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NRS237: Maternity Nursing > Chapters 3, 20, 23, 24 > Flashcards

Chapters 3, 20, 23, 24 Flashcards

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1
Q

autoimmune disorders

A

Group of diseases that disrupt the function of the immune system, causing the body to produce antibodies against itself, resulting in tissue damage.

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2
Q

cardiac decompensation

A

condition of heart failure in which the heart is unable to maintain a sufficient cardiac output.

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3
Q

euglycemia

A

pertaining to normal blood glucose level; also called normoglycemia

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4
Q

gestational diabetes mellitus (GDM)

A

glucose intolerance first recognized during pregnancy

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5
Q

glycosylated hemoglobin A1C

A

glycohemoglobin, a minor hemoglobin with glucose attached; the glycosylated hemoglobin concentration represents the average blood glucose level over the previous several weeks and is a measurement of glycemic control in diabetic therapy

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6
Q

hydramnios (polyhydramnios)

A

amniotic fluid in excess of 2000mL

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7
Q

hyperglycemia

A

excess glucose in the blood, usually caused by inadequate secretion of insulin by the islet cells of the pancreas or inadequate control of diabetes mellitus.

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8
Q

hyperthyroidism

A

excessive functional activity of the thyroid gland

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9
Q

hypoglycemia

A

less than a normal amount of glucose in the blood; usually caused by the administration of too much insulin, excessive secretion of insulin by the islet cells of the pancreas, or dietary deficiency.

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10
Q

hypothyroidism

A

deficiency of thyroid gland activity with underproduction of thyroxine

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11
Q

ketoacidosis

A

Accumulation of ketone bodies in the blood as a consequence of hyperglycemia ; leads to metabolic acidosis.

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12
Q

macrosomia

A

large body size as seen in neonates of mothers with pregestational or gestational diabetes.

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13
Q

peripartum cardiomyopathy

A

inability of the heart to maintain an adequate cardiac output; congestive heart failure occurring during the peripartum

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14
Q

pregestational diabetes mellitus

A

diabetes mellitus type 1 or type 2 that exists before pregnancy.

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15
Q

amenorrhea

A

absence or cessation of menstruation

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16
Q

dysfunctional uterine bleeding (DUB)

A

excessive uterine bleeding with no demonstrable organic cause

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17
Q

dysmenorrhea

A

painful menstruation beginning 2 to 6 months after menarche, r/t ovulation or to organic disease such as endometriosis, pelvic inflammatory disease, or uterine neoplasm

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18
Q

endometriosis

A

tissue closely resmbling endometrial tissue located outside the uterus

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19
Q

fibroademona

A

firm, freely movable, solitary, solid, benign breast tumor

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20
Q

fibrocyctic changes

A

benign changes in breast tissue

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21
Q

leiomyoma

A

benign smooth-muscle tumor

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22
Q

lumpectomy

A

removal of a wide margin of normal breast tissue surrounding a breast cancer

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23
Q

menorrhagia

A

abnormally profuse or excessive menstrual flow

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24
Q

metorrhagia

A

abnormal bleeding from the uterus, particularly when it occurs at any time other than the menstrual period.

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25
Q

modified radical mastectomy

A

surgery that includes the removal of the breast and fascia over the pectoralis major muscle

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26
Q

oligomenorrhea

A

abnormally light or infrequent menstruation

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27
Q

pelvic inflammatory disease

A

infection of internal reproductive structures and adjacent tissues usually secondary to sexually transmitted infections

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28
Q

premenstrual syndrome

A

syndrome of nervous tension, irritability, weight gain, edema, headache, mastalgia, dysphoria, and lack of coordination occurring during the last few days of the menstrual cycle preceding the onset of menstruation.

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29
Q

radical mastectomy

A

surgery that includes the total removal of the breast, as well as the underlying pectoralis major and pectoralis minor muscles

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30
Q

simple mastectomy

A

surgery that includes the removal of the beast without the underlying muscle or fascial tissue

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31
Q

endometritis

A

postpartum uterine infection, often beginning at the site of placental implantation

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32
Q

hemorrhagic (hypovolemic) shock

A

clinical condition in which the peripheral blood flow is inadequate to return sufficient blood to the heart for normal function, particularly oxygen transport to the organs or tissue

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33
Q

inversion of the uterus

A

condition in which the uterus is turned inside out such that the fundus intrudes into the cervix or vagina

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34
Q

mastitis

A

infection in a breast, usually confined to a milk duct, characterized by influenza-like symptoms and redness and tenderness in the affected breast.

