Brainscape's Knowledge GenomeTM

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


See full index

OB > L&D > Flashcards

L&D Flashcards

0
Q

Powers

A

Primary- effacement, dilation, freguson reflex

Secondary- bearing-down efforts

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

Four P’s

A

Passenger
Passageway
Powers
Psychologic response

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

Passage

A

birth canal- bony pelvis, lower uterine segment, cervix, pelvic floor muscle, vagina, introitus

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

Passenger

A 
size of fetal head
fetal presentation
fetal lie
fetal attitude
fetal position
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Stage 1 of labor process

A

onset of regular uterine contractions to complete dilation & effacement

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

Stage 2 of labor process

A

complete dilation to birth of infant

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

Stage 3 of labor process

A

birth of the infant to delivery of the placenta

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

Stage 4 of labor process

A

approx. 2 hrs after placenta delivery

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

7 cardinal movements of mechanism of labor

A 
engagment
descent
flexion
internal rotation
extention
external rotation
expulsion
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

latent phase

A

up to 3 cm

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

active phase

A

4-7 cm

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

transition phase

A

8-10 cm

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

BUBBLE HE

A 
Breast
Uterus
Bowel
Bladder
Lochia
Episitomy
Homans- DO NOT DO ANYMORE; look for S&S of clotting
Emotions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Rubria

A

Bright red

day 1

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

Serosa

A

pink to brown
day 3
can last 22-27 days

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

Alba

A

white to yellow
day 10
can last 4-6 weeks

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

contractions of muscle fibers
catabolism
regeneration of the uterus epithelium

A

3 processes of uterine involution

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

REEDA

A 
Redness
Edema
Ecchymosis
Discharge
Approximation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Taking-in phase

A

mother is focused on her own needs

19
Q

letting go phase

A

parents relinquish fantasies about their infants

20
Q

S&S postpartum hemorrhage

A

difficult to locate fundus, boggy uterus, fundus above expected level, excessive lochia & clots

21
Q

bacterial infection after childbirth

A

puerperal infection

22
Q

Normal WBC range after birth

A

14000-16000 mm3

can reach as high as 30000 mm3

23
Q

fundus descend

A

after birth midway btwn symphysis pubis & umbilicus
12 hrs later- rise to level of umbilicus
descend 1cm/day
14th day not palpable

24
Q

return of mensus???

A

Formula- 40-45% in 6-8 wks; 75% in 12 weeks; all within 6 mths
Boob- as early as 12 wks or as late as 18 mths

25
Q

anticipatory stage- of role attainment

A

begins during pregnancy- choosing doc, hospital, classes

26
Q

formal stage- of role attainment

A

birth of infant to 4-6 weeks

this is largely guided by others

27
Q

informal stage- of role attainment

A

mother learns appropriate responses to their infant’s cues & signals

28
Q

personal stage- of role attainment

A

sense of harmony in role, enjoys infant, sees infant as central person in life & has internalized the parental role

29
Q

drugs used to treat uterine atony

A

pitocin
methergine
hemabate
dinoprostone (cytotec)

30
Q

major signs of subinvolution

A 
prolonged discharge of lochia
irregular or excessive uterine bleeding
profuse hemorrhage
pelvic pain or feelings of pelvic heaviness
backache
fatigue
persistent malaise
bimanual examination of the uterus
feels larger & softer than normal
31
Q

S&S of superficial venous thrombosis

A

swelling of the involved extremity & redness
tenderness & warmth
palpate an enlarged, hardened, cordlike vein
may have intermitted caudation or no pain @ all

32
Q

S&S endometritis

A

temp of 38*C or higher within 36 hr of birth
chills, malaise, anorexia, ABD pain, cramping, uterine tenderness & purulent, foul smelling lochia, tachycardia & subinvolution

33
Q

Umbilical Vein

A

within days

34
Q

Ductus Venosus

A

within days

35
Q

Foramen Ovale

A

within minutes

36
Q

Ductus arteriosus

A

within hours

37
Q

Umbilical Artery

A

within hours

38
Q

changes in the shape of the head that allow it to pass through the birth canal
disappears with a few days

A

molding

39
Q

localized edema in the newborns head, as a result of the pressure against the mothers cervix, crosses suture lines, disappears 12-48 hrs

A

caput succedaneum

40
Q

bleeding between periosteum & skull, result of pressure during birth, occurs on one or both sides of head, does not cross the suture lines, 2-3 mth to resolve; greater risk of jaundice development

A

cephalhematoma

41
Q

first voiding occur

A

NB- 12-24 hrs, few within 48 hrs
void 1-2 times during first 2 days
@ least 6X/day by the 4th day

42
Q

prophylactic medications given to NB

A

Vitamin K & erythromycin

43
Q

rich in protein, vitamins, minerals, immunoglobulins

protects GI tract from infection, establishes normal flora, speeds passages of meconium

A

colostrum milk

44
Q

has less protein & immunoglobulins, but more lactose, fat & calories than colostrums
2-3 days after birth

A

transitional milk

45
Q

appears less rich than the colostrums/transitional milk

blue color, still supplies all needed nutrients

A

mature milk

OB (1 decks)

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