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191 Cards in this Set
- Front
- Back
Forceps marks
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reddended areas over the cheeks and jaws caused by the application of forceps. The red areas usually disappear within 1 to 2 days
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Gestational age assessment tools
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systems used to evaluate the newborn's external physical characteristics and neurologic and/or neuromuscular development to accurately determine gestational age. These replace or supplement the traditional calculation from the women's last menstrual period
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Grasping reflex
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normal newborn reflex elicited by stimulating the palm with a finger or object, resulting in newborn firmly holding on to the finger or object
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Harlequin sign
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a rare color change that occurs between the longitudinal halves of the newborn's body, such that the dependent half id noticeably pinker than the superior half when the newborn is placed on one side; it is of no pathologic significance
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Jaundice
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yellow pigmentation of body tissues caused by the presence of bile pigments
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Assisted reproductive technology (ART)
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term used to describe the highly technologic approaches used to produce pregnancy
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birth rate
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number of live births per 1000 population
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Certified nurse-midwife (RNC)
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a registered nurse who has shown expertise in a specific field by a passing a national certification examination
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Client
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person seeking assistance from professionals who have the special skills and knowledge the individual lacks
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Clinical nurse specialist (CNS)
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a nurse possessing a master's degree and specialized knowledge and competence in a specifc clinical area
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Evidence-based practice
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nursing care in which all interventions are supported by current, valid research evidence-emerging as a force in health care; it provides a useful approach to problem solving/decision making and to self-directed, client centered, lifelong learning
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negligence
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defined as omitting or committing an act that a reasonably prudent person would not omit or commit under the same or similar circumstances
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informed consent
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a legal concept designed to allow clients to make intelligent decisions regarding their own health care
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emancipated minors
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self-supporting adolescents under 18 years of age, not subject to parental control
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mature minors
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14 and 15 year-old adolescents who are able to understand treatment risks; can give consent for treatment or refuse treatment in some states
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infant mortality rate
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number of deaths of infants under 1 year of age per 1000 live births in a given population per year
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Intrauterine fetal surgery
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surgery performed on a fetus to correct anatomic lesions that are not compatible with life if left untreated
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Maternal mortality rate
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the number of maternal deaths from any cause during pregnancy cycle per 100,000 live births
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Nurse Practitioner
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a professional nurse who has received specialized education in either a master's degree program or a continuing education program
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Therapeutic insemination
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procedure to produce a pregnancy in which sperm obtained from a woman's husbands or from a donor is deposited in the woman's vagina
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Amnioinfusion
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procedure used to infuse a sterile fluid (such as normal saline) through an intrauterine catheter into the uterus in an attempt to increase the fluid around the umbilical cord to decrease or prevent cord compression during labor contractions; also used to dilute thick-meconium-stained amniotic fluid
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Amniotomy
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artificial rupturing of the amniotic membrane
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Cervical ripening
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softening of the cervix; occurs normally as a physiologic process before labor or is stimulated to occur through the process of induction of labor
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Cesarean birth
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birth of a fetus accomplished by performing a surgical incision through the maternal abdomen and uterus
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Episiotomy
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incision of the perineum to facilitate birth and to avoid laceration of the perineum
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External cephalic version (ECV)
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procedure involving external manipulation of the maternal abdomen to change the presentation of the fetus from breech to cephalic
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Forceps-assisted birth
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a birth in which a set of instruments, known as forceps, are applied to the presenting part of the fetus to provide traction or to enable the fetal head to be rotated to an occiputanterior position. Also known as instrumental delivery, operative delivery, operative vaginal delivery
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Labor augmentation
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the stimulation of uterine contractions when spontaneous contractions have failed to result in progressive cervial dilation or descent of the fetus
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Labor induction
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the stimulation of uterine contractions before the spontaneous onset of labor, with or without ruptured fetal membranes for the purpose of accomplishing birth
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Podalic version
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type of version used to turn a second twin during a vaginal birth
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Vacuum extraction
