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53 terms

family nursing

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blood patch
done to relieve postspinal headaches, blood is withdrawn from her vein and injected into the epidural space in the area of the subarachnoid puncture, the blood clots and forms a seal that stops spinal fluid leakage
bradley method
Was the first childbirth method that included the father and emphasizes slow abdominal breathing and relaxation techniques during birth.
cleansing breath
Each breathing pattern during childbirth begins with a deep cleansing breath and ends with one. They help the woman to relax and focus on relaxing.
effleurage
Light, continuous-stroking massage movement applied with fingers and palms in a slow and rhythmic manner.
Endorphines
Lock receptor sites for chemicals that transmit pain messages to the brain
focal point
A specific spot to which one's attention is directed
lamaze method
a woman is physically and psychologically prepared through prenatal training; uses controlled breathing and has a partner to facilitate the process of natural childbirth
pain threshold
the amount of pain stimulation a requires before feeling pain
pain tolerance
Level of intensity or duration of pain that a person is able or willing to endure
gait control theory
the presence of neural gating mechanisms at the segmental spinal cord level to account for interactions between pain and other sensory modalities. Used by CBU
Butorphanol (stadol)
mixed narcotic reduces pain, is thought to cause less respiratory depression than meperidineshould not be used in woman that are drug addicts.
Naloxone (narcan)
(opoid antagonist)
does not have any sort of analgesia or respiratory depression because it's an ANTAGONIST - given for reversal of opioid induced respiratory depression; remember you are reversing analgesia also, so pt will be in pain
-commonly given when respirations dip below 10-12/min
Fentanyl (sublimaze)
The most powerful pain killer available. 50 to 100 times stronger than morphine.Rapid onset and short duration of action
opoids
most common means of labor analgesia used in small doses to avoid fetal resp. depression avoided if birth is expected within one hour
sacral pressure
firm pressure on lower back, helps with back labor
version
manual turning of a fetus in the uterus (usually to aid delivery)
amniotomy
artificial rupturing of the fetal membranes
dystocia
difficult labor and childbirth
hydramnios
excessive amount of amniotic fluid
laminaria
Cervical dilators
chignon
a roll of hair worn at the nape of the neck
macrosomia
large-bodied baby commonly seen in diabetic pregnancies
tocolytics
This category of meds are used to stop contractions
SROM
Spontaneous Rupture of Membranes
fetal heart rate outside the norm rangeof 100-160?
suggests a prolapsed embilical cord
hypertonic labor
Ineffective uterine contractions in latent phase; Increase in frequency, May decrease in intensity, Painful, Ineffective in dilating/effacement of cervix, May prolong latent phase of labor.
hypotonic labor
starts normal then slows and stops
doula
person familiar with childbirth who provides emotional and physical support throughout labor and delivery
passengers
fetus, placenta, amniotic fluid, amniotic membranes
fontanelle
Soft spot (incomplete bone formation) between the skull bones of an infant
leopolds manuever
method to determine presentation of fetus via palpation of abdomen
effacement
thinning of the cervix wall
preclampsia
a toxemia of late pregnancy, characterized by hypertension, protein in urine and edema- can lead to seizures and coma
eclampsia
a more serious form of preeclampsia, characterized by convulsions and sometimes coma
proteinuria
Presence of an abnormal amount of protein in the urine
hydatiform mole
hCG levels high U/S shows no sac or fetus, but molar growth
cerclage
obstetric procedure in which a nonabsorbable suture is used for holding the cervix closed to prevent spontaneous abortion in the woman who has an incompetent cervix.
hydramnios
Excessive volume of amniotic fluid, more than about 2000 mL at term (also called polyhydramnios).
teratogen
Substance that can produce developmental malformations (birth defects) during the prenatal period
colostrum
the first milk produced by a woman's breast after childbirth; it is rich in antibodies to protect the child from disease
TPALM
T-term 37 weeks
P-pre-termafter 20 or before 37
A-aborted before 20 weeks
L-living
M-mult. birth numbers of mult. pregnancies
goodell's sign
softening of the cervix during pregnancy
chadwick's sign
A bluish-purple discoloration of the cervix and vagina. Caused by increased blood supply.
Hegar's sign
SOFTENING OF THE LOWER UTERINE SEGMENT
chloasma
mask of pregnancy; pigmentation disorder that occurs during pregnancy characterized by brown spots on the face
primigravada
woman pregnant for the first time
paragravada
a woman who has given birth to one or more children who reached the age of viability living or dead
primipara
a woman who has given birth
age of viability
20 weeks
nullipara
a woman who has not given birth to a child who reached the point of viability (miscarriage)before 20 weeks
chorion
the thin outer membrane that encloses the embryo
amnion
membrane, continuous with and covering the fetal side of the placenta, that forms the outer surface of the umbilical cord
decidua basilis
maternal part of placenta