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FM1 Test 2

Maternity

QuestionAnswer
Afterbirth Pains (After Pains) Painful uterine cramps that occur intermittently for approximately 2 or 3 days after birth. Result from uterus returning to normal invoulted condition. May be the cause of big baby, multiple fetuses or polyhydramnios.
Autolysis The self destruction of excess hypertrophied tissue (additional cells laid down during pregnency).
Diastasis Recti Abdominis The separation of large abdminal wall wall, can be the result of large baby or multiple fetuses
Involution The return of the uterus to a nonpregnant state
Lochia Vaginal discharge during the prerperium consisting of blood, tissue & mucus. There are 3 kinds
Name the 3 kinds of lochia Lochia rubra, locha serosa & locha alba
What and when does Lochia Rubra occur? It is bright, red, distinctly blood tinged vaginal flow that follows birth and lasts 2 to 4 days
What and when does Lochia Serosa occur? It consists of old blood, serum, leukocytes and tissue debris. The duration is 22 to 27 days. This follows Lochia rubia
What and when does Lochia Alba occur? Thin, yellowish to white vaginal discharge that follows lochia serous on about the tenth day after birth and may last for 10 to 14 days
Pelvic Relaxation Occurs later in life as the fascial supports of the pelvic structures lengthen and weaken
Puerperium Time right after the 3rd stage of labor, this lasts until invoultion of the uterus takes place lasting about 3 to 6 weeks. Also referred to as the 4th trimester of pregnancy
Subinvolution Failure of the uterus to reduce to its normal size and condtion after pregnancy
Couplet Care One nurse, educated in both mother & infant care, functions as the primary nurse for both. Also known as mother-baby care or single-room maternity care
Engorgement Swelling of the breasts, occuring as colostrum. Occurs about 72 to 96 hours after birth
Fourth Stage of Labor The first 1 or 2 hours after childbirth
Thrombus Blood clot obstruction a blood vessel that remains at the place where the placenta was formed
Uterine Atomy Relaxation of the uterus muscles, leads to postpartum hemorrhage
Warm Line A help line for families to access after hospital discharge. Offers support of newborn care & postpartum care
Acquaintance Process used by family to get to know or become familiar with the new infant. Very important step in attachment by eye contact, touching, talking & exploration
Attachment Specific and effective way to tie to another person
Becoming a Mother Transformation & growth of the mother identity
Biorhythmicity Cyclic changes that occur with established regularity; such as sleeping & eating patterns
Bonding Process by which parents, over time, form an emotional relationship with their baby
Claiming Process Process by which parents identify their new baby in terms of likeness to other family members, differences & uniqueness
En Face Face to face position in which the parent & infant faces are approximately 20 cm (8 inches) apart and on the same plane
Engrossment A parent's absorption, preoccupation, & interest in their infant.
Entrainment Infant responds to familiar sounds by moving their body in time to the rhythm to sounds, but don't respond to random. Baby gets excited to parents voice
Acrocyanosis Peripheral cyanosis; blue in color of hands and feet in most infants at birth that may persist for 7 to 10 days
Transition Period The unstable collective phases an infant goes thru during the first 6 to 8 hours after birth.
Surfactant This protein lines the alveoli of an infants lungs and it reduces surface tension
Thermoregulation The maintenance of balance between heat loss and heat production
Thermogenesis Creation of production of heat in the body
Brown Fat Is unique to newborns; nonshivering thermogenosis is accomplished & it increases metabolic activity in brain, heart & liver. More rich vascular & nerve supply than ordinary fat. Located: interscapula region, axillae, vertebrae, kidney & thoracis inlet
Cold Stress Excessive loss of heat that results in increased resperiations & nonshivering thermogensis to maintain core body temperature. Basal metabolic rate increases.
