Obstetrics Terms & Abbreviations Flashcards
discomfort caused by the contracting uterus after the infants birth.
afterpains
long-term process that begins during pregnancy and intensifies during the postpartum period that establishes an enduring bond between parent and child and develops through reciprocal ( parents to child and child to parent) behaviors
attachment
rapid process of attachment, parent to infant, that takes place during the sensitive period the first 30 to 60 minutes after birth.
bonding
Process whereby family identifies the infant’s likeness to and differences from family members. And the infants unique qualities.
claiming process
Yellowish breast fluid rich in antibodies and high in protein
colostrum
Abnormal stimulation of the clotting mechanism causing small clots throughout the vascular system and widespread bleeding internally, externally or both.
disseminated intravascular coagulation
Painful intercourse
Dyspareunia
distention and swelling of the breasts in the first few days following delivery
engorgement
parents’ intense interest in and preoccupation with the newborn.
engrossment
Infants ability to move in rhythm to the parents voices
Entrainment
Return of the reproductive organs, especially the uterus, to their prepregnancy size and condition.
Involution
neurohormonal reflex that causes milk to be expressed from the alveoli into the lactiferous ducts
let- down reflex
Uterine/ vaginal discharge after childbirth; initially bright red, then changing to a pink or pinkish brown. Then to a yellowish white
lochia
Inflammation of the breast , generally during breast feeding.
mastitis
Infammation of the uterus, including the endometrium and parametrium
Metritis
Newborn from birth to 28 days of life
Neonate
It is inflammation of the ovary
Oophoritis
Mild transient condition of emotional liability and crying for no apparent reason, which affects up to 80% of women who have just given birth and lasts about 2 weeks
Postpartum blues
Condition similar to postpartum blues but which is more serious, intense and persistent.
Postpartum Depression
Blood loss of more than 500ml after the third stage of labor or 1,000 mL following a cesarean birth
Postpartum hemorrhage
condition more severe than postpartum depression and characterized by delusion and thoughts of self-harm or infant harm.
postpartum psychosis
Infection following childbirth occurring between the birth and 6 weeks postpartum.
puerperal (postpartum) infection
It is Inflammation of the fallopian tube
Salpingitis
imcoplete return of the uterus to its prepregant size and consistency
Subinvolution
Formation of a clot due to an inflammation in the wall of the vessel.
Thrombophlebitis
1. While assessing the postpartum client, the nurse makes the following findings. Which of these findings would not be expected during the first 24 hours after delivery? A. Diaphoresis B. Bradycardia C. Positive homans sign D. Temperature of 99.8f
c
- The nursing student is caring for a 39-year old client who has given birth to her first baby. The student tells her instructor that the mother seems a little anxious and unsure of herself with her infant. She ask for help with infact care. The instructor reminds the student that this is
A. Typical behavior for an older mother
B. Part of the taking-hold phase for the mother
C. A sign that the client is still in the taking in phase
D. An indication of the mothers having a problem relating to her infant.
b
- The nurse is assessing the postpartum client 2 days after delivery. The nurse notes that the fundus is firm , 2cm below the umbilicus, she has lochia rubra with occasional small clots and some edema of the perineum the nurse will
A. Chart normal findings
B. Medicate for uterine atony
C. Note signs of puerperal infection
D. Alert the CNM/Physion to possible subinvolution
a
- The postpartum client is predisposed to urinary tract infection by all except which of the following factors?
A. Urinary stasis after birth
B. Trauma to the bladder and urethra
C. Catheterization during labor or surgery
D. Voiding every 2 hours after delivery
d
- A new mother is breast feeding her infant. At 3 days postpartum , she tells you her breasts are enlarged, warm and tender. She also tingling or burning sensation in her nipples and a lowgrade fever. The nurse advise the mother to;
A. Use breast pump to increase her comfort
B. Discontinue bbreastfeeding the notify her CNM/physian
C. Continue nursing the infant because these are expected changes
D. Supplement the infant with formula until her breasts return to normal size
b
6. A behavior indicating that a toddler is adapting to a new infant in the home is A . Thumb sucking B. Bed wetting C. Hostillity. D. Independence
c
7. The clients lochia is pinkish brown, this is called A. Lochia rubra B. Lochia serosa C. Lochia alba D. Lochia drainage
b
8. A laceration though the skin, mucous membrane, muscle and rectal sphincter is considered \_\_\_\_\_\_\_\_\_\_\_ degree A. First B. Second C. Third D. Fourth
c
9. Oxytocin causes A. Tingling and burning B. Milk expression C. Increased glucose levels D. Ovulation
a
10. A mother who care lovingly for her infant but is unable to feel love is experiencing \_\_\_\_\_\_ postpartum depression A. Mild B. Moderate C. Severe D. Transient
d
- CNM
certified nurse midwife
- DIC
disseminated intravascular coagulation
- DVT:
deep vien thrombosis
- hCG:
human chorionic gonadotropin
- hPL
human placental lactogen
- MSH
melanocyte-stimulating hormone
- PCA
patient –controlled analgesia
- PPD
postpartum depression
- RhoGAM
Rh immune globulin
- UTI
urinary tract infection
Blue colouring of the hands and feet
Acrocyanosis
Infant’s weight falls between the 90th & 10th percentile for gestational age
Appropriate for gestational age
Edema of the newborn’s scalp that is present at birth, may cross suture lines, and is caused by head compression against cervix
Caput succedaneum
Collection of blood between the periosteum and the skull of a newborn; appears several hours to a day after birth, does not cross suture lines, and is caused by the rupturing of the periosteal bridging veins due to friction and pressure during labour and delivery.
Cephalhematoma
Surgical removal of the prepuce (foreskin) that covers the glans penis
Circumcision
Excessive heat loss
Cold Stress
Loss of heat by direct contact with a cooler object
Conduction
Loss of heat by movement of air
Convection
Failure of one or both testes to descend
Cryptorchidism
Congenital chromosomal abnormality; also called trisomy 21
Down Syndrome
The placement of the urinary meatus on the top of the penis
Epispadias
Small, whitish yellow epithelial cysts found on the hard palate.
Epstein’s Pearl
Pink rash with firm, yellow-white papules or pustules found on the chest, abdomen, back, and/or buttocks of a newborn.
Erythema Toxicum Neonatorum
Loss of heat when water is changed to vapor
Evaporation
Watery first milk from the breast, high in lactose, like skim milk, and effective in quenching thirst
Foremilk
Placement of the greater toe farther from the other toes.
Hallux Varus
Follows foremilk; is higher in fat content, leading to weight gain; and is more satisfying.
Hindmilk
Fluid around the testes in the scrotum
Hydrocele
Excess of bilirubin in the blood
Hyperbilirubinemia
Placement of the urinary meatus on the underside of the penis
Hypospadias
Severe neurological damage resulting from a high level of bilirubin (jaundice)
Kernicterus
Fine, downy hair covering the fetus’s body.
Lanugo
Infant’s weight falls above the 90th percentile for gestational age
Large for gestational age
First bowel movement of a newborn
Meconium
Saclike protusion along the vertebral column filled with cerebrospinal fluid
Meningocele
White, pinhead-size distended sebaceous glands on the cheeks, nose, and chin
Milia
Shaping of the fetal head to adapt to the mother’s pelvis during labor
Molding
Large patches of bluish skin in the buttocks of dark-skinned infants.
Mongolian Spots
Saclike protusion along the vertebral column filled with cerebrospinal fluid, meninges, nerve roots, and spinal cord
Myelomengocele
first few hours after birth wherein the newborn makes changes to and stabilizes respiratory and circulatory functions
Neonatal transition
Environment in which the newborn can maintain internal body temperature with minimal oxygen consumption and metabolism
Neutral thermal environment
Large reddish purple birthmark usually found on the face or neck that does not blanch with pressure
Nevus flammeus
Metabolism of brown fat; process unique to the newborn
Nevus Vascularis
Inflammation of the newborns eyes that results from passing through the birth canal when a gonorrheal or chlamydial infection is present
Ophthalmia neonatorum
Metabolism of brown fat; process unique to the newborn
Nonshivering thermogenesis-
Conditioning wherein the opening in the foreskin is so small that it cannot be pulled back over the glans
Phimosis
Blood-tinged mucous discharge from the vagina of a newborn, caused by the withdrawal of maternal hormones
Pseudomenstruation
Loss of heat by transfer to cooler object, but not through direct contact
Radiation
