Chapter 4 Flashcards
What are the effects obstetric medications have on the neonate?
Obstetric medications can affect the neonate’s respiratory function, muscle tone, and overall health immediately after birth.
These medications can lead to complications such as respiratory depression or reduced alertness.
What is the length of the neonatal period?
The neonatal period lasts from birth to 28 days after birth.
Define ‘Fontanel’
Fontanel refers to the soft spots on a baby’s skull where the bones have not yet fused.
Define ‘Lanugo’
Lanugo is the fine, soft hair that covers a fetus and is usually shed before or shortly after birth.
Define ‘Meconium’
Meconium is the first stool of a newborn, consisting of digested amniotic fluid, mucus, and other substances.
Define ‘Vernix caseosa’
Vernix caseosa is the waxy, white substance that coats the skin of a newborn, providing protection in utero.
What is the Apgar Scale?
The Apgar Scale is a quick assessment tool used to evaluate a newborn’s health at 1 and 5 minutes after birth based on five criteria: Appearance, Pulse, Grimace response, Activity, and Respiration.
What is the Brazelton Scale?
The Brazelton Scale is an assessment tool used to evaluate a newborn’s behavioral and neurological responses.
What is the average weight and length of the neonate?
The average weight of a neonate is about 7.5 pounds (3.4 kg) and the average length is approximately 20 inches (51 cm).
Define ‘Moro’ reflex
Moro is a reflex where a baby throws their arms out and then inward in response to a sensation of falling.
Define ‘Darwinian’ reflex
Darwinian reflex refers to the grasp reflex where a baby will grasp an object placed in their palm.
Define ‘Tonic neck’ reflex
Tonic neck reflex is when a baby turns their head to one side and extends the arm on that side while flexing the opposite arm.
Define ‘Rooting’ reflex
Rooting reflex is when a baby turns their head and opens their mouth in response to a touch on the cheek.
Define ‘Waking’ in infant terminology
Waking refers to the state when an infant transitions from sleep to alertness.
What does ‘states of arousal’ refer to in infants?
States of arousal refer to the various levels of alertness and activity that an infant exhibits, ranging from deep sleep to full alertness.
What are reasons for the drop in immunizations?
Reasons for the drop in immunizations include vaccine hesitancy, misinformation, and access issues.
Why are immunizations important?
Immunizations are important because they prevent the spread of infectious diseases and protect the health of individuals and communities.
How do obstetric medications affect the Apgar Scale?
Obstetric medications can lower Apgar scores by impacting the newborn’s respiratory and neurological stability.
Discuss the differences between bottle and breastfeeding
Bottle feeding provides convenience and measured feeding, while breastfeeding offers nutritional benefits and bonding.
Describe early sensory capacity of the infant in terms of pain
Infants have a well-developed capacity to feel pain, showing reactions such as crying or withdrawal.
Describe early sensory capacity of the infant in terms of hearing
Infants can hear sounds and respond to familiar voices, showing preference for their mother’s voice.
Describe early sensory capacity of the infant in terms of smell
Infants can recognize their mother’s scent and show preference for sweet smells.
Describe early sensory capacity of the infant in terms of vision
Infants have limited vision at birth, primarily seeing high-contrast patterns and objects close to their face.
Describe early sensory capacity of the infant in terms of taste
Infants can taste and show preference for sweet flavors, often reacting positively to sugar solutions.
Describe early sensory capacity of the infant in terms of temperature
Infants can sense temperature changes and react to hot or cold stimuli.
Define ‘temperament’
Temperament refers to the innate traits that influence how an individual reacts to the world, including mood, activity level, and emotional reactivity.
What are weight and height changes during the first year of life?
During the first year, infants typically triple their birth weight and grow about 10 inches in length.
What are milestones for motor development in infants?
Milestones for motor development include rolling over, sitting up, crawling, and walking.
Identify important determinants of a child’s size and shape
Important determinants include genetics, nutrition, health, and environmental factors.
What was childbirth like in Europe and the United States before the twentieth century?
Childbirth was a female ritual that occurred at home and was attended by a midwife. Pain relief was minimal and risks for mother and baby were high.
This reflects practices similar to those in some developing countries today.
What role did midwives play in childbirth before the twentieth century?
Midwives attended births at home.
They were the primary caregivers for childbirth during this period.
How did the development of obstetrics impact childbirth?
It professionalized childbirth, leading to births taking place in hospitals attended by physicians.
This marked a significant shift from home births to medicalized hospital births.
What advancements have improved safety in childbirth?
Medical advances dramatically improved safety for mothers and babies.
These advancements include better prenatal care, sterile environments, and improved surgical techniques.
What are the current options for childbirth for women with normal, low-risk pregnancies?
Delivery at home or in birth centers attended by midwives.
These options can be relatively safe alternatives to physician-attended hospital delivery.
True or False: Childbirth in the past was generally attended by physicians.
False. Childbirth was typically attended by midwives at home.
Fill in the blank: Before the twentieth century, childbirth was characterized by minimal _______.
pain relief
What were the risks associated with childbirth before the twentieth century?
High risks for mother and baby.
This highlights the dangers that were prevalent in childbirth practices of that time.
What is the normal preparatory period before birth called?
Parturition
What are the three stages of the birth process?
- Dilation of the cervix
- Descent and emergence of the baby
- Expulsion of the umbilical cord and the placenta
What can electronic fetal monitoring detect during high-risk births?
Signs of fetal distress