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35
Q

mood disorders

A

disorders that have a disturbance in the prevailing emotional state as the dominant feature; cause is unknown

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36
Q

pelvic relaxation

A

lengthening and weakening of the fascial supports of pelvic structures

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37
Q

postpartum depression

A

depression occurring within 4 weeks of childbirth, lasting longer than postpartum blues and characterized by a variety of symptoms that interfere with activities of daily living and care of the baby

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38
Q

postpartum hemorrhage

A

excessive bleeding after childbirth; traditionally defined as a loss of 500ml or more after a vaginal birth and 1000 ml after a cesarean birth

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39
Q

postpartum psychosis

A

syndrome characterized by depression, delusions, and thoughts by the mother of harming herself or her infant

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40
Q

puerperal infection

A

infection of the pelvic organs during the postbirth period; also called postpartum infection

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41
Q

subinvolution

A

failure of a part (e.g., the uterus) to reduce to its normal size and condition after enlargement from functional activity (e.g., pregnancy)

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42
Q

thrombophlebitis

A

inflammation of a vein with secondary clot formation

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43
Q

urinary incontinence

A

uncontrollable leakage of urine

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44
Q

uterine atony

A

relaxation of uterus; leads to postpartum hemorrhage.

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45
Q

ABO incompatibility

A

hemolytic disease that occurs when the mother’s blood type is O and the newborn’s is A, B, or AB

46
Q

alcohol-related birth defect

A

Congenital abnormality or anomaly resulting from excessive maternal alcohol intake during pregnancy characterized by typical craniofacial and limb defects. cardopvascular defects, IUGR, and developmental delay; newer terminology for fetal alcohol syndrome.

47
Q

alcohol-related neurodevelopmental disorder

A

disorder in infants affected by prenatal exposure to alcohol but who do not meet the criteria for FAS; previously termed fetal alcohol effects

48
Q

barotrauma

A

physical injury resulting from changing air pressure, often associated with ventilatory assistance in preterm infants

49
Q

bereavement

A

the feeling of loss, pain, desolation, and sadness that occur after the death of a loved one

50
Q

continuous positive airway pressure

A

means of infusing oxygen or air under a preset pressure via nasal prongs, a facemask, or an endotracheal tube.

51
Q

Coombs test

A

Indirect: determination of Rh-positive antibodies in maternal blood
Direct: determination of maternal Rh- positive antibodies in fetal cord blood;
positive test result indicates the presence of antibodies or titers.

52
Q

corrected age

A

taking into account the gestational age and the postnatal age of a preterm infant when determining expectations for development

53
Q

developmental care

A

care that takes into consideration the gestational age and condition of the infant and promotes the development of the infant

54
Q

developmental dysplasia of the hip

A

abnormal development of the hip joint, resulting in instability of the hip causing one or both of the femoral heads to be displaced from the acetabulum (hip socket)

55
Q

erythroblastosis fetalis

A

hemolytic disease of the newborn usually caused by isoimmunization resulting from Rh incompatibility or ABO incompatibility

56
Q

exchange transfusion

A

replacement of 75% to 85% of circulating blood by withdrawal of the recipient’s blood and injection of a donor’s blood in equal amounts the purposes of which are to prevent an accumulation of bilirubin in the blood above a dangerous level, to prevent the accumulation of other by-products of hemolysis in hemolytic disease and to correct anemia and acidosis

57
Q

extracorporeal membrane oxygenation

A

oxygenation of blood external to body using cardiopulmonary bypass and a membrane oxygenator, used primarily for newborns with refractory respiratory failure of meconium aspiration syndrome

58
Q

grief

A

physical, emotional, social, and cognitive response to a loss such as the death of a loved one

59
Q

hydrops fetalis

A

most severe expression of a fetal hemolytic disorder with high mortality, a possible sequela to maternal Rh isoimmunization; infants exhibit fross edema (anasarca), cardiac decompensation, and profound pallor from anemia

60
Q

inborn error of metabolism

A

Group of recessive disorders cause by a metabolic defect that results from the absence of or change in a protein, usually an enzyme, and mediated by the action of a certain gene

61
Q

kangaroo care

A

skin-to-skin infant care, especially for preterm infants, that provides warmth to infant; infant is placed naked or diapered against the mother’s or the father’s bare chest and is covered with the parent’s shirt or a warm blanket

62
Q

late preterm (near term) infant

A

An infant born between 34 0/7 & 36 6/7 weeks of gestation, regardless of birth weight.

