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Maternity > Module 2 > Flashcards

Module 2 Flashcards

1
Q

Antepartum

A

The pregnant women before the onset of labor

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2
Q

Intrapartum

A

Time of labor and childbirth

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3
Q

Postpartum

A

6-8 weeks after delivery of baby

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4
Q

Involution

A

Pelvic reproductive organs returning to their approximate pre-pregnant size, position, and function

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5
Q

Rapid Involution

A
  • breastfeeding
  • normal delivery
  • early ambulation
  • complete expulsion of placenta
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6
Q

Slow Involution

A
  • Multiple gestation
    -C section
  • Full bladder
    -Multiple pregnancies
    -Prolonged labor
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7
Q

Uterine Atony

A

Boggy/soft uterus

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8
Q

Normal decent

A

1cm or 1 finger breath per day
Should be not palpable by day 10-14 (it is back behind symphysis pubis)

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9
Q

Afterpains

A

Intermittent uterine contractions, more uncomfortable in multiparous women

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10
Q

Lochia

A

Post partum uterine discharge

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11
Q

Lochia Rubra

A

-First 1-3 days
- Red

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12
Q

Lochia Serosa

A

-Day 4-10
- Pale to light brown

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13
Q

Lochia Alba

A
  • Day 11-14
  • Creamy/ yellow, white
  • Usually gone within two weeks but may last up to six weeks
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14
Q

When does menstruation return after delivery?

A

Usually within 7-9 weeks
- First cycle will be non ovulatory

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15
Q

Rubella

A

-Administer vaccine to nonimmune mothers
- Safe for nursing
-Live vaccine AVOID getting pregnant for 1 month

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16
Q

Let Down Reflex

A
  1. Stimulation of the nipple by the baby’s suckling initiates action potentials in the afferent neurons that connect w/ the hypothalamus
  2. Hypothalamus stimulates the posterior pituitary to release oxytocin & the anterior pituitary to release prolactin
  3. Oxytocin stimulates milk release from the breast. Prolactin stimulates additional milk production
17
Q

Breastfeeding Benefits

A

Infants
- Less allergies
-Stronger immune system
- Bonding
Mother
- Decreased risk of some cancers
- Weight loss assistance

18
Q

Common Breast Feeding Positions

A
  1. Football hold
  2. Laying down
  3. Across the lap
  4. Cradling
19
Q

Maternal Adaptations

A
  1. Taking in (dependent) -> First 1-2 days, absorbing experiences
  2. Taking hold (independent) -> Day 2+, more eager to learn about caring for baby
  3. Letting go (interdependence) -> able to redefine motherhood
20
Q

Positive Attachment

A

-Touching
-Holding
-Kissing
-Cuddling
-Talking

21
Q

Mal-Attachment

A

-Refusing to look at infant
- Refusing to touch or hold
-Refusing to name

Interventions:
- Rooming in
-Skin- to- skin
- Provide praise, support, and reassurance

22
Q

Baby blues

A

Peak 3-5 days within delivery
Changes in hormones
80% of women

23
Q

BUBBLE HEB

A

Breasts
Uterus
Bladder
Bowels
Lochia
Episiotomy
H
Emotional Adaptations
Bonding

24
Q

Violence Against Women

A

1 out of 4 women in the US will be inane abusive relationship

Battering is a more common cause of injury for women than car accidents

1 in 3 women attempt suicide who have home violence

25
Q

Discharge After Birth

A

Vaginal- 48 hrs
C Section- 72 hrs

26
Q

Mother Discharge

A

-Vitals are stable
-Amount and color of loch are appropriate
- Uterine funds is firm
-Wounds are healing

27
Q

Newborn Discharge

A

-Infant vitals are documented and stable
-Had 2 successful feedings
-Screenings are good
-No Bleeding at circumcision site

28
Q

SIDS

A

Sudden Infant Death Syndrome
- Death unexplained, not predictable
- Leading cause of death 1month->1year
Most deaths occur between 2-4months

29
Q

Safe to Sleep

A

“Back to sleep”

30
Q

Cycle of Violence

A

Tension-Building phase
-Attempts to calm them down
- Keeps kids quiet
- Withdraws
Explosion Phase
-Protect self and children
- Calls police
- Fights back
-Leaves
-Tries to Reason
Honeymoon/Remorse Phase
- Agrees to stay
-Feels happy/hopeful
- Stops legal things

Maternity (8 decks)

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