Maternal & Newborn Nursing Review

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A set of 100 flashcards designed for nursing students to review key maternal and newborn concepts, terminologies, and processes.

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79 Terms

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Nitrazine Paper

A test used to check for rupture of membranes by assessing vaginal pH.

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Braxton Hicks Contractions

Irregular, infrequent, non-painful contractions often referred to as 'practice contractions'.

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True Labor Contractions

Regular, painful contractions that increase in intensity and frequency.

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5 P's of Labor

Passage, Passenger, placenta, Powers, Psycho-emotional state.

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Latent Phase of Labor

The initial phase of labor where the cervix dilates from 0 to 3 cm.

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Active Phase of Labor

The phase where the cervix dilates from 4 to 7 cm with stronger contractions.

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Transition Phase of Labor

The final part of the first stage of labor, from 8 to 10 cm dilation.

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Episiotomy

A surgical cut between the vagina and anus to aid delivery.

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Degrees of Episiotomy

1° is skin only, 2° extends to muscle, and 3° extends to the anal sphincter.

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Fetal Distress

Abnormal heart rate and decreased fetal movement requiring interventions.

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Surfactant

A substance in the lungs that keeps alveoli open, crucial for preemies.

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Common Delivery Medications

Includes Epidural, fentanyl, and Oxytocin used to induce labor.

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Meconium Aspiration

Condition where the newborn inhales a mixture of meconium and amniotic fluid.

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Lochia

The vaginal discharge after birth, composed of blood and tissue.

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Cardinal Movements of Labor

The sequence of movements a baby makes to navigate through the birth canal.

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Apgar Score

A quick test to assess a newborn's health immediately after birth, scored 0-10.

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Pudendal Block

A local anesthetic given in the perineal area during childbirth.

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Placenta

Organ providing oxygen and nutrients to the fetus and removing waste products.

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Amniotic Fluid

The fluid surrounding the fetus, important for cushioning and temperature regulation.

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Meconium

The first stool of a newborn, which is usually dark green and sticky.

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C-Section

A surgical procedure to deliver a baby through an incision in the mother's abdomen.

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Pitocin

Synthetic oxytocin used to induce labor and strengthen contractions.

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VBAC

Vaginal birth after cesarean, a possible option for women after a C-section.

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Internal Monitoring

Involves placement of electrodes to track fetal heart rate and contraction strength.

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External Monitoring

Non-invasive method for tracking fetal heart rate and contractions through the belly.

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Involution of the Uterus

The process of the uterus returning to its pre-pregnancy size after childbirth.

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Laceration

A tear that occurs during childbirth, often needing suturing.

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Breastfeeding Benefits

Provides optimal nutrition and maternal bonding; reduces infection risk.

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Postpartum Depression Symptoms

Persistent sadness, anxiety, and intrusive thoughts affecting a mother's well-being.

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Colostrum

The first milk produced after childbirth, rich in antibodies and nutrients.

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Postpartum Care

Involves monitoring recovery, addressing physical and emotional health.

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Kick Counts

Monitoring fetal movement as a sign of fetal well-being, with guidelines to report changes.

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Fetal Heart Rate

Normal range is 110-160 bpm, monitored during labor.

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Placental Barrier

Separates maternal and fetal blood, allowing nutrient and gas exchange.

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Meconium-Stained Fluid

Indicates potential fetal distress if present during labor.

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Tocolytics

Medications used to stop preterm labor.

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Apgar Score Categories

Includes Appearance, Pulse, Grimace, Activity, and Respiration.

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Placenta Previa

Condition where the placenta covers the cervix; can complicate delivery.

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Epidural Side Effects

May include decreased blood pressure, headache, and urinary retention.

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Cord Compression Risks

Can lead to fetal distress often indicated by variable decelerations in heart rate.

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Packaged Birth Plan

Document outlining parental preferences for labor and delivery.

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Assessment for Infection

Includes monitoring temperature, lochia, incision site, and vital signs.

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Signs of Labor

Includes regular contractions, water breaking, and back pain.

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Nuchal Translucency Scan

Early ultrasound to assess for potential chromosomal abnormalities.

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Genetic Counseling

Recommended for families with a history of genetic disorders.

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Cervical Change Monitoring

Assessing effacement and dilation during labor.

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Perinatal Mental Health

Focus on emotional well-being during and after pregnancy.

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Preterm Labor Signs

Regular contractions before 37 weeks, requiring immediate medical attention.

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Positive Signs of Pregnancy

Include detecting fetal heartbeat, ultrasound visualizing fetus.

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Common Pregnancy Discomforts

Acknowledge symptoms like nausea, back pain, and edema.

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Health Counseling During Pregnancy

Includes lifestyle changes, prenatal education, and warning signs.

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Fundal Height Measurement

Tracks fetal growth by measuring the distance from the pubic bone to the uterus.

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Sitz Baths

Warm water baths recommended for postpartum perineal care.

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Parental Education Topics

Includes newborn care, feeding cues, and safe sleeping practices.

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Surgical Site Monitoring

Assess for tenderness, redness, and signs of infection after C-section.

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Cervical Ripening Agents

Medications like prostaglandins used to prepare the cervix for labor.

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Breech Presentation

Position of the fetus where buttocks or feet come first during delivery.

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Skin-to-Skin Contact Importance

Enhances bonding, breastfeeding success, and newborn temperature regulation.

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Vernix Caseosa

A waxy protective coating covering the skin of newborns at birth.

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Uterine Atony Risks

May lead to postpartum hemorrhage if the uterus fails to contract effectively.

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Responsive Care for Newborns

Includes addressing immediate needs after birth like clear airway and warmth.

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Monitoring Cervical Changes

Important for determining progress in labor.

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Labor Stages Overview

Include: first stage (dilation), second stage (pushing), third stage (placenta).

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Diaphoresis Post-Birth

Common normal body response as fluid is expelled after pregnancy.

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Naegele’s Rule

Calculates due date by adding 7 days to LMP and subtracting 3 months.

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Common Newborn Complications

Problems like jaundice, low blood sugar, and infection risks.

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Newborn Vital Signs Monitoring

Normal ranges for heart rate, temperature, and respiration rate.

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Breast Engorgement Solutions

Involves frequent feeding and cold compresses for relief.

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Postpartum Exercise Recommendations

Begin gradually with emphasis on pelvic floor strengthening.

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Care for Cesarean Birth Mothers

Includes incision care, pain management, and monitoring for complications.

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Shared Decision Making

Involves communication between healthcare providers and patients.

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Risk Assessment in Labor

Monitor for signs of fetal distress, maternal health, and progression.

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Signs of Good Postpartum Recovery

Firm uterus, minimal discomfort, and normal vital signs.

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Complications from Retained Placenta

Includes hemorrhage and need for surgical intervention.

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Signs of Miscarriage Types

Includes threatened, inevitable, incomplete, and complete miscarriage.

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Importance of Hydration

Prevents complications like urinary retention and enhances recovery.

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Assessing Emotional Health Postpartum

Monitor for mental health issues like depression or anxiety in new mothers.

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Evaluation of Labor Progress

Determinants include contraction pattern and cervical dilation.

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Fluid Management Postpartum

Encourage adequate hydration to support recovery and lactation.