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Care for Mother, Child, Adolescent - RLE > Lesson 1 and 2 > Flashcards

Lesson 1 and 2 Flashcards

1
Q

is a series of continuous, progressive contractions of the uterus which help the cervix to open (dilate) and to thin (efface), allowing the fetus to move through the birth canal.

A

Labor

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2
Q

movement of the uterus

A

Contraction

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3
Q

a series of passive, adoptive movements of the fetal head and shoulders smallest diameter to pass through the birth canal

A

Mechanism of Labor

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4
Q

are the positional movements that the fetus undergoes to accommodate itself to the maternal pelvis

A

Mechanism of Labor

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5
Q

Mechanism of Labor

A

Engagement
Descent
Flexion
Internal Rotation
Extension
External Rotation
Expulsion

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6
Q

the biparietal diameter of the head passes the pelvic inlet

A

Engagement

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7
Q

the head is fixed in the pelvis

A

Engagement

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8
Q

occurs when the largest diameter of the fetal head fits into the largest diameter of the maternal pelvis

A

Engagement

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9
Q

As the fetal head engages, the head moves towards the pelvic brim in either the left or right occipito-transverse position

A

Engagement

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10
Q

This allows the widest part of the fetal head to fit through the widest part of the pelvic foot

A

Engagement

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11
Q

the downward movement of the biparietal diameter of the fetal head within the pelvic inlet

A

Descent

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12
Q

progress of the presenting part through the pelvis

A

Descent

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13
Q

as Descent occurs, the head bends forward to the chest, making the smallest anteroposterior diameter (the suboccipitobregmatic diameter) present to the birth canal

A

Flexion

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14
Q

is aided by abdominal muscle contraction during pushing

A

Flexion

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15
Q

the head enters the pelvis with the fetal anteroposterior head diameter in a diagonal or transverse position

A

Internal Rotation

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16
Q

fetal skull rotates along the axis from transverse to anteroposterior at pelvic outlet

A

Internal Rotation

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17
Q

head passes the midpelvis

A

Internal Rotation

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18
Q

as the occiput (head) is born, the back of the neck stops beneath the pubic arch and acts as a pivot for the rest of the head

A

Extension

19
Q

the head extends, and the foremost parts of the head, the face and chin

A

Extension

20
Q

almost immediately after the head of the infant is born, the head rotates from the anteroposterior position if assumed to enter

A

External Rotation

21
Q

once the shoulders are born, the rest of the baby is born easily and smoothly because of its smaller size

A

Expulsion

22
Q

SECOND STAGE OF LABOR – EXPULSION STAGE
Assessment:

A

signs of imminent delivery
progress descent
maternal/fetal vital signs
maternal pushing effort
vaginal distention
bulging of the perineum
crowning
birth of baby

23
Q

instrument used to listen to fetal heart tones/heartbeat

A

doppler

24
Q

is an incision of the perineum during delivery to enlarge the vaginal opening/outlet

A

Episiotomy

25
Q

incision is made in the middle of the perineum and directed toward the rectum

A

Median or Midline

26
Q

incision is made laterally to avoid anal sphincter if enlargement is needed

A

Mediolateral

27
Q

Signs of Placental Separation

A

a.) Calkin’s Sign
b.) sudden gush of vaginal blood
c.) lengthening of the umbilical cord

28
Q

earliest sign of placental separation

A

Calkin’s Sign

29
Q

change in shape of uterus from discoid uterine shape to globular

A

Calkin’s Sign

30
Q
  • placenta separates from the center to the edge
  • clean presentation
A

a.) Schultz (Shiny)

31
Q
  • placenta separates from the edge to the center
  • dirty presentation
A

b.) Duncan (Dirty)

32
Q

excessive bleeding that occurs after childbirth

A

Post-partum Hemorrhage

33
Q

a condition where the placenta partially or completely covers the cervix

A

Placenta Accreta

34
Q

decrease labor pain

A

Epidural Anesthesia

35
Q

relieve/decrease Episiorraphy pain

A

Local Anesthesia (lidocaine)

36
Q

is the surgical procedure of suturing or stitching up an episiotomy or perineal tear after childbirth

A

Episiorraphy

37
Q

a technique used in obstetrics to help deliver the placenta during the third stage of labor, which is the period after the baby is born but before the placenta is expelled.

A

Brandt – Andrews Maneuver

38
Q

refers to key routine practices in the care of the newborn, particularly at the time of birth and over the first hours of life, whether in the health facility or at lying in birthing center

A

ESSENTIAL INTRAPARTUM AND NEWBORN CARE

39
Q

globally accepted evidence-based
protocol to essential newborn care
focusing on the first week of life

A

ESSENTIAL INTRAPARTUM
AND NEWBORN CARE (EINC)

40
Q

is a series of time bound, chronologically- ordered, standard procedures that a baby receives at birth.

A

Essential Newborn Care (ENC) Protocol

41
Q

Four Time-Bounded Interventions:

A
  1. Immediate and thorough drying
  2. Early skin-to-skin contact
  3. Properly-timed cord clamping and cutting after
    1 to 3 minutes
  4. Non-separation of the newborn from the
    mother for early breastfeeding initiation and
    rooming-in. (Breastfeeding initiation)
42
Q

Approved Ophthalmic Agents for Crede’s Prophylaxis

A
  1. 1% silver nitrate
  2. 0.5% erythromycin
  3. 1% tetracycline
  4. 2.5% povidone iodine drops
43
Q

Newborn Examination

A
  1. Weighing
  2. Thorough exam for deformities or
    abnormalities
  3. Anthropometric Measurements
  4. Bowel Patency
  5. Vital Signs

Care for Mother, Child, Adolescent - RLE (11 decks)

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