Term
|
Definition
| the return of the uterus to a non pregnant state. |
|
|
Term
|
Definition
| term used to describe failure of the uterus to it's normal size. |
|
|
Term
|
Definition
| the shedding of the outer layer of the uterus, instead of healing itself by scar formation which would prevent further pregnancies. The endometrium grows from under the site and the superficial layer becomes necrotic and sloughs off. Does this for about four weeks |
|
|
Term
|
Definition
-discarded blood, mucus, and tissue.
1. lochia rubra-dark red and may contain small blood clots. Approx three days after delivery.
2. pinkish.contains lots of bacteria. Present from days 4-10.
3. lochia alba- whitish. continues for approx. two weeks. when done cervix is closed. |
|
|
Term
|
Definition
| when the uterus stops contracting and becomes boggy or spongy. Sign mother is still bleeding. MASSAGE!! |
|
|
Term
| what hormone stimulates the breast to secrete milk production? |
|
Definition
|
|
Term
|
Definition
| stimulates uterin contractions |
|
|
Term
|
Definition
| first day or two. mom is taking in info about her baby. allows others to care for the baby. readily shares her experiences with visitors. |
|
|
Term
|
Definition
| third day after birth. taking control of the activities of the newborn. May become pre occupied with bodily functions. may be worried about the quantity and quality of breast milk. |
|
|
Term
|
Definition
| when woman and their partners decide social interactions are increasingly important. Obtain informationfrom others that have had children. |
|
|
Term
|
Definition
| transient period of mild depression that often occurs in the early postpartum period. Manifested by tearfulness, feeling of being let down, and being unable to sleep. Usually begin the third or fourth day after delivery. Last 1-2 weeks |
|
|
Term
|
Definition
| a sense of interest and preoccupation. Will hold infant, maintain eye contact, and talk with the infant. |
|
|
Term
| what position to you put the patient in to assess her perineum? |
|
Definition
| left side with knees bent. (sims position) |
|
|
Term
|
Definition
| pain with dorsoflexion that would be indicative of thromboembolism |
|
|
Term
| what is postpartum (puerperal) infection? |
|
Definition
| a rare infection of the uterus following childbirth. Stict aseptic technique is used during the birthing process to prevent this. Foul smelling Lochia and other typical signs of infection. MUST be started on antibiotics. |
|
|
Term
| what causes cold stress in a newborn? |
|
Definition
| happens when excessive heat is lost. It is a temp. change signifigant enough to cause the newborn nonshivering thermogenesis (burning of brown fat) |
|
|
Term
|
Definition
| heat lost through moisture due to dry air |
|
|
Term
|
Definition
| loss of heat through something such as an air current |
|
|
Term
|
Definition
| transfer of heat from the body to something else |
|
|
Term
|
Definition
| loss of heat not really do to anything specific. just "radiates" off the infant |
|
|
Term
| explain the reason for infant identification |
|
Definition
| to make sure right mom is with right baby. check numners on bracelet to number on baby's braclet to make sure they match |
|
|
Term
| normal temp for a newborn |
|
Definition
birth:97.7- 99.5
day 10: 99.0
1 month: 99.2 |
|
|
Term
| normal heart rate for a newborn |
|
Definition
birth: 90-100
Day 10: 90-220
1 month: 80-170 |
|
|
Term
| normal resps for a newborn |
|
Definition
birth: 30-60
day 10: 28-50
1 month: 24-45 |
|
|
Term
|
Definition
| a bluish discoloration of the hands and feet common for everal hours after delivery |
|
|
Term
|
Definition
| bruising. may be present following a difficult delivery |
|
|
Term
|
Definition
| pinpoint hemorrhages. may be present after a difficult delivery |
|
|
Term
| what causes physiologic jaundice? |
|
Definition
| in infants liver is immature and cannot conjugate the amount of bilirubin released by the destruction of RBC's The billirubin remain in the blood causeing the yellowing appearance. |
|
|
Term
|
Definition
| dark colored area found on the lower back of the sacrum of infants of dark skinned decent. As the infant skin darkens the spots will go away. |
|
|
Term
|
Definition
| white pinpoint spots on the infants face that resemble whiteheads. Due to sebacous glands on the face becoming distended a few days after birth. After a few weeks of bathing they will disappear. |
|
|
Term
| what signs would be obeserved in a person with repiratory distress? |
|
Definition
*nasal flaring: outward movement of the nostrils followed by *expiratory grunting: noisy exhalaton.
*retractions: inward movement of the tissue over the sternum and the intercostal muscles.
*apneic spells indicate worsening |
|
|
Term
| what is the moro (statle) reflex and how do you ellicit it? |
|
Definition
| occurs when newborns have a sense of falling. It can be ellicited by holding the baby in the sitting position and by suddenly lowering the baby's head or hitting the surface the baby is laying on. The baby will quickly extend the arms with fingers flared in a C. |
|
|
Term
| what is the Babinski's reflex? |
|
Definition
| elicited from stroking the lateral side of the foot from heal to toe. big toe should dorsoflex and the other toes should flare. This disappears before the infant begins to walk. |
|
|
Term
| what med do we use for eye care directly following birth? |
|
Definition
| opthalimic (antibiotic) ointment to prevent welling of the eyes from coming in contact with gonorrhea or chlamydia during birth. |
|
|
Term
| what is vitamin K administered for? |
|
Definition
| b/c it is neciss. for blood clotting and is normally produced in the liver from food. |
|
|
Term
| process of bathing a newborn |
|
Definition
-glove and determine infants temp is stable
-wet wash cloth in warm water 98-99 degrees
- wash face, arms, and trunk. dry and put clean shirt on.
-wash legs and dry.
- finally wrap baby in warm towel and wash head. dry and put on cap to prevent heat loss
-put baby under the warmer from thirty minutes to an hour. |
|
|
Term
| describe umbilical cord care |
|
Definition
| cord is clamped and cut one inch from the body. an aseptic agent is used on the cord to dry it out. if it is completely dry by discharge clamp is removed. rest of the cord will fall off within about 14 days |
|
|
Term
|
Definition
surgical removal or the forskin (prepuce).
-after being NPO the infant is strapped to the circ. board. a blanket is placed over the infants chest. Either local anasthsia or a cream is applied. A Yellen (Gomco) clamp is applied and the prepuce is cut off. |
|
|
Term
| how do you care for a circumcision? |
|
Definition
| vitamin A and D ointment of petroleum gel may be applied to the penis to prevent it from sticking to the diaper. should be checked for bleeding every 12 hrs. It should be washed with warm water with each diaper change. Be alert for signs of infection until it's healed in 7-10 days. |
|
|