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an obstetric procedure used to assist in the birth of a fetus by applying suction to the fetal head with a soft suction cup attached to a suction bottle (pump) by tubing and placing the device against the occiput of the fetal head
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Vaginal birth after cesarean (VBAC)
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practice of permitting a trial of labor and possible vaginal birth for women following a previous cesarean birth for nonrecurring causes such as fetal distress or placenta previa
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Active acquired immunity
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formation of antibodies by the pregnant woman in response to illness or immunizations
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Brown adipose tissue (BAT)
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fat deposits in newborns that provide greater heat-generating activity than ordinary fat. Found around the kidneys, adrenals, and neck; between the scapulas; and behind the sternum
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Cardiopulmonary adaption
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adaption of the newborn's cardiovascular and respiratory systems to life outside the womb
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Conduction
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loss of heat to a cooler surface by direct skin contact
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Convection
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loss of heat from warm body surface to cooler air currents
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Evaporation
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loss of heat incurred when water on skin surface is converted to vapor
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Habituation
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infant's ability to diminish innate responses to specific repeated stimuli
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Meconium
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dark green or black material present in the large intestine of a full-term infant; the first stools passed by the newborn
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Neonatal transition
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the first few hours of life, in which the newborn stabilizes his or her respiratory and circulatory function
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Neutral thermal environment
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an environment that provides for minimal heat loss or expenditure
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Orientation
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infant's ability to respond to auditory and visual stimuli in the environment
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Passive acquired immunity
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transfer of antibodies (IgG) from the mother to the fetus in utero
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Periodic breathing
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sporadic episodes of apnea, not associated with cyanosis, that last for about 10 seconds and commonly occur in preterm infant
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Periods of reactivity
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predictable patterns of newborn behavior during the first several hours after birth
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Physiologic anemia of infancy
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a harmless condition in which the hemoglobin level drops in the first 6 to 12 weeks after birth, then reverts to normal levels
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Physiologic jaundice
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a harmless condition caused by the normal reduction of red blood cells, occuring 48 or more hours after birth, peaking at the 5th to 7th day, and disappearing between the 7th and 10th day
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Radiation
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heat loss incurred when heat transfers to cooler surfaces and objects not in direct contact with the body
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Self-quieting ability
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infant's ability to use personal resources to quiet and console himself or herself
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Surfactant
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a substance composed of phospholipid, which stabilizes and lowers the surface tension of the alveoli during extrauterine respiratory exhalation, allowing a certain amount of air to remain in the alveoli during expiration
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Total serum bilirubin
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sum of conjugated (direct) and unconjugated (indirect) bilirubin
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Acrocyanosis
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Cyanosis of the extremities
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Apgar Score
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a scoring system used to evaluate newborns at 1 minute and 5 minutes after birth; the total score is achieved by assessing five signs: heart rate, respiratory effort, muscle tone, reflex irritability, and color. Each assigned a score of 0, 1, or 2, and 10 highest possible score.
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Babinski reflex
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fanning and hyperextension of all toes and dorsiflexion of the big tow, occurs when the lateral aspect of the sole is stroked from heel upward across the ball of the foot
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Barlow's maneuver
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examiner grasps and adducts the infant's thigh and applies gentle downward pressure; dislocation is felt as the femoral head slips out of the acetabulum; femoral head is then returned to the acetabulum using the Ortolani maneuver, confirming the diagnosis of an unstable of dislocatable hip
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Brazelton's Neonatal Behavioral Assessment Scale
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provides valuable guidelines for assessing the newborn's state changes, temperament, and individual behavior patterns
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Caput succedaneum
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localized, easily identifiable soft area of the scalp, generally resulting from a long and difficult labor or vacuum extraction; its a collection of fluid (serum) under the scalp
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Cephalhematoma
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collection of blood resulting from ruptured blood vessels between the surface of a cranial bone (usually parietal) and the periosteal membrane; the scalp in these areas feels loose and slightly edematous
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Chemical conjunctivitis
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irritation of the mucous membrane lining of the eyelid; may be due to instillation of silver nitrate ophthalmic drops
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Dubowitz tool
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a clinical gestational age assessment tool
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Epstein's pearls
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small, white blebs found along the gum margins and at the junction of the hard and soft palates, commonly seen in the newborn as a normal manifestation
