Term
|
Definition
| the return of the uterus to a nonpregnant state following birth |
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Term
|
Definition
| retained placental fragments and infection |
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Term
|
Definition
| the failure of the uterus to return to a nonpregnant state |
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Term
| Which gland produces oxytocin? |
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Definition
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Term
| How is postpartum homostasis achieved? |
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Definition
| Primarily by compression of intramyometrial blood vessels as the uterine muscle contracts |
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Term
| What does suckling stimulate the release of? |
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Definition
|
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Term
|
Definition
| postbirth uterine discharge |
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|
Term
| What causes postpartal diuresis? |
|
Definition
| decreases estrogen levels, removal of increased venous pressure in the lower extremities |
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|
Term
| How long does it take for colostrum to transition? |
|
Definition
| Colostrum transitions to milk 72-96 hours after birth |
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Term
| Amount of blood lost during vaginal birth? |
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Definition
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|
Term
| What are the 3 post partum physiologic changes that protect a woman from excessive blood loss? |
|
Definition
1. Elimination of uteroplacental circulation reduces the size of teh maternal vascular bed by 10% to 15%
2. loss of placental endocrine function removes the stimulus for vasodilation
3. mobilization of exravascular water stored during pregnancy increases blood volume |
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|
Term
| Amount of blood lost during a cesarean? |
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Definition
|
|
Term
| Expected average weightloss after delivery |
|
Definition
| 11-13 pounds, with return to pre pregnancy weight in 2-3 months |
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Term
|
Definition
| complaint of pain in calf muscles when the foot is dorsiflexed |
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|
Term
| what is Rubella vaccine made of? |
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Definition
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Term
|
Definition
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Term
|
Definition
|
|
Term
| Infant Parent relations are facilitated in the following 3 ways: |
|
Definition
| 1. modulation of rhythm 2. modifications of behavioral repertoires 3. mutual responsibity |
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Term
| Behavioral repertoire includes: |
|
Definition
| gazing, vocalizing, and facial expressions |
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Term
|
Definition
| maked hypotonia of the uterus, it is the leading cause of PPH |
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Term
|
Definition
| uterine atony, lacerations of birth canal, retained placental fragments, ruptured uterus, inversion of the uterus, placenta accreta, increta, or percenta; also coagulation disorders, placental abruption, placenta previa, chorioamniotis, magnesium sulfate during labor, uterine subinvolution |
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|
Term
| Life threatening hematoma |
|
Definition
| retroperitoneal hematoma; a laceration of one of the vessels attached to hypogastric artery (usually a rupture of cesarean scar during labor) - PAINFUL |
|
|
Term
| 4 Causes of non adherent retained placenta: |
|
Definition
1. partial seperation of a normal placenta,
2. entrapment of the partially or completely seperated placenta by an hour glass constriction ring of the uterus,
3. mismanagement of 3rd stage of labor or
4. abnormal adherence of the placenta to the uterine wall. |
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Term
|
Definition
| slight penetration of myometrium by placental trophoblast |
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Term
|
Definition
| deep penetration of myometrium by placenta |
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Term
|
Definition
| perforation of uterus by placenta |
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Term
|
Definition
Passenger
passageway
powers
position of woman
psyche |
|
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Term
|
Definition
| fetus, amniotic sac and fluid, placenta, umbilical cord |
|
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Term
|
Definition
| relationship of maternal spine to fetal spine |
|
|
Term
| Transverse and Longitudinal |
|
Definition
Transverse - bad
Longitudinal - good |
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Term
|
Definition
| relationship of presenting part to ischial spines - Floating to bulging on perineum -5 to +5 |
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Term
|
Definition
| presenting part in pelvis |
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Term
|
Definition
gynecoid
anthropoid
android
platypelloid |
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|
Term
|
Definition
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|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| Factors affecting Passageway |
|
Definition
birth canal & shape of pelvis
muscular vaginal canal
tissue quality
cervix |
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|
Term
|
Definition
Primary: uterine contractions
Secondary: Pushing |
|
|
Term
|
Definition
1: hormone levels changing
2: Changes in uterus, cervix and pituitary
3: uterine distention and placental aging |
|
|
Term
| What happens to progesterone levels during onset of labor? |
|
Definition
|
|
Term
| What happens to estrogen levels during onset of labor? |
|
Definition
|
|
Term
| What happens to prostaglandin levels during onset of labor? |
|
Definition
|
|
Term
| How many stages of labor are there? |
|
Definition
|
|
Term
|
Definition
onset of labor until full dilation
has 2 phases: active and transition |
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|
Term
|
Definition
| full dialtion until birth of baby |
|
|
Term
|
Definition
| birth of baby until placenta |
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|
Term
|
Definition
|
|
Term
|
Definition
Fetal Heart Rate
110-160 baseline |
|
|
Term
|
Definition
| fetal activity, vag exam, abd palpitation |
|
|
Term
|
Definition
| head compression, cord compression and placental insufficiency |
|
|
Term
| Clearing Fetal Lung fluid occurs |
|
Definition
| during labor and vaginal birth |
|
|
Term
| Fetal Respirations (levels) |
|
Definition
| Decrease in pO2, increase in pCO2, decrease in pH, decrease in bicarbonate |
|
|
Term
| When labor starts - Nurse does the following... |
|
Definition
| nurse obtains VS, Leopold's, EFM, VE, draw CBC and T & S |
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|
Term
Hemorrhagic Shock
Assessments of Respiration |
|
Definition
|
|
Term
|
Definition
|
|
Term
Hemorrhagic Shock
blood pressure |
|
Definition
|
|
Term
|
Definition
|
|
Term
Hemorrhagic Shock
urinary output |
|
Definition
|
|
Term
Hemorrhagic Shock
level of consciousness |
|
Definition
|
|
Term
Hemorrhagic Shock
mental status |
|
Definition
|
|
Term
Hemorrhagic Shock
Central venous pressure |
|
Definition
|
|
Term
| Idiopathic Thrombocytopnic Purpura (IDP) |
|
Definition
| autoimmune disorder - antiplatelet antibodies decrease the life span of the platelets. Thrombocytopenia,capillary fragility, and increased bleeding time are diagnostic findings. |
|
|
Term
|
Definition
| preterm rupture of membranes |
|
|
Term
|
Definition
| Cephalopelvic Disproportion |
|
|
Term
|
Definition
| Fetus cannot fit thru pelvis |
|
|
Term
|
Definition
|
|
Term
|
Definition
| Labor that lasts less than 3 hours |
|
|
Term
|
Definition
| placenta grows over cervix |
|
|
Term
|
Definition
|
|
Term
|
Definition
| intrauterine growth restriction |
|
|
Term
|
Definition
amniotomy
protaglandin gel
cytotec (misoprostol)
oxytocin (pitocin) |
|
|
Term
POSTPARTUM CARE:
B.U.B.B.L.E.H.E |
|
Definition
Breast
Uterus
bladder
bowel
lochia
episiotomy
homan's
emotional |
|
|
Term
|
Definition
| intrauterine fetal demise |
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|
