Postpartum and newborn

Question 1

Pertussis

Answer 1

can be passed onto the baby, and can be deadly for a newborn

Question 2

3 processes of uterine involution

Answer 2

contraction of muscle fibers, catabolic processes-autolysis of endometrial cells, regeneration of uterine epithelium

Question 3

How does the site of placental attachment heal

Answer 3

by the process of exfoliation, leaves the endometrium smooth and without scars

Question 4

How is involution evaluated

Answer 4

measuring the descent of the uterus, decreases 1 cm per day, should no longer be palpable after 14 days

Question 5

Why are contractions necessary

Answer 5

to achieve hemostasis at the placental site

Question 6

What are contractions stimulated by

Answer 6

oxytocin

Question 7

Lochia

Answer 7

vaginal discharge after birth, immediately following delivery

Question 8

Lochia rubra

Answer 8

red or reddish brown, bloody, day 1-3

Question 9

What should lochia be like for up to 2 hours after birth

Answer 9

a heavy menstrual period

Question 10

Lochia serosa

Answer 10

pink or brown, serosanguinous, day 4-10

Question 11

Lochia alba

Answer 11

white or cream or yellow, day 11-16 weeks

Question 12

What does the lochia reflect

Answer 12

regeneration of the endometrium

Question 13

How are perineal lacerations classified

Answer 13

in degrees to describe the amount of tissue involved

Question 14

First degree laceration

Answer 14

involving the superficial vaginal mucosa

Question 15

Second degree laceration

Answer 15

involving the vaginal mucosa, perineal skin, and deeper issues, may include fascia and muscles of the perineum

Question 16

Third degree laceration

Answer 16

same as second degree laceration but involves the anal sphincter

Question 17

Fourth degree laceration

Answer 17

extends through the anal sphincter into the rectal mucosa

Question 18

Periurethral area

Answer 18

a laceration in the area of the urethra, may cause difficulty with urination

Question 19

What is common after birth

Answer 19

large output of 3,000 ml of urine a day, profuse diaphoresis (especially at night)

Question 20

Diastasis recti

Answer 20

abdominal wall muscles separate

Question 21

Postpartum warning signs

Answer 21

fever greater than 100.4, foul-smelling lochia, large blood clots, large volume of bleeding, severe headaches, blurred vision, calf pain, shortness of breath, depression, extreme mood swings, UTI

Question 22

Bonding

Answer 22

the initial attraction and relationship felt by the parents and an infant

Question 23

Attachment

Answer 23

the process by which an enduring bond to a child is developed through pleasurable satisfying parent-child interactions

Question 24

En face

Answer 24

putting a newborn in front of face

Question 25

Fingertipping

Answer 25

using the tips of fingers to touch the baby

Question 26

Enfolding

Answer 26

holding a baby and taking it in

Question 27

Claiming/binding in

Answer 27

psychological change, high-pitched voice talking to the baby

Question 28

Puerperal phases

Answer 28

taking in, taking hold, letting go

Question 29

taking in phase

Answer 29

mother is focused on her own need for food and sleep, passive behavior for 1-2 days, birth is a reality

Question 30

taking hold phase

Answer 30

becomes more independent and concerned for her self-care, shifts attention to the newborn, teaching is best here

Question 31

letting go phase

Answer 31

relinquishes to previous roles, adjusting to disappointments, letting go of ideals, bonding is starting, new roles are identified

Question 32

AGPAR

Answer 32

appearance, pulse, grimace (reflex irritability), activity, respiration

Question 33

When is AGPAR assessed

Answer 33

1 and 5 minutes after birth

Question 34

AGPAR scores

Answer 34

if at 5 minutes the score is less than 7, continue assessment every 5 minutes for 20 minutes

Question 35

What is given after birth

Answer 35

eye prophylaxis, vitamin k, hepatitis B vaccine

Question 36

Why is vitamin K given

Answer 36

to help with clotting because the newborn has no intestinal flora to help produce vitamin K

Question 37

What does eye prophylaxis do

Answer 37

prevent ophthalmia neonatorum

Question 38

How soon should a mom start to breastfeed

Answer 38

within an hour of birth

Question 39

First period of reactivity

Answer 39

birth to 30 minutes/2 hours after birth the newborn is alert/moving/may appear hungry

Question 40

Period of decreased responsiveness

Answer 40

30 to 120 minutes old, sleeping or decreased activity

Question 41

Second period of responsiveness

Answer 41

2 to 8 hours, newborn awakens and shows an interest in stimuli

Question 42

What is normal for a newborn after birth

Answer 42

to lose weight, no more than 10% of weight

Question 43

What does surfactant do

Answer 43

helps to prevent alveolar collapse

Question 44

Respiration rate of newborn

Answer 44

30 to 60 breaths per minute

Question 45

Convection

Answer 45

loss of heat to the cooler air currents

Question 46

Radiation

Answer 46

transfer of body heat to a cooler solid object nearby

Question 47

Evaporation

Answer 47

loss of heat through conversion of a liquid to a vapor

Question 48

Conduction

Answer 48

loss of heat to a cooler surface by direct skin contact

Question 49

Lanugo

Answer 49

newborn hair growth

Question 50

Newborn screening after 24 hours

Answer 50

bilirubin testing, metabolic screen, hearing screening, CCHD

Question 51

Metabolic screening

Answer 51

identifies errors of metabolism, drop of blood obtained from baby's heel 24-48 hours after birth

Question 52

what is the #1 birth defect in newborns

Answer 52

hearing

Question 53

CCHD screening

Answer 53

identifies cardiac defects not diagnosed during pregnancy, pulse ox is placed on right hand and either foot, should be greater than or equal to 95

Question 54

Hypoglycemia in newborns

Answer 54

<40

Question 55

Jaundice occurrence

Answer 55

60% of term babies, 80% of preterm infants