Newborn Physiological Changes
Maternal Physiological Changes
Maternal Complications
Newborn Complications
Miscellaneous
100

Greenish black stool that consists of amniotic fluid, intestinal secretions (bilirubin), and cells (shed from the mucosa).

What is meconium

100
The return of the uterus to a non-pregnant state after birth
What is involution
100
A positive Homans' sign can implicate this complication
What is Venous Thromboembolism (VTE)
100
Bone most often fractured during birth
What is the clavicle
100
The clear, yellow fluid or “early milk” expressed from the breasts before “true milk” is produced is known as
What is colostrum
200
The shaping of the fetal head by overlapping of the cranial bones to facilitate movement through the birth canal during labor
What is molding
200

This is the term used for normal postpartum bleeding. It can be classifies as rubra, serosa, or alba

What is lochia

200
A perineal pad saturated in ---- minutes or less or pooling of blood under the buttocks is an indication of excessive blood loss requiring immediate assessment, intervention, and notification of the primary health care provider
What is 15
200
Clinical manifestations of infants of Diabetic mothers include...
What is large for gestational age, very plump & full faced, abundant vernix caseosa, plethora (excess of blood), listless & lethargic, possibly meconium stained at birth and hypotonia
200
Sacral dimples and tufts of hair above the buttocks of newborns could indicate this abnormality
What is Spina Bifida
300
Name at least three of the common reflexes found in the normal newborn
What is rooting, sucking, grasping (palmar & plantar), Moro (startle) and Babinski reflex.
300
The uterus should not be palpable abdominally after 2 weeks and should have returned to its nonpregnant location by...
What is 6 weeks
300

The two most important interventions for preventing excessive bleeding are

What are 1. maintaining good uterine tone and 2. preventing bladder distention

300
Signs of withdrawal in neonates include
What is irritability, seizures, hyperactivity, tremors diaphoresis, fever, mottled skin, poor feeding, diarrhea, dehydration, disrupted sleeping patterns and more
300
Fontanels in the newborn that are sunken in or depressed can indicate…
What is dehydration
400
Name the four modes of heat loss in the newborn
What is convection, radiation, evaporation, and conduction
400

Periodic relaxation and vigorous contractions after delivery are more common in subsequent pregnancies and may cause uncomfortable cramping called...

What is aftrepains or afterbirth pains

400
About 80% of all women experience this. The symptoms are depression, a let down feeling, restlessness, fatigue, insomnia, anxiety and sadness
What is post partum "blues"
400
An inborn error of metabolism that is caused by a deficiency or absence in the enzyme needed to metabolize the essential amino acid phenylalanine is know as...
What is Phenylketonuria or PKU
400

Women may resume sexual activity after giving birth once the bleeding has stopped and the perineum is healed. This usually occurs (hint: how many weeks after birth)...

Bleeding stops at 2-4 weeks, but most women resume sexual activity 5-6 weeks after birth.

500
In the early newborn period infants tend to alternate periods of sleep and wakefulness. These variations in the state of consciousness of infants are called...
What is Sleep-Wake States. There are two sleep states (deep sleep & light sleep) and four wake states (drowsy, quiet alert, active alert, & light sleep).
500
The rapid decrease in these 2 hormones after expulsion of the placenta is responsible for triggering many of the anatomic and physiologic changes in the puerperium
What are estrogen and progesterone
500

Condition with persistent significant bleeding, woman states feeling lightheaded or "funny", woman feels anxious or feels air hunger, skin feels cool and clammy, pulse rate increases, BP decreases, skin color turns ashen or greyish. These are signs and symptoms of...

What is hypovolemic shock

500
Clinical manifestations of Respiratory Distress Syndrome include..
What is tachypnea (>60 breaths/min), dyspnea, pronounced intercostal or substernal retractions, fine inspiratory crackles, audible expiratory grunt, flaring of the external nares, cyanosis or pallor, apnea and with progression of the condition, deteriorating vital signs (bp, apnea, body temp instability)
500
This hormone produced by the pituitary gland rises in the blood progressively throughout pregnancy and remains elevated especially in breastfeeding women
What is prolactin
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