Flashcards
N395 TERMINOLOGY
Cards in this deck (67)
- 1GRAVIDANumber of pregnancies a woman has had. * always include the current pregnancy
- 2PARAnumber of live births
- 3DOULAMother's Mother. for labor or postpartum. supports laboring woman and her partner. offers individualized care and labor support
* NO NURSING RESPONSIBIITIES - 4CNMCertified Nurse Midwife:
RN with advanced training in labor, birth, prenatal care, well women care for women throughout lifespan - 5PERINATOLOGISTobstetrician with advanced training in high risk obstetrics.
ie women with type 1 dibetes - 6OBSTETRICIANMD or DO with advanced training in obstetrics and gynecology care
- 7NEONATOLOGISTPediatrician with advanced training in neonates. cares for extremel high risk babies from birth through discharge, *doctor for preemies
- 8NNPneonatal nurse practitioner
- 9LEVEL 1 HOSPITALCommunity or rural hospital. cannot care for sick babies, transports to high risk center
- 10LEVEL 2 HOSPITALtakes care of moderately ill neonates.
ie Alamance - 11LEVEL 3 HOSPITALHigh risk tertiary hospital. takes care of the highest of the high risk.
ie Duke, Wake Med, UNC - 12BIRTH CENTERSite of birth for very low risk women.
Birth usually attended by CNM, Doulas, RN - 13Term Gestation37-42 weeks of gestation
- 14Fetal Heart Tones at Term110-160 BPM
- 15LEOPOLD'S MANEUVERS4 precise maneuvers to locate the fetal back, shoulder, and presenting part.
aids nurse in correct placement of fetal monitor or where to listen to fetal heart tones. - 16DOPTONEhandheld ultasonic device to listen to fetal heart tones. must be used with conductive gel
- 17UNIT POLICYHospital or unit specific guidelines that outline specifics of care or a procedure.
- 18STANDARD OF CAREwhat any reasonably prudent nurse would do in similar cirumstances. written by professional organization, has national implications and evidence based
- 19B.O.W.Bag of Water
the membranes the baby floats in during pregnancy. keeps cord bouyant, baby warm & nourished, accepts fetal wastes - 20A.R.O.M.ARTIFICIAL RUPTURE OF MEMBRANES
when healthcare provider electively breaks the bag of water - 21S.R.O.MSPONTANEOUS RUPTURE OF MEMBRANE
when BOW breaks on its own - 22P.R.O.MPREMATURE RUPTURE OF MEMBRANE
more than 24 hours before birth - 23DILATATIONopening of cervix in labor
0-10 cm - 24EFFACEMENTThinning of cervix
- 25STATIONProgress of presenting part through the maternal pelvis.
where the fetus is in relation to the pelvis - 26COMPLETE "DILATATION"When fetal presenting part comes all the way through the cervix, there is no cervix remaining.
- 27PLACENTA PREVIAPlacenta covers all or part of the cervical opening such that presenting fetus cannot emerge
- 28PLACENTA ACCRETEplacenta literally grown into the wall of the uterus
- 29ABRUPTIO PLACENTAEplacenta "abruptly" removes itself from uterus. usually resulting in stillborn fetus. happens from trauma and drug use
- 30—FRANK BREECH
buttocks presenting with legs of fetus up and near the shoulders of the fetus.
*best kind of breech to have - 31—FOOTLING BREECH
presenting part is fetal feet;
usually one foot
double footling = 2 feet
- 32Different types of c-sectionsprimary- 1st one
repeat- second or more
emergent- needs done, but not emergency
emergeny-life threatening need - 33classic vs low transverse c-sectionclassic- incision from umbilics to public bone "up and down" incision
low transverse- hip to hip, low made right above pubic hair line. * most common - 34LGA & SGAlarge for gestational area
small for gestational age - 35Meconiumbabies first poo
- 36APGAR
- 37I.U.P.CINTRAUTERINE PRESSURE CATHETER
most objective measure of uterine contraction - 38FETAL SCALP ELECTRODE (FSE)electrode fro fetal monitoring applied directly to the fetal scalp or other presenting part, bag of waters must be ruptured
- 39FTP failure to progresspresenting part fails to descend in the pelvis
- 40EXTERNAL VERSIONTurning the baby abdominal before it is born
- 41I.U.G.RINTRAUTERINE GROWTH RESTRICTION
due to diminished fetal blood flow.
ie diabetes in mother - 42DTRDEEP TENDON REFLEXES
measure of CNS activity - 43HEMORRHAGE (by definition of cc's)500 cc of blood
- 44LABORING DOWNmother is fully dilated and you let fetus be moved into position by power of contractions
- 45PRODROMAL LABOR"gearing up" contractions does little to cervix to advance labor but often causes fatigue in mother
- 46LATENT LABOR0-3 cm/ 0-5 cm
- 47ACTIVE LABOR4-6 cm/ 6-8 cm
- 48TRANSITION7-10 cm/ 9cm -complete
- 49FIRST STAGE OF LABOR0-10cm
"labor" - 50SECOND STAGE OF LABORBirth of baby from completely dilated until baby is out
- 51THIRD STAGE OF LABORFrom birth of baby until Birth of placenta.
- 52EPIDURALRegional Anesthesia
possible med: Marcaine
injected into epidural space.
can be continuous though insertion of a catheter - 53SPINALOne time regional anesthesia, placed closer to spinal cord than epidural
- 54LOCALNumbing agent such as XYLOCAINE
injected into the skin - 55EPISIOTOMYincision that extends from the back of the vagina down the perineum
- 56PRETERM BIRTHbaby born before 37 weeks gestation
- 57NEONATAL JAUNDICE"yellow baby"
due to rapid break down of RBC and baby does not eliminate the by product bilirubin fast enough, the skin turns yellow - 58ACROCYNOSISBaby's hands and feet are blue due to initial diminished blood flow
- 59ENGORGEMENT OF BREASTFullness of breast ducts, delayed emptying
- 60MASTITIS of breastinflammation of breast ducts
- 61ABSCESS of breastserious infection
- 62HEMATURIAblood in urine
- 63DYSURIApainful urination
- 64DYSMENORRHEApainful menstrual periods
- 65DYSPAREUNIAPainful intercourse
- 66IN-VITRO FERTILIZATIONFertilization of ovum outside the uterine cavity
- 67GOULDS definition of LABORPhysiologically normal labor naturally follows a sequential pattern. The woman experiences painful, regular uterine contractions stimulating progressive effacement & dilation of the cervix AND descent of the fetus, culminating in a spontaneous vaginal birth of a healthy baby & the expulsion of placenta & membranes with no apparent complications in mother or baby. It is strenuous work. Movement has a critical role.
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- NCLEX Nursing (N395 Maternity) Flashcards on N395 TERMINOLOGY, created by Kate Parvey on 13/01/2017.
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- Kate Parvey
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