Postpartum and Newborn Exam 3

Question 1

Puerperium

Answer 1

Period about 6 weeks after childbirth when the mother’s reproductive organs return back to normal

Question 2

Third stage

Answer 2

The delivery part of labor, average <25min, the longer the more complications

Question 3

Fourth Trimester

Answer 3

Postpartum period the comes with complications such as fatigue, pain, lack of sleep, stress, depression, breastfeeding difficulties, and adapting to motherhood

Question 4

Uterine involution

Answer 4

Process of uterus returning back to its pre pregnancy state

Question 5

Lochia rubra

Answer 5

Dark red blood discharge consisting sloughing of the uterine lining. Usually last 1-4 days. Should not be large clots. May be more common in multipara, someone who bled heavily, lots of pitocin, someone who had LGA babes

Question 6

Lochia serosa

Answer 6

Serous, pinkish-brown, water vaginal discharge. Follows rubra 4th day to 10th day. Less and less each day

Question 7

Lochia alba

Answer 7

Thin, yellowish to white vaginal discharge, from 10 days to 2-6 weeks until cervical os completely closes

Question 8

Hemorrhoids

Answer 8

Swollen and inflamed veins in the rectum and anus usually caused by straining during bowel movement, obesity, and pregnancy

Question 9

Episiotomy

Answer 9

Surgical incision of the perineum either midline, mediolateral. Purpose-more room, expedite delivery, directs lac down

Question 10

Rh

Answer 10

Check blood type of mother and baby. Either Rh- and Rh+, if compatible, no need to do anything

Question 11

Alloimmunization

Answer 11

Rh blood

Question 12

BUBBLEHER

Answer 12

B-reast. H-oman’s hemorrhoids
U-terus Emotional/affect
B-owel R-hogam
B-ladder
L-ochia
E-pisiotomy

Question 13

Sub involution

Answer 13

When the uterus does not decrease in size and does not descend in the pelvis. Can occur in women who have fibroids, endometriosis, or retained placental tissue.

Question 14

Uterine Atony

Answer 14

When the uterus does not atrophy, decrease in muscle tone. Major cause of PPH

Question 15

Accreta

Answer 15

Into myometrium, when the part or whole of placenta is inseparable from uterine wall

Question 16

Increta

Answer 16

Invasion of the trophoblast extends deep into the uterine myometrium (15% of cases).

Question 17

Percreta

Answer 17

The placenta extends fully through the uterine wall and may attach to other internal organs, such as the intestine or bladder.

Question 18

Prolactin

Answer 18

Responsible for milk let down and levels vary with number of feedings. Released by pituitary gland

Question 19

Postpartum Blues

Answer 19

Mood changes in postpartum women from a few days pp to 14 days. Etiology is unknown, some believe is progesterone shift. If more than 2 wks, should investigate

Question 20

Bonding

Answer 20

Mother and baby touch/attachment

Question 21

Mastitis

Answer 21

Inflammation or infection on breast tissue in many lactating women. Usually develops in 3-6 months of breastfeeding. Manifest with redness, chills, fever, bodyache, edema

Question 22

Cystocele

Answer 22

AKA anterior prolapse, is the bulging of bladder into the vagina. Occurs because the wall between the vagina and bladder is weak and stretch

Question 23

Rectocele

Answer 23

AKA posterior prolapse, is the bulging of the retum into the vagina. This happens because the wall between the rectum and vagina is weak.

