postpartum 1 Word Scramble
A Y R I E N O P H T T
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| Question | Answer |
| Retinopathy of prematurity (ROP) rerolental fibroplasia) | eye matures at 34 weeks. Can cause retinal detachment--caused by high blood levels of 02. |
| Attachment | Development of strong affectional ties as a result of interaction between an infant and a significant other. |
| Habilitation | to minimize the child's disability-with meningomyelocele there may be paralysis, loss of bowel and bladder control |
| Low-birth-weight infant | Infant whose weight is less than 2500 g (5 lb, 8 oz) at birth. |
| Cleft Lip and Palate | slight to severe, repaired at 3 months, palate repaired 12-18 months. long term dental and speech problems after repair. |
| Kegel exercises | Alternate contracting and relaxing of the pelvic floor muscles to strengthen them. |
| Nevus flammeus | Permanent purple birthmark; also called portwine stain. |
| hydrocephalus | Increase of cerebrospinal fluid with the ventricles of the brain, causes increased ICP and increased head size. |
| Ophthalmia neonatorum | Severe conjunctivitis in the newborn often caused by gonorrhea or chlamydia infection in the mother. May cause blindness. |
| Craniosynostosis | Premature closure of the sutures of the infant's head. |
| Choanal atresia | Abnormality of the nasal septum that obstructs one or both nasal passages. |
| Involution | Retrogressive changes that return the reproductive organs, particularly the uterus, to their nonpregnant size and condition. |
| Jaundice | Yellow discoloration of the skin and sclera caused by excessive bilirubin in the blood; also called icterus. |
| Trunk incurvation | stroking of the spine causes the pelvis to turn to the stimulated side. |
| Reciprocal bonding behaviors | Repertoire of infant behaviors that promotes attachment between parent and newborn. |
| Lochia alba | White, cream-colored, or light yellow vaginal discharge that follows lochia serosa. |
| Preterm problems with Infants | immature alveoli of the lungs, weak, undeveloped muscles in the chest, weak, immature cough adn gag reflex, deficient amount of surfactant |
| Nevus vasculosus | Rough, red collection of capillaries with a raised surface that disappears with time. Also called strawberry hemangioma. |
| First period of reactivity | Period beginning at birth in which newborns are active and alert. It ends when the infant first falls asleep. |
| LGA | weight above the 90th% |
| Epispadias | Abnormal placement of the urinary meatus on the dorsal side of the penis. |
| Apneic spells | Cessation of breathing for more than 20 seconds, or accompanied by cyanosis or bradycardia. |
| Hypovolemia | Abnormally decreased volume of circulating fluid in the body. |
| Down Syndrome/trisomy 21 | most common genetic disorder. close eyes, round face, protruding tongue, mental retardation, limp flaccid posture. |
| Galactosemia effects if untreated | cataracts, mental retardation and cirrhosis of the liver |
| Café au lait spots | Light brown birthmarks. |
| Fourth trimester | First 12 weeks after birth, a time of transition for parents and siblings. |
| Second period of reactivity | Period after the first sleep following birth when the newborn may have an elevated pulse and respiratory rate and excessive mucus. |
| Brown fat (or brown adipose tissue) | Highly vascular specialized fat found in the newborn that provides more heat than other fat when metabolized. |
| Jaundice | Yellow discoloration of the skin and sclera caused by excessive bilirubin in the blood. |
| Caput succedaneum | Area of edema over the presenting part of the fetus or newborn, resulting from pressure against the cervix. Often called simply "caput." |
| Enteral feeding | Nutrients supplied to the gastrointestinal tract orally or by feeding tube. |
| Oxytocin | Posterior pituitary hormone that stimulates uterine contractions and the milk-ejection reflex. Also prepared synthetically. |
| Small-for-gestational-age infant | An infant whose size is below the 10th percentile for gestational age. |
| Before 34 weeks | hard time coordinating sucking, swallowing, and breathing |
