetuses that keeps the alveoli from collapsing after they first expand |
| thermoregulation | regulation of temperature |
| thrush | a fungal infection (caused by Candida albicans) in the oral cavity |
| vernix caseosa | greasy, cheese-like substance that protects the skin during fetal life -consists of sebum and desquamated epithelial cells |
| lochia rubra | occurs during the first 3-4 days postpartum; small to moderate amount, is composed mostly of blood, is dark red in color, has a fleshy odor |
| lochia serosa | occurs during days 4-10, decreases to a small amount, takes on a brownish or pinkish color |
| lochia alba | occurs after day 10, becomes white or pale yellow because the bleeding has stopped, and the discharge is now composed mostly of white blood cells |
Created by:
ahoyyitbeaddi
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