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

What does BUBBLEHE stand for?

Breast, Uterus, Bowels, Bladder, Lochia, Episiotomy, Homan's Sign, Emotional Status

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

What are some causes/risk factors of postpartum hemorrhage?

Uterine Atony, Advanced Maternal Age, Prolonged Duration of Labor, LGA (Large for gestational age), Multiple Gestations, Multiparity, Retained Placental Fragments

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

What is Caput

A neonatal condition that involves a serosanguinous, subcutaneous, fluid collection that is caused by the pressure of the presenting part of the scalp against a dilating cervix during delivery.

400

What some things that are assessed in a postpartum assessment?

Vital Signs, Fundal Assessment, Bleeding and Lochia, Perineal Assessment and Care

400

Experienced on the first few postpartal days, peaks at day 5, and subsides over the next few days. The symptoms are: Tearfulness, Mood Swings, Irribility, Fatigue, Insomnia, Anxiety Poor Appetite.

What is post partum "blues"or "baby blues"

400

What is a Meconium Aspiration?

When the baby has a bowel movement prior to delivery, the meconium mixes with the amniotic fluid and can causes respiratory difficulty in the neonate

400

What are some benefits of skin to skin

*Enhance mother-infant interaction *Decrease crying, grimacing, and heart rate surges in the neonate *Initiate breastfeeding, Temperature regulation

500

The peripheral cyanosis around the mouth and the extremities (hands and feet). It is found in healthy newborns.

Acrocyanosis

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
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 ( RDS) 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

What does the acronym APGAR stand for? when should it be completed?

*Appearance, Pulse, Grimace, Activity, Respiration

* 1 and 5 minutes

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