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Maternity Final 105

Maternity Final CCC PN105

Dick-Read pain relief education and relaxation techniques to interrupt tension cycle
Bradley pain relief husband-coached childbirth, slow abdominal breathing and relaxation techniques
Lamaze pain relief mental techniques to respond to contraction with relaxation rather than tension, mental and breathing techniques
Effleurage pain relief stimulating large-diameter nerve fibers that inhibit painful stimuli traveling through small-diameter fibers, circular movements on abdomen
Sacral Pressure pain relief firm pressure against lower back
Thermal Stimulation pain relief heat by warm blanket or water-filled glove, cool cloth on face
Positioning pain relief relieves muscle fatigue and strain and promotes normal labor
Diversion and Distraction pain relief focal point, imagery, music, and television
Slow-Paced Breathing pain relief beathing slowly as during sleep, 6-9 breathes per minute
Modified Paced Breathing pain relief breathing rapidly and shallowly at no more than twice the usual rate
Patterened Paced Breathing pain relief rapid breaths punctuated with intermittent slight blows, the pant-blow or hee-hoo method
Narcotic Analgesics pain relief opiods in small doses to avoid fetal depression, avoided in birth expected within an hour
Narcotic Antagonist pain relief Narcan (naloxone) used to reverse respiratory depression caused by opiod drugs
Adjunctive Drugs pain relief enhance pain-relieving action of analgesics and reduce nausea; Vistoril or Phenergan
Regional Analgesics/Anesthetics pain relief placement of anesthetic in epidural or subarachnoid space
Local Infiltration regional analgesic injection of perineal area for episiotomy, given right before delivery
Epidural Block regional analgesic blocks pain transmissions to brain; must have good blood counts, give 500ml fluid prior, check bladder q2h, given after cervix is dilated to 4
Spinal (subarachnoid) Block regional analgesic blocks pain transmissions to brain; one shot block d/t no reinjection of drug, may cause postspinal headache
complete uterine rupture hole through uterine wall from uterine cavity to abdominal cavity
incomplete uterine rupture uterus torn into nearby structure like a ligament, but not into abdominal cavity
dehiscence uterine rupture old uterine scar that separates, usually from previous c section
incision least likely to rupture low transverse incision
signs of uterine rupture shock, abdominal pain, pain in chest between scapula with inspiration, cessation of contractions, abnormal/absent fetal heartbeat, palpation of fetus outside of uterus
treatment of uterine rupture surgery to deliver fetus and stop bleeding, hysterectomy
breastfeeding frequency every 2-3 hours
breastfeeding duration at least 10 minutes each breast, do not switch back and forth multiple times during session
correct way to breastfeed start with breast not used first in previous session, hold breast in C position with thumb above nipple and fingers below it, allow nipple to brush against infant lower lip to latch on, break suction before removing
pregnancy and rubella vaccine not given during pregnancy, can be give at least one month prior to pregnancy or in immediate postpartum period
normal uterus postpartum fundus is midline, at or below the umbilicus, as a firm mass the size of a grapefruit; drops about 1cm per day
oral contraceptives taken daily to prevent pregnancy, they stop body from releasing egg
Pitocin medication that stimulates uterine contractions, give antepartum to induce contractions or postpartum to stop uterine bleeding
Magnesium Sulfate medication to stop labor, can cause fetal drowsiness and cause a warm flush when started
breastfed infant stools bright yellow, soft, pasty, like mustard seeds
Toxic Shock Syndrome (TSS) sudden spiking fever, flulike symptoms, hypotension, generalized sumburn type rash, skin peeling on palms and soles; change tampon q4h to help prevent
pseudomenstruation when female infant appears to have menstrual bleeding due to sudden stop in maternal hormones
treatment of hot flashes layered clothes, avoidance of caffiene, lessen stress, relaxation, HRT, vitamin E/ginseng
newborn reflexes head lag, moro, rooting, tonic neck, dancing
hydrocephalus increase of cerebrospinal fluid within the ventricles of the brain causing pressure changes and increased head size
