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Nursing 2910 > Postpartum and newborn > Flashcards

Postpartum and newborn Flashcards

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1
Q

Pertussis

A

can be passed onto the baby, and can be deadly for a newborn

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2
Q

3 processes of uterine involution

A

contraction of muscle fibers, catabolic processes-autolysis of endometrial cells, regeneration of uterine epithelium

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3
Q

How does the site of placental attachment heal

A

by the process of exfoliation, leaves the endometrium smooth and without scars

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4
Q

How is involution evaluated

A

measuring the descent of the uterus, decreases 1 cm per day, should no longer be palpable after 14 days

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5
Q

Why are contractions necessary

A

to achieve hemostasis at the placental site

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6
Q

What are contractions stimulated by

A

oxytocin

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7
Q

Lochia

A

vaginal discharge after birth, immediately following delivery

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8
Q

Lochia rubra

A

red or reddish brown, bloody, day 1-3

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9
Q

What should lochia be like for up to 2 hours after birth

A

a heavy menstrual period

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10
Q

Lochia serosa

A

pink or brown, serosanguinous, day 4-10

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11
Q

Lochia alba

A

white or cream or yellow, day 11-16 weeks

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12
Q

What does the lochia reflect

A

regeneration of the endometrium

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13
Q

How are perineal lacerations classified

A

in degrees to describe the amount of tissue involved

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14
Q

First degree laceration

A

involving the superficial vaginal mucosa

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15
Q

Second degree laceration

A

involving the vaginal mucosa, perineal skin, and deeper issues, may include fascia and muscles of the perineum

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16
Q

Third degree laceration

A

same as second degree laceration but involves the anal sphincter

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17
Q

Fourth degree laceration

A

extends through the anal sphincter into the rectal mucosa

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18
Q

Periurethral area

A

a laceration in the area of the urethra, may cause difficulty with urination

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19
Q

What is common after birth

A

large output of 3,000 ml of urine a day, profuse diaphoresis (especially at night)

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20
Q

Diastasis recti

A

abdominal wall muscles separate

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21
Q

Postpartum warning signs

A

fever greater than 100.4, foul-smelling lochia, large blood clots, large volume of bleeding, severe headaches, blurred vision, calf pain, shortness of breath, depression, extreme mood swings, UTI

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22
Q

Bonding

A

the initial attraction and relationship felt by the parents and an infant

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23
Q

Attachment

A

the process by which an enduring bond to a child is developed through pleasurable satisfying parent-child interactions

24
Q

En face

A

putting a newborn in front of face

25
Q

Fingertipping

A

using the tips of fingers to touch the baby

26
Q

Enfolding

A

holding a baby and taking it in

27
Q

Claiming/binding in

A

psychological change, high-pitched voice talking to the baby

28
Q

Puerperal phases

A

taking in, taking hold, letting go

29
Q

taking in phase

A

mother is focused on her own need for food and sleep, passive behavior for 1-2 days, birth is a reality

30
Q

taking hold phase

A

becomes more independent and concerned for her self-care, shifts attention to the newborn, teaching is best here

31
Q

letting go phase

A

relinquishes to previous roles, adjusting to disappointments, letting go of ideals, bonding is starting, new roles are identified

32
Q

AGPAR

A

appearance, pulse, grimace (reflex irritability), activity, respiration

33
Q

When is AGPAR assessed

A

1 and 5 minutes after birth

34
Q

AGPAR scores

A

if at 5 minutes the score is less than 7, continue assessment every 5 minutes for 20 minutes

35
Q

What is given after birth

A

eye prophylaxis, vitamin k, hepatitis B vaccine

36
Q

Why is vitamin K given

A

to help with clotting because the newborn has no intestinal flora to help produce vitamin K

37
Q

What does eye prophylaxis do

A

prevent ophthalmia neonatorum

38
Q

How soon should a mom start to breastfeed

A

within an hour of birth

39
Q

First period of reactivity

A

birth to 30 minutes/2 hours after birth
the newborn is alert/moving/may appear hungry

40
Q

Period of decreased responsiveness

A

30 to 120 minutes old, sleeping or decreased activity

41
Q

Second period of responsiveness

A

2 to 8 hours, newborn awakens and shows an interest in stimuli

42
Q

What is normal for a newborn after birth

A

to lose weight, no more than 10% of weight

43
Q

What does surfactant do

A

helps to prevent alveolar collapse

44
Q

Respiration rate of newborn

A

30 to 60 breaths per minute

45
Q

Convection

A

loss of heat to the cooler air currents

46
Q

Radiation

A

transfer of body heat to a cooler solid object nearby

47
Q

Evaporation

A

loss of heat through conversion of a liquid to a vapor

48
Q

Conduction

A

loss of heat to a cooler surface by direct skin contact

49
Q

Lanugo

A

newborn hair growth

50
Q

Newborn screening after 24 hours

A

bilirubin testing, metabolic screen, hearing screening, CCHD

51
Q

Metabolic screening

A

identifies errors of metabolism, drop of blood obtained from baby’s heel 24-48 hours after birth

52
Q

what is the #1 birth defect in newborns

A

hearing

53
Q

CCHD screening

A

identifies cardiac defects not diagnosed during pregnancy, pulse ox is placed on right hand and either foot, should be greater than or equal to 95

54
Q

Hypoglycemia in newborns

A

<40

55
Q

Jaundice occurrence

A

60% of term babies, 80% of preterm infants

Nursing 2910 (15 decks)

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