3RD EXAM MATERNAL Flashcards by Sauda Uddin

A condition of pregnancy where
the placenta’s blood vessels attach
too deeply to the uterine wall.

Placenta Accreta

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A condition where the placenta
attaches more firmly to the uterus
and becomes embedded in the
organ’s muscle wall.

Placenta Increta

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How many times should we take vitals
signs during postpartum:

1st hr - every 15 minutes
2nd hr - every 30 minutes
3rd hr - every hour until stable.

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In essential Intrapartum Newborn Care Unang Yakap how many min. is its duration

90 minutes

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In skin to skin contact in what position the baby is put in mother’s tummy?

prone position

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After how many minute duration the baby
will be taken away for
anthropometric measurement,
weighing, vit. K and Hepa B shots,
ophthalmic ointment, wearing of
clothes?

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Normal Temp for newborn

36 to 37.5
degrees Celsius

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WE DO NOT IMMEDIATELY CUT UMBILICAL
CORD IF STILL PULSATING; IF CUT EARLY IT
WOULD CAUSE WHAT HEALTH PROBLEM?

ANEMIA

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Is the 6 week period after childbirth

Postpartum

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It is a time of rapid physiological
changes within the woman’s body
as it returns to a pre-pregnant
state.

Postpartum

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The Reproductive System
Includes the:

Uterus
Cervix
Vagina
Perineum

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During pregnancy, it
undergo changes in preparation
for lactation

breasts

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which is an
increase in the vascular and
lymphatic system of the breasts,
precedes the initiation of milk
production.

Primary engorgement

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Primary engorgement subsides
within how many hours?

24 - 48 hours

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a clear, yellowish fluid, precedes
milk production.
Higher in protein and lower in
carbohydrates than breast milk.

COLOSTRUM

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It contains immunoglobulins G and
A that provides protection for the
newborn during the early weeks of
life.

COLOSTRUM

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Is a hormone made by the pituitary
gland, a small gland at the base of
the brain.
Causes the breast to grow and
make milk during pregnancy and
after birth.

Prolactin

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Is an inflammation or infection of
the breast. The infection may be
due to bacterial entry through the
cracks in nipples.

Mastitis

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Symptoms of mastitis

Fever
Malaise
Unilateral breast pain
Tenderness in the infected area

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Treatment of mastitis

● Antibiotic therapy
● Analgesia
● Rest
● Hydration

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Nursing Action for the BREASTFEEDING
woman

● Assess the breast for engorgement
● Inspect the breasts for signs of
engorgement: tenderness,
firmness, warmth, and/or
enlargement.

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Breast are soft and non
tender
(Expected Assessment findings)

First 24 hours postpartum

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Breast are slightly firm and
non tender
(Expected Assessment findings)

Postpartum day 2

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Breasts are firm, tender,
and warm to touch.
(Expected Assessment findings)

Postpartum day 3

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After delivery of the placenta, the uterus begins the process of what? by which the uterus returns to a pre-pregnant size, shape, and locations; and the placental site heals

involution

women usually do not experience discomfort related to uterine contractions during the postpartum period.

Primiparous women

women who are breastfeeding may experience “afterpains” during the first postpartum days (increase in oxytocin) infant sucking.

Multiparous women

decrease the risk of postpartum hemorrhage

contracted uterine

indicates that the uterus is not contracting and places the woman at risk for excessive blood loss

boggy uterus

Stimulates uterine smooth muscle to produce uterine contraction Postpartum control of bleeding

Oxytocin (Syntocinon)

10 units in a liter of IV solution or 10 units IM.

Route and Doses of Oxytocin

Decreased pain and inflammation

Ibuprofen (Motrin)

PO; 600 - 800 mg every 6 hrs PRN

Route and Dose of Ibuprofen

incomplete emptying bladder, inability to void are common during the first few days post-birth

Bladder distention

caused by decreased estrogen and oxytocin levels, occurs within 12 hours post-birth and aids in the elimination of excess tissue fluids

Diuresis

Primary complications of Diuresis are

bladder distention and cystitis

Bladder inflammation/infection Result of having received a catheter, which can introduce bacteria into the urinary tract

Cystitis

Uncomfortable and infrequent bowel movements

Constipation

a postpartum vaginal discharge. It contains blood from the placental site, particles of necrotic decidua and mucus.

Lochia

● Is the heaviest during the first 1-2 hourse after birth ● Bright red and commonly last 1-3 days ● May contain small clots

Lochia Rubra

● The vaginal flow then pales and becomes pink to brown after approximately 3 days ● Should not contain clots and can last up to 27 days in some womb.

Lochia Serosa

● The vaginal discharge often becomes yellow to white ● May continue, on average, to the sixth week postpartum

Lochia Alba

If the mother has excessive lochia, a clean pad should be applied and checked within

15 minutes

Assessment of uterine firmness, location and position in relation to the midline is performed at

routine intervals.

experience changes related to the birthing process ranging from mild stretching and minor lacerations to major tears and episiotomies.

vagina and perineum

a cut (incision) made in the tissue between the vaginal opening and the anus during childbirth

episiotomy

The vagina and perineum undergo healing and restoration during the

postpartum period

REEDA stands for?

R - Redness E - Edema E - Ecchymosis D - Discharge A - Approximation of edges of episiotomy or laceration

Also known as piles, are veins in or around your anus that have become swollen

Hemorrhoids

Hemorrhoids are caused by

pressure on the veins in your rectum or anus

Assess for the signs of Deep Vein Thrombosis (DVT) by

Homan’s Sign

A positive Homan’s Sign is indicative of

DVT

Is a blood clot or a piece of plaque that acts like a clot.

Emboli / Embolus

When the clot travels from the site where it formed to another location in the body it is called an

embolism

Is a blocked artery caused by a foreign body, such as a blood clot or an air bubble.

Embolism

what is the position commonly performed with the mom when performing the Homan's Test?

a supine position while lying in bed.

The calf is flexed at

90 degree angle

The nurse manipulates the foot in a dorsiflexion movement if the pain is felt in the ____, the Homan’s Sign is said to be positive.

calf

A sudden and unexplainable pain, usually in the back of the leg or calf

Signs of DVT

Tachycardia and shortness of breath or dyspnea (from decreased oxygenation status) are signs of what?

DVT

occurs when a clot breaks away from the leg area and travels to the lungs

Pulmonary embolism (PE)

The mother may experience a let-down feeling, which is called what? This is a form of depression that is usually temporary and may occur in the hospital

postpartal “baby blues”

usually begin within the first 2 to 3 days after delivery and may last for up to two weeks.

Baby blues

1st 24 hours range 1-2 days, focus on self and meeting basic need, reliance on others to meet needs of comfort, rest, closeness nourishment, birth excited and talkative.

Taking In Phase - dependent phase

starts end of 3rd day pp, last for 10 days to several weeks, focuses on care of baby, desire to take charge, still need nurturing and acceptance by others eagerness to learn (period to teach most receptive time to learn), possible experince pp "blues"

Taking Hold Phase - dependent/independent phase

Focuses on forward movement movement of family as unit with with interacting members, reassertion of relationship with partner, resumption of sexual intimacy, resolution of individual roles.

Letting Go Phase - interdependent phase

Women have an average blood loss of ______ related to the vaginal birthing experience

400 to 500 ml

is commonly defined as blood loss exceeding 500 ml following vaginal birth and 1000 ml following cesarean

Postpartum hemorrhage (PPH)

Cardiac output returns to pre-pregnant levels within how many hours?

48 hours

White blood cell (WBC) levels may increase to 25,000/mm within a few hours of birth and return to normal levels within how many days?

7 days

Acronym used to denote the components of discharge planning for mother and child.

METHOD-P

METHOD-P stands for ?

M - Medication E - Environment T - Treatements H - Health Teaching O - Outpatient Follow-up D - Diet P - Psychosocial

This medication may cause drowsiness or make you sleepy, so do not take with alcohol or drive a car. It may also cause some constipation.

Tylenol #3

This medication may cause an upset stomach. Do not take it if you have problems with ulcers or have a bleeding disorder. It may also cause some constipation.

Motrin

NO sexual intercourse for how many weeks is suggested

4-6 weeks

Benefits of Skin to Skin include:

● Calm baby ● Relaxes mom ● Decreases stress of birth ● Helps mother produce milk ● Keeps baby warm ● Promotes brain development ● Stabilizes baby’s blood sugar, breathing and heartbeat

caused by the contraction and relaxation of the uterus as it decreases in size.

Uterine cramps

occur within the first few days and last 36 hours.

Afterpains

sharp pains in the belly that occur in the first few days after childbirth. They may cause some discomfort.

Afterpains

help reduce uterine bleeding. They also help shrink the uterus back to the size it was before you were pregnant.

Afterpains

Prevention of constipation Promotes incorporation of water into the stool

Docusate (Colace)

standardizes infant assessment at birth and serves as a baseline for future evaluations.

Apgar score

blueness of hands and feet (normal during the first 24 hours of life)

acrocyanosis

Total body muscle tone is reflected in the infant's preferred posture at rest and resistance to stretch of individual muscle groups.

posture

Wrist flexibility and/or resistance to extensor stretching are responsible for the resulting angle of flexion at the wrist

Square window

This maneuver focuses on passive flexor tone of the biceps muscle by measuring the angle of recoil following very brief extension of the upper extremity.

arm recoil

This maneuver assesses maturation of passive flexor tone about the knee joint by testing for resistance to extension of the lower extremity.

popliteal angle

This maneuver tests the passive tone of the flexors about the shoulder girdle.

scarf sign

This maneuver measures passive flexor tone about the pelvic girdle by testing for passive flexion or resistance to extension of posterior hip flexor muscles.

heel to ear

Maturation of fetal skin involves the development of its intrinsic structures concurrent with the gradual loss of its protective coating called the?

vernix caseosa

the fine hair covering the body of the fetus. In extreme immaturity, the skin lacks any of it

Lanugo

This item pertains to the major foot creases on the sole of the foot

plantar surface

when the bottom of the foot is stroked, the big toe bends back and the other toes fan out

babinski reflex

When the baby's mouth is stroked, the baby will open their mouth (this help with feeding)

root reflex

Triggered by a sudden loud noise or movement. The baby will extend the arms and palms up (startle reflex)

Moro reflex

The infant will begin to suck when an object or finger touches the top of the mouth

sucking reflex

When an infant turns their head to one side, the legs and arms will extend. while the leg on the opposite side will flex

tonic neck reflex

Baby involuntary wraps their fingers around an adult's fingers when the palm is touched.

Palmar grasp reflex

breastfed and bottle fed infants receiving less than 500 mL of formula per day should receive how many IU of what vitamin per how many day?

200 IU of vit D per day

done when your baby is 24-48 hours old

newborn screening test

what are the symptoms of neonatal jaundice?

yellow skin yellow eyes (sclera) sleepiness poor feeding in infants brown urine fever high pitch cry vomiting

3RD EXAM MATERNAL Flashcards

(101 cards)