| Thermoregulation | Maintenance of body temperature. |
| Hyperbilirubinemia | Excessive amount of bilirubin in the blood. |
| Poor control of body temp | lack brown fat, lg surface area, lose excessive heat, immature theroregulatory center, inable to shiver, inactive, high metabolic rate |
| Plagiocephaly | Flattening or asymmetry of the head |
| Hypospadias | Abnormal placement of the urinary meatus on the ventral side of the penis. |
| Taking-hold | Second phase of maternal adaptation, during which the mother assumes control of her own care and initiates care of the infant. |
| PT-Immature kidneys | prone to dehydration and edema, electrolyte imbalance. |
| Entrainment | Newborn movement in rhythm with adult speech, particularly high-pitched tones, which are more easily heard. |
| Point of maximum impulse | Area of the chest in which the heart sounds are loudest when auscultated. |
| Subinvolution | Delayed return of the uterus to its nonpregnant size and consistency. |
| Nevus simplex (salmon patch | stork bites, telangiectatic nevi), Flat, pink areas on the nape of the neck, forehead, or eyelids resulting from dilation of the capillaries. |
| Hip Dysplasia | head of the femur is partly or completely displaced as a result of shallow acetabulum (hip socket) |
| Necrotizing Enterocolitis (NEC) | An acute inflammation of the bowel that leads to necrosis-due to hypoxia and decreased blood supply to the bowel. |
| Transitional milk | Breast milk that appears between secretion of colostrum and mature milk. |
| REEDA | Acronym for redness, ecchymosis, edema, discharge, and approximation. Useful for assessing wound healing or the presence of inflammation or infection. |
| Puerperium | Period from the end of childbirth until involution of the reproductive organs is complete, approximately 6 weeks. |
| Molding | Shaping of the fetal head during movement through the birth canal. |
| Compliance | Stretchability or elasticity of the lungs and thorax that allows distention without resistance during respirations. |
| Treatment of Hemolytic disease | may receive an exchange blood transfusion |
| Corrected gestational age | Gestational age that a preterm infant would be if still in utero. May also be called developmental age. |
| Taking-in | First phase of maternal adaptation, during which the mother passively accepts care and comfort and details about the newborn. |
| Bronchopulmonary dysplasia | Chronic pulmonary condition in which damage to the infant's lungs requires prolonged dependence on supplemental oxygen. Also called chronic lung disease. |
| Mastitis | Inflammation of the breast, usually caused by engorgement with stasis of milk in the ducts or by infection. |
| Sibling rivalry | Feelings of jealousy and fear of replacement when a young child must share parental attention with a newborn infant. |
| Phototherapy | may be used to reduce serum bilirubin levels. under flouescent light, cover eyes and external genetalia in boys. |
| Afterpains | Cramping pain after childbirth, caused by alternating relaxation and contraction of uterine muscles. |
| Thermoregulation | Maintenance of body temperature. |
| Subinvolution | Slower than expected return of the uterus to its nonpregnancy size after childbirth. |
| Colostrum | Breast fluid secreted during pregnancy and the first 7 to 10 days after childbirth. |
| Barlow's test | when hips are adducted and extends the hips the examiner may feel the dislocation of the femur |
| Parenteral nutrition | Intravenous infusion of all nutrients known to be needed for metabolism and growth. |
| Hypovolemic shock | Acute peripheral circulatory failure caused by loss of circulating blood volume. |
| Let-down reflex | See milk-ejection reflex. |
| Thrombus | Collection of blood factors, primarily platelets and fibrin, that may cause vascular obstruction. |
| Hyperbilirubinemia | Excessive amount of bilirubin in the blood. |
| Neutral thermal environment | Environment in which body temperature is maintained without an increase in metabolic rate or oxygen use. |
| En face | Position that allows eye-to-eye contact between the newborn and a parent. |
| Chordee | Ventral curvature of the penis. |
