Exam 5

Question 1

What is involution

Answer 1

changes that the uterus undergoes after birth to return to pre-pregnancy size.

Question 2

What is the uterine lining called when not pregnant?

Answer 2

Endometrium

Question 3

What is the uterine lining called when pregnant?

Answer 3

Decidua

Question 4

What is the sloughing off of the decidua called?

Answer 4

lochia

Question 5

Lochia Rubra is what color and lasts how long?

Answer 5

first 3 days- mostly red

Question 6

Lochia serosa is what color and lasts how long?

Answer 6

day 3-10- mostly pinkish

Question 7

Lochia alba is what color and lasts how long?

Answer 7

day 10-21 mostly mucus

Question 8

What are uterine cramps after delivery called?

Answer 8

afterpains

Question 9

What will tighten abdominal muscles after delivery?

Answer 9

time and exercise

Question 10

When is the rubella (measles) titer done and what happens if not imune?

Answer 10

Done in early pregnancy, if not immune, vaccination is given post partum, pts must avoid another pregnancy for three months after receiving vaccine

Question 11

What are the emotional changes after pregnancy called?

Answer 11

Reva Rubin

Question 12

What are the three phases to reva rubin

Answer 12

#1: taking in (mother is passive)
#2 taking hold (ideal for teaching)
#3 letting go (new infant part of new lifestyle)

Question 13

When is the apgar score done?

Answer 13

at 1 and 5 minutes after birth

Question 14

What are the 5 parameters to the apgar score?

Answer 14

HR, respiratory effort, muscle tone, reflexes, and color

Question 15

What are the scores of the apgar

Answer 15

10-perfect, 8-10 normal, 4-7 needs stimulation 3 or lower needs resuscitation

Question 16

Heat loss is caused by what?

Answer 16

Evaporation, conduction, convection and radiation

Question 17

Example of evaporation

Answer 17

Heat loss from liquids from the skin

Question 18

What is an example of conduction

Answer 18

heat loss caused by direct skin contact with a cold surface

Question 19

What is an example of convection

Answer 19

heat loss of heat away from the body by drafts

Question 20

What is an example of radiation

Answer 20

heat loss caused by being near a bold surface not in direct contact

Question 21

What is the first stool called

Answer 21

meconium

Question 22

What percentage of infants pass meconium in the first 12 hours

Answer 22

70%

Question 23

How do you measure a newborns head circumference

Answer 23

measure the head just above the eyebrows

Question 24

How do you measure chest circumference

Answer 24

measure at the nipple line

Question 25

When are eye drops given after birth

Answer 25

one hour after birth

Question 26

What are eye drops given to a newborn for?

Answer 26

to prevent infections from gonorrhea and chlamydia

Question 27

What is jaundice caused by?

Answer 27

excess bilirubin

Question 28

What can jaundice do to the body if not treated

Answer 28

can cause brain damage

Question 29

When does pathological jaundice occur?

Answer 29

within the first 24 hours

Question 30

What causes the production and expulsion of breast milk?

Answer 30

Prolactin from the anterior pituitary

Question 31

What causes milk to be delivered from the alveoli?

Answer 31

oxytocin from the posterior pituitary

Question 32

When should breastfeeding occur?

Answer 32

within 6 hours after birth

Question 33

How should you wean an infant from breastfeeding?

Answer 33

eliminate one feeding at a time and omit a daytime feeding first.

Question 34

Head lag reflex

Answer 34

when an infant is lifted from the bed, the head will fall back because the newborn cannot maintain neutral position of their head

Question 35

Moro relex

Answer 35

if crib is jarred they will draw their legs up and arms out then come toward midline

Question 36

Rooting reflex

Answer 36

causes infants to turn their head in the direction of anything that touches their face

Question 37

tonic neck reflex

Answer 37

postural reflex, sleeping infants head turned to oneside, their arm and leg is extended on the same side, known as the fencing position.

Question 38

What is caput succedaneum

Answer 38

swelling of the soft tissues of the scalp

Question 39

What is cephalohematoma

Answer 39

tumor, collection of blood, protrudes beneath the scalp, doesn't cross the suture line. Is not dangerous unless it crosses suture line.

Question 40

Permanent eye color appears when

Answer 40

6-12 months

Question 41

What is one symptom of infants in respiratory distress after birth?

Answer 41

sternal retractions

Question 42

What are preterm birth respiratory issues caused by typically?

Answer 42

lack of surfactant

Question 43

What are milia?

Answer 43

tiny white bumps on the infants face and nose

Question 44

What are the physical characteristics of a post term infant

Answer 44

long in length, skin is thin and loose, especially in the thighs and buttocks, vernix caseosa leaves the skin dry, nails are long, thick head of hair, and infant looks alert

Question 45

What symptoms should a new mother be told about that she should report to her doctor after she has been d/c'd

Answer 45

fever greater than 100.4 ,foul lochia, prolonged after pains. s/s of DVT and UTI, suture line infection symptoms.