MATERNAL SEMIS Flashcards

1
Q

Refers to the medical and nursing
care given to a woman during the
puerperium

A

POSTPARTUM
POSTPARTUM CARE

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2
Q

discharge from the uterus
during the first 3 weeks after
delivery.

A

Lochia

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3
Q

➢ Dark red discharge occurring in the
first 2 to 3 days
➢ Contains epithelial cells,
erythrocytes, and decidua
➢ Characteristic human odor

A

Lochia Rubra

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4
Q

➢ 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

A

Lochia Serosa

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5
Q

➢ Almost colorless to creamy
yellowish discharge occurring from
10 days to 3 weeks after delivery.
➢ Contains leukocytes, decidua,
epithelial cells, fat,
➢ No odor

A

Lochia Alba

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6
Q

***moderate amount

A

lochia rubra

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7
Q

Minimal amount

A
  • lochia serosa
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8
Q

Scanty amount

A
  • lochia alba
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9
Q

**uterine atony

A

not contracting

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10
Q

➢ 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

A

“TAKING IN” PHASE
(DEPENDENT)

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11
Q

➢ 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

A

“TAKING HOLD” PHASE
(DEPENDENT/INDEPENDENT)

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12
Q

➢ 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

A

“LETTING GO” PHASE
(INTERDEPENDENCE)

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13
Q

” (3 to 7
days) - normal occurrence
of “roller coaster” emotions

A

“Postpartum blues

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14
Q

A postpartum infection of the
genital tract, usually of the
endometrium, that may remain

A

PUERPERAL INFECTION

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15
Q

Inflammation of breast tissue that
is usually caused by infection or by
stasis of milk in the ducts

A

MASTITIS

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16
Q

Is the conscious process by which a
couple decides on the number and
spacing of children and the timing
of births

A

FAMILY PLANNING

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17
Q

Voluntary prevention of pregnancy

A

CONTRACEPTION

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18
Q

TYPES OF FAMILY PLANNING
METHOD

A

➢ Natural Methods
➢ Artificial Methods

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19
Q

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

A

NATURAL METHODS

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20
Q

This method uses the appearance,
characteristics, and amount of
cervical mucus to identify
ovulation

A

CERVICAL MUCUS METHOD

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21
Q

Couple uses combination of the
above mentioned techniques BBT AND MUCUS

A

SYMPTOTHERMAL METHOD

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22
Q

Is a modern, short-term family
planning method based on the natural effect of
breastfeeding on fertility.

A

LACTATIONAL AMENORRHEA
METHOD (LAM)

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23
Q

Combined estrogen and
progesterone preparation in tablet
form inhibits the release of FSH,
LH, and ovum.

A

ORAL CONTRACEPTIVES

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24
Q

➢ Contain progestin but no estrogen
➢ Do not suppress ovulation
consistently

A

MINIPILLS

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25
➢ Six, soft, silastic rods filled with synthetic
SUBDERMAL IMPLANTS
26
Vaginal jelly, cream, suppository, or foam preparations interfere with sperm viability
SPERMICIDES
27
➢ This is flexible device inserted into the uterine cavity
INTRAUTERINE DEVICE
28
➢ This is along polyurethane sheath ➢ It can be inserted up to 8 hrs before intercourse and is available
FEMALE CONDOM
29
➢ This is a rubber sheath that fits over the erect penis and prevents ➢ Is about 86% effective (or 88% effective)
MALE CONDOM
30
➢ A small rubber or plastic dome that fits snugly over the cervix
CERVICAL CAP
31
➢ This is a flexible ring covered ➢ Effectiveness is 80%
DIAPHRAGM
32
➢ Surgical ligation of the vas deferens terminates sperm passage through the vas completely after residual
VASECTOMY
33
➢ The fallopian tubes are surgically ligated
TUBAL LIGATION
34
a nurse, divided the puerperium into three separate phases.
Reva Rubin
35
puerperium into three separate phases.
TAKING IN PHASE (DEPENDENT) “Taking Hold” Phase (Dependent or Independent) “Letting Go” Phase (Interdependence)
36
* The temperature rises above the highest of the previous low temperature is called
“Thermal * Shift.”
37
– is the point of reference to determine the thermal shift due to ovulation.
COVERLINE
38
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
39
you can tell immedietly that its abnormal to the newborn
gross anomalies
40
stimulate crying to baby
rubbing
41
keep newborn with mother
bonding
42
present of only a period of time on a newborn
primitive reflexes
43
coordination with sucking when fluid is placed
swallowing
44
pushes tongue outward
extrusion
45
how many months does extrusion last
4 months
46
bilateral symmetrical extension/abduction of extremities
moro reflex
47
how many months does moro reflex last
2-6 months
48
newborn will step one foot
stepping
49
how many months does stepping last
2 months
50
extremity on one side to which head is turned
tonic neck or fencing
51
how many months does tonic neck lasts
4-7 months
52
raised white areas on mouth
epstein's pearls
53
thin, brownish green stool
transitional stools
54
loose, golden yellow stool
breast milk
55
formed, pale yellow stool
formula
56
normal body measurement length
45-55cm
57
normal body measurement weight
2500-4300g
58
normal body measurement head
33-35.5 cm
59
normal body measurement chest
30-33cm
60
constrict after cord is clamped
umbilical vein and ductus venosus
61
constrict with respiratory function
ductus arteriosus
62
closes functionally as respiration are established
foramen ovale
63
umbilical vein and ductus venosus ductus arteriosus foramen ovale becomes ligaments after?
2-3 months
64
body stabilizes temp in ____ hours if unstressed
8-10
65
increased o2 consumption, can lead to acidosis
cold stress
66
occuring through direct contact with a surface with different temp
conduction
67
air currents carry heat away from body surfaces
convection
68
water is lost through skin
evaporation
69
warming blanket, drapes, head cover
conduction
70
room temp at 26.6, incubator, heated matress
convection
71
heated humidifier, plastic bag
evporation
72
six states of consciousness
deep sleep light sleep drowsy quiet alert active alert crying
73
deep breathing in consciousness
deep sleep
74
eye movements in consciousness
light sleep
75
between sleep and alert
drowsy
76
ideal time to learn in consciousness
quiet alert
77
often reffered to fussly in consciousness
active alert
78
signifies discomfort
crying
79
condition that occurs in conjunction with maternal illness
macrosomic
80
a special tissue found in newborns, helps to conserve or produce body heat
brown fat
81
brushed or stroked near the corner of the mouth
rooting reflex
82
rooting reflex is until how many weeks
6
83
relaxed posture seen in newborn
resting posture
84
draw one arm across chest until resistance is felt
scarf's sign
84
who found apgar score and when
Dr. Virginia apgar in 1952
85
subdural hematoma, or, rarely, brain tumor or inherited syndromes may cause an abnormally large head size.
Hydrocephalus
86
Premature closure of the sutures
microcephaly
87
(bluish discoloration of hands and feet): benign, exacerbated by low temperature.
Acrocyanosis
88
(bluish discoloration around the mouth)
Circumoral cyanosis
89
(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
90
is a white papillary reflex (instead of the normal red papillary reflex
Leukocoria
91
Rolling front to back usually occurs at
3 - 5 months
92
(Galant’s ) Reflex
Trunk incurvation
93
when does galants reflex disappear
Disappears at 2mos, (-) in transverse spinal cord lesions or injuries
94
method is the preferred method over other methods of blood sample collection for newborn screening
heel prick
95
is used when there are other laboratory tests using blood samples are being done on the baby.
venous blood