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Mother-baby > Test 3 > Flashcards

Test 3 Flashcards

1
Q

3 signs that baby is having problems with temperature, oxygenation, or hypoglycemia?

A

Jitters, Grunting, hypotonia

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2
Q

How often do we assess mother in 4th stage of labor?

A

q. 15 for 1 hour minimum

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3
Q

Characteristics of fundus after birth?

A

Firm

At or below the umbilicus and midline

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4
Q

If bladder not firm and above midline what does that mean?

A

Bladder is full or uterus is full of blood clots

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5
Q

What do we do for a boggy uterus?

A
  1. Massage no matter if vaginal or c-section diet.
  2. Notify physician or midwife
  3. Oxytocin therapy
  4. Methylergonovine or carboprost
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6
Q

way by which the uterus returns to pre=pregnant size, shape, and location, and the placement site heals.

A

Involution

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7
Q

Fever in the mother first 24 hours usually do to?

A

Dehydration

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8
Q

How many extra calories do breastfeeding mother need?

A

500 calories per day

at least 2000 ml of fluids/day

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9
Q

What are the five aspects of APGAR scoring

A 
Heart rate
Respiratory Rate/effort
Muscle tone
Reflex irritability
Skin color
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10
Q

What are the levels of the APGAR scoring

A

0-3-indicates severe distress, full resuscitation reuired
4-6 moderate difficulty with transition extrauterine life, rub newborns head, stimulate, administer O2
7-10 indicates stable status, no intervention required

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11
Q

peripheral cyanosis of hands and feet of newborn for first few hours and intermittenly after birth to 7-10 days and is normal?

A

Acrocyanosis

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12
Q

small white sebaceous glands that appear on the forehead, nose, and chin

A

Milia

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13
Q

Signs of respiratory distress in newborn?

A 
Grunting
Flaring 
Retracting(if get to this point severe resp depression)
Cyanosis
Decreased muscle tone
Low blood pressure
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14
Q

BUBBLEHE for assessment postpartum

A

Breast, uterus, bladder, bowel, loch, episiotomy/laceration, homan’s/hemorrhoids, emotional/bonding

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15
Q

What are breast like first three days after delivery?

A

1st 24 hours- soft, non-tender
2nd day- slightly firm, slight tender
3rd day-firm, tender, and warm to touch

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16
Q

How soon after delivery must the mother have a bowel movement?

A

24 hours

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17
Q

A blood loss of ________ after a vaginal delivery and _______ after a c-section indicate hemorrhage?

A

500-vaginal

1000 c-section

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18
Q

3 causes of post part hemorrhage?

A

Uterine atony
Retained placenta
lacerations

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19
Q

3 phases of maternal attachment (both parents)

A
  1. Acquaintance phase
  2. Phase of mutual regulation
  3. Reciprocity
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20
Q

Fingertip exploration, en face position, responds verbally to sounds of infant, first few hours

A

Acquaintance phase

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21
Q

adjustment between needs of mother and needs of infant first few days

A

Phase of mutual regulation

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22
Q

mutually gratifying interaction, 1-6 weeks

A

reciprocity

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23
Q

Four stages of Maternal/Paternal Role Attainment

A
  1. Anticipatory-during pregnancy
  2. Formal- when baby is born
  3. informal-3-10 months after delivery
  4. Personal-3-10 months after delivery
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24
Q

Transient period of depression
Occurs first few days after delivery
Resolves without intervention in 10-14 days
S/s tearfulness, anorexia, difficulty sleeping, feeling of letdown
Causes: changing hormone levels, psychologic adjustments, unsupportive environment, fatigue, discomfort, overstimulation

A

Postpartum blues

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25
Q

When does menstration begin in non-lactating women?

A

6-10 weeks

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26
Q

When does ovulation occur in non-lactating woman?

A

within 6 month

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27
Q

What does breast milk contain

A 
Protein
Lactose
Cholesterol-brain development
Vitamins and Minerals
Antibodies
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28
Q

When should you feed baby after delivery?

A

Within 1st hour

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29
Q

How do you know the baby is latched on correctly in breast feeding women?

A

More areola visible on top than bottom, nipple in back of mouth, swallowing can be heard, discomfort first 5-10 seconds, breasts becomes soft

30
Q

When should baby regain birth weight?

A

within 2 weeks

31
Q

If patient with postpartum hemorrhage goes into shock what should you do?

A

IV fluids,
Trendleburg postion
Meds-Pitocin
Pressure on uterus (one hand fundus other on symphysis pubis to make sure uterine doesn’t come out.

