Nursing: The Developing Family

Front 1

Acme

Back 1

Peak or highest point; time of greatest intensity of uterine contraction

Front 2

Analgesia

Back 2

Medication used to relieve pain.

Front 3

Anesthesia

Back 3

insensitivity to pain, usually by medical professionals for procedures.

Front 4

Fetal attitude

Back 4

Relationship of the fetal parts to one another. Normal fetal atitude is one of moderated flexion of the arms onto the chest and flexion of the legs onto the abdomen.

Front 5

Bloody show

Back 5

Pink-tinged mucus secretions resulting from rupture of small capillaries as the cervix effaces and dilates.

Front 6

Bishop score

Back 6

A prelabor scoring system to assist in predicting whether an induction of labor may be successful. The total score is achieved by assessing five components: cervical dilatation, cervical effacement, cervical consistency, cervical position, and fetal station. Each of te components is assigned a score of 0 to 3, and the highest possible score is 13.

Front 7

Breech

Back 7

A birth in which the buttocks and or feet are presented instead of the head.

Front 8

Crowning

Back 8

Appearance of the presenting fetal part at the vaginal orifice during labor.

Front 9

Dilatation

Back 9

Expansion of the external os from an opening a few millimeters in size to an opening large enough to allow the passage of the infant.

Front 10

presentation

Back 10

The fetal body part that enters the maternal pelvis first. The three possible presentations are cephalic, shoulder and breech.

Front 11

Engagement

Back 11

The entrance of the fetal presenting part into the superior pelvic strait and the beginning of the descent through the pelvic canal.

Front 12

Fontanelle

Back 12

In the fetus, an unossified space, or soft spot, consisting of a strong band of connective tissue lying between the cranial bones of the skull.

Front 13

Leopold's Maneuvers

Back 13

A series of four maneuvers designed to provide a systemic approach whereby the examiner may determine fetal presentation and position

Front 14

Fetal lie

Back 14

Relationship of the cephalocaudal axis (spinal column) of the fetus to the cephalocaudal axis (spinal column) of the woman. The fetus may be in a longitudinal or transverse lie.

Front 15

Molding

Back 15

Shaping of the fetal head by overlapping of the cranial bones to facilitate movement through the birth canal during labor.

Front 16

Station

Back 16

Relationship of the presenting fetal part to an imaginary line drawn between the pelvic ischial spines.

Front 17

Effacement

Back 17

Thinning and shortening of the cervix that occurs late in pregnancy or during labor.

Front 18

Vertex

Back 18

The top or the crown of the head.

Front 19

Vernix

Back 19

A protective cheese like whitish substance made up of sebum and desquamated epithelial cells that is present on the fetal skin.

Front 20

Wharton's jelly

Back 20

Yellow-white gelatinous material surrounding the vessels of the umbilical cord.

Front 21

Lanugo

Back 21

Fine downy hair foudn on all body parts of the fetus, with the exception of the palms and soles of feet, after 20 weeks gestation.

Front 22

Afterpains

Back 22

Cramplike pains due to contractions of the uterus that occur after childbirth. They are more common in mutiparas, tend to be most severe during breastfeeding, and last 2 to 3 days.

Front 23

Colostrum

Back 23

Secretion from the breast before the onset of true lactation; contains mainly serum and white blood corpuscles. It has a hight protein content, provides some immune properties, and cleanses the newborn's intestinal tract of mucus and meconium.

Front 24

Diastasis recti abdominis

Back 24

Separation of the recti abdominis muscles along the median line. In women, it is seen with repeated childbirths or multiple gestations. In the newborn, it is usually caused by incomplete development.

Front 25

Engorgement

Back 25

Vascular congestion or distention. In obstetrics, the swelling of breast tisue brought about by an increase in blood and lymph supply to the breast, preceding true lactation.

Front 26

Episiotomy

Back 26

Incision of the perineum to facilitate birth and to avoid laceration of the perineum.

Front 27

Homan's Sign

Back 27

Performing assessment and dorsiflexing foot to check for pain or thrombophlebitis in calves and ankles.

Front 28

Involution

Back 28

Rolling or turning inward, the reduction in size of the uterus following childbirth.

Front 29

Lactation

Back 29

The process of producing and supplying breast milk.

Front 30

Lactosuria

Back 30

Excretion of lactose (milk sugar) in the urine; a common finding during pregnancy and lactation, and in newborns, especially premature babies.

Front 31

Let-down reflex

Back 31

Pattern of stimulation, hormone release, and resulting muscle contraction that forces milk into the lactiferous ducts, making it available to the infant. milk ejection reflex

Front 32

Lochia

Back 32

Maternal discharge of blood, mucus, and tissue from the uterus; may last for several weeks after birth.

Front 33

Lochia rubra

Back 33

Red, blood-tinged vaginal discharge that occurs following birth and lasts 2 to 4 days.

Front 34

Lochia serosa

Back 34

Pink , serous, and blood-tinged vaginal discharge that follows lochia rubra and lasts until the 7th to 10th day after birth.

Front 35

Lochia alba

Back 35

White vaginal discharge that follows lochia serosa and that lasts from about the 10th to the 21st day after birth.

Front 36

Prolactin

Back 36

A hormone secreted by the anterior pituitary that stimulates and sustains lactation in mammals.

Front 37

Puerperium

Back 37

The period after completion of the third stage of labor until involution of the uterus is complete, usually 6 weeks.

Front 38

Postpartum blues

Back 38

A maternal adjustment reaction occurring in the first few postpartal days, characterized by mild depression, tearfulness, anxiety, headache and irritability.

Front 39

Uterine atony

Back 39

Relaxation f uterine muscle tone following birth.