Review Of Exam 3 Flashcards
What is the 4th stage of labor ?
begins with the birth of the placenta
until 1 hour after or when mom is stable
Right after the baby is born, where does the baby go ?
into moms chest
what scoring system do we use to assess the baby?
APGAR
what does Apgar stand for?
activity
pulse
grimace
appearance
respiration
the umbilical cord is a 3 vessel cord which is made out of ?
1 vein
2 arteries
postpartum is defined as?
giving birth to the infant and placenta to when you’re body goes back to non pregnant state
to make sure the placenta is fully out, what do we normally do for mom?
a fundal massage
The fundus is massaged every how minutes to make sure its firm?
15mins
can we send mom off home if she isn’t firm?
no
why does the uterus or fundus need to be firm?
in order to clamp down to stop bleeding, and slowly revert back into the nonpregnant state
right after delivery the uterus is what?
-2
what does involution mean?
return of the rupture to non pregnant state
then after 24 hours, it goes into 20th week gestation, then after that it rapidly decreases 1-2cm until what day ?
6th day
after 24 hours pp, the uterus shrinks to size of what week gestation?
20th week
what does subinvolution mean?
the uterus failed to contract down and shrink
why do we recommend moms to go empty out their bladder?
in order to help involution to occur and we can clamp down and stop bleeding
what is the most common cause of PP hemorrhage?
uterin atony
what are the 3 main things that can cause subinvoltion to occur ?
retained parts of the placenta
vaginal/cervical laceration
full bladder
what are some medications we can use to help mom with PP cramps and pain ?
Nsaids and narcotics
what is lochia rubra?
what is lochia serosa ?
what is lochia alba ?
dark red blood, 3-4th day, heavy menstrual period, small clots, odor, fleshy
pinkish in brown, 4-12 days, 2weeks pp, moderate to small amount
yellowish-white discharge, 12 days to 3 weeks, scant creamy whitish
its important to tell mom, if that her lochia flow changes from serosa back to rubra she should what?
stop being overactive and stress
relax and sit down
Mother Nature has come to help us by not losing so much fluids by causing moms to be what?
hypervolmic (40-50%)
vaginal bleeding is bound to occur in pregnancy, so what are some things we are going to encourage mom to do ? (2)
encourage breastfeeding and emptying the bladder
when we see vaginal bleeding, we want to what as nurses?
massage the fundus
why do we encourage breastfeeding in order to help slow down vaginal bleeding ?
the body will release oxycontin and signals to clamp down
its like, oh baby is out, oxycotonin come out and stop this bleeding!
if vaginal bleeding is still occurring, even if the fundus is nice and firm, what are the two things we suspect?
laceration and hematoma
a saturated pad within 15mins is considered to be what?
medical emergency
ask mom to lift up to see the amount of pooling too
in breastfeeding we have a
decrease in?
increase in?
decrease in progesterone
triggers
increase in prolactin
prolactin does what 2 things ?
ovulation prevention
( lactational amenorrhea )
milk production
its important to tell moms that prolactin is not what?
a form of contraceptives, so please watch out
not only is breast-feeding going to help mom clamp down, what does it help for the baby to do that we as nurses want to see?
help them pass their first poop, meconium
in vaginal birth how much blood do we lose
in c-sections how much blood do we lose ?
300-500ml (10%)
500-1000ml(15-30%)
in breast-feeding, moms are famous for producing colostrum, which is this very thick yellow-white pasty thing, what is inside of it and can babies drink it?
its low fat, immune cells, antibodies and laxatives
babies can drink it
breastfeeding moms
10weeks-6months
nonbreastfeeding moms
6-10weeks
of not having their periods
what is engorgement?
breasts are enlarged and heavy
how can we prevent engorgement
fully emptying out the breast
how can we treat engorgement?
ice packs
what is crackled nipples ?
what is the main cause?
how can we treat?
literally as it sounds
bad bf positioning
ointment
newborns breastfeed how many times in a 24hour period ?
8-12x
what is plugged milk duct?
how do we treat?
milk is stuck
warm compression
how to treat mastitis ?
antibiotics
what is mastitis ?
flu like symptoms of inflammation of the breasts
can we still breastfeed with mastitis?
yes
do nonbreasting feeding moms still produce milks and colostrum?
yes
breastmilk is usually the best option to feed your baby for the firs what?
6 months of life
and continuous with that with other foods
what are some contraindications of breastfeeding ?
active herpes
active tb
HIV
by how many weeks does cardiac output decrease by 30% ?
2 weeks
by how many weeks do mainly all of our systems take to go back to normal?
6-8weeks
with the decrease in estrogen and vascular pressure causes moms to what?
dirureis and excessive sweating
are moms still at risk for preeclampsia even after giving birth?
yes
is having an increase WBC after birth normal ?
yes
is having a somewhat fever after birth normal ?
yes
when do we gave regam to mom?
rh negative mom
rh positive baby
what type of vaccines do we not give to mom?
live annotated vaccines
any live vaccines, we tell mom to not what?
get pregnant for 28 days because of teratogen effects
what are 3 phase role attainment ?
dependent
24-48hours mom needs help
dependent/taking hold
day
somewhat there, excited to learn
interdepend
mom is ready to take care of baby
when is the neonatal period ?
from birth to day 28 of life
what is the medication we give for babies of vitamin K?
phytonadione
why do we give eye prophylaxis?
avoid infections, gonnrorrhea and chylamida mainly
mom should wait for another baby for how long ?
2 years or 18 months at least
what is extrauterine life ?
when does it occur ?
baby learning how to live without like mom
6-8hours of live
what is first period activity ?
when is it ?
baby most active ever
30mins of life
what are the 4 ways baby loss heat?
convection
radiation
evaporation
conduction
what is convection?
loss of heat to open air, not swaddled
what is radiation?
loss of heat to like cooler, air vent
what is evaporation ?
not drying the baby fast enough
what is conduction?
loss of heat to direct surface
like cold table
what is thermogenesis ?
baby way of trying to keep warm
increase muscle acitivyt
if a baby is going to be circumscioned we want to see what within 24 hours ?
them void
what is thermoregulation main?
the maintenance of balance between heat loss and heat production
how long should meconium pass ?
within 48hours of life
with physiologic jaundice we recommend what to mom?
breastfeed the baby
what is vernix caseoa?
white sticky stuff covering the baby
should sweat glands appear on a baby and if so what does it mean ?
no
means heart failure
what is Mongolian spot?
big black back spot
for females they usually are born with what for reproductive ?
discharge and bloody spots
normally due to all the estrogen in the body
for males what are they usually born with ?
epithelial pearls on the tip of the penis
what does hypospadias mean ?
tip is placed wrong, making it difficult to void
testes are palpable by what week?
38-40
what is caput succedaneum?
swelling of the scalp usually due to the pressure of the uterus during the vaginal devilry
no treatment needed
what is cephalhematoma ?
accumulation of blood under the scalp, unusual bumps, lumps
no treatment really needed, goes away on its own
most common signs of pain in a baby is what?
crying
what does LATCH stand for in breastfeeding?
latch
audible swallow
type of nipple
comfort
hold
