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Mother-baby > Test 3 > Flashcards

Test 3 Flashcards

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1
Q

3 signs that baby is having problems with temperature, oxygenation, or hypoglycemia?

A

Jitters, Grunting, hypotonia

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2
Q

How often do we assess mother in 4th stage of labor?

A

q. 15 for 1 hour minimum

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3
Q

Characteristics of fundus after birth?

A

Firm

At or below the umbilicus and midline

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4
Q

If bladder not firm and above midline what does that mean?

A

Bladder is full or uterus is full of blood clots

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5
Q

What do we do for a boggy uterus?

A
  1. Massage no matter if vaginal or c-section diet.
  2. Notify physician or midwife
  3. Oxytocin therapy
  4. Methylergonovine or carboprost
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6
Q

way by which the uterus returns to pre=pregnant size, shape, and location, and the placement site heals.

A

Involution

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7
Q

Fever in the mother first 24 hours usually do to?

A

Dehydration

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8
Q

How many extra calories do breastfeeding mother need?

A

500 calories per day

at least 2000 ml of fluids/day

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9
Q

What are the five aspects of APGAR scoring

A 
Heart rate
Respiratory Rate/effort
Muscle tone
Reflex irritability
Skin color
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10
Q

What are the levels of the APGAR scoring

A

0-3-indicates severe distress, full resuscitation reuired
4-6 moderate difficulty with transition extrauterine life, rub newborns head, stimulate, administer O2
7-10 indicates stable status, no intervention required

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11
Q

peripheral cyanosis of hands and feet of newborn for first few hours and intermittenly after birth to 7-10 days and is normal?

A

Acrocyanosis

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12
Q

small white sebaceous glands that appear on the forehead, nose, and chin

A

Milia

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13
Q

Signs of respiratory distress in newborn?

A 
Grunting
Flaring 
Retracting(if get to this point severe resp depression)
Cyanosis
Decreased muscle tone
Low blood pressure
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14
Q

BUBBLEHE for assessment postpartum

A

Breast, uterus, bladder, bowel, loch, episiotomy/laceration, homan’s/hemorrhoids, emotional/bonding

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15
Q

What are breast like first three days after delivery?

A

1st 24 hours- soft, non-tender
2nd day- slightly firm, slight tender
3rd day-firm, tender, and warm to touch

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16
Q

How soon after delivery must the mother have a bowel movement?

A

24 hours

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17
Q

A blood loss of ________ after a vaginal delivery and _______ after a c-section indicate hemorrhage?

A

500-vaginal

1000 c-section

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18
Q

3 causes of post part hemorrhage?

A

Uterine atony
Retained placenta
lacerations

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19
Q

3 phases of maternal attachment (both parents)

A
  1. Acquaintance phase
  2. Phase of mutual regulation
  3. Reciprocity
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20
Q

Fingertip exploration, en face position, responds verbally to sounds of infant, first few hours

A

Acquaintance phase

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21
Q

adjustment between needs of mother and needs of infant first few days

A

Phase of mutual regulation

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22
Q

mutually gratifying interaction, 1-6 weeks

A

reciprocity

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23
Q

Four stages of Maternal/Paternal Role Attainment

A
  1. Anticipatory-during pregnancy
  2. Formal- when baby is born
  3. informal-3-10 months after delivery
  4. Personal-3-10 months after delivery
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24
Q

Transient period of depression
Occurs first few days after delivery
Resolves without intervention in 10-14 days
S/s tearfulness, anorexia, difficulty sleeping, feeling of letdown
Causes: changing hormone levels, psychologic adjustments, unsupportive environment, fatigue, discomfort, overstimulation