Meconium Greenish black viscous first stool formed during fetal life from the amniotic fluid and its constituents, intestinal secretions (including bilirubin) and cells (shed from the mucosa
Physiologic Jaundice Yellow tinge to skin & mucous membranes in response to increased serum levels of unconjugated bilirubin; not usually apparent until after 24 hrs; also called neonatal jaundice, physiological hyperbilirubinemia
Hyperbilirubinema Elevation of unconjugated serum bilirubin concentrations
Vernix Caseosa Protective gray-white fatty substance of cheesy consistancy covering the fetus skin
Caput Succedaneum Swelling of the tissue over the presenting part of the fetal head caused by pressure during labor
Cephalhematoma Extraversion of blood from ruptures vessels between a skull & its external covering, swelling is limited by the margins of the cranial bone affected. Does not cross a cranial suture line
Mongolian Spots Bluish gray or dark nonelvated pigmented areas usually found over the lower back & buttocks present at birth in some infants, primarily nonwhite; usually fade by school age
Nevi Stork bites, angel kisses, usually pink and easily blanched. Usually on face or head, fade by 2nd year of life, no clinical significance
Erythema Toxicum Transient rash. Lesions appear suddenly & anywhere. Thought to be an inflammatory response. AKA flea bite dermatitis. Appears within 24 to 48 hrs after birth & resolves spontaneously. Some say no known cause
Ortolani Maneuver Used to check infants hips for symmetry. May find hip dislocations
Moro Reflex Infants fingers fan out and form a "C" with index finger and thumb
Grasp Infants fingers curl around examiners fingers & toes curl downward
Babinski Sign Examiner runs finger along infants sole of foot on lateral side and across ball of feet. Infants toes hyperectend while big toe dorsiflexes
Habitation Psychologic & physiologic phenomenon wherby the response to a constant or repeated stimulus is decreased
Sleep Wake States Variations on the state of c nsciousness of infants. From deep sleep to extreme irritation
Milia Small white sebaceous glands that appear as tiny white pinpoint papules on the forehead, nose, cheeks and chin of the neonate
Neonate Period from birth thru first 28 days of life.
Signs of infant respiratory distress Nose flaring, retractions, grunting & seesaw respirations
Normal respirations of infants 30 to 60 - count for 1 minute as they are irregular
Normal heart rate for infants 100 to 160 beats per minute; their color is pink
Normal BP for an infant 60 to 80 mm HG / 40 to 50 mm Hg
Respiratory Distress Syndrone Persistent tachycardia (over 160 bpm)
Congenital Heart Block Persistent bradycardia (less than 120 bpm)
Name the 4 types of heat loss Convection, radiation, evaporation & conduction
Normal platelet count ranges 150,000 to 300,000 mm
Normal Leukocytes (WBC) counts 9,000 to 30,000 mm
How many times will a newborn void in the 1st 24 hours 1 time
How many times will the newborn void during the 2nd day 2 times
Do formula fed infants void more of less than breatfed babies void less
After the 4th day, all newborns void ______per 24 hrs 6 to 8 times
Breast fed infants should have how many stools per 24 hrs after 3 or 4 days when the mothers milk comes in? 3 stools per day
What is the bilirubin level that denote jaundice? 5 to 7 mg/dl
Kernicterus The most serius form of jaundice, bilirubin is deposited in the brain stem & basal ganglia. It can disrupt neuronal function & metabolism
Apgar Score Numeric expression of the condition of a newborn obtained by rapid assessment at 1 to 5 minutes of age.
Circumcision Excision of the prepuce (foreskin) of the penis, exposes the glans
Opthalmia Neonatorum Infectiin in the infants eyes. usually from gonorrheal, chlamydial or orther infection contracted when the fetus passes thru the birth canal
Phototherapy Use of lights to reduce serum bilirubin levels by oxidation of bilirubin into water soluble compounds that are processed in the liver and excreted in bile & urine
Colostrum First fluid from the breasts, rich in antibodies & high in protein. Speeds elimination of meconium. Occurs 72 to 96 hrs after birth
Demand Feeding Feeding baby by cues they exhibit indicating hunger
Growth Spurts Times of increased neonatal growth. Occurs at 10 days, 3 weeks, 6 weeks, 3 months and 6 months
Lactogensis Beginning of milk production
Let Down Reflex Release of milk in response to oxytocin
Mastitis Infection in a breast, usually a milk duct
Plugged milk ducts Milk ducts blocked by small curds of dried milk
Supply meets demand system Physiologic basis for determining milk production the volume of milk produced equals the amount removed from the breast
Oxytocin (pitocin) Strenghtens & coordinates uterine contractions
Reciprocity Infant body movement or behaviors that provides the observer with clues
Synchrony mutually rewarding interaction
Created by: CarolAnn