Maternal and Newborn Nursing Lecture Review

Flashcards based on a nursing lecture transcript covering postpartum care, newborn assessment, and labor complications.

Lochia rubra

Postpartum vaginal discharge that is expected to be intermittent, resemble a heavy menstrual period, and may contain some small clots.

Fundus at the umbilicus

The expected position of the fundus, which should be firm and midline, at one hour postpartum.

Distended bladder indication

A fundus that is deviated from the midline rather than being centered.

Urinary frequency in pregnancy

A symptom that typically occurs during the first trimester and again near the end of the pregnancy.

Negative rubella titer

A laboratory finding indicating that a client is susceptible to the rubella virus and requires vaccination following delivery.

Rubella vaccination timing

Administered after delivery because the immunization is contraindicated during pregnancy due to potential fetal injury.

Pregnancy after rubella vaccine

The duration a client should wait before becoming pregnant after receiving the rubella immunization is $1$ month.

Hydatidiform mole

A rare tumor forming inside the uterus that results in the overproduction of placental tissue and excessive uterine enlargement.

hCG levels in hydatidiform mole

These levels are typically elevated rather than following a normal pregnancy decline.

Magnesium IV priority assessment

Monitoring the respiratory rate is the primary nursing assessment when administering this medication for preterm labor.

Folic acid

A nutritional requirement recommended for women contemplating pregnancy to reduce the risk of neural tube defects.

Protruding umbilical cord

An emergency where the nurse's first action is to insert a gloved hand into the vagina to relieve pressure on the cord.

Late decelerations

Fetal heart rate monitor findings interpreted as a result of uteroplacental insufficiency.

Variable decelerations

Heart rate patterns on a monitor typically caused by umbilical cord compression.

Post-term newborn skin ($42.5$ weeks)

Expected findings include skin that is dry and cracked.

Preterm temperature control

Newborns in this category require an incubator because they lack adequate temperature control mechanisms.

Newborn hearing screening

A routine screening performed on all newborns before they leave the hospital to determine if the baby can hear.

Umbilical cord stump care

Instructions for parents to provide sponge baths only until the cord stump falls off on its own.

Presumptive sign of pregnancy

A classification for subjective findings like a client feeling the baby move.

Pattern paced breathing complication

Manifests as lightheadedness and tingling fingers, often managed by assisting the client to breathe into a paper bag.

Persistent posterior fetal position

A cause of severe, difficult labor characterized by significant backaches.

Moro reflex

Elicited by performing a sharp hand clap near the newborn to observe symmetric abduction and extension of the arms.

Tonic neck reflex

The 'fencing' position observed when the newborn's head is turned quickly to one side.

Plantar grasp reflex

A reflex similar to the Babinski where the nurse runs a finger up the newborn's foot to observe the toes.

Caput succedaneum

Swelling of the head and scalp that does not cross suture lines, often resulting from vacuum-assisted delivery.

DIC (Disseminated Intravascular Coagulation)

A risk for clients who experience abruptio placentae, characterized by petechiae and bleeding around IV access sites.

Sign preceding labor onset

A surge of energy experienced by the pregnant client shortly before labor begins.

PKU (Phenylketonuria) dietary plan

A controlled low-protein diet initiated for the newborn or a pregnant client with the condition.

Protein-rich foods to eliminate for PKU

Dietary items including meat, eggs, milk, nuts, and peanut butter.

Postpartum mood screening priority

Asking a client who feels 'down and sad' if she has considered harming her newborn.

Macrosomia priority focus

Monitoring for hypoglycemia in a newborn whose mother has diabetes.

Postpartum clotting prevention

Early and frequent ambulation (movement) down the hall to prevent emboli.

Side-lying position

An intervention to avoid fetal hypoxia and increase perfusion by changing the client's position.

Small for Gestational Age (SGA) cause

Often related to placental insufficiency during the pregnancy.

Postpartum hemorrhage indicator (Heart rate)

A heart rate of $110$ within the first $12$ hours postpartum, indicating fluid volume depletion.

Fundus descent rate

After reaching the umbilicus, the fundus should descend $1$ to $2$ centimeters every $24$ hours.

Jaundice within $24$ hours

A finding most common in cases of maternal-newborn blood group incompatibility.

Physiological jaundice

A benign condition that manifests after the first $24$ hours of life.

Crib safety blankets

The instruction to remove extra blankets from the crib to prevent suffocation and SIDS.

Phototherapy lotion restriction

Lotions must be avoided because they can absorb heat and cause burns to the newborn's skin.

Bulb syringe priorities

The mouth should be suctioned before the nose to prevent the newborn from inhaling secretions into the airway.

Newborn hypoglycemia symptoms

Clinical manifestations including jitteriness and sweating.

Heel stick

The method used to obtain a blood glucose sample from a newborn.

Jaundice prevention through feeding

Initiating early and frequent feedings for the newborn to assist in the excretion of bilirubin.

Cold stress

A condition where an infant's oxygen consumption and metabolic demands for glucose increase due to cold exposure.

Brown fat

Unique stores of fat in newborns utilized during the first weeks of life to produce heat because the shivering mechanism is rarely operable.

Vacuum assist limit

A contemporary safety practice usually limiting vacuum applications to $2$ attempts.

Orthostatic hypotension

A manifestation that can occurs within the first $48$ hours post-delivery.

Fetal lie

Typically longitudinal, which is the most common orientation for newborns during labor.

Radiant heat warmer

Equipment used immediately after birth to prevent cold stress in the newborn.