A

Postpartum blues

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25
When does menstration begin in non-lactating women?
6-10 weeks
26
When does ovulation occur in non-lactating woman?
within 6 month
27
What does breast milk contain
``` Protein Lactose Cholesterol-brain development Vitamins and Minerals Antibodies ```
28
When should you feed baby after delivery?
Within 1st hour
29
How do you know the baby is latched on correctly in breast feeding women?
More areola visible on top than bottom, nipple in back of mouth, swallowing can be heard, discomfort first 5-10 seconds, breasts becomes soft
30
When should baby regain birth weight?
within 2 weeks
31
If patient with postpartum hemorrhage goes into shock what should you do?
IV fluids, Trendleburg postion Meds-Pitocin Pressure on uterus (one hand fundus other on symphysis pubis to make sure uterine doesn't come out.
32
Signs and symptoms of thrombophlebitis
Pain, heat, redness, positive Homan's sign
33
Symptoms of postpartum depression. (Remember must have 5 of these present for more than 2 weeks for diagnosis)
``` trouble sleeping lack of interest feeling of guilt loss of energy difficulty concentrating changes in appetite restlessness or slowed movement thoughts or ideas of suicide ```
34
Visual or auditory hallucinations delusional thingking want to kill baby/self delirium and or mania
Postpartum psychosis
35
Where is Brown Fat or Brown Adipose tissue found?
neck, thorax, axially area, intrascapualar areas, and around adrenal glands and kidneys
36
4 reasons newborn predisposed to heat loss?
Large surface area thin layer of subcutaneous tissue cannot shiver to produce heat new environment is 20-30 degrees cooler
37
4 ways newborns lose heat?
Evaporation Conduction Convection Radiation
38
Loss of heat that occurs when water on the neonates skin is converted to vapors, such as bathing or directly after birth. How to prevent?
Evaporation | Dry neonate at time of birth, bathe small areas at a time, keep body covered
39
Transfer of heat to cooler surface by direct skin contact, such as cold hands of caregiver or cold equipment How to prevent?
COnduction | Warm mattress, nurse hands, equipment
40
Loss of heat from the neonates warm body surface to cooler air currents, such as air conditioners or oxygen masks. How to prevent?
Convection Keep neonate covered Keep room air warmed
41
Transfer of heat from the neonate to cooler objects that are not in direct contact with the neonate, such as cold walls of the isolate or cold equipment near the neonate. How to prevent?
Radiation Cover neonates head Naked neonate under radiant warmer
42
Signs and symptoms of heat loss?
``` Axillary temp less than 36.5 (97.7) Cool skin lethargy Pallor Tachypnea Grunting Hypoglycemia Hypotonia Jitteriness Weak suck ```
43
Signs and symptoms of hypoglycemia
Jitteriness, respiratory distress, poor suck, low temperature, lethargy, blood sugar less than 40 mg/dL
44
Normal blood glucose newborn?
40-60 mg/dL
45
Normal respiratory rate newborn?
30-60, irregular
46
dark bluish spots on low back/buttocks, normal
Mongolian spots
47
Dark pink patch on back of neck and eye lids, disappear around 1 year
storkbite
48
red wine colored spot anywhere on body, do not disappear
port-wine stain
49
raised birght red lesion, disappear
Strawberry hemangioma
50
newborn rash resembling mosquito bite, disappear
Erythema toxicum
51
When is jaundice NOT ok?
Within the first 24 hours
52
soft tissue swelling of the scalp, crosses suture line, present at birth
caput succedaneum
53
hematoma between periosteum and skull with unilateral swelling, does NOT cross suture line, shows up few hours after birth
cephalohematoma
54
Normal fetal heart rate
120-160
55
How many wet diapers should a newborn have per day?
6-8
56
How many stools should an infant have? breastfeed, bottled
Breastfed- 3-10 | Bottle- 1-4
57
What is the characteristics of lochia on days 1-3?
Bloody with small clots Moderate to scant amount Increaed flow on standing or breastfeeding Fleshy odor
58
Characteristics of lochia on days 4-10
Pink and brown color Scant amount Increased flow during physical activity Fleshy odor
59
Characteristics of lochia on day 10
Yellow to white color Scant amount Fleshy odor
60
Less than 1 inch of lochia on pad
scant
61
less than 4 inches of lochia on pad
light
62
less than 6 inches of lochia on pad
moderate
63
pad is saturated in 1 hour with lochia
Heavy
64
A temperature of what postpartum indicates infection?
greater than 100.4 on 2 occasions 6 hours apart within first 24 hours
65
Emotional feeling that begin during pregnancy or shortly after birth between the parent and the newborn. Unidirectional from parent to newborn
Bonding
66
Emotional connection that forms between the infant and parents. It is bidirectional from newborn to parent and parent to newborn
Attachment
67
a phenomenon in which the newborn and infant moves his or her arms and legs in rhythm with speech pattern of an adult.
Entrainment
68
blood loss greater than 500 mL or vaginal delivery and 1000ml for c-section with a 10% drop in hemoglobin and hematocrit
Postpartum hemorrhage
69
amniotic fluid that contains fetal cells, lanugo, and vernix enters the maternal vascular system and initiates a cascading process that leads to cardiorespiratory collapse and DIC.
Amniotic fluid embolism
70
most common postpartum infection, an infection of endometrium, myometrium, and/or parametrical tissue that usually starts at the placenta site and spreads to encompass the entire endometrium
Metritis

Mother-baby (2 decks)

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