CL1: Post partum nursing care Flashcards
efers to the 6-week period after childbirth. It is a time of maternal changes that are both retrogressive (involution of the uterus and vagina) and progressive (production of milk for lactation, restoration of the normal menstrual cycle, and beginning of a parenting role
postpartal period, or puerperium
fluid discharges after delivery
lochia rubra
pink to brown drainage after delivery until 7 days
lochia serosa
pink to brown drainage after delivery until 7 days
lochia serosa
yellow to white drainage, 10 days to 4 weeks
lochia alba
5 cm saturation of pad in one hour = 10ml
scant lochia
10 cm saturation of pad within 1 hour = 10-25ml
light lochia
also called dorsi flexon sign test is a physical examination procedure that is used to test for Deep Vein Thrombosis (DVT
Homan’s Sign
when the blues moves to the point where mother cannot care for herself or the baby.
POST PARTUM DEPRESSION
severe form of depression that warrants immediate intervention. When mother harms herself or the neonate or consider doing so
POST PARTUM PSYCHOSIS
helps to decrease inflammation and relieve tension in the area.
cortisone-based cream or warm sitz bath
perineal stitches may be absorbed within
10 days
Coitus is safe as soon as woman’s lochia has turned
alba
Do not give acetaminophen
(Tylenol) for fevers during the first
6 to 8
weeks of life.
termination of care from a health care agency
discharge
process of identifying and preparing for a patient’s anticipated health care needs after they leave the hospital
discharge planning
M-E-T-H-O-D
Medication, Environment, Treatment, Health Teaching, Out patient referral and Diet
prenatal vitamins and iron must be continued everyday until
breast-feeding stop
study of chromosomes by light microscopy
cytogenetics
the child has an extra chromosome 13 and is severely cognitively challenged, midline body disorder
Trisomy 13 syndrome (47XY13/47XX13)
the child has an extra chromosome 13 and is severely cognitively challenged, midline body disorder
Trisomy 13 syndrome (47XY13/47XX13)
common finding in trisomy 13 syndrome
midline: cleft lip, palate, heart defects, abnormal genitalia
Microcephaly, microthalmos, cutis aplasia
common finding in trisomy 13 syndrome
midline: cleft lip, palate, heart defects, abnormal genitalia
Microcephaly, microthalmos, cutis aplasia
have three copies of chromosome 18 (edward syndrome)
Trisomy 18 syndrome (47XY18/47XX18)
common findings in trisomy 18 or edward syndrome
markedly low-set ears, congenital heart defects, misshapen fingers and toes
syndrome due to missing portion of chromosome 5; abnormal cry “cat-sound”
cri-du-chat syndrome (46XX5p/46XY5p)
gonadal dysgenesis; small and nonfunctional ovaries, secondary sex charac not develop
Turner Syndrome (45X0)
management of turner syndrome
administration of estrogen at 13 years of age for sex charac and prevent osteoporosis
males with extra X chromosome; secondary sex characteristics not develop; small testes that produce ineffective sperm; Gynecomastia
Kunefelter Syndrome (47XXY)
cognitive challenge in males; deficit in speech and arithmetic; hyperactive and autism
fragile X syndrome (46XY23q)
occurs in 1 in 800 pregnancies, extra fold of tissue in the inner canthus
Down Syndrome (trisomy 21) (47XY21)
lifespan is only 50-60; altered immune system and prone to RTI; atrioventricular defects
Down Syndrome
females are more frequently affected
X linked dominant
can both affect males and females but only passed on by females
Mitochondrial
the gene in question is located on one of the numbered, or non-sex chromosomes
Autosomal
single copy disease-associated mutation is enough to cause the disease
Dominant
genetic trait or condition can be passed down from parents to children
Autosomal Dominant Inheritance
two copies of abnormal gene must be present in order for the disease to develop
autosomal recessive
strictly pass only through maternal
mitochondrial mode of inheritance
condition that affects the development of the face; cleft lip/palate or both caused by variety of mutations in the IRF6 gene on chromosome 1
Van der Woude Syndrome
both clinically and genetically heterogenous; mutations in cytochrome P4501B1 (CYP1B1) predominant caused by PCG (primary congenital glaucoma)
Congenital Cataract
most common CHD
atrioventricular septal defect (AVSD), ventricular septal defect (VSD), ASD and PDA or patent ductus arteriosus and tetralogy of falot
group of phenotypically and gnetically heterogenous heart malformations; triggered by trisomy 21
atrioventricular septal defect (AVSD)
atrial defect associated with aneurysm of the interatrial septum and cardiac arrythmias
atrial septal defect (ASD6)
caused by heterozygous mutation in the JAG1 gene
tetralogy of fallot (TOF)
congenital cardiovascular malformation with both inherited and acquired causes
patent ductus arteriosus (PDA)
decreased pulmonary flow: TOF, Tricuspid atresia
Increased pulmonary flow: transposition of great arteries
Cyanotic heart disease
the first recognized genetic cause of CHD, occurs in 40-50% trisomy 21
Chromosomal aneuploidy
involves a variety of non-progressive conditions that are characterized by multiple joint contractures
Arthrogyroposis/arthrogyroposis multiplex congenita (AMC)
infants external genitalia dont appear
ambiguous genitalia
boys where the opening of the urethra is not located at the tip of the penis
hypospadias
bones in baby’s skulls join together too early
craniosynostosis
varied and broad skull, face, and limb abnormalities
saethre-chotzen sysndrome
severe malformation of extremities
phocomelia syndrome
extremely rare; missing fingers or toes
roberts syndrome
hole in the diaphragm
diaphragmatic hernia
spine and spinal cord dont form properly; type of neural tube defect
spina bifida
most common congenital bleeding disorder
von willebrand disease, hemophilia A and B (christmas disease)
severe damage to the lungs; digestive
cystic fibrosis
cancer of the blood and bone marrow
leukemia
cancer that starts in certain very early form of nerve cells
neuroblastoma
type of childhood cancer that starts in the kidneys
wilms tumor (nephroblastoma)
most common cancer in children
rhabdomyosarcoma, retinoblastoma, bone cancer
