Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Maternity > Week 1 > Flashcards

Week 1 Flashcards

1
Q

who defines is family

A

patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

G/P
- G

A

gravida
- number of pregnancy gone past 20 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

G/P
term - term - term - term

A

gone to term - preterm - abortion - living

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

G2 P2-0-0-2

A

G2: number of preg gone past 20 weeks
P2: term
0: preterm
0: abortion
2: living

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

EDC

A

due date

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

primigravida

A

pregnant for the first time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

multigravida

A

2 or more pregnancies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

who might have longer labor

A

primigravida

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

precipitous

A

quick birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

who is going to have a precipitous birth multi or primi

A

multi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

SVD

A

spontaneous vaginal delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

LDRP

A

labor
delivery
recovery
postpartum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

PP

A

post partum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

C/S

A

cesarean section

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

typical hospital stay for vginal birth

A

1-2 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

how long does the mom and newborn have to stay and why

A

24 hours so complete the new born screening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

postpartum peroid
- begin and end

A

delivery to the return of the reproductive system to the non pregnant state (6-8 weeks)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

post partum is also called

A

puerperium (4th trimester)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

puerperium

A

4th trimester
- post partum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

involution

A

returns to pre pregnant state

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

within 12 hours of birth where will the fundus be palpated at

A

1cm above the umbilicus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

fundus descends how much per day

A

1-2 cm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

what does a boggy fundus feel like

A

soft

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

what is happening when the fundus is boggy

A

uterus cannot clamp down and usually there will be hemorrhage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

when should the fundus not be palpable

A

2 weeks PP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

subinvolution

A

uterus is not clamping down

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

what is sub involution usually caused by

A

retained placental fragments

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

why do we need to inspect the placenta after delivery

A

ensure no piece is left in the uterus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

what can a full bladder contribute to

A

hemorrhage since the uterus cannot clamp down
also contributes to the fundus moving to the side making it hard to feel where it is located at

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

endo oxytocin

A

from the brain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

exo oxytocin

A

Pitocin med

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

golden hour

A

1st hour after birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

what does breast feeding do for the uterus and clamping down

A

helps clamp down due to secreted oxytocin during breast feeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

when do we give a bolus of pit

A

after the baby is born

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

afterpains are going to be stronger in who

A

multi woman (loss of uterine tone)
over distened uterine muscle because its more the uterus has to clamp down
- multifetal (twins)
- polyhydraminos
- macrosomia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

polyhydramnios

A

increase amniotic fluid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

macrosomia

A

large baby

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

will the after pains be noticeable during pregnancy

A

yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

will after pains be notable during administration of oxytocin

A

yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

placental site is normally healed when

A

6wks pp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

if placental does not separate in 30 min

A

bimanual exam

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

lochia is

A

combination of blood, mucus, and tissue discharged from uterine lining

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

3 types of lochia

A

rubra
serosa
alba

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

rubra lochia

A

red/brown
heavyish flow
smaller clots
1-3 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

serosa lochia

A

pink/brown
small amounts of blood
very little amounts of clots
3-10 days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

alba lochia

A

yellowish white
WBC, tissue, bacteria
10-14 days but can last longer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

what is abnormal with all lochia

A

foul odor

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

saturation of perineal pad in ____ mins or less is considered excessive and may indicate PPH

A

15 mins

49
Q

normal vaginal delivery blood loss

A

<500

50
Q

normal CS blood loss

A

<1000

51
Q

1mL of blood on linens =

A

1 g in weight

52
Q

round cervix

A

never gone through labor

53
Q

slit like cervix

A

gone through labor

54
Q

besides the vaginal and uterus what is the other most important organ in L and D

A

bladder

55
Q

presence of free flowing bright red blood may indicate

A

cervical laceration

56
Q

if bleeding we

A

massage the fundus

57
Q

if the patient is bleeding but you massage the fundus and it is firm what might it be

A

cervical laceration

58
Q

hematoma

A

accumulation of blood in pelvic tissue

59
Q

s/s of hematoma

A

unrelenting pain
pressure in vagina or rectum

60
Q

late signs of hematoma (aka blood loss)

A

tachy
increase RR
low BP

61
Q

episiotomies that are healing well are only visible when

A

pt is laying on side

62
Q

episiotomies heal within

A

2-3 weeks

63
Q

what is abnormal with an episiotomies and may be signs of infection

A

redness
warmth
swelling
discharge
separation from edges

64
Q

1st degree tear

A

superficial to muscle

65
Q

2nd degree tear

A

extends through the muscles of the perineal3

66
Q

3rd degree

A

through anal sphincter

67
Q

4th degree

A

involves anterior rectal wall

68
Q

uterthral tear

A

upward from the vaginal towards the urethra

69
Q

not uncommon to void excess of _______mL per day during first several days PP

A

3000

70
Q

colostrum is secreted when

A

shortly after birth

71
Q

is colostrum high or small volumes

A

small since the infants stomach is so small it does not need alot

72
Q

what should we educate to the mom not wanting to breast feed

A

tight bra and ice to decrease swelling and stimulation
- No hot shower this will stimulate the breast to make more milk

73
Q

HR, SV, and CO _________ immediately after giving birth

A

increase

74
Q

due to the hemodynamic changes what might be a result

A

orthostatic hypotension

75
Q

education on ortho hypo

A

sit slow and dangle

76
Q

normally increased blood volume is eliminated within first ___ weeks after delivery

A

2

77
Q

pregnancy is a ________ state

A

hypercoaguble state
- due to increase in fibrinogen and clotting factors

78
Q

since pregnancy is hypercoaguble this means they are at risk for

A

DVT

79
Q

why might WBC increase after birth

A

boys response to wound in uterus

80
Q

what is a common complaint of PP

A

headache

81
Q

why might headache be caused

A

hormonal shift or spinal from epidural

82
Q

TX for hormonal headache

A

decrease light and noise
increase caffeine

83
Q

TX for spinal headache

A

blood patch

84
Q

preeclampsia can occur for ____ weeks after delivery

A

4 weeks

85
Q

what do mothers need to be taught if they go to ED

A

they are in the PP peroid

86
Q

what changes in the musculoskeletal

A

change in center of gravity
- increase fall risk

87
Q

joints where might not return to normal

A

feet

88
Q

atony

A

bleeding
- lack of tone (boggy)

89
Q

what is the most frequent cause of uterine bleeding after birth

A

atony

90
Q

why might atony be caused

A

retained placental fragments

91
Q

we should always screen for what before discharge

A

depression

92
Q

what might be common during the childbirth phase

A

tremors or chills

93
Q

C section is a post op patient, what should we manage

A

abdominal dressing
LOC
IV
I and O
cardiac
Bowel sounds
Lung sounds
IS
pain
anesthesia

94
Q

BUBBLEHE

A

breast
uterus
bowel
bladder
loch
episiotomy
homans sign (DVT)
emotions

95
Q

when breastfeeding, why should the baby have the whole areola in the mouth not just the nipple

A

it could lead to tissue damagef

96
Q

firm breasts mean

A

milk is in

97
Q

we need to assess for what of the fundus

A

height
location
tone

98
Q

patient should void every

A

2 hours

99
Q

why might fundal assessments be uncomfy in CS patients

A

assessing right above scar

100
Q

bowel Q

A

last BM
passing gass
distension

101
Q

for assessment of lochia and episiotomies we need to assess for

A

bleeding, amount, color, character, odor

102
Q

prevent infection

A

hand washing and perineal hygiene of the peri bottle

103
Q

what position should the patient be in when assessing for episiotomies

A

side

104
Q

do we do homans sign and why

A

no because you can dislodge the clot

105
Q

what to assess for in DVT

A

redness
warm
pedal pulses
ambulation

106
Q

emotions
assess between

A

family members

107
Q

REEDA

A

redness
ecchymosis
edema
discharge
approximation

108
Q

perineal care

A

ice packs
peri bottle
analgesics

109
Q

if our patient is sitting down, how might we instruct them so they do not put pressure on perineum

A

tightening glutes prior to sitting to avoid pressure on perineum

110
Q

what to assess for during the transition to parent hood

A

feelings about self
relationships of family origin
social support networks
relationship with partner and infant

111
Q

maternal adaption 3 phases

A
  1. talking in or dependent phase
  2. taking hold
  3. letting go or interdependent phase
112
Q
  1. taking in or dependent phase
A

first 24 hours after birth
meet her basic needs
(love self)

113
Q
  1. taking hold
A

2-3 days to several weeks
care of newborn and competent mothering
(love self)

114
Q

3.letting go or interdepent phase

A

forward movement of family as unit
(love us)

115
Q

avanced maternal age

A

> 35 years

116
Q

sibbling adapation

A

regression

117
Q

discharge starts on

A

admission

118
Q

blurred vision and severe headaches might be a sign of

A

blood pressure

119
Q

POST BIRTH warning signs

A

P: pain in chest
O: obstructed breathing
S: seizures
T: thoughts of harming

B: bleeding (excessive)
I: incision not healing
R: redness in calf
T: >100.4 temp, foul smelling discharge
H: headache that does not improve with Tylenol

Maternity (15 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions