Flashcards
OB final
Cards in this deck (38)
- 1taking in phase*reflective, passive, dependent
*wants to talk about her L&D - 2taking hold phase*less dependent
*eager and excited
*want to take on more responsibility for taking care of themselves and baby - 3letting go phase*usually doesn't occur until they go home
*due to grieving, change dynamics and readjustment of relationships
*redefine their role as mom - 4baby blues*89% of moms
*3rd-5th day postpartum
*usually correlates when milk comes in
*hormones drop, lack of sleep, mom put on back burner - 5postpartum depression*if blues don't go away
*prolonged period of time - sadness
*caregivers notice, not mom - 6physical changes of the uterus*right after shrinks to level of umbilicus
*1cm q1-2days
*6 weeks - uterus back to normal size
*always stays a little bigger than before - 7after pains of uterus*more cramps with each baby (takes more effort for uterus to contract back to size)
*tx: ibuprofen 600 mg q6h (around the clock) - contradicted in someone with kidney disease and dehydration - 8lochiapostpartum bleeding
- 9rubra*bright red bleeding (like period)
*day 1-3 - 10serosa*pinkish discharge
* days 4-7 - 11alba*pinkish creamy discharge
*up to 21 days
*report heavy bleeding (1st 10 days) - 12cervical changes* ⊙ if you never had a baby
* ⊝ if you have had a baby - 13colostrum*"liquid gold
*1st initial breast milk
*3-5 days - yellow
*perfect amount of everything baby needs to sustain until milk comes in - 14mastitis*breast infection w/in tissue of breast
*tx w/antibiotics
*warm to touch, reddened area on breast
*fever and body aches
*encourage to continue breast feeding - 15flat & inverted nipples*baby has a difficult time latching on
*give mom breast shield - 16tx for perineal painice for only 24 hrs, sitz bath, peri bottle, dibucan, tucks, pain meds
- 17tx for uterine crampingibuprofen
- 18tx for incisional painpain meds
- 19post partum lab studies*H&H - to check for anemia
*newborn blood type & Rh factor
-only if mom is Rh -
-newborn screen on all babies - 20temp loss*convection
*conduction
*radiation
*evaporation - 21convection*the flow of heat from the body surface to cooler surrounding air
*wet baby -> cold air
*in an 80˚room a baby will lose 1˚ per minute - 22conduction*transfer of body heat to a cooler object in contact with baby
*wet baby on wet blanket - 23radiation*transfer of body heat to a cooler, solid object, not in contact with baby
*uncovered baby to crib - 24evaporation*loss of heat through conversion of a liquid vapor
*wet baby → wetness evaporating - 25HR - normal range120-160 bpm
- 26respiration - normal range*30-60 breaths/min
*irregular - 27average BP65/41
- 28average temp*98.6
*axillary - 29vernix caseosa*a white, cheese-like substance covering the body, particularly in the creases of the skin
*protects baby's skin from amniotic fluid - 30lanugo*fine downy hair of varying distribution covering the body with exception of the palms and soles of feet
*more common in darker skin babies
*more lanugo in preemies - 31acrocyanosis*a bluish discoloration of the hands and feet due to sluggish circulation
*blood shunts to more vital organs and away from less vital areas (hands/feet)
- 32mongolian spots*an area of bluish-black pigmentation over the buttocks and lower back
*commonly seen in darker skinned babies
*normal
*fades over time
- 33milia*white, pinpoint papillose on the chin &/or nose resulting from unopened sebaceous glands
*do NOT pop
- 34erythema neonatorum toxicum"newborn rash"
*a generalized rash characterized by red, elevated papules
*appears around 24-48 hours of age
- 35fontanelles*anterior - top of head - 4 sided
*posterior - occipital area - 3 sided
*should be flat during newborn assessment
*sometimes slightly sunken due to dehydration
*should never be bulging (↑ ICP)
- 36molding of headshaping of head caused by overriding of cranial bones to facilitate movement through birth canal
- 37caput succedaneum*a collection of fluid in soft tissues of scalp that may or may not override suture lines
*caused by pressure on the presenting part
- 38cephalohematoma*a collection of blood between the perosteum and cranial bone
*does not cross suture line
*usually cranial trauma
*↑ risk for jaundice - broken RBC
*caused by vacuum extraction or forceps
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- Flashcards on OB final, created by justagrl33 on 10/05/2015.
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- justagrl33
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