Key Terms OB Exam 1

Question 1

Postpartum Blues

Answer 1

Are Transient emotional disturbances beginning in the first week after child birth and are characterized by anxiety, irritability, insomnia, crying, loss of appetite and sadness

Question 2

Attachment

Answer 2

Is the the development of strong affection between an infant and a significant other. ( mother, father, sibling & caretaker)

Question 3

Bonding

Answer 3

Is the close emotional attraction to a newborn by the parents that develops during the first 30 to 60 minutes after birth. It is unidirectional from parent to infant. It is thought that optimal bonding of the parents to a newborn requires a period of close contact within the first few minutes to a few hours after birth.

Question 4

En Face Position

Answer 4

When mothers interact with their infants through eye to eye contact.

Question 5

Peribottle

Answer 5

A plastic squeeze bottle filled with warm tap water that is sprayed over the perineal area after each voiding and before applying a new perineal pad.

Question 6

Sitz Bath

Answer 6

Plastic sitz bath consist of a basin that fits on the commode, a bag filled with warm water is hung on a hook and connected via a tube onto the front of the basin

Question 7

Kegel Exercises

Answer 7

Help to strengthen the pelvic floor muscles if properly and regularly. Developed by Dr. Arnold Kegel in the 1940s helps to improve urethral sphincter function.

Question 8

Acrocyanosis

Answer 8

Persistant cyanosis of fingers, hands, toes, and feet with mottled blue or red discoloration and coolness.

Question 9

Vernix Caseosa

Answer 9

A thick white substance that protects the skin of the fetus is formed by secretions from the fetus’s oil glands found in body creases and the hair.

Question 10

Stork Bites

Answer 10

Also called salmon patches are superficial vascular areas found on the nape of the neck, on the eyelids and between the eyes and upper lip. Caused by concentration of immature blood vessels.

Question 11

Milia

Answer 11

Are unopened sebaceous glands frequently found on a newborns nose. They form from oil glands.

Question 12

Epstein’s Pearls

Answer 12

Are milia that occur in a newborns mouth and gums.

Question 13

Mongolian Spots

Answer 13

Blue or purple splotches that appear on the lower back and buttocks of newborns. Tend to occur in African American, Asian, Indian newborns but can occur in dark skinned newborns of all races.

Question 14

Erythema Toxicum

Answer 14

(Newborn Rash) small papules or pustules on the skin resembling flea bites. It is benign idiopathic, generalized, transient rash that occurs in up to 70% of all newborns.

Question 15

Apgar Score

Answer 15

Used to evaluate a newborns physical condition at 1 minute and 5 minutes after birth.
A- Appearance(color)
P- Pulse(heart rate)
G- Grimace(reflex irritability)
A- Activity(muscle tone)
R- Respiratory(respiratory effort)

Question 16

Gestational Age

Answer 16

The stage of maturity. Physical and neurologic characteristics are assessed. Typically assessed by using a tool(Dubowitz/Ballard).

Question 17

Preterm or Premature

Answer 17

Born prior to 37 weeks.

Question 18

Term

Answer 18

Born between 38-42 weeks

Question 19

Post Term

Answer 19

Or postdates: born after 42 weeks gestation

Question 20

Postmature

Answer 20

Born after 42 weeks and demonstrating signs of placental aging

Question 21

Typically ordered drugs for newborns

Answer 21

Vitamin K(promotes blood clotting), eye prophylaxis with either erythromycin or tetracycline ophthalmic ointment.

Question 22

Opthalmic Neonatorum

Answer 22

Is a hyperacute purulent conjunctivitis occurring during the first 10 days of life. Usually contracted during birth when the baby comes in contact with infected vaginal discharge of the mother can cause neonatal blindness.

Question 23

Harlequin Sign

Answer 23

Refers to the dilation of blood vessels on only one side of the body, giving the newborn the appearance of wearing a clown suit.

Question 24

Nevus Flammeus

Answer 24

also called a port wine stain, commonly appears on the newborns face or other body areas. It is a capillary anginoma located directly below the dermis.

Question 25

Nevus Vasculous

Answer 25

aslo called a strawberry mark or strawberry hemangioma, is a benign capillary hemangioma in the dermal and subdermal layers. It is raised, rough, dark, red and sharply demarcated.

Question 26

Molding

Answer 26

elongated shaping of the fetal head to accommodate passage through the birth canal

Question 27

Caput Succedaneum

Answer 27

localized edema on the scalp that occurs from the pressure of the birth process ( it crosses the suture lines)

Question 28

Cephalhematoma

Answer 28

localized effusion of blood beneath the periosteum of the skull. ( does't cross the suture line)

Question 29

Pseudomenstruation

Answer 29

a vaginal discharge composed of mucus mixed with blood may be present during the first weeks of life.

Question 30

Reflexes commonly assessed in newborn

Answer 30

sucking, moro, stepping, tonic neck, roofing babinski,palmar grasp, truncal incurvation (galant reflex), ancutaneous reflex (anal wink)

Question 31

Circumcision

Answer 31

surgical removal of all or part of the foreskin (prepuce) of the penis

Question 32

Infant Abduction

Answer 32

someone who is not a family member takes a child less than 1 year old

Question 33

Phototherapy

Answer 33

exposing the newborn to ultraviolet light, which converts unconjugated bilirubin into products that can be excreted through feces and urine.

Question 34

Immunization

Answer 34

process of rendering an individual immune or of becoming immune to certain communicable diseases.

Question 35

Dilation

Answer 35

the opening or enlargement of the external cervical os

Question 36

Lightening

Answer 36

when the fetal presenting part begins to descend into the maternal pelvis.

Question 37

Factors Affecting The Labor Process

Answer 37

1. Passageway(birth canal) 2. Passenger(fetus and placenta) 3. Powers(contraction) 4. Position(maternal) 5. Psychological Response

Question 38

Effacement

Answer 38

thinning of the cervix

Question 39

Attitude

Answer 39

refers to posturing (flexion or extension) of the joints and the relationship of the fetal parts to one another.

Question 40

Lie

Answer 40

refers to relationship of the long axis(spine) of the fetus to the long axis(spine) of the mother. There are 2 primary lies longitudinal(most common) and transverse

Question 41

Presentation

Answer 41

refers to the body part of a fetus that enters the pelvic inlet first(the presenting part).

Question 42

Position

Answer 42

describes the relationship of a given point on the presenting part of the fetus to a designated point of the maternal pelvis

Question 43

Station

Answer 43

refers to the relationship of the presenting part to the level of the maternal pelvic ischial spines. It is measured in centimeters and is referred to as minus or plus depending on location above or below the ischial spines.

Question 44

Engagement

Answer 44

signifies the entrance of the largest diameter of the fetal presenting part(usually the fetal head)into the smallest diameter of the maternal pelvis.

Question 45

Frequency

Answer 45

refers to how often the contractions occur and is measured from the beginning of the next contraction

Question 46

Duration

Answer 46

refers to how long a contraction last and is measured from the beginning of one contraction to the end of that same contraction.

Question 47

Intensity

Answer 47

refers to strength of the contraction determined by manual palpation or measured by an internal intrauterine pressure catheter.

Question 48

Doula

Answer 48

Is a Greek word meaning "woman servant" or "caregiver". It now commonly refers to a woman who offers emotional and practical support to a mother or couple before, during, and after childbirth.