Mat&Peds Flashcards

1
Q

Occiput

A

Top of head

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2
Q

In a vertex presentation, what is the normal presenting part?

A

Occiput

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3
Q

Hypotonic Uterine Contractions

A

Slowing or complete arrest of progress of labor caused by weak or infrequent contractions of uterus.

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4
Q

Precipitate birth

A

Unusually rapid birth

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5
Q

Nuchal cord

A

Umbilical cord around the neck

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6
Q

Fundus

A

Top of uterus

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7
Q

Parity

A

Communicates the outcome of previous pregnancies

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8
Q

Midline episiotomy

A

Incision is made in the middle of vagina opening, straight down towards anus

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9
Q

Thromboembolic conditions

A
  • blood clots (thrombi) form in blood vessels
  • an embolus is a blood clot that travels through the bloodstream and blocks an artery
  • common cause of death in pregnant woman
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10
Q

Test done before birth to determine maturity of fetal lungs

A

L/S ratio

Lecithin-to-sphingomyelin ratio

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11
Q

ophthalmia neonatorum

A

Neonatal conjunctivitis, also known as ophthalmia neonatorum, is a form of conjunctivitis and a type of neonatal infection contracted by newborns during delivery. The baby’s eyes are contaminated during passage through the birth canal from a mother infected with either Neisseria gonorrhoeae or Chlamydia trachomatis.

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12
Q

The nurse instills _______ointment into the eyes of all newborns just after birth to prevent _______.

A

Erythromycin

Ophthalmia neonatorum

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13
Q

“Fencing position” under the radiant warmer would mean the infant…

A

Extends the arm & leg on the side of the face points to and flexes the opposite arm & leg

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14
Q

A positive Babinski’s reflex is considered?

A

A normal reflex until the child is about 12 months -18 months of age.

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15
Q

A newborn with spina bifida occulta would present an evident sign of ?

A

A dimple at the base of the spine on the infant’s back.

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16
Q

What helps with the absorption of Iron?

A

Vitamin C

17
Q

Placenta Previa

A

Condition in which the placenta is implanted close to, or covers, the cervical os

•painless

18
Q

A client comes in and says her water just broke. WHAT is it important to know?

A

The colour of the fluid

Is the baby moving ? (Normal is around 6 movements Q2H)

19
Q

Placenta abruption

A

Serious condition in which the placenta partially or completely separated from the uterus before the baby is born.

This can:
•deprive baby of Oxygen & Nutrients
•cause severe bleeding that is dangerous to both mom & baby

S&S:
•painful
•uterus is hard
•there may be blood

20
Q

What lab tests are done before babe can go home ?

A

PKU & Bilirubin

21
Q

Gravida

A

The # of pregnancies the woman has had

22
Q

Nulligravida

A

A woman who has never been pregnant

23
Q

Multigravida

A

A woman who has had more than one pregnancy

24
Q
G
T
P
A
L
A

G: gravida
•total # of pregnancies

T: term
The # of pregnancies that ended at term

P: preterm 
# of pregnancies that ended after 20 weeks & before end of 37 weeks gestation 
A: abortions 
# of pregnancies that ended before 20 weeks gestation 
L: living 
# of children delivered who are alive when Hx is taken
25
Q

When has the fetus reached term ?

A

At or beyond 38 weeks gestation

26
Q

Anticipatory signs of labor

A
  • lightening or sense that baby has “dropped”
  • Braxton Hicks contractions (false labor pains)
  • GI disturbances
  • expelling the mucous plug
  • Feeling a burst of energy
  • ripening (softening) and effacement (thinning) of the cervix
27
Q

Prodromal VS. True labor

A

Prodromal:
•increase in Braxton Hicks without cervical changes
•can be uncomfortable

True:
•progressive dilation
•effacement of cervix

28
Q

Stages of Birthing

A

1st: DILATION
•early labor (latent phase)
•active labor (active phase)
•transition (transition phase)

2nd: BIRTH
3rd: DELIVERY OF PLACENTA
4th: RECOVERY

29
Q

The “Four P’s” of labor

A

Passageway

Passenger

Powers

Psyche

30
Q

The passage way consists of ?

A
  • bony pelvis
  • soft tissue of cervix
  • vagina