Exam 5 Flashcards
What is involution
changes that the uterus undergoes after birth to return to pre-pregnancy size.
What is the uterine lining called when not pregnant?
Endometrium
What is the uterine lining called when pregnant?
Decidua
What is the sloughing off of the decidua called?
lochia
Lochia Rubra is what color and lasts how long?
first 3 days- mostly red
Lochia serosa is what color and lasts how long?
day 3-10- mostly pinkish
Lochia alba is what color and lasts how long?
day 10-21 mostly mucus
What are uterine cramps after delivery called?
afterpains
What will tighten abdominal muscles after delivery?
time and exercise
When is the rubella (measles) titer done and what happens if not imune?
Done in early pregnancy, if not immune, vaccination is given post partum, pts must avoid another pregnancy for three months after receiving vaccine
What are the emotional changes after pregnancy called?
Reva Rubin
What are the three phases to reva rubin
#1: taking in (mother is passive) #2 taking hold (ideal for teaching) #3 letting go (new infant part of new lifestyle)
When is the apgar score done?
at 1 and 5 minutes after birth
What are the 5 parameters to the apgar score?
HR, respiratory effort, muscle tone, reflexes, and color
What are the scores of the apgar
10-perfect, 8-10 normal, 4-7 needs stimulation 3 or lower needs resuscitation
Heat loss is caused by what?
Evaporation, conduction, convection and radiation
Example of evaporation
Heat loss from liquids from the skin
What is an example of conduction
heat loss caused by direct skin contact with a cold surface
What is an example of convection
heat loss of heat away from the body by drafts
What is an example of radiation
heat loss caused by being near a bold surface not in direct contact
What is the first stool called
meconium
What percentage of infants pass meconium in the first 12 hours
70%
How do you measure a newborns head circumference
measure the head just above the eyebrows
How do you measure chest circumference
measure at the nipple line
When are eye drops given after birth
one hour after birth
What are eye drops given to a newborn for?
to prevent infections from gonorrhea and chlamydia
What is jaundice caused by?
excess bilirubin
What can jaundice do to the body if not treated
can cause brain damage
When does pathological jaundice occur?
within the first 24 hours
What causes the production and expulsion of breast milk?
Prolactin from the anterior pituitary
What causes milk to be delivered from the alveoli?
oxytocin from the posterior pituitary
When should breastfeeding occur?
within 6 hours after birth
How should you wean an infant from breastfeeding?
eliminate one feeding at a time and omit a daytime feeding first.
Head lag reflex
when an infant is lifted from the bed, the head will fall back because the newborn cannot maintain neutral position of their head
Moro relex
if crib is jarred they will draw their legs up and arms out then come toward midline
Rooting reflex
causes infants to turn their head in the direction of anything that touches their face
tonic neck reflex
postural reflex, sleeping infants head turned to oneside, their arm and leg is extended on the same side, known as the fencing position.
What is caput succedaneum
swelling of the soft tissues of the scalp
What is cephalohematoma
tumor, collection of blood, protrudes beneath the scalp, doesn’t cross the suture line. Is not dangerous unless it crosses suture line.
Permanent eye color appears when
6-12 months
What is one symptom of infants in respiratory distress after birth?
sternal retractions
What are preterm birth respiratory issues caused by typically?
lack of surfactant
What are milia?
tiny white bumps on the infants face and nose
What are the physical characteristics of a post term infant
long in length, skin is thin and loose, especially in the thighs and buttocks, vernix caseosa leaves the skin dry, nails are long, thick head of hair, and infant looks alert
What symptoms should a new mother be told about that she should report to her doctor after she has been d/c’d
fever greater than 100.4 ,foul lochia, prolonged after pains. s/s of DVT and UTI, suture line infection symptoms.
