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Placenta Previa
Condition where the placenta implants in the lower part of the uterus, obstructing the cervical os, leading to painless red vaginal bleeding in the second and third trimester.
Abruptio Placenta
Separation of the placenta from the uterine implantation site before delivery, causing internal bleeding, pain, and a nonrelaxed uterus.
Lochia Rubra
Postpartum vaginal discharge consisting of blood and uterine tissue, with intermittent bleeding and small clots, indicating normal postpartum recovery.
Fundal Massage
Massage technique applied to the uterus to promote contractions and prevent postpartum hemorrhage.
Maslow's Hierarchy of Needs
Psychological theory prioritizing human needs in a pyramid structure, with basic physiological needs at the base, including air, water, food, shelter, sleep, clothing, and reproduction.
Vitamin K Administration
Important for newborns to prevent hemorrhagic disease, but can be delayed until after drying the newborn and ensuring warmth.
Eye Prophylaxis
Administered within the first hour after birth to prevent neonatal conjunctivitis, but drying the newborn and ensuring warmth take priority.
Rubella Immunization
Recommended shortly after giving birth to prevent rubella syndrome in the current or subsequent pregnancies, avoiding fetal risk.
Urinary Frequency in Pregnancy
Occurs due to increased bladder sensitivity in the first trimester and pressure from the enlarging uterus near the end of pregnancy.
Clear the respiratory tract
The first action a nurse should take immediately following delivery to an infant to ensure proper airway clearance.
Dry the infant off and cover the head
An action that should be done shortly after delivery, but not the first action a nurse should take for an infant.
Stimulate the infant to cry
An action that should be done shortly after delivery, but not the first action a nurse should take for an infant.
Cut the umbilical cord
An action that should be done shortly after delivery, but not the first action a nurse should take for an infant.
Pelvic examination response
Therapeutic response recognizing client's feelings and encouraging further discussion about concerns regarding the exam.
Umbilical cord vessels
In the umbilical cord, two arteries return blood to the placenta, while one vein carries oxygenated, nutrient-rich blood from the placenta to the fetus.
Reliable contraception methods
An intrauterine device (IUD) is one of the most reliable contraception methods with a failure rate of less than 1 in 100 users.
Negative rubella titer interpretation
Indicates susceptibility to rubella virus, not immunity or current infection, requiring vaccination post-delivery.
Priority nursing action for vaginal bleeding
Initiating IV access is the priority action for a client with painless, bright red vaginal bleeding, hypotension, and tachycardia.
Hydatidiform mole findings
A client suspected of having a hydatidiform mole may present with profuse, clear vaginal discharge and elevated serum hCG levels.
Excessive uterine enlargement
A classic finding in clients with a molar pregnancy, characterized by a rapidly enlarging uterus accompanied by severe nausea, vomiting, elevated human chorionic gonadotropin levels, signs of hyperthyroidism, and early onset of preeclampsia.
Hydatidiform mole
A rare tumor that forms inside the uterus at the beginning of a pregnancy, resulting in the over-production of tissue that would normally develop into the placenta, characterized by fluid-filled vesicles.
Strabismus
A condition where the eyes are not properly aligned with each other, leading to crossed eyes, which can be easily treated with patching.
Nonstress test
A prenatal test that depends on fetal movement, where the absence of fetal movement might indicate a need for intervention.
Supine hypotension
A condition common in pregnant clients where lying on the back causes low blood pressure, which can be corrected by turning the client onto her side.
True labor
Labor characterized by progressive changes in the effacement and dilation of the cervix, indicating the onset of active labor.
Magnesium sulfate
A medication administered to clients in preterm labor to achieve uterine relaxation, with a primary focus on monitoring respiratory status due to the potential for respiratory depression.
Small for gestational age (SGA)
A condition where the fetus is below the 10th percentile for its gestational age, indicating intrauterine growth restriction.
Meconium
The earliest stool of a newborn, which can be present in the amniotic fluid and respiratory secretions, indicating fetal distress.
Perinatal asphyxia
A condition where the newborn experiences inadequate oxygenation and perfusion, often due to labor stress, requiring resuscitation.
Polycythemia
A condition characterized by an excess of red blood cells, common in infants who are SGA.
Neural tube defect
A congenital anomaly resulting from the incomplete closure of the neural tube during fetal development, preventable with folic acid supplementation.
Phenylketonuria
A genetic disorder that impairs the body's ability to break down the amino acid phenylalanine, necessitating avoidance of aspartame.
Dilation and curettage (D&C)
A surgical procedure to remove tissue from the uterus, often performed after a miscarriage to prevent infection or excessive bleeding.
Preeclampsia
A pregnancy complication characterized by high blood pressure and signs of damage to another organ system, such as the kidneys.
Postmature
Refers to a newborn with a gestational age exceeding 42 weeks, exhibiting physical signs like cracked, peeling skin and positive Moro reflex.
Moro reflex
An involuntary response to a sudden loss of support or loud noise, where the newborn spreads out their arms and then brings them back in.
Vena Cava Syndrome
A condition where the vena cava is compressed by the weight of the uterus, leading to decreased blood return to the heart.
Umbilical Cord Prolapse
A complication during labor where the umbilical cord slips through the cervix in front of the presenting part of the fetus.
Antepartum
The period of time before childbirth.
Terbutaline
A tocolytic medication used to stop or slow down premature labor by relaxing the uterine muscles.
Braxton-Hicks Contractions
Irregular, painless uterine contractions that can occur during pregnancy, often referred to as 'false labor.'
Methylergonovine
An oxytocic medication given postpartum to promote uterine contractions and prevent or treat postpartum hemorrhage.
Rho (D) Immunoglobulin
An injection given to Rh-negative mothers to prevent the formation of Rh antibodies in response to fetal blood exposure.