63
Q

mechanical ventilation

A

respiratory support technique used to provide predetermined amount of oxygen; requires intubation

64
Q

meconium aspiration syndrome

A

function of fetal hypoxia; with hypoxia the anal sphincter relaxes and meconium is released; reflex gasping movements draw meconium and other particulate matter in the amniotic fluid into the infant’s bronchial tree, obstructing the airflow after birth

65
Q

neonatal abstinence syndrome

A

signs and symptoms associated with drug withdrawl in the neonate

66
Q

neutral thermal environment

A

environment that enables the neonate to maintain a normal body temperature with minimum use of oxygen and energy

67
Q

nonnutritive sucking

A

use of pacifier by infants; may include thumb or fingers

68
Q

respiratory distress synfrome

A

condition resulting from decreased pulmonary gas exchange, leading to retention of carbon dioxide (increase in arterial partial pressure of carbon dioxide); most common neonatal causes are prematurity and perinatal asphyxia, and maternal diabetes mellitus. Also called hyaline membrane disease.

69
Q

thrush

A

fungal infection of the mouth or throat characterized by the formation of white patches on a red, moist, inflamed mucous membrane, cause by Candida albicans

70
Q

TORCH

A

infections caused by organisms that damage the embryo or fetus; acronym for toxoplasmosis, other (e.g. syphilis), rubella, cytomegalovirus, and herpes simplex

71
Q

trophic feedings

A

very small feedings given to stimulation maturation of the gut.

72
Q

Infants born to mother’s with diabetes mellitus are 4x’s more likely to develop this….

A

respiratory distress syndrome

73
Q

low birth weight infant

A

an infant whose birth weight is less that 2500g, regardless of gestational age

74
Q

very-low birth weight infant

A

an infant whose birth weight is less than 1500g

75
Q

extremely-low birth weight infant

A

an infant whose birth weight is less than 1000g

76
Q

appropriate for gestational age infant

A

an infant whose birth weight falls between the 10th and 90th percentile on intrauterine growth curves

77
Q

small-for-date infant or small for gestational age

A

an infant whose rate of intrauterine growth was restricted and whose birth weight falls below the 10th percentile on intrauterine growth curves

78
Q

large for gestational age infant

A

an infant whose birth weight falls above the 90th percentile

79
Q

IUGR

A

found in infants whose intrauterine growth is restricted.
Symmetric: small all over
Asymmetric: Head is normal sized body is small

80
Q

periodic breathing

A

respiratory pattern commonly seen in preterm infants. Exhibiting 5 - 10 second pauses in breathing followed by 10 - 15 seconds of compensatory rapid respiration.

81
Q

Difference between apnea and periodic breathing

A

Apnea is pauses in breathing greater than 20 seconds. Periodic is less than 10 seconds.

82
Q

Neonatal resuscitation steps

A
  1. initial steps in stabilization: provide warmth by placing the baby under warmer, open airway, clear airway, dry baby, stimulate breathing, reposition baby
  2. ventilation
  3. chest compressions
  4. administration of epinephrine or volume expansion or both.
83
Q

Surfactant

A

surface-active phospholipid secreted by the alveolar epithelium. Reduces the surface tension of fluids that line the alveoli and respiratory passages, resulting in uniform expansion and maintenance of lung expansion at low intraalveolar pressure.

Infants born before 32 weeks do not have adequate amounts of surfactant to survive extrauterine life

84
Q

Patent ductus arteriosis

Symptoms/Treatment

A

Signs: Systolic murmur, active precordium, bounding peripheral pulses, tachycardia, tachypnea, crackles, and hepatomegaly.

Treatment: ventilatory support, fluid restriction, diuretics, and indomethacin.
Surgical ligation

85
Q

Respiratory distress syndrome

Signs/ treatment

A

Signs: tachypnea; grunting; nasal flaring; intercostal, or subcostal retractions; hypercapnia; acidosis; pallor; crackles; poor air exchange

treatment: establish and maintain adequate ventilation and oxygenation. Administer surfactant, maintain neutral thermal environment, maintain fluid balance

86
Q

Periventricular-intraventricular hemorrhage

Signs/treatment

A

signs: usually asymptomatic; some experience decrease hematocrit, glucose instability, resp. acidosis, apnea, hypotonia, stupor, ashen color, respiratory distress
treatment: recognize early factors and intervene to prevent bleeding episodes. Initiate early Breastfeeding bc it significantly reduced the incidence of this implication

87
Q

Necrotizing enterocoloitis

Signs/treatment

A

Signs: GI symptoms: abdominal distention, increasing of bile-stained residual gastric aspirates, vomiting (bile or blood), grossly bloody stools, abdominal tenderness, and erthema of abd wall

treatment: Rest GI, NG tube inserted to low suction, TPN, antibiotic therapy, possible surgery.

