Term
| Where should uterus be found after delivery? |
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Definition
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Term
| In what condition should the uterus be after delivery? |
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Definition
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Term
| If fundus is off to the side, what could be the cause? |
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Definition
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Term
| What kind of lochia should be seen after birth? |
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Definition
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Term
| How much lochia should be seen after birth. |
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Definition
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Term
| When is lochia considered saturated? |
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Definition
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Term
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Definition
lochia rubra
lochia serrosa
lochia alba |
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Term
| Normal menstrual cycle returns when? |
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Definition
| 6 wks to 6 months; depends on breastfeeding |
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Term
| what do breasts secrete before milk? |
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Definition
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Term
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Definition
| Thin, yellowish secretions prior to letdown of milk. |
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Term
| when is pre-pregnancy weight usually attained? |
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Definition
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Term
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Definition
| enlarged breasts. Usually seen first in the axila |
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Term
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Definition
| congested veins and glands. May be caused by failure to empty completely (not necessarily) |
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Term
| General breast care includes what kind of clothing consideration (in particular, the mother who is NOT breast-feeding)? |
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Definition
| wear well-fitting (tight) bras. |
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Term
| low-grade fever cut-off post labor. |
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Definition
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Term
| Expected VS for mother post-delivery |
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Definition
| Temp up to 101. All other VS within normal limits. |
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Term
| Caloric intake during breast-feeding |
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Definition
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Term
| How to perform fundal massage |
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Definition
| both hands. (review in book) |
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Term
| Positions of fetus (head down, back to side). |
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Definition
| Vertex (LOA or ROA depending on side back is on). |
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Term
| Nursin intervention: Constipation or first stool problems following delivery |
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Definition
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Term
| Post C-section, can wiggle toes, needs to go to restroom. |
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Definition
| Help patient up, dangle, non-slip socks. |
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Term
| 1-day post-partum, asian mother, grandmother to help care for baby. What needs to be assured. |
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Definition
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Term
| What seven normal baby reflexes are needed before discharge? |
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Definition
- rooting
- sucking
- Moro (startle)
- tonic neck
- grasp
- Babinski
- step
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Term
| Highest priorities for newborn. |
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Definition
1) breathing
2) dry warmth |
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Term
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Definition
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Term
| Typical abnormal skin finding on newborn |
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Definition
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Term
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Definition
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Term
| Metabolic test on newborn |
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Definition
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Term
| sign of chromosomal problem |
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Definition
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Term
| why newborn is given vit K |
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Definition
| No bacteria yet to absorb in into intestines |
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Term
| How to take care of circumsized baby |
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Definition
- wash
- apply petrolium jelly (or some non-stick to protect from diaper rub) |
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Term
| Immediate concern after circumcision |
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Definition
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Term
| Breastfed baby's stool looks like what? |
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Definition
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Term
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Definition
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Term
| Braxton Hicks contractions |
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Definition
- no effacing
- no uterine dilation
- irregular
- not true labor
- low abdominal cramps |
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Term
|
Definition
| True pelvis is smaller - the actual size the head has to pass through |
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Term
| From where does a true contraction originate (what part of the uterus)? |
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Definition
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Term
| How does skull change as it passes through the birth canal |
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Definition
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Term
| What is the ideal attitude of the fetus for delivery? |
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Definition
All body parts "tucked in"
AKA fetal position |
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Term
| How often are fetal heart rates taken during second stage of labor? |
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Definition
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Term
| What type of monitoring is done to measure intensity of uterine contraction? |
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Definition
| intrauterine pressure catheter |
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Term
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Definition
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Term
| What helps during the first stage of labor? |
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Definition
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|
Term
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Definition
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Term
| What to do after membranes rupture |
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Definition
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Term
| Protruding umbilical cord. What to do? |
|
Definition
- put mother in knee-chest position (maybe trendelenberg)
- cover cord with sterile saline
- prepare for C-section |
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Term
| What are the stages of labor? |
|
Definition
-
dilation
-
latent
-
active
-
transitional
-
expulsion
-
placental
-
recovery
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Term
| First thing to check when client reports labor |
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Definition
| estimated date of confinement |
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Term
| "baby is engaged" means what? |
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Definition
| head is in the true pelvis |
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Term
| Why is oxytosin administered post deliverey? |
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Definition
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|
Term
| First thing to do when baby born |
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Definition
|
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Term
|
Definition
| 1 and 5 minutes after delivery |
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Term
| Nitrosene paper test. If water broke, what color? |
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Definition
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Term
|
Definition
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|
Term
| what position demands a cesarian section |
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Definition
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Term
| How to determine exact size of true pelvis |
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Definition
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Term
| What to document during 3rd stage of labor |
|
Definition
3rd stage is the placental stage: DOCUMENT
-which side came out first(the shiny(shiny schltze) or the rough side (dirty duncan)
-time the placenta delivered |
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Term
| What presentation is usual |
|
Definition
-cephalic presentation
-some people call this vertex presentation. |
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Term
| Desired position and condition of fundus after birth |
|
Definition
- At or below umbilicus.
- Firm |
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Term
| How often to assess mother post delivery |
|
Definition
-monitor BP q 15 min for 1-2 hours post delivery
-check fundus of the uterus (for hemorrhage) |
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Term
| Warning about massaging the fundus. |
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Definition
| -Do not massage firm fundus! |
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Term
| Mother just had c-section, now wants to go to the bathroom. What's your response? |
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Definition
| Unless ordered otherwise, assist cient to bathroom. Check for proper attire, including non-slip socks. |
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Term
| Asian mother notifies you that grandmother will take care of baby while she rests. What needs to be addressed? |
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Definition
| The need for bonding between mother and baby. |
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Term
| Essential checks for newborn |
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Definition
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Term
| Where is cyanosis acceptable on the newborn? |
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Definition
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Term
| Felt by mother as uterine contracts post-partum |
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Definition
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Term
| Special tool used to manually rupture membranes |
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Definition
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Term
| Pain-relieving procedure involving a catheter inserted into the spine |
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Definition
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Term
| Incision made to widen the birth canal and allow for easier delivery |
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Definition
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Term
| Process by which reproductive organs return to their non-pregnant state |
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Definition
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Term
| Denotes the position of the fetal spine relative to the mother's |
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Definition
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|
Term
| Red, bloody discharge seen 2-3 days post partum |
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Definition
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|
Term
| Yellow to white discharge seen after 10th day post partum |
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Definition
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|
Term
| Pink or brown-tinged discharge seen on days 3-10 post partum |
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Definition
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Term
| During birth, the umbilical cord may get wrapped around the fetus' neck. What is this called? |
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Definition
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|
Term
| Denotes the fetal body part closest to the pelvis |
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Definition
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Term
| Disloging of the mucus plug in the cervix, indicating that labor is about to begin. |
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Definition
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|
Term
| Level of decent into the birth canal |
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Definition
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|
Term
| pressure-sensitive device that measures frequency of contractions |
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Definition
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|
Term
| How is the station determined? |
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Definition
| relationship of the fetal presenting part's lowest bony portion to the level of the ischial spines of the woman's pelvic bones (measured in cm). |
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Term
| What does it mean to be fully engaged? |
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Definition
| Presenting part is at station 0 |
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Term
| Assessment of mother post-partum: schedule |
|
Definition
- q15 min for first 1-2 hrs (or until stable)
- q30 minutes for next hour
- q4hr next 12 hrs
- q8hr until discharge |
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|
Term
| What should amniotic fluid look like. What if fetal problem? What if maternal problem? |
|
Definition
- clear and odorless: NORMAL
- Yellow/green: meconium (stool)
- White/cloudy: infection |
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|
Term
| Newborn bathing guidelines |
|
Definition
- wash your hands first
- protect baby from draft
- support head
- little or no soap
- rinse off all soap, if used
- clean to dirty
- no powder, lotion or petrolium jelly
- dry completely, including skinfolds
- observe for skin abnormalities |
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Term
|
Definition
|
|
Term
| Bathing and the umbical cord |
|
Definition
| Don't give tub bath until cord falls off |
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|
Term
| Prostaglandin gel: How soon will labor normally ensue |
|
Definition
|
|
Term
|
Definition
A-appearance (color)
P-pulse
G-grimace (muscle tone)
A-action (reflexes)
R-respiration |
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Term
| What may be done if APGAR is below 7 at 5-minute reading? |
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Definition
| Another APGAR at 10 minutes. |
|
|
Term
| Know different birthing centers |
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Definition
- Hospital
- free-standing center
- home |
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|
Term
| What are normal (and abnormal) decelerations |
|
Definition
Normal: early decelerations. Indicates proper vagal response to contractions
Abnormal: late decelerations. Indicates problem to report. |
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Term
| Post-delivery care includes what cleaning apparatus? |
|
Definition
| Include sitz bath and/or peri-bottle |
|
|
Term
| This swelling is caused by pressure to the head during delivery. The fluid causes the scalp to be puffy and edematous, and the edema crosses the midline of the baby's scalp. The condition disappears within a few days |
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Definition
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|
Term
| A small capillary beneath the periosteum of the skull bone has ruptured, and blood has collected under the periosteum of the bone. Note how the swelling now stops at the midline. |
|
Definition
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Term
| post-delivery treatments and their purposes |
|
Definition
Erythromycin eyedrops: ghono and chlam
Hep B shot: so mom can nurse
Vit K shot: GI doesn't have bacteria to absorb it yet.
PKU test
RhoGam for mom if Rh(-) and baby Rh(+) |
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Term
| What might you observe that denotes a strong possibility of a congenital defect? |
|
Definition
| Only two vessels in the umbilical cord |
|
|
Term
| an accumulation of blood between the bones of the skull and the periosteum, the membrane that covers the skull. This swelling stops at the midline |
|
Definition
|
|
Term
| How to tell caput succedaneum from cephalhematoma |
|
Definition
| cephalhematoma stops at scalp midline. Caput succedaneum crosses over. |
|
|
Term
| Cord care: purpose of triple-dye |
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Definition
|
|
Term
| normal v abnormal skin observations |
|
Definition
Pink or red first few days
smooth and race-typical within 2 weeks
-problems-
generalized cyanotic appearance
jaundice |
|
|
Term
| normal v abnormal genital findings |
|
Definition
phimosis: foreskin opening too small
smegma: dirty penis
Epi/hypospadias: meatus off center
F |
|
|
Term
| s/sx respiratory distress |
|
Definition
|
|
Term
|
Definition
Temp: 98.6
Pulse: 120-160
Resp: 30-60
BP: 80/60 |
|
|
Term
|
Definition
"en face" position
skin-to-skin contact |
|
|
Term
|
Definition
| cyanosis in the extremities: normal |
|
|
Term
|
Definition
|
|
Term
|
Definition
| newborn female may have slight bloody discharge. Normal, and will cease in a few days |
|
|
Term
| In boys, urinary meatus is below center of penile tip. |
|
Definition
|
|
Term
| urinary meatus is above center of penile tip. |
|
Definition
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|
Term
| Drugs taken by the mother that are particularly dangerous to the nursing newborn |
|
Definition
Anticancer drugs (chemotherapy)
Radioactive substances (such as those used for diagnostic tests or treatment of cancers)
Lithium (used to treat psychiatric disorders)
All drugs of abuse, including
Amphetamines
Cocaine
Heroin
LSD
PCP
Excessive nicotine and alcohol |
|
|
Term
| These drugs are generally considered compatible with breastfeeding |
|
Definition
Acetaminophen (Tylenol)
Many antibiotics (penicillins, cephalosporins, erythromycin)
Codeine
Phenytoin (Dilantin)
Pseudoephedrine (Sudafed) |
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