Question 24

Fistula

Answer 24

Abnormal connection between vagina & bladder, vagina & rectum, vagina & urethra that can cause fecal matter or urine to excrete through the vagina. Can occur from birth trauma, surgery, weak pelvic tissue, sexual abuse

Question 25

Amniotic fluid

Answer 25

Contained in amniotic sac, provides cushion, fetal movement, thermal environment, prevent from adhering to amniotic membrane

Question 26

embolus

Question 27

Engorgement

Answer 27

Women experience fullness of the breast, this is associated with increased blood or lymph fluid congestion of late pregnancy or large amount of IV fluids

Question 28

Latch

Answer 28

The baby’s ability to attach the mother’s nipple(areolas), #1 nipple soreness can be prevented with a good latch

Question 29

Exclusive breast

Answer 29

Practice of only giving infant breast milk for the first 6 months of life

Question 30

feeding

Question 31

Supply & Demand

Question 32

Acrocyanosis

Answer 32

Hands or feet are pale or blue

Question 33

cap succedaneum

Answer 33

Soft tissue edema of the scalp

Question 34

cephalohematoma

Answer 34

Hematoma formation between the periosteum and skull with unilateral swelling

Question 35

erythema

Question 36

neonatorum

Question 37

toxicum

Question 38

jaundice

Answer 38

Yellow coloring of skin.When jaundice is suspected, the nurse can apply gentle pressure to the skin over a firm surface such as the nose, forehead, or sternum. The skin blanches to a yellowish hue.

Question 39

lanugo

Answer 39

Fine, downy hair that develops after 16weeks’ gestation. Often seen on the neonate’s back, shoulders, and forehead.

Question 40

meconium

Answer 40

Newborn’s first poop

Question 41

milia

Answer 41

White papules on the face; more frequently seen on the bridge of the nose and chin.

Question 42

molding

Answer 42

Elongation of the fetal head as it adapts to the birth canal.

Question 43

Mongolian spots

Answer 43

Slate gray patches, Flat bluish discolored areas on the lower back or buttock;

Question 44

neonatal period

Answer 44

From birth through the first 28 days of life

Question 45

transitional stool

Answer 45

Stool transitions from black to greenish black to greenish brown or yellow. Begins around the 3rd day and can continue to 3-4 days.

Question 46

vernix caseosa

Answer 46

Substance secreted from sebaceous glands that covered the fetus during pregnancy.It looks similar to a whitish, cheesy substance. May be in axillary

Question 47

Ortolani and barlow’s maneuver

Answer 47

Used to identify a dislocated hip

Question 48

Convection

Answer 48

Loss of heat from the neonate’s warm body surface to cooler air currents, such as air conditioners or oxygen masks

Question 49

Radiation

Answer 49

Transfer of heat from the neonate to cooler objects that are not in direct contact with the neonate, such as cold walls of the isolette or cold equipment near the neonate

Question 50

Evaporation

Answer 50

Loss of heat that occurs when moisture on the neonate’s skin is converted to vapors, such as during bathing or directly after birth

Question 51

Conduction

Answer 51

Transfer of heat to cooler surface by direct skin contact, such as cold hands of caregivers or cold equipment

Question 52

Brown fat

Answer 52

Purpose, large surface area and thin skin =greater or easier heat loss than adult (thermogenic) Develops around 20 wks

Question 53

First period of reactivity

Answer 53

Occurs by the 1st 30 minutes.Awake and active. May act hungry. RR rapid as high as 80 ok.HR rapid –up to 160. May be irregular. BS may be absent.

Question 54

Second period of reactivity

Answer 54

awake and alert. last 2-8 hrs

Question 55

SGA

Answer 55

Small for gestational age, less than 10th percentile of gestational age

Question 56

LGA

Answer 56

Large for gestational age, weights above 90th percentile of their gestational age. Diabetes is the leading cause of LGA

Question 57

IUGR

Answer 57

Intrauterine growth restriction occurs in utero and is a result of a uterine insult. Two types: symmetric and asymmetric

Question 58

Physiologic jaundice

Answer 58

> 24 hrs, immature liver, breastfeeding, bruising,It is caused by the breakdown of RBCs (hemolysis)

Question 59

Pathologic jaundice

Answer 59

<24 hrs,

Question 60

Preterm

Answer 60

<37 wks or equal regardless of weight

Question 61

Postterm

Answer 61

> 42 wks

Question 62

Cold stress

Answer 62

Excessive heat loss that results in the utilization of compensatory mechanisms, occurs with decrease of environmental temperature which can lead to respiratory distress in neonate