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Erb-Duchenne paralysis
(Erb's palsy) |
involves damage to the upper arm (fifth and sixth cervial nerves); the newborn's arm lies limply at the side
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Erythema toxicum
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an eruption of lesions in the area surrounding a hair follicle that are firm, vary in size from 1 to 3 mm, and consist of a white or pale yellow papule or pustule with an erythematous base; also called newborn rash or flea bite
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Forceps marks
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reddened areas over the cheeks and jaws; will disappear usually within 1 or 2 days
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Gestational age assessment tools
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systems used to evaluate the newborn's external physical characteristics and neurologic or neuromuscular development to accurately determine gestational age; these replace or supplement the traditional calculation from the woman's last menstrual period
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Grasping reflex
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elicited by stimulation the newborn's palm with a finger or object, and the newborn will grasp and hold the object or finger firmly enough to be lifted momentarily from the crib
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Harlequin sign (clown)
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a deep color develops over one side of the newborn's body while the other side remains pale, so that the skin resembles a clown's suit; results from a vasomotor disturbance in which blood vessels on one side dilate while the vessels on the other side constrict
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Jaundice
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first detectable on the face (where skin overlies cartilage) and the mucous membranes of the mouth; advances from head to toe and regresses in the opposite direction
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Lanugo
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fine, downy hair found on all body parts of the fetus, with the exception of the palms of the hands and the soles of the feet, after 20 weeks' gestation
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Milia
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exposed sebaceous glands, appear as raised white spots on the face, especially across the nose; will clear up spontaneously within the first month
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Molding
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caused by overriding of the cranial bones during labor and birth; degree varies with the amount and length of pressure exerted on the head; usually diminishes and suture lines become palpable within a few days
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Mongolian blue spots
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macular areas of the bluish black or gray-blue pigmentation found on the dorsal area and the buttocks; usually fade during the first ro second year of life
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Moro reflex
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elicited when the newborm is startled by a loud noise or is lifted slightly above the crib and then suddenly lowered; in repsonse the newborn straightens arms and hands outward while the knees flex
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Mottling
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lacy pattern of dilated blood vessels under the skin; occurs as a result of general circulation fluctuations; may be related to chilling, prolonged apnea, sepsis, or hypothyroidism
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Nevus flammeus
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capillary angioma directly below the epidermis; it is nonelevated, sharply demarcated, red to purple areas of dense capillaries (port wine stain)
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Nevus vasculosus
(strawberry mark) |
capillary hemangioma; it consists of newly formed and enlarged capillaries in the dermal and subdermal layers; it is raised, clearly delineated, dark red, rough-surfaced birthmark commonly found in the head region
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Ortolani's maneuver
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to evaluate for hip dislocation or hip instability; to rule out the possibility of congenital hip dysplasia (hip dislocatability); with newborn relaxed and quiet on a firm surface, the hips and knees flexed at a 90 degree angle, the examiner grasps the infant's thigh with the middle finger over the greater trochanter and lifts the thigh to bring the femoral head from its posterior position toward the acetabulum
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pseudomenstruation
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blood-tinged mucus from the vagina in the newborn female infant; caused by withdrawal of maternal hormones that were present during pregnancy
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Rooting reflex
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elicited when the side of the newborn's mouth or cheek is touched; in response the newborn turns toward that side and opens the lips to suck (if not fed recently)
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Skin turgor
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elasticity of skin; provides information on hydration status
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Subconjunctival hemorrhages
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appear in about 10% of newborns and are commonly found on the sclera, usually are caused by the changes in vascular tension or ocular pressure during birth
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Telangiectatic nevi (stork bites)
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appear as pale pink, or red spots and are frequently found on the eyelids, nose, lower occipital bone, and nape of the neck;
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Thrush
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may appear as white patches that look like milk curds adhering to the mucous membranes, and bleeding may occur when patches are removed; caused by Candida albicans, often acquired from an infected vaginal tract during birth, antibiotic use, or poor handwashing when handling the newborn
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tonic neck reflex (fencer position)
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elicited when the newborn is supine and the head is turned to one side; in response the extremities on the same side straighten, whereas on the opposite side they flex
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Circumcision
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Surgical removal of the prepuce (foreskin) of the penis
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Newborn screening tests
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tests that detect inborn errors of metabolism that, if left untreated, cause mental retardation and physical handicaps
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Parent-newborn attachment
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close affectional ties that develop between parent and child
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Colostrum
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the initial milk that begins to be secreted during midpregnancy and is immediately available to the baby at delivery; it provides the infant with all the nