3RD EXAM MATERNAL Flashcards
A condition of pregnancy where
the placenta’s blood vessels attach
too deeply to the uterine wall.
Placenta Accreta
A condition where the placenta
attaches more firmly to the uterus
and becomes embedded in the
organ’s muscle wall.
Placenta Increta
How many times should we take vitals
signs during postpartum:
1st hr - every 15 minutes
2nd hr - every 30 minutes
3rd hr - every hour until stable.
In essential Intrapartum Newborn Care Unang Yakap how many min. is its duration
90 minutes
In skin to skin contact in what position the baby is put in mother’s tummy?
prone position
After how many minute duration the baby
will be taken away for
anthropometric measurement,
weighing, vit. K and Hepa B shots,
ophthalmic ointment, wearing of
clothes?
90
Normal Temp for newborn
36 to 37.5
degrees Celsius
WE DO NOT IMMEDIATELY CUT UMBILICAL
CORD IF STILL PULSATING; IF CUT EARLY IT
WOULD CAUSE WHAT HEALTH PROBLEM?
ANEMIA
Is the 6 week period after childbirth
Postpartum
It is a time of rapid physiological
changes within the woman’s body
as it returns to a pre-pregnant
state.
Postpartum
The Reproductive System
Includes the:
Uterus
Cervix
Vagina
Perineum
During pregnancy, it
undergo changes in preparation
for lactation
breasts
which is an
increase in the vascular and
lymphatic system of the breasts,
precedes the initiation of milk
production.
Primary engorgement
Primary engorgement subsides
within how many hours?
24 - 48 hours
a clear, yellowish fluid, precedes
milk production.
Higher in protein and lower in
carbohydrates than breast milk.
COLOSTRUM
It contains immunoglobulins G and
A that provides protection for the
newborn during the early weeks of
life.
COLOSTRUM
Is a hormone made by the pituitary
gland, a small gland at the base of
the brain.
Causes the breast to grow and
make milk during pregnancy and
after birth.
Prolactin
Is an inflammation or infection of
the breast. The infection may be
due to bacterial entry through the
cracks in nipples.
Mastitis
Symptoms of mastitis
Fever
Malaise
Unilateral breast pain
Tenderness in the infected area
Treatment of mastitis
● Antibiotic therapy
● Analgesia
● Rest
● Hydration
Nursing Action for the BREASTFEEDING
woman
● Assess the breast for engorgement
● Inspect the breasts for signs of
engorgement: tenderness,
firmness, warmth, and/or
enlargement.
Breast are soft and non
tender
(Expected Assessment findings)
First 24 hours postpartum
Breast are slightly firm and
non tender
(Expected Assessment findings)
Postpartum day 2
Breasts are firm, tender,
and warm to touch.
(Expected Assessment findings)
Postpartum day 3
After delivery of the placenta, the
uterus begins the process of what?
by which the uterus
returns to a pre-pregnant size,
shape, and locations; and the
placental site heals
involution
women usually do
not experience discomfort
related to uterine contractions
during the postpartum period.
Primiparous women
women
who are breastfeeding may
experience “afterpains” during the
first postpartum days (increase in
oxytocin) infant sucking.
Multiparous women
decrease the risk of postpartum
hemorrhage
contracted uterine
indicates that the
uterus is not contracting and
places the woman at risk for
excessive blood loss
boggy uterus
Stimulates uterine smooth muscle
to produce uterine contraction
Postpartum control of bleeding
Oxytocin (Syntocinon)
10 units in a liter of IV solution or 10
units IM.
Route and Doses of Oxytocin
Decreased pain and inflammation
Ibuprofen (Motrin)
PO; 600 - 800 mg every 6 hrs PRN
Route and Dose of Ibuprofen
incomplete
emptying bladder, inability to void
are common during the first few
days post-birth
Bladder distention
caused by decreased
estrogen and oxytocin levels,
occurs within 12 hours post-birth
and aids in the elimination of
excess tissue fluids
Diuresis
Primary
complications of Diuresis are
bladder
distention and cystitis
Bladder inflammation/infection
Result of having received a
catheter, which can introduce
bacteria into the urinary tract
Cystitis
Uncomfortable and infrequent
bowel movements
Constipation
a postpartum vaginal
discharge. It contains blood from
the placental site, particles of
necrotic decidua and mucus.
Lochia
● Is the heaviest during the first 1-2
hourse after birth
● Bright red and commonly last 1-3
days
● May contain small clots
Lochia Rubra
● The vaginal flow then pales and
becomes pink to brown after
approximately 3 days
● Should not contain clots and can
last up to 27 days in some womb.
Lochia Serosa
● The vaginal discharge often
becomes yellow to white
● May continue, on average, to the
sixth week postpartum
Lochia Alba
If the mother has excessive lochia,
a clean pad should be applied and
checked within
15 minutes
Assessment of uterine firmness, location
and position in relation to the midline is
performed at
routine intervals.
experience changes related to the
birthing process ranging from mild
stretching and minor lacerations to
major tears and episiotomies.
vagina and perineum
a cut (incision)
made in the tissue between the
vaginal opening and the anus
during childbirth
episiotomy
The vagina and perineum undergo
healing and restoration during the
postpartum period
REEDA stands for?
R - Redness
E - Edema
E - Ecchymosis
D - Discharge
A - Approximation of edges of episiotomy
or laceration
Also known as piles, are veins in or
around your anus that have
become swollen
Hemorrhoids
Hemorrhoids are caused by
pressure on the veins in your
rectum or anus
Assess for the signs of Deep Vein
Thrombosis (DVT) by
Homan’s Sign
A positive Homan’s Sign is
indicative of
DVT
Is a blood clot or a piece of plaque
that acts like a clot.
