| Term | Definition |
|---|
| Postpartum period is aka as? | puerperium usually lasts3-6 weeks |
| oxytocin | produced in pituitary gland that stim. contrations and release of milk (let down reflex) |
| involution | when the uterus decrease in size (after birth) from 2 lbs to 1 lb and back to the size of a walnut (2oz) |
| Autolysis | self dissolution or self-digestion that occurs in tissues and cells by enzymes in the cells themselves......this is a result of sudden w/drawal of estrogen and progesterone |
| Lochia | fluid waste discharged after delivery geos for about 2 weeks Lochia rubra (bright red), Lochia serosa ( pink to brown), Lochia Alba (yellow to white) |
| Lactation | secreting milk or period during which mild is secreted....pushed by estrogen |
| Colostrum | the 1st secretion produced by breast mil...watery and thin...rich in protein, calories, antibodies and lymphocytes |
| Prolactin | as estrogen and progesterone levels drop....level of this is increasing, this hormone is responsible for stimulating mild production |
| as baby suck on nipple what happens? | release of oxytocin...which causes milk to be ejected from the breast (left down reflex) |
| Diuresis | increased formation & secretion of UR |
| Diaphoresis | secretion of sweat...especially when profuse |
| what injections do newborns get? | prophylaxis and Vit. K (the same thing?) |
| Coitus | pull out method....ejaculation outside the vagina |
| breastfeeding mothers are interested in returning to sexual activity before non nursing mothers? T / F | True |
| hwo soon can you resume sex after a birth? | 2nd to 4th week after birth |
| after birth what sounds need to be heard before food can be given? | presence of bowel sounds |
| if a woman's temp (after delivery) is higher than________is considered significant & should be reported. | 104 after 24 hours is should be normal |
| assessing Lochia? | Scant < than 1", Light <4", Moderate < than 6", Heavy saturated pd w/in 1 hour |
| engorgement of what? | breasts...usually happens on 3rd day...resolves in about 48 hours |
| Homan's Sign | dorsiflex foot toward the ankle...if there is pain in the calf....she could be having this |
| Salicylates are avoided why? | may interfere w/ clotting process (use IBUPROFEN) |
| Ibuprofen should be used in caution in Pt's w/? | kidney or heart disease or those taking diuretics |
| BUBBLE-HE (postpartum assessment) | Breasts, Uterus, Bladder, Bowel, Lochia. Episiotomy, Homan's sign, Emotional status |
| avg weight and length of newborn? | 7 lbs, 8 oz 20" |
| head circumference of newborn? | 13 - 14" 1" larger than chest |
| vitals? | RESP 30 - 6- BREATHS per min, PULSE 120-160 beats per min, BP 60 to 80/ 40 to 50, TEMP auxiliary 97.6 and 98.6 |
| Acrocyanosis (normal) | hands and feet may appear slightly blue, cause of poor peripheral circulation, can last 7-10 days |
| Harlequin Sign (normal) | 1/2 of baby's body is deep red and the other 1/2 is blue |
| Vernix Caseosa | at birth the baby's skin is covered w/ cheese like substance (it protects the baby's skin from amniotic fluid) |
| Lanugo is NOT found where? | palms and soles of feet |
| Anterior fontanelle | normally large & diamond shaped closes at approx 18 months |
| Posterior fontanelle | smaller and triangular shape, closes at 2 months |
| Molding | overlapping of the bones, compress during birth.... |
| Caput succedaneum | seen w/ molding...edema in the soft tissue of scalp |
| Cephalhematoma | cause...bleeding w/in periosteum of cranial bone...appears 1-2 days after birth, absorbs w/o treatment, LARGE hematomas may lead to anemia and jaundice |
| Epstein's pearls | sm white nodules on skin...will disappear |
| Strabismus | crossed eyes |
| Nystagmus | abnormal motion of the eyes |
| Low set ears indicate what? | chromosomal disorder |
| Cryptorchidism | undescended testicles (term infants are descended) |
| Snydactylt | malformed digits...webbing ro fusion of 2 or more digits |
| Polydactylt | extra digits |
| Babinski Reflex | toes will fan out |
| Plantar grasp | toes curl downward |
| Mummification | drying of the umbilical cord |
| Meconium | the initial (1st ) stool of the baby ...black green in color odorless and sticky |
| mom had 6 hour delivery, routine care of postpartum Pt will include? | massaging the fundus firmly every 15 min |
| if nurse is performing routine assessment on Pt...before measuring the height of the fundus, the nurse should ask what of the Pt? | to empty the bladder |
| nurse finds bright red bleed on peripad...6" long...what is correct description of the character and amt? | Lochia rubra, moderate |
| what shou the mom Not do before breastfeeding? | wash the breasts w/ soap before each feeding |
| how to tell if the baby is getting enf milk asks Mom? | 6- 10 wet diapers a day is good determinant |
| Pt teaching about bathing new baby should include what? | do not immerse him w/ hater until the umbilical cord has fallen off |
| PT teaching about umbilical cord also needs to include what? | do not keep it moist ...no creams on it ...let it dry |
| Gomco circumcision.....what care needs to be taught? | cover glans w/ petroleum gauze dressing |
| Pt gave birth 5 hours ago...now she has saturated the pad w/in 15 min...nurses 1st action is what? | palpate the fundus |
| if woman's breasts are swollen, warm and tender on palpation...what should be advised to her? | apply ice to the boobs for comfort! |
| what is condidered maladaptive regarding parent infant attachment? | seldom makes eye contact w/ infant |
| enface | refers to face to face position in which parent's and infant's faces are approx 20cm apart on the same plane |
| Engrossment | father's intense involvement w/ his newborn |
| Takin-in | new mom talks and talks about her birthing process (experience )...sometimes this is done w/ the nurse that was there w/ her the whole time she was in labor |
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