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OB > Exam 5 > Flashcards

Exam 5 Flashcards

1
Q

What is involution

A

changes that the uterus undergoes after birth to return to pre-pregnancy size.

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2
Q

What is the uterine lining called when not pregnant?

A

Endometrium

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3
Q

What is the uterine lining called when pregnant?

A

Decidua

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4
Q

What is the sloughing off of the decidua called?

A

lochia

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5
Q

Lochia Rubra is what color and lasts how long?

A

first 3 days- mostly red

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6
Q

Lochia serosa is what color and lasts how long?

A

day 3-10- mostly pinkish

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7
Q

Lochia alba is what color and lasts how long?

A

day 10-21 mostly mucus

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8
Q

What are uterine cramps after delivery called?

A

afterpains

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9
Q

What will tighten abdominal muscles after delivery?

A

time and exercise

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10
Q

When is the rubella (measles) titer done and what happens if not imune?

A

Done in early pregnancy, if not immune, vaccination is given post partum, pts must avoid another pregnancy for three months after receiving vaccine

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11
Q

What are the emotional changes after pregnancy called?

A

Reva Rubin

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12
Q

What are the three phases to reva rubin

A 
#1: taking in (mother is passive)
#2 taking hold (ideal for teaching)
#3 letting go (new infant part of new lifestyle)
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13
Q

When is the apgar score done?

A

at 1 and 5 minutes after birth

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14
Q

What are the 5 parameters to the apgar score?

A

HR, respiratory effort, muscle tone, reflexes, and color

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15
Q

What are the scores of the apgar

A

10-perfect, 8-10 normal, 4-7 needs stimulation 3 or lower needs resuscitation

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16
Q

Heat loss is caused by what?

A

Evaporation, conduction, convection and radiation

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17
Q

Example of evaporation

A

Heat loss from liquids from the skin

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18
Q

What is an example of conduction

A

heat loss caused by direct skin contact with a cold surface

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19
Q

What is an example of convection

A

heat loss of heat away from the body by drafts

20
Q

What is an example of radiation

A

heat loss caused by being near a bold surface not in direct contact

21
Q

What is the first stool called

A

meconium

22
Q

What percentage of infants pass meconium in the first 12 hours

A

70%

23
Q

How do you measure a newborns head circumference

A

measure the head just above the eyebrows

24
Q

How do you measure chest circumference

A

measure at the nipple line

25
Q

When are eye drops given after birth

A

one hour after birth

26
Q

What are eye drops given to a newborn for?

A

to prevent infections from gonorrhea and chlamydia

27
Q

What is jaundice caused by?

A

excess bilirubin

28
Q

What can jaundice do to the body if not treated

A

can cause brain damage

29
Q

When does pathological jaundice occur?

A

within the first 24 hours

30
Q

What causes the production and expulsion of breast milk?

A

Prolactin from the anterior pituitary

31
Q

What causes milk to be delivered from the alveoli?

A

oxytocin from the posterior pituitary

32
Q

When should breastfeeding occur?

A

within 6 hours after birth

33
Q

How should you wean an infant from breastfeeding?

A

eliminate one feeding at a time and omit a daytime feeding first.

34
Q

Head lag reflex

A

when an infant is lifted from the bed, the head will fall back because the newborn cannot maintain neutral position of their head

35
Q

Moro relex

A

if crib is jarred they will draw their legs up and arms out then come toward midline

36
Q

Rooting reflex

A

causes infants to turn their head in the direction of anything that touches their face

37
Q

tonic neck reflex

A

postural reflex, sleeping infants head turned to oneside, their arm and leg is extended on the same side, known as the fencing position.

38
Q

What is caput succedaneum

A

swelling of the soft tissues of the scalp

39
Q

What is cephalohematoma

A

tumor, collection of blood, protrudes beneath the scalp, doesn’t cross the suture line. Is not dangerous unless it crosses suture line.

40
Q

Permanent eye color appears when

A

6-12 months

41
Q

What is one symptom of infants in respiratory distress after birth?

A

sternal retractions

42
Q

What are preterm birth respiratory issues caused by typically?

A

lack of surfactant

43
Q

What are milia?

A

tiny white bumps on the infants face and nose

44
Q

What are the physical characteristics of a post term infant

A

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

45
Q

What symptoms should a new mother be told about that she should report to her doctor after she has been d/c’d

A

fever greater than 100.4 ,foul lochia, prolonged after pains. s/s of DVT and UTI, suture line infection symptoms.

OB (4 decks)

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