Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
27 Cards in this Set
- Front
- Back
|
1st Stage of Lactation
|
Sucking of mothers nipple triggers nerve impulses
|
|
|
2nd Stage of Lactation
|
Oxytocin is released into bloodstream from posterior pituitary
|
|
|
3rd Stage of Lactation
|
Oxytocin causes muscles around alveoli to contract squeezing milk into muscle
|
|
|
What are hemorrhoids?
|
varicose veins in anus
|
|
|
When do hemorrhoids decrease?
|
6 weeks
|
|
|
Comfort measures of hemorrhoids
|
sitz bath
topical anesthetics (dermoplast) tucks |
|
|
What are after pains?
|
uterine cramping; increases with distended uterus, multip, or prolonged labor
|
|
|
Treatment of breast engorgment
|
cold packs (non-nursing)
heat (nursing moms) ie:shower well fitted support bra is IMP. for both |
|
|
What is associated with decreased estrogen?
|
breast engorgment
diaphoresis diuresis |
|
|
What is endometritis?
|
infection of uterus
flow of lochia beyond 3-4 wks fever, pain, abd. tenderness |
|
|
What is involution?
|
return of uterus to pre-pregnant state
|
|
|
What is subinvolution?
|
failure of involution
retained placenta or infection |
|
|
What is the most common cause of hemorrhage?
|
uterine atony (not toning)
|
|
|
Persistant lochia beyond three days. .
|
suggestive of retained placenta fragments
|
|
|
Causes of thromboembolism?
|
increase clotting factors, fibrinogen
vessel damage from childbirth immobility |
|
|
When is risk of thromboembolism high?
|
c section
|
|
|
How is the rubella vaccine given?
|
subQ
|
|
|
When is the rubella vaccine given?
|
before discharge; OK for breastfeeding
|
|
|
When do you use caution with the rubella vaccine?
|
immunocompromised
allergy to duck eggs |
|
|
What do you need to give rubella vaccine?
|
consent
|
|
|
What do you caution after giving rubella vaccine?
|
teratogenic; no pregnancy for three months
|
|
|
Who gets the Rh immune globulin
|
Rh neg mothers; anytime there is trauma, at 28 weeks
also given after birth only if she is coombs negative and baby is positive |
|
|
When is the Rh immune globulin given postpartum?
|
must be given within 72 hours of birth
|
|
|
What is the kleihauer-Betke test?
|
detects amount of fetal blood in maternal circulation
|
|
|
RhoGAM & rubella vaccine
|
when given at the same time must check rubella immunity in 3 months
|
|
|
What is external cephalic version?
|
attempt to turn fetus from a breech postion by exertion of gentle constant pressure on the abdomen
|
|
|
What is internal cephalic version?
|
turning of the fetus from breech position by inserting hand into uterus; used in multifetal pregnancies to deliver 2nd baby
|
