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Health and Healing SEM1 > Week 1 > Flashcards

Week 1 Flashcards

1
Q

Gravida

A

Women that is pregnant

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2
Q

Gravidity

A

Pregnancy

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3
Q

Multigravidia

A

Women with 2 or more pregnancies

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4
Q

Multipara

A

Women who has completed 2 or more pregnancies to 20 weeks of gestation or more

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5
Q

Nulligravida

A

Women who has never been pregnant and is currently not pregnant

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6
Q

Nullipara

A

Women who has not completed a pregnancy with fetus or fetuses beyond 20 weeks of gestation

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7
Q

Parity

A

Number of pregnancies in which fetus or fetuses have reached 20 weeks of gestation not number of fetuses born.

Not affected whether fetus is born alive or stillborn

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8
Q

Primigravida

A

Women that is pregnant for the first time

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9
Q

Primipara

A

Women who has not completed 1 pregnancy with a fetus or fetuses who have reached 20 weeks of gestation

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10
Q

Viability

A

Capacity to live outside the uterus
occurring at 22-25 weeks of gestation

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11
Q

Term

A

Pregnancy from beginning of week 37 to week 40 of gestation plus 6 days of gestation

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12
Q

Preterm

A

Pregnancy that has reached 20 weeks but prior to completion of 36 weeks

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13
Q

Early term

A

Pregnancy between 37 weeks to 38 weeks, 6 days

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14
Q

Full term

A

Pregnancy between 39- 40 weeks, 6 days

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15
Q

Late term

A

Pregnancy in week 41

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16
Q

Post term

A

Pregnancy after 42 weeks

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17
Q

5 digit system - GTPAL

A

Women’s obstrctial history

gravidity, term, preterm, abortions, living children

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18
Q

system is gravidity/parity described as 2 digits

A

Indicated number of pregnancies and number of pregnancies that reached 20 weeks

DOES NOT PROVIDE ENOUGH INFORMATION DO NOT USE

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19
Q

What is the process of involution?

A

Return of uterus to a non pregnant state following birth

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20
Q

When does process of involution start?

A

immediately after the expulsion of the placenta, the uterine contractions and smooth muscles

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21
Q

How much does the funds descend?

A

1 to 2 cm every 24 hours

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22
Q

What is subdilition process

A

When the uterus does not return to its pre pregnancy state which can lead to postpartum haemorrhage

23
Q

What is common complication of uterus not returning to normal?

A

Retained placenta fragmentation

24
Q

What does it mean when fundus is deviated to left or right?

A

The women has a full bladder

25
Q

How does the fundus move to 1 finger above umbilicus

A

Usually immediately after delivery

26
Q

why is oxytocin given after delivery

A

To help with involution process

27
Q

What is lochia

A

Vaginal discharge that happens after delivery

28
Q

Lochia rubra

A

First few days, 3-4 days, dark red/bright red

29
Q

Lochia serosa

A

Pinkish brown, last 4-10 days

30
Q

Lochia Alba

A

Yellowish white colour after day 10

31
Q

What should we check for, when checking the lochia?

A

Ensure women does not have clots, if she does check size and if there’s placenta tissue

32
Q

What does that mean if there’s a trickle of blood

A

It means uterus is still firming up

33
Q

Lochial bleeding

A

Trickles from vagina
Steady flow is greater as the uterus contracts

34
Q

Non lochial bleeding

A

When bloody discharge spurts from vagina could be from cervical or vaginal tears

35
Q

Episiotomy

A

Cut between vaginal opening and anus

36
Q

How to assess episiotomy?

A

REEDA

redness
edema
ecchymosis (bruising)
drainage
approximation

37
Q

What will a women experience after birth regarding urinary system

A

A period of diuresis (large amount of output at first 24 hours after birth)

38
Q

What is the number 1 complication in pregnancy

A

Is diabetes and hypertension

This why it is important to check glucose levels after delivery

39
Q

How does the milk come in while breastfeeding

A

first colostrum comes out, then as the mother breastfed more milk will come in

40
Q

If a women doesn’t want to breast feed will milk still come in?

A

They will still have colostrum but the prolactin levels drop when there’s not stimulation of the baby at the breast

41
Q

What can we do to help with the tenderness of a women who isn’t breast feeding

A

Tell them to wear a tight bra, use ice packs and mild analgesics

42
Q

When are the breast soft

A

the first 2 days

43
Q

When do the breast begin filling

A

2-3 days

44
Q

When are the breast full

A

day 3-5

45
Q

What is an indication of mastitis

A

Firmness, heat or pain on breast along with fever and body aches on the first day

46
Q

What is best care practice when the nipples are in pain?

A

Excrete a bit of colostrum around the nipple and let it air dry

47
Q

What is best practice for breast feeding?

A

Allow the baby to feed on 1 side for however long and then switch sides

Next feeding, start on the side you left on from

48
Q

What do we do if patient is not vaccinated for rubella

A

Give the vaccine post delivery

49
Q

What is the BUBLLE ASSESSMENT

A

Breast and nipples
Uterine fundus
Bladder function
Lochia
Legs (peripheral edema)
Episiotomy/Laceration
Emotional Stress

50
Q

What is in the IV for a mom who just had a c-section

A

ringers lactated with 20 units of oxytocin at 125 cc an hour

51
Q

When do vaginal delivery moms usually get discharged

A

24-48 hours

52
Q

When do c-section moms get discharged

A

within 72 hours

53
Q

What does the RN have to do when discharging a patient

A

Legal responsibility to discharge with teaching
Mom needs to have a good understanding before leaving the hospital

Health and Healing SEM1 (6 decks)

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