MATERNAL SEMIS Flashcards
Refers to the medical and nursing
care given to a woman during the
puerperium
POSTPARTUM
POSTPARTUM CARE
discharge from the uterus
during the first 3 weeks after
delivery.
Lochia
➢ Dark red discharge occurring in the
first 2 to 3 days
➢ Contains epithelial cells,
erythrocytes, and decidua
➢ Characteristic human odor
Lochia Rubra
➢ Pinkish to brownish discharge
occurring 3 to 10 days after delivery
➢ Serosangineous discharge
containing decidua, erythrocytes,
leukocytes, cervical mucus, and
microorganisms
➢ Has a strong odor
Lochia Serosa
➢ Almost colorless to creamy
yellowish discharge occurring from
10 days to 3 weeks after delivery.
➢ Contains leukocytes, decidua,
epithelial cells, fat,
➢ No odor
Lochia Alba
***moderate amount
lochia rubra
Minimal amount
- lochia serosa
Scanty amount
- lochia alba
**uterine atony
not contracting
➢ Takes place 1 to 2 days postpartum
➢ Mother is passive and dependent;
concerned with own needs
➢ Verbalizes about the delivery
experience
➢ sleep/food important
➢ Mother may need help with
everyday activities as well as child
care
“TAKING IN” PHASE
(DEPENDENT)
➢ 3 to 10 days postpartum
➢ Mother strives for independence
and begins to reassert herself
➢ Mood swings occur. May cry for no
reason.
➢ Maximal stage of learning
readiness
➢ Mother requires reassurance that
she can perform tasks of
motherhood
“TAKING HOLD” PHASE
(DEPENDENT/INDEPENDENT)
➢ 10 to 6 weeks postpartum
➢ Realistic regarding role transition
➢ Shares pattern of lifestyle that
includes the new baby but still
focuses on entire family as a mut.
➢ Accepts baby as a separate person
“LETTING GO” PHASE
(INTERDEPENDENCE)
” (3 to 7
days) - normal occurrence
of “roller coaster” emotions
“Postpartum blues
A postpartum infection of the
genital tract, usually of the
endometrium, that may remain
PUERPERAL INFECTION
Inflammation of breast tissue that
is usually caused by infection or by
stasis of milk in the ducts
MASTITIS
Is the conscious process by which a
couple decides on the number and
spacing of children and the timing
of births
FAMILY PLANNING
Voluntary prevention of pregnancy
CONTRACEPTION
TYPES OF FAMILY PLANNING
METHOD
➢ Natural Methods
➢ Artificial Methods
A technique of determining the
fertile period of a woman by
observing the physiologic signs
and symptoms of the fertile and
infertile phases of the menstrual
cycle to avoid or achieve pregnancy
NATURAL METHODS
This method uses the appearance,
characteristics, and amount of
cervical mucus to identify
ovulation
CERVICAL MUCUS METHOD
Couple uses combination of the
above mentioned techniques BBT AND MUCUS
SYMPTOTHERMAL METHOD
Is a modern, short-term family
planning method based on the natural effect of
breastfeeding on fertility.
LACTATIONAL AMENORRHEA
METHOD (LAM)
Combined estrogen and
progesterone preparation in tablet
form inhibits the release of FSH,
LH, and ovum.
ORAL CONTRACEPTIVES
➢ Contain progestin but no estrogen
➢ Do not suppress ovulation
consistently
MINIPILLS
➢ Six, soft, silastic rods filled with
synthetic
SUBDERMAL IMPLANTS
Vaginal jelly, cream, suppository, or
foam preparations interfere with
sperm viability
SPERMICIDES
➢ This is flexible device inserted into
the uterine cavity
INTRAUTERINE DEVICE
➢ This is along polyurethane sheath
➢ It can be inserted up to 8 hrs before
intercourse and is available
FEMALE CONDOM
➢ This is a rubber sheath that fits
over the erect penis and prevents
➢ Is about 86% effective (or 88%
effective)
MALE CONDOM
➢ A small rubber or plastic dome that
fits snugly over the cervix
CERVICAL CAP
➢ This is a flexible ring covered
➢ Effectiveness is 80%
DIAPHRAGM
➢ Surgical ligation of the vas
deferens terminates sperm
passage through the vas
completely after residual
VASECTOMY
➢ The fallopian tubes are surgically
ligated
TUBAL LIGATION
a nurse, divided the puerperium into
three separate phases.
Reva Rubin
puerperium into
three separate phases.
TAKING IN PHASE (DEPENDENT)
“Taking Hold” Phase (Dependent or
Independent)
“Letting Go” Phase (Interdependence)
- The temperature rises above the highest of the
previous low temperature is called
“Thermal
*
Shift.”
– is the point of reference to determine the
thermal shift due to ovulation.
COVERLINE
Relies on a simple algorithm to help women
identify when they are fertile, based upon
presence or absence of cervical secretions
THE TWO DAY METHOD
you can tell immedietly that its abnormal to the newborn
gross anomalies
stimulate crying to baby
rubbing
keep newborn with mother
bonding
present of only a period of time on a newborn
primitive reflexes
coordination with sucking when fluid is placed
swallowing
pushes tongue outward
extrusion
how many months does extrusion last
4 months
bilateral symmetrical extension/abduction of extremities
moro reflex
how many months does moro reflex last
2-6 months
newborn will step one foot
stepping
how many months does stepping last
2 months
extremity on one side to which head is turned
tonic neck or fencing
how many months does tonic neck lasts
4-7 months
raised white areas on mouth
epstein’s pearls
thin, brownish green stool
transitional stools
loose, golden yellow stool
breast milk
formed, pale yellow stool
formula
normal body measurement
length
45-55cm
normal body measurement
weight
2500-4300g
normal body measurement
head
33-35.5 cm
normal body measurement
chest
30-33cm
constrict after cord is clamped
umbilical vein and ductus venosus
constrict with respiratory function
ductus arteriosus
closes functionally as respiration are established
foramen ovale
umbilical vein and ductus venosus
ductus arteriosus
foramen ovale
becomes ligaments after?
2-3 months
body stabilizes temp in ____ hours if unstressed
8-10
increased o2 consumption, can lead to acidosis
cold stress
occuring through direct contact with a surface with different temp
conduction
air currents carry heat away from body surfaces
convection
water is lost through skin
evaporation
warming blanket, drapes, head cover
conduction
room temp at 26.6, incubator, heated matress
convection
heated humidifier, plastic bag
evporation
six states of consciousness
deep sleep
light sleep
drowsy
quiet alert
active alert
crying
deep breathing in consciousness
deep sleep
eye movements in consciousness
light sleep
between sleep and alert
drowsy
ideal time to learn in consciousness
quiet alert
often reffered to fussly in consciousness
active alert
signifies discomfort
crying
condition that occurs in conjunction with maternal illness
macrosomic
a special tissue found in newborns, helps to conserve or produce body heat
brown fat
brushed or stroked near the corner of the mouth
rooting reflex
rooting reflex is until how many weeks
6
relaxed posture seen in newborn
resting posture
draw one arm across chest until resistance is felt
scarf’s sign
who found apgar score and when
Dr. Virginia apgar in 1952
subdural hematoma, or, rarely, brain tumor or inherited syndromes may cause an abnormally large head size.
Hydrocephalus
Premature closure of the sutures
microcephaly
(bluish discoloration of hands and feet): benign, exacerbated by low temperature.
Acrocyanosis
(bluish discoloration around the mouth)
Circumoral cyanosis
(small white/yellow papules or vesicles with erythematous base): benign, can be found anywhere on the body. Can be present for up to 2 weeks after delivery.
Erythema toxicum neonatorum
is a white papillary reflex (instead of the normal red papillary reflex
Leukocoria
Rolling front to back usually occurs at
3 - 5 months
(Galant’s ) Reflex
Trunk incurvation
when does galants reflex disappear
Disappears at 2mos, (-) in transverse spinal cord lesions or injuries
method is the preferred method over other methods of blood sample collection for newborn screening
heel prick
is used when there are other laboratory tests using blood samples are being done on the baby.
venous blood
