Postpartum Adaptations
The second stage of lochia passing, which is pinkish brown and expelled 3 to 10 days postpartum and contains leukocytes, red blood cells, and serous fluid
What is lochia serosa
The close emotional attraction to a newborn by the parents that develops during the first 30 to 60 minutes after birth
What is bonding
When unconjugated bilirubin pigment is deposited into skin and mucous membranes as a result of increased bilirubin levels
What is jaundice
The five parameters that are assessed to evaluate a newborn's physical condition at 1 and 5 minutes
What is APGAR: appearance (color), pulse (heart rate), grimace (reflex irritability), activity (muscle tone), respiratory (effort)
The occurrence of regular uterine contractions accompanied by cervical effacement and dilation before the end of the 37th week of gestation
What is preterm labor
Painful uterine contractions that is part of the involution process to prevent hemorrhage from the placental site
What is afterpains
What is being assessed using REEDA (redness, ecchymosis, edema, drainage, approximation)
What is perineum (episiotomy -looking for hematomas, intact skin, infection and healing)
The lipoprotein found in newborn's lungs that prevents alveolar collapse at end of expiration and loss of lung volume
What is surfactant
What medication is administered to prevent opthalmia neonatorum, the condition that is caused by vaginal discharge of a mother who has gonorrhea or chlamydia
What is erythromycin 0.5% ointment
Prostaglandin analogs such as dinoprostone gel/inserts, misoprostol, dilapan are pharmacologic agents commonly used for
What is cervical ripening
What are the Rubin's 3 phases that a mother goes through to adjust to her new maternal role
What is given to the Rh-negative mother at 28 weeks gestation and within 72 hours after childbirth to prevent initial isoimmunization
What is RhoGAM/Rh immunoglobulin
Caused by turbulent blood flow around structures of the heart and can be heard during the neonatal period as a result of changing dynamics of the cardiovascular system at birth
What is cardiac murmurs
The localized subperiosteal collection of blood of the skull which is always confined by one cranial bone and cross the suture line
What is cephalohematoma
Rare emergency that occurs when cord precedes the fetus out and occurs in 1 out of 500 births
What is umbilical cord prolapse
A condition of the urinary system that is a major cause of uterine atony, which allows excessive bleeding
What is urinary retention
What condition occurs in up to 3 per 1000 births and is a major cause of maternal mortality, resulting from a dislodged DVT in the lower extremities
What is pulmonary embolism
The vital sign that should closely be observed for newborns born by cesarean births, as they do not have the benefit of the birth canal squeeze
What are respirations
The assessment that is used to rapidly evaluate the newborn's condition for decisions to be made regarding newborn stability
What is RAPP assessment (Respiratory Activity, Perfusion/color, Position/tone)
Term that refers to premature separation of an implanted placenta from the maternal myometrium and occurs in about 1% of all pregnancies throughout the world
What is placental abruption
What is secreted from the anterior pituitary gland in increasing levels throughout pregnancy that triggers synthesis and secretion of milk after the woman gives birth
What is prolactin
Uterine atony, precipitous labor, retained placental fragments, prolonged third stage of labor, and uterine overdistention are some of the risk factors for this complication
What is postpartum hemorrhage
The dilation of of blood vessels on only one side of the body, giving the newborn the appearance of wearing a clown suit
What is Harlequin sign
This should be suspected if any pregnant woman has an acute onset of respiratory distress and hypotension
What is amniotic fluid embolism