| Latch-on | Attachment of the infant to the breast. |
| Periodic breathing | Cessation of breathing lasting 5 to 10 seconds followed by 10 to 15 seconds of rapid respirations without changes in color or heart rate. |
| Retinopathy of prematurity | Condition in which damage to blood vessels in the retina may cause decreased vision or blindness. |
| Nonshivering thermogenesis | Process of heat production, without shivering, by oxidation of brown fat. |
| Polycythemia | Abnormally high number of erythrocytes. |
| Respiratory distress syndrome | Condition caused by insufficient production of surfactant in the lungs; results in atelectasis, hypoxia, and hypercapnia (increased CO2). |
| Placenta accreta | Placenta that is abnormally adherent to the uterine wall. If the condition is more advanced, it is called placenta increta (the placenta extends into the uterine muscle) or placenta percreta (the placenta extends through the uterine muscle). |
| Bonding | Development of a strong emotional tie of a parent to a newborn. Also called claiming or binding in. |
| Stepping reflex | when held up, and newborns foot touches the ground, the other foot raises in a stepping motion. |
| Preterm infant | An infant born before the beginning of the 38th week of gestation. Also called premature infant. |
| Pathologic Jaundice (hyperbilirubinemia) | caused by anythiing that causes massive breakdown of red blood cells. occurs in 24hr after birth. |
| Hindmilk | Breast milk received near the end of a feeding; contains higher fat content than foremilk. |
| Episiotomy | Surgical incision of the perineum to enlarge the vaginal opening. |
| Lanugo | Fine, soft hair covering the fetus. |
| RDS-Respiratory Distress Syndrome | A result of immature lungs and a lack of surfactant—leads to decreased gas exchange. S&S several hours after birth—grunting, tachypnea, retractions, and nasal flaring |
| Pavlik harness | 1-6month hips in position of flexion and abduction |
| Engorgement | Swelling of the breasts that occurs when milk begins to be produced. |
| Pseudomenstruation | Vaginal bleeding in the newborn, resulting from withdrawal of placental hormones. |
| Diastasis recti | Separation of the longitudinal muscles of the abdomen (rectus abdominis) during pregnancy. |
| Prolactin | Anterior pituitary hormone that promotes growth of breast tissue and stimulates production of milk. |
| Atony | Absence or lack of usual muscle tone. |
| Bilirubin | Unusable component of hemolyzed (broken down) erythrocytes. |
| Necrotizing enterocolitis | Serious inflammatory condition of the intestines. |
| hyperbilirubenemia | jaundice with hemolytic disease |
| Erythroblastosis Fetalis | severe hemolytic reaction-causes severe anemia, cadiac decompensation, edema, acites, hypoxia, and possible fetal death. |
| Lochia rubra | Red vaginal discharge that occurs immediately after childbirth; composed mostly of blood. |
| Atony | Absence or lack of usual muscle tone. |
| Periodic breathing | Cessation of breathing lasting 5 to 10 seconds followed by 10 to 15 seconds of rapid respirations without changes in color or heart rate. |
| Prepuce | Fold of skin covering the glans penis; foreskin; may be removed by circumcision. |
| Cephalhematoma | Bleeding between the periosteum and skull from pressure during birth; does not cross suture lines. |
| Oxytocin | Hormone produced by the posterior pituitary gland that stimulates uterine contractions and the milk-ejection reflex; also prepared synthetically. |
| Foremilk | First breast milk received in a feeding. |
| Embolus | A mass that may be composed of a thrombus (blood clot) or amniotic fluid released into the bloodstream to cause obstruction of pulmonary vessels. |
| Syndactyly | Webbing between fingers or toes. |
| Spina Bifida Cystica | Cystic mass in the midline of the spine |
| Mature milk | Breast milk that appears after the first 2 weeks of lactation. |
| Preterm | <38 weeks |
| Milk-ejection reflex | Release of milk from the alveoli into the ducts; also known as the let-down reflex. |
| Milia | White cysts, 1 to 2 mm in size, from distended sebaceous glands. |
| Mongolian spots | Bruiselike marks that occur mostly in newborns with dark skin tones. |
| Vernix caseosa | Thick, white substance that protect |
| S &S of hydrocephalus | Increased head size, shiny scalp, veins dialted. sunset eyes (sclera seen above iris/pupils) shrill, high pitched cry, convulsions. |
| Minimal enteral nutrition | Very small feedings designed to help the gastrointestinal tract mature. Also called trophic feedings. |
| Polydactyly | More than 10 digits on the hands or feet. |
| Maple Syrup Urine Disease (MSUD) | causes elevation of leucine, isoleucine and valine result in acidosis, cerebral degeneration and death if not treated within 2 wks.---Diet low in branch chain amino-acids |
| Meninigomyelocele | contains membranes, spinal cord |
| Postpartum blues | Temporary, self-limited period of weepiness experienced by many new others beginning in the 1st week after childbirth. |
| Very-low-birth-weight infant | An infant weighing 1500 g (3 lb, 5 oz) or less at birth. |
| Transcutaneous oxygen monitoring | Method of continuous noninvasive measurement of oxygen in the blood by transducers attached to the skin. |
| talipes equinovarus | foot that is turned inward |
| Fundus | Part of the uterus that is farthest from the cervix, above the openings of the fallopian tubes. |
| Fetal lung fluid | Fluid that fills the fetal lungs, expanding the alveoli and promoting lung development. |
| Surfactant | Combination of lipoproteins produced by the lungs of the mature fetus to reduce surface tension in the alveoli, thus promoting lung expansion after birth. |
| Hydramnios | Excess volume of amniotic fluid (more than 2000 ml at term). Also called polyhydramnios. |
| Containment | A method of increasing comfort in infants by swaddling or other methods to keep the extremities in a flexed position near the body. |
| Large-for-gestational-age infant | An infant whose size is above the 90th percentile for gestational age. |
| Psychosis | Mental state in which a person's ability to recognize reality, communicate, and relate to others is impaired. |
| Tachypnea | Respiratory rate greater than 60 breaths per minute in the newborn after the first hour of life. |
| transillumination | shine a light to the head to see the extra fluid. it will turn red |
| Rooting reflex | Newborn turns head to the side and opens the lips to suck. When newborns mouth or cheek is touched. |
| Thermogenesis | Heat production. |
| Sucking reflex | when an object is placed in newborns mouth or lips. |
| Bronchopulmonary Dysplasia | Occurs in infants with immature lungs who have been on mechanical ventilation and high concentrations of oxygen. Results in atelectasis, edema and a stiffening of the membranes in the lungs and airway |
| Babinski reflex | fanning and hyperextension of all the toes; when the bottom of the foot is stroked from the heel upward across the ball of the foot. |
| Decidua | The endometrium during pregnancy. All except the deepest layer is shed after childbirth. |
| Metritis | Infection of the decidua, myometrium, and parametrial tissues of the uterus. |
| Periventricular-intraventricular hemorrhage | Bleeding around and into the ventricles of the brain. |
| Meningocele | contains a portion of membranes and CSF pocket/membrane protruding out, lump on back |
| Lactation | Secretion of milk from the breasts. Also describes the period of time of breastfeeding. |
| Kangaroo Care | skin to skin contact-placed directly on mom/dad's chest-helps calm, keep warm and promotes bonding |
| Dilation and curettage (D&C) | Stretching of the cervical os to permit suctioning or scraping of the walls of the uterus. The procedure is performed to obtain samples of uterine lining tissue for laboratory examination, during the postpartum period to remove retained placental fragment |
| Spica cast | thorax down the legs, the whole torso |
| possible causes of preterm birth | illness in the mother, placenta previa, smoking, drug abuse |
| Postterm infant | An infant born after 42 weeks of gestation. |
| Post term | >42 weeks |
| Mastitis | Infection of the breast. |
| Dyspareunia | Difficult or painful coitus in women. |
| Noncompliance | Resistance of the lungs and thorax to distention with air during respirations. |