88
Q

Retinopathy of prematurity

Signs/treatments

A

No external signs; diagnosed by using retinal examination and scleral depression

Treatment:prevention and early detection at preterm birth. circumferential cryopexy, laser photocoagulation, vitamin E therapy, and decreasing intensity of ambient light

89
Q

Bronchopulmonary dysplasia

signs/treatments

A

signs: tachypnea, retractions,nasal flaring, increased work of breathing, exercise intolerance, tachycardia
treatment: O2 therapy, nutrition, fluid restriction and medications (diuretics, corticosteriods, and bronchodilators)

90
Q

Gavage feeding

A

method of providing breastmilk or formula through a nasogastric or orogastric tube.

91
Q

Goal of kangaroo care

A

promote thermoregulation, bonding and early breastfeeding.

92
Q

Normal Arterial Blood Gas Values

A 
pH: 7.35 - 7.45
PaO2: 60 - 80
PaCO2: 35 - 45
HCO3: 18 - 26
O2 Sat: 92 - 94%
Base excess + or - 5
93
Q

The single most important factor influencing fetal well-being is…..

A

the euglycemic status of the mother

94
Q

Problems seen in infants of diabetic mothers

A
  • congenital anomalies
  • macrosomia
  • birth injury (resulting from macrosomia or method of birth)
  • Respiratory distress syndrome
  • Hypoglycemia
  • Cardiomyopathy
  • hyperbilirubinemia and polycythemia
95
Q

Injuries of Scalp

A

Caput succedaneum
Cephalohematoma
subgaleal hemorrhage

96
Q

Injuries of Skull

A

linear fracture

depressed fracture

97
Q

Most common fracture during birth

A

Clavicle

98
Q

Alcohol

neonatal effects

A

FAS; craniofacial features vary, many include short eyelid opening, flat midface, flat upper lip groove, thin upper lip; microcephaly; hyperactivity; developmental delays; attention deficits

99
Q

Cocaine

neonatal effects

A

CNS stimulant and peripheral sympathomimetic. Preterm birth, small for gestational age, microcephaly, poor feeding, irregular sleep patterns, diarrhea, visual attention problems, hyperactivity, difficult to console, hypersensitivity to noise and external stimuli, irritability, developmental delays, congenital anomalies such as PRUNE BELLY SYNDROME

100
Q

Heroin

neonatal effects

A

increased rate of still birth, low birth weight, SGA, meconium aspiration, microcephaly, neurobehavioral problems, irritability, tachynpnea, feeding difficulty, vomiting, high-pitched cry, seizures, 74x risk for SIDS

101
Q

Marijuana

neonatal effects

A

tremors, low birth weight, growth restriction, meconium staining.

102
Q

Methamphetamine

neonatal effects

A

effects dose related; SGA, preterm birth, abruptio placenta, perinatal mortality, poor weight gain, lethargy, cleft lip and palate, cardiac defects, delays in fine and gross motor, behavioral problems later in childhood.

103
Q

Methadone

A

therapy for heroin addiction. methadone withdrawal more severe and prolonged than withdrawal from heroin. Signs of withdrawal include tremors, irritability, state lability, hypertonicity, hypersensitivity, comiting, mottling, and nasal stuffiness; disturbed sleep pattern. Increased SIDS risk

104
Q

Tobacco

neonatal effects

A

preterm birth; low birth weight; increased risk for SIDS, increased risk for bronchitis, pneumonia, developmental delays

105
Q

Caffeine

neontal effects

A

more than 150mg/day associated with IUGR and low birth weight.

106
Q

Encephalocele

A

herniation of brain and meniges through a skull defect usually at the base of neck.

surgical repair and shunting to relieve hydrocephalus

107
Q

Anencephaly

A

absence of both cerebral heispheres and the overlying skull. incompatible with life

comfort measures until infant dies of temperature instability and respiratory failure

108
Q

spina bifida

A

failure of the neural tube to close

usually no treatment

109
Q

meningocele

A

external sac that contains meninges and CSF and that protrudes through a defect in the vertebral column.

protect sac. cover with sterile, moist nonadherent dressing. surgical repair needed ASAP

110
Q

myelomeningocele

A

similar to meningocele, also contains nerves

NRS237: Maternity Nursing (5 decks)

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