Familes vocab for Exam 2

Maternls chapter 1, 17-22

abstience

abstening from having sexual intercourse eliminates the possiblity of sperm entering the vagina

coitus interrupts (withdrawl) (pull out and pray)

withdrawl of penis from vagina during sexual intercourse peior to ejaculation

calender ryhthm model

tracking the menstaurl cycle

standard days method (cycle beads)

more modern version of calaendar rythm method

basal body temperature (BBT)

tempartre if the biday at rest, during ovulation as the progesterone raises some cloents experience rise of body temp

cervical mucus ovulation detection method

fertility awarness method, clinet anaylzes cervical mucous to determine ovulation

two day method

sx based method that involves checking for vaginal secertions daily, with o analysis ofs ecertions

laceration amenorrhea method (LAM)

supression of ovulation and mensturation while breastfeeding

penile condom

thin sheath used to cover the penis during sexual intercourse as a cotraceptive or as protection against infection

vaginal condom

vaginal sheath made of nitrile, a nonlatex synthetic rubber with flexible rings on both ends that is pre-lubricated with a spermicdie

spermicide

chemical barrier that is available in a variety of forms and destroys sperm before they can enter the cervix, It causes the vaginal flora to be more acidic, which is not favorable for sperm survival

diaphragm

a dome shaped cup with a flexible rim made of silicone that fits snugly over the cervix, effectiveness is increased with the use of a spermicidal cream or gel placed into the dome and around the rim

cervical cap

silicone rubber cap that fits tightly around the base of the cervix, serves as a physcial barrier against sperm entering the cervix, with spermicde icnreases its effectivess

combined oral contraceptives (COs)

estrogen and progestin, which acts by supressing ovulation, thickening the cervical musus to block semen and altering the uterine decidua to prevent implantation

progestin-only pills (minipill)

progestins provide the same action as combined oral contraceptives, which decreases the chance of fertilization and implantation

emergency oral contraceotives

morning after pill that prevents fertililzation from taking place by inhibitng ovulation and the transport of sperm

transdermal contraceptive patch

estrogen and progesterone or preogestin, which is dleivered a contiuns level through the skin into sub c tissuem inhibits ovulation by thickening cervical muscos

injectbale progestins

medroxyprogesterone is an intramuscular or sub c injection give to a femae every 11-13 weeks, inhibts ovulation and thickens cervical muscus

contraceptive vagianl ring

flexible sillicone ring that contains etongesterel and ethinyl estradiol, which are delivered at contuous levels vaginally

implantable progestin

small thin rods conissting of pregestin that are implanted by the provider under the skin of te inner upper part aspect of the arm

orevents pregancy by supressing the ovulatory cycle and thickening cervical mucus

intrauterine device (IUD)

chemically active t shapped device that is inserte through the cervix and placed in the uterus by the provdier, releases a chemical substance that dmages sperm in trnsit to the uterine tubes and prevents fetrillixation

most effective contraceptiv emethods, at prevnting pregancy

transcervical sterlization

insertion of small felxible agents througb the vagina and cervix into the fallopian tubes, results from scar tissue in the tubes, preventing conception

FDA caclled it

surgical= tubal ligation (bilaterla tubal ligation BTL)

severne and or burning or blocking the fallopian tubes to prevnt fertillization, at least 21

vasectomy

surgical procudure consisting if ligation and severeance of the vas defenrs, ehich prevents sperm from traveling

postpartum asses: BUBBLE

breats

utuerus

bowel

lochia

episiotomy

utuerus changes

involution which occurs with contractions of the uterine smooth muscle, wheaby the uterus returns to its perpragnst state

rapidly decreases from 1,000 g to 60-80g, fundal height decending 1cm per day

lochia

past birth uterine discharge that contains blood, musocus and uterine tissue

3 stages of lochia

lochia rubra

lochia serosa

lochia alba

rubra= dark red color, bloody constsitency, fleshy odor

serosa= pinksh brown color and serosangiunois consistency

alba= yellowish white creany color

dependet role attainment

taking in phase

24-48 hr, meeting personal needs, excite and talkative

dependent-independent role attainment

taking-hold phase

day 2/3, last 1o days to several weeks, focus on baby care and imporving caregiver competency, take charge but need appprovale, expericnes baby blues

interdependent role attianment

letting go phase

focus on famly as unit, resumption of role

expectation and intention transition

desries to be deeply and emotionally connected with the infant

confrontity reality transition

reality dosent always meet exoectaion, feeling sad, frustrated, jealous, unable to talk with the other parent, who is consumend with infant caregiving and their own transition to parenthood

creating thw role of the invlved co parent

become activeky involved in the care of the newborn

reaping rewards

include newborn smiles and a sense of completeness and meaning

idipoathic throbocytopenic purpura (ITP)

coaugulpathy that is an immune disorder in which the life span of platelts is decreased by antiplatel antiboides, result is sevre hemoragge follwing a c section or lacertaions

disseminated intravsucalar coagulation (DIC)

caogulapthy in which clotting and anticlotting mechnaisms occur at the same time, clien tis risk for both the internal anad external bleeding, as well as dmage to organs resulting form ischemia cause by microclots

uterine atony

inability if the uterine muscle to contract adequetly after birth, can lead to postpartum hemorrhage

subinvolution of the uteurs

when th euterus remianes enlarged with contiuned lochial discharge and can result i postpartum hemorrhage

inversion of th euteurs

turning inside out of the uteurs and can be partial or complete, emergecy sitauion

retained placenta

placneta or fragments if the placneta remian in the uteurs an dprevent te utueres from contracting, wgich cna lead to uteirne atony or subinvolution, a placenta that has not been delievred within 30 minutes of the birth is a reatined placenta

uterine infection (endometrisosi)

infection of the uterine lining or endometurium

mastitis

infection of the breast involving the nterlobular connective tissue and is usally unilateral