32
Q

Signs and symptoms of thrombophlebitis

A

Pain, heat, redness, positive Homan’s sign

33
Q

Symptoms of postpartum depression. (Remember must have 5 of these present for more than 2 weeks for diagnosis)

A 
trouble sleeping
lack of interest
feeling of guilt
loss of energy
difficulty concentrating
changes in appetite
restlessness or slowed movement
thoughts or ideas of suicide
34
Q

Visual or auditory hallucinations
delusional thingking
want to kill baby/self
delirium and or mania

A

Postpartum psychosis

35
Q

Where is Brown Fat or Brown Adipose tissue found?

A

neck, thorax, axially area, intrascapualar areas, and around adrenal glands and kidneys

36
Q

4 reasons newborn predisposed to heat loss?

A

Large surface area
thin layer of subcutaneous tissue
cannot shiver to produce heat
new environment is 20-30 degrees cooler

37
Q

4 ways newborns lose heat?

A

Evaporation
Conduction
Convection
Radiation

38
Q

Loss of heat that occurs when water on the neonates skin is converted to vapors, such as bathing or directly after birth.
How to prevent?

A

Evaporation

Dry neonate at time of birth, bathe small areas at a time, keep body covered

39
Q

Transfer of heat to cooler surface by direct skin contact, such as cold hands of caregiver or cold equipment
How to prevent?

A

COnduction

Warm mattress, nurse hands, equipment

40
Q

Loss of heat from the neonates warm body surface to cooler air currents, such as air conditioners or oxygen masks. How to prevent?

A

Convection
Keep neonate covered
Keep room air warmed

41
Q

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

A

Radiation
Cover neonates head
Naked neonate under radiant warmer

42
Q

Signs and symptoms of heat loss?

A 
Axillary temp less than 36.5 (97.7)
Cool skin
 lethargy
Pallor
Tachypnea
Grunting
Hypoglycemia
Hypotonia
Jitteriness
Weak suck
43
Q

Signs and symptoms of hypoglycemia

A

Jitteriness, respiratory distress, poor suck, low temperature, lethargy, blood sugar less than 40 mg/dL

44
Q

Normal blood glucose newborn?

A

40-60 mg/dL

45
Q

Normal respiratory rate newborn?

A

30-60, irregular

46
Q

dark bluish spots on low back/buttocks, normal

A

Mongolian spots

47
Q

Dark pink patch on back of neck and eye lids, disappear around 1 year

A

storkbite

48
Q

red wine colored spot anywhere on body, do not disappear

A

port-wine stain

49
Q

raised birght red lesion, disappear

A

Strawberry hemangioma

50
Q

newborn rash resembling mosquito bite, disappear

A

Erythema toxicum

51
Q

When is jaundice NOT ok?

A

Within the first 24 hours

52
Q

soft tissue swelling of the scalp, crosses suture line, present at birth

A

caput succedaneum

53
Q

hematoma between periosteum and skull with unilateral swelling, does NOT cross suture line, shows up few hours after birth

A

cephalohematoma

54
Q

Normal fetal heart rate

A

120-160

55
Q

How many wet diapers should a newborn have per day?

A

6-8

56
Q

How many stools should an infant have? breastfeed, bottled

A

Breastfed- 3-10

Bottle- 1-4

57
Q

What is the characteristics of lochia on days 1-3?

A

Bloody with small clots
Moderate to scant amount
Increaed flow on standing or breastfeeding
Fleshy odor

58
Q

Characteristics of lochia on days 4-10

A

Pink and brown color
Scant amount
Increased flow during physical activity
Fleshy odor

59
Q

Characteristics of lochia on day 10

A

Yellow to white color
Scant amount
Fleshy odor

60
Q

Less than 1 inch of lochia on pad

A

scant

61
Q

less than 4 inches of lochia on pad

A

light

62
Q

less than 6 inches of lochia on pad

A

moderate

63
Q

pad is saturated in 1 hour with lochia

A

Heavy

64
Q

A temperature of what postpartum indicates infection?

A

greater than 100.4 on 2 occasions 6 hours apart within first 24 hours

65
Q

Emotional feeling that begin during pregnancy or shortly after birth between the parent and the newborn. Unidirectional from parent to newborn

A

Bonding

66
Q

Emotional connection that forms between the infant and parents. It is bidirectional from newborn to parent and parent to newborn

A

Attachment

67
Q

a phenomenon in which the newborn and infant moves his or her arms and legs in rhythm with speech pattern of an adult.

A

Entrainment

68
Q

blood loss greater than 500 mL or vaginal delivery and 1000ml for c-section with a 10% drop in hemoglobin and hematocrit

A

Postpartum hemorrhage

69
Q

amniotic fluid that contains fetal cells, lanugo, and vernix enters the maternal vascular system and initiates a cascading process that leads to cardiorespiratory collapse and DIC.

A

Amniotic fluid embolism

70
Q

most common postpartum infection, an infection of endometrium, myometrium, and/or parametrical tissue that usually starts at the placenta site and spreads to encompass the entire endometrium

A

Metritis

Mother-baby (2 decks)

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