Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Maternal/Peds > Exam 1 > Flashcards

Exam 1 Flashcards

1
Q

Puerperium

A

“Postpartum Period” - 6 weeks following childbirth. AKA: 4th trimester of pregnancy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Postpartum

A

There is a fall in the blood levels of placental hormones

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Uterine Changes Postpartum

A

The uterus should return to its normal size 5-6 weeks after delivery. The placental site is fully healed in 6-7 weeks.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Placement of Fundus after delivery

A

Immediately after placenta is expelled, midline or at/below level of umbilicus. After 24 hours will descend 1cm a day. By 10 days pp should no longer be palpable

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Afterpains

A

Decrease rapidly within 48 hours, more often in multiparas, breastfeeding mothers. No ASA should be used pp because of interference with blood clotting

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Lochia

A

Composed of endometrial tissue, blood and lymph.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Involution

A

The changes that the reproductive organs, particularly the uterus, undergo after birth to return them to their prepregnancy size.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Subinvolution

A

Failure of the uterus to return to the prepregnant state after 6 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Lochia Rubra

A

Red because it is composed mostly of blood; lasts for about 3 days after birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Lochia Serosa

A

Pinkish because of its blood and mucus content. Lasts from 3rd through 10th day after birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Lochia Alba

A

Mostly mucus and is clear and colorless or white. Lasts from 10th through 21st day after birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Lochia Weight Conversion

A

1g of weight = 1mL volume of blood

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Absence of Lochia

A

Not normal and may be associated with blood clots retained within the uterus or with infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Abnormal Characteristics needing Reported

A

Foul smelling lochia, Lochia rubra beyond 3rd day, lochia that returns to bright red after is progressed to serosa or alba.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Medications to stimulate uterine contraction

A

Oxytocin (IV) and Methergine (IM or orally)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Cervix PP

A

Regains its muscle tone but never closes as tightly as during the prepregnant state

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Vagina PP

A

Rugae disappear and then reappear 3 weeks pp, within 6 weeks it regains most of its prepregancy form but never returns to the size it was before

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

REEDA

A

Five signs to assess the perineum pp or cesarean incision. Redness, Edema, Ecchymosis, Discharge, Approximation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Perineal Care

A

Ice for 12-24 hours removing when ice melts and waiting 10 mins to reapply. After 24 hours heat with chemical warmpack, sitz bath, or bidet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Medications for perineal pain

A

Hydrocortisone and pramoxine (Epifoam), benzocaine, and witch hazel pads

21
Q

Phase 1 on Rubin’s Psychological Changes of the Puerperium

A

“Taking In” - Mother is passive and willing to let others do for her. Conversation centers on her birth experience. Mother has great interest in infant and little in learning. Primary focus is on recovery from birth, her need for food, fluid and deep sleep.

22
Q

Phase 2 on Rubin’s Psychological Changes of the Puerperium

A

“Taking Hold” - Mother begins to initiate action, becomes critical of her performance, increased concern about her body’s functions. This phase is IDEAL for teaching.

23
Q

Phase 3 on Rubin’s Psychological Changes of the Puerperium

A

“Letting Go” - Give up previous lifestyle, give up their ideal of their birth experience, give up the fantasy child to accept the real child.

24
Q

Phase 1 of Newborn Transition to Extrauterine Life

A

0-30 mins; (Period of reactivity); tachycardia gradually lowering to normal rate, irregular respirations, rales present on auscultation, infant is alert, frequent Moro reflex, tremors, crying, increased motor activity

25
Q

Phase 2 of Newborn Transition to Extrauterine Life

A

30min - 2 hrs; (decreased responsiveness); decreased motor activity, rapid respirations (up to 60/min), normal HR, audible bowel sounds

26
Q

Phase 3 of Newborn Transition to Extrauterine Life

A

2-8 hrs; (second period of reactivity); abrupt brief changes in color and muscle tone, presence of oral mucus, responsiveness to external stimuli, infant stabilizes, begins suck-swallow coordination and is ready for regular feedings

27
Q

Temp of Newborn

A

97.7-98.6 axillary; remains in radiant warmer until temp stabilized and first bath delayed until temp is normal, should be recorded 30 mins after bath and 1hr after transfer to open crib.

28
Q

HR of Newborn

A

110-160 bpm

29
Q

BP of Newborn

A

65/30 - 95/60, taken in all 4 extremities or 1 leg and 1 arm

30
Q

Preterm Skin

A

thin and somewhat transparent, vernix covering most of the skin surface, heavily covered with lanugo

31
Q

Postterm Skin

A

peeling, vernix absent

32
Q

Prolactin

A

From the anterior pituitary gland and causes milk production

33
Q

Oxytocin

A

from the posterior pituitary gland causes milk letdown

34
Q

Foremilk

A

the first milk the infant obtains, it is more watery and quenches the infants thirst

35
Q

Hindmilk

A

The later milk that has a higher fat content

36
Q

Colostrum

A

Late in pregnancy and for the first few days after birth, yellowish, rich in antibodies. Provides protein, vit A and E, essential minerals. Lower in calories. Has a laxative effect, which aids in eliminating meconium

37
Q

Transitional Milk

A

7-10 days after birth, Has fewer immunoglobulins and proteins, has increased lactose, fat, and calorie content

38
Q

Mature Milk

A

by 14 days after birth, bluish color, 20kcal/oz and all the nutrients the infant needs

39
Q

Moro Reflex

A

If jared, infant draws up legs and arms fan out then come toward midline in an embrace position (3-6 months)

40
Q

Tonic Neck Reflex

A

If you turn the infants head to one side, the arm and leg on that side will extend while the opposite side flexes (5-7 months)

41
Q

Normal Head Circumference

A

12.5-14.1 in / 32-36cm

42
Q

Anterior Fontanel

A

Diamond shape, at junction of parietal and frontal bones, closes at 12-18 months

43
Q

Functional Heart Murmur

A

The result of blood passing through NORMAL valves

44
Q

Organic Heart Murmur

A

Caused by blood passing through ABNORMAL openings

45
Q

Normal Newborn Temp

A

97.8-98.9 (report anything over 99.8 or below 97.1)

46
Q

Normal Newborn Pulse

A

110-160

47
Q

Normal Newborn RR

A

30-60 (report any nasal flaring, noisy respirations, or chest retraction)

48
Q

Average Newborn Length

A

46-56cm/19-21.5 in

49
Q

BUBBLE Assessment

A

B (breasts) U (uterus) B (bowel) B (bladder) L (lochia) E (episiotomy)

Maternal/Peds (4 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions