Study Guide From Bev

Question 1

advantages of breast feeding for mom

Answer 1

rapid involution (uterus norm size) 
less bleeding  postpartum
⬇stress levels
⬆immune
⬆sleep
weight loss
⬇cancer
protective against osteoporosis

Question 2

advantages to breast feeding for baby

Answer 2

milk ⬆growth + development

immunologic properties  (⬆immune)
lower respiratory tract infections 
reduces SIDS
reduced allergies
enhances maternal bonding=
decrease risk of child abuse

Question 3

rooting
+
sucking

Answer 3

is a feeding cue

sucking reflex occurs when nipped placed in mouth

Question 4

what gland is responsible for the release of prolactin and oxytocin

Answer 4

pituitary gland (hind)

Question 5

lactation hormones?

Answer 5

prolactin - stimulates alveoli (produce & release milk)

oxytocin- contractions of muscle surrounding alveoli push milk out

Question 6

common discomforts of pregnacy

Answer 6

bleeding gums
nasal stuffiness 
nose bleeds
breast tenderness
nausea & nausea/ vomiting
feeling faint
fatigue
heartburn
low back pain
ligament pain
leg cramps
varicose veins
edema 
flatulence 
constipation
hemorrhoids 
trouble sleeping

Question 7

tonic clonic seizures ( grand mal)

Answer 7

generalized seizure
affect most of brain
associated with epilepsy +general seizure

Question 8

absence siezure

Answer 8

last 20 seconds

child loses awareness +stares
and not aware it happens
50-100 x day

Question 9

atonic or a kinetic seizures

Answer 9

sudden momentary loss of consciousness , postural control, muscle tone

child recovers

Question 10

myoclonic seizures

Answer 10

sudden jeering of muscle (arms and legs)
without loss of consciousness
occurs early stages of sleep (no epilepsy)

Question 11

infantile spasm

Answer 11

spasms occur 3-12 months
often due to cerebral defect
(poor prognosis despite treatment)
x2 more likely in boys

siezure followed by cry
muscle contraction sudden/ symmetrical accompanied by rolling eyes

Question 12

status epilepticus

Answer 12

siezure lasting longer then 30 minutes

Question 13

common area of pain during pregnancy?

and why?

Answer 13

Back

because… pelvis, ligaments, altered center of gravity

Question 14

what is colostrum ?

what does it contain

Answer 14

liquid gold…. first milk.. highly concentrated
contains- immuniglobins

^ antibodies
low fat
^ protein

2-20 mls of each feed until milk comes in

Question 15

foremilk

Answer 15

watery thin (blueish tint) 
first milk recieved during nursing

Question 16

hindmilk

Answer 16

thicker whiter
^ quantity of fat
satiates baby between feedings

Question 17

breastfeeding mom needs how many more calories

Answer 17

500 calories more

Question 18

symptoms of preclampsia

Answer 18

headache
proteinuria (protein in urine)
blurred vision
swelling (edema)

Question 19

what is preeclampsia?

when does it occur?
when does it go away?

Answer 19

preeclampsia serious condition BP ^ 140/90 happens after 20 weeks

preclampsia is a complication
high blood pressure
protein in urine
swelling

only cure… is delivery

Question 20

why is preclampsia risky

Answer 20

develop into eclampsia (seizure activity or coma)

reduced O2 supply

Question 21

preclampsia diagnosed…

Answer 21

^140/90 after 20th week of gestation
documented on 2 different occasions
accompanied by proteinuria

Question 22

preeclampsia treatment

Answer 22

if over 37 weeks deliver baby

iv magnesium sulfate (medication)

Question 23

what medication helps mature lungs?

Answer 23

Glucocorticods / betamethasone

Question 24

postpartum hemorrhage

Answer 24

delivery- 500ml

C-section-1000 ml

Question 25

assessing mom post delivery | BUBBLE

Answer 25

``` B- breast U- uterus B- bladder B- Bowel L- Lukey E- episiotomy ```

Question 26

vit K

Answer 26

help babies clot

Question 27

fetal ♡ beat happens when?

Answer 27

21st day following conception

Question 28

what is uterine atony

Answer 28

inability for uterus to contract

Question 29

Quickening

Answer 29

fetal movement felt 16-20 weeks

Question 30

Hydatidforme Mole

Answer 30

is a rare mass or growth that forms inside the womb (uterus) at the beginning of a pregnancy. It is a type of gestational trophoblastic disease

Question 31

placenta privia

Answer 31

painless that your placenta is lying unusually low in your uterus, next to or covering your cervix. ... If you have placenta previa when it's time to deliver your baby, you'll need to have a cesarean ...

Question 32

umbilical cord

Answer 32

``` 2 arteries 1 vein (oxygen to baby) ```

Question 33

APGAR score | taken when?

Answer 33

at 1 minute | and again at 5 minutes

Question 34

APGAR

Answer 34

``` Appearance Pulse Grimace Activity Respiration. ```

Question 35

vitals on new born ``` Respiration BP Temp o2 pulse ```

Answer 35

``` Respiration 30-60 BP 60-80 / 40-45 Temp 97.7-97.5 o2 pulse 110-160 ```

Question 36

normal for baby to lose ______ | but regains in

Answer 36

5-10% within first few days | regains in 7-10 days

Question 37

newborn reflexes

Answer 37

``` suck Palmer grasp stepping Moro ( C shape arms) tonic (fencer position) ```

Question 38

possible signs of pregnancy

Answer 38

breast changes amenorrhea morning sickness

Question 39

probable signs of pregnancy

Answer 39

``` bladder irritability presence of hCG hormone in blood & urine uterine growth braxton hicks ballottement of fetus Chadwick sign Hegar sign Goodell sign ```

Question 40

positive signs of pregnancy

Answer 40

visualization of fetus (ultrasound) fetal heart sound (stethoscope) fetal movements palpable fetal movements visable

Question 41

trimesters 1st 2nd 3rs

Answer 41

1st- until 12 weeks 2nd- 12- 27 weeks 3rd 27+

Question 42

vitamin most important to central nervous system

Answer 42

vitamin B9

Question 43

1st stage of labor (dilation) | has 3 stages what are they

Answer 43

early labor- latent phase active labor- active phase transition (7-8 cm)

Question 44

stages of birth 4 stages

Answer 44

1. dilation 2. birth 3. delivery of placenta 4. recovery