| Strabismus | A turning inward ("crossing") or outward of the eyes caused by poor tone in the muscles that control eye movement. |
| Intrauterine growth restriction | Failure of a fetus to grow as expected for gestational age. |
| Letting-go | A phase of maternal adaptation that involves relinquishing previous roles and assuming a new role as a parent. |
| Ortolani's sign | abducting the thighs and applying gentle pressure forward over the greater trochanter produces a 'clunk" |
| Hematoma | Localized collection of blood in a space or tissue. |
| Acrocyanosis | Bluish discoloration of the hands and feet caused by reduced peripheral circulation. |
| Postmaturity syndrome | Condition in which a postterm infant shows characteristics indicative of poor placental functioning before birth. Also called dysmaturity syndrome. |
| PKU- phenylketonuria | autosomal recessive trait=among sexes. deficiency of the lack of the enzyme phenyalanine cannot convert to tyrosine and phylalanine accumulates in the blood. SEVERE retardation |
| Extremely low-birth-weight infant | An infant weighing 1000 g (2 lb, 3 oz) or less at birth. |
| Milk-ejection reflex | Release of milk from the alveoli into the ducts. Also called the letdown reflex. |
| Macrosomia | Infant birth weight above the 90th percentile for gestational age. Some sources use weight more than 4000 g (8 lb, 13 oz) or 4500 g (9 lb, 15 oz). |
| hemolytic diseases | babies RBC are being broken down. jaundice occurs in the 1st 24hrs |
| Suckling | Giving or taking nourishment from the breast. Sometimes used interchangeably with sucking, which refers to drawing into the mouth with a partial vacuum, as with a bottle or pacifier. |
| Engrossment | Intense fascination and close face-to-face observation between father and newborn. |
| Erythema toxicum | Benign rash of unknown cause in newborns, with blotchy red areas that may have white or yellow papules or vesicles in the center. |
| Spina bifida | imperfect closure of the spinal veretbrae-neuro tube defects |
| hypoglycemia | insuffient store of glycogen and fat. plasma glucose levels <40mg/dl. weak cry, tremor, lethargy, convulsion. |
| Catabolism | A process that converts living cells into simpler compounds. Involved in involution (normal changes) of the uterus after childbirth. |
| IUGR | growth retardation- not growing properly |
| Lochia serosa | Pink or brown-tinged vaginal discharge that follows lochia rubra; composed largely of serous exudate, blood, and leukocytes. |
| metabolic disorder: Galactosemia | autosomal recessive disorder of galactose metabolism. Deficiency in glactokinase. |
| Nonnutritive sucking | Sucking during which little or no milk flow is obtained or with an object such as a pacifier or finger. |
| Prolactin | Anterior pituitary hormone that promotes growth of breast tissue and stimulates production of milk. |
| Grasping reflex | newborn grasps and holds the object or finger firmly. When newborns palm is stimulated. (lessens at 3 to 4 months) |
| Fingertipping | First tactile (touch) experience between mother and newborn. The mother explores the infant's body with her fingertips only. |
| Cryptorchidism | Failure of one or both testes to descend into the scrotum. |
| Moro reflex | Newborn strightens arms and hands outward while the knees flex. When the newborn is startled by a loud noise or lifted slightly above the crib. Fingers form a C. |
| Nutritive suckling or sucking | Steady, rhythmic suckling at the breast or sucking at a bottle to obtain milk. |
| Pulse oximetry | Method of determining the level of blood oxygen saturation by sensors attached to the skin. |
| Asphyxia | Insufficient oxygen and excess carbon dioxide in the blood and tissues. |
| SGA | below 10th% regardless of gestation |
| Engorgement | Swelling of the breasts resulting from increased blood flow, edema, and the presence of milk. |
| Preterm Physical Characteristics | thin and transparent skin, blood vessel are visible, lanugo (fine hair) covers the shoulders, arms and forehead, a lot of vernix caseosa. few creases on soles of the feet |
Created by:
SGT.MOSS
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