respiratory distress syndrome lung immaturity leading to decreased gas exchange; deficient synthesis of surfectant; respirations above 60/min
normal findings in newborns head molding, fontanelles, cross-eyes, small ears, sleep 15-20h/day, temp 97.8-98.9, acrocyanosis, pulse 110-160, respirations 30-60, length 19-21.5in, weight 6-9lbs
infant of diabetic mother hyperglycemia, hyperinsulinism, macrosomia, prone to injuries, low glucose upon delivery
cleft palate failure of hard palate to fuse at midline, forms passageway between nasopharynx and nose complicating feeding and leading to respiratory infections; treatment repairs the cleft
cleft lip fissure or opening in the upper lip resulting in failure of maxillary and median nasal processes to unite; treatment is surgical by 3 mos
testosterone increases musle mass/strength, promotes growth of long bones, increases basal metabolic rate, enhances red blood cell production, enlarges vocal cords, affects body hair distribution
male reproductive structures external: penis and scrotum; internal: testes, vas deferens, prostate, seminal vesicles, ejaculatory ducts, urethra, and accessory glands
puberty period of rapid change involving whole body and psyche as well as societal expectations; begins when secondary sex characteristics appear and when sperm mature/regular menstrual cycles occur
female hormones FSH and LH stimulate maturation of follice in ovary, estrogen and progesterone enlarge the endometrium, LH releases ovum
oogenesis mirosis of ovum
fimbriae fingerlike projections from infundibulum part of fallopian tube that hover over each ovary and capture ovum as released
Chadwicks sign of pregnancy purple/blue discoloration of cervix, vagina, and vulva
dietary adjustment during pregnancy additional 300 cal/day and increased folic acid and calcium, 60g protein/day, 30 iron/day, limited caffiene
dietary adjustment during breastfeeding additional 500 cal/day, no caffiene
pregnancy induced hypertension - preeclampsia gestational hypertension with proteinuria
pregnancy induced hypertension - eclampsia progression of preeclampsia with convulsions
pregnancy induced hypertension increased BP of 30/15 above normal BP
rubella during pregnancy microcephaly, menthal retardation, congenital cataracts, deafness, cardiac defects, intrauterine growth restriction
Rh factor incompatibility when mother is Rh- and fetus is Rh+, RhoGAM given at 28wks gestation and within 72hrs after birth
Rh factor sensitivity mother destroys Rh+ cells; Coombs tests, amnicentesis, umbilical cord sampling to test
folic acid in pregnancy prevents neural tube defects like spina bifida
frequency of labor contractions elapsed time from beginning of one contraction to beginning of next contraction; more often than 2 min should be reported
vertex presentation fetal chin flexed onto chest - most common and favorable presentation
military presentation fetal head is neither flexed nor extended
brow presentation fetal head is partly extended
face presentation fetal head is fully extended and face presents
Frank breech presentation fetal legs are flexed at hips and extend outwards toward shoulders - most common breech
full/complete breech presentation reversal of cephalic presentation; feel and butt present at cervix
footling breech presentation one or both feet present at cervix
meconium infant's first stool; signals problems if passed in utero; black, tarry, sticky, green color
amniotic fluid should be clear with flecks of vernix, 500-1000mL; green shows meconium passed; cloudy or yellow indicates infection
first stage of labor latent, active, and transition phase (dilation and effacement, membranes rupture, bloody show)
second stage of labor expulsion of fetus (30m-2h)
third stage of labor expulsion of placenta (5-30min)
fourth stage of labor recovery (lochia rubra)
false labor irregular contractions, relieved by walking, discomfort in abdomen and groin, no bloody show, no effacement or dilation
true labor contractions regular and more frequent, stronger with walking, discomfort in lower back and lower abdomen, bloody show, effacement and dilation
postpartum hemorrhage blood loss greater than 500-100mL after birth, can occur 24h-6wks after birth
apgar score heart rate, respiratory effort, muscle tone, reflex response, skin color (2 pts each); 8-10 is good; 4-7 is ok; below 3 neans active rescustation
Created by: cmp12345
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