Emboli / Embolus
When the clot travels from the site
where it formed to another
location in the body it is called an
embolism
Is a blocked artery caused by a
foreign body, such as a blood clot
or an air bubble.
Embolism
what is the position commonly performed with the mom when performing the Homan’s Test?
a supine position while
lying in bed.
The calf is flexed at
90 degree
angle
The nurse manipulates the foot in a
dorsiflexion movement if the pain
is felt in the ____, the Homan’s Sign
is said to be positive.
calf
A sudden and unexplainable pain,
usually in the back of the leg or
calf
Signs of DVT
Tachycardia and shortness of
breath or dyspnea (from
decreased oxygenation status) are signs of what?
DVT
occurs
when a clot breaks away from the
leg area and travels to the lungs
Pulmonary embolism (PE)
The mother may experience a
let-down feeling, which is called what?
This is a form of depression that is
usually temporary and may occur
in the hospital
postpartal “baby blues”
usually begin within the
first 2 to 3 days after delivery and
may last for up to two weeks.
Baby blues
1st 24 hours range 1-2 days, focus on self and meeting basic need, reliance on others to meet needs of comfort, rest, closeness nourishment, birth excited and talkative.
Taking In Phase - dependent phase
starts end of 3rd day pp, last for 10 days to several weeks, focuses on care of baby, desire to take charge, still need nurturing and acceptance by others eagerness to learn (period to teach most receptive time to learn), possible experince pp “blues”
Taking Hold Phase - dependent/independent phase
Focuses on forward movement movement of family as unit with with interacting members, reassertion of relationship with partner, resumption of sexual intimacy, resolution of individual roles.
Letting Go Phase - interdependent phase
Women have an average blood
loss of ______ related to
the vaginal birthing experience
400 to 500 ml
is
commonly defined as blood loss
exceeding 500 ml following vaginal
birth and 1000 ml following
cesarean
Postpartum hemorrhage (PPH)
Cardiac output returns to
pre-pregnant levels within
how many hours?
48 hours
White blood cell (WBC) levels
may increase to 25,000/mm within
a few hours of birth and return to
normal levels within how many days?
7 days
Acronym used to denote the
components of discharge planning
for mother and child.
METHOD-P
METHOD-P stands for ?
M - Medication
E - Environment
T - Treatements
H - Health Teaching
O - Outpatient Follow-up
D - Diet
P - Psychosocial
This medication may cause
drowsiness or make you sleepy, so
do not take with alcohol or drive a
car. It may also cause some
constipation.
Tylenol #3
This medication may cause an
upset stomach. Do not take it if you have problems with ulcers or
have a bleeding disorder. It may
also cause some constipation.
Motrin
NO sexual
intercourse for how many weeks is
suggested
4-6 weeks
Benefits of Skin to Skin include:
● Calm baby
● Relaxes mom
● Decreases stress of birth
● Helps mother produce milk
● Keeps baby warm
● Promotes brain development
● Stabilizes baby’s blood sugar,
breathing and heartbeat
caused by the
contraction and relaxation of the
uterus as it decreases in size.
Uterine cramps
occur within the first
few days and last 36 hours.
Afterpains
sharp pains in the
belly that occur in the first few
days after childbirth. They may
cause some discomfort.
Afterpains
help reduce uterine
bleeding. They also help shrink
the uterus back to the size it was
before you were pregnant.
Afterpains
Prevention of constipation
Promotes incorporation of water
into the stool
Docusate (Colace)
standardizes
infant assessment at birth and
serves as a baseline for future
evaluations.
Apgar score
blueness of hands and feet (normal during the first 24 hours of life)
acrocyanosis
Total body muscle tone is reflected in the infant’s preferred posture at rest and resistance to stretch of
individual muscle groups.
posture
Wrist flexibility and/or resistance to extensor stretching are responsible for the resulting angle of flexion at the wrist
Square window
This maneuver focuses on passive flexor tone of the biceps muscle by measuring the angle of recoil following very brief
extension of the upper extremity.
arm recoil
This maneuver assesses maturation of passive flexor tone about the knee joint by testing for resistance to extension of
the lower extremity.
popliteal angle
This maneuver tests the passive tone of the flexors about the shoulder girdle.
scarf sign
This maneuver measures passive flexor tone about the pelvic girdle by testing for passive flexion or resistance to
extension of posterior hip flexor muscles.
heel to ear
Maturation of fetal skin involves the development of its intrinsic structures concurrent with the gradual loss of
its protective coating called the?
vernix caseosa
the fine hair covering the body of the fetus. In extreme immaturity, the skin lacks any of it
Lanugo
This item pertains to the major foot creases on the sole of the foot
plantar surface
when the bottom of the foot is stroked, the big toe bends back and the other toes fan out
babinski reflex
When the baby’s mouth is stroked, the baby will open their mouth (this help with feeding)
root reflex
Triggered by a sudden loud noise or movement. The baby will extend the arms and palms up
(startle reflex)
Moro reflex
The infant will begin to suck when an object or finger touches the top of the mouth
sucking reflex
When an infant turns their head to one side, the legs and arms will extend. while the leg on the opposite side will flex
tonic neck reflex
Baby involuntary wraps their fingers around an adult’s fingers when the palm is touched.
Palmar grasp reflex
breastfed and bottle fed infants receiving less than 500 mL of formula per day should receive how many IU of what vitamin per how many day?
200 IU of vit D per day
done when your baby is 24-48 hours old
newborn screening test
what are the symptoms of neonatal jaundice?
yellow skin
yellow eyes (sclera)
sleepiness
poor feeding in infants
brown urine
fever
high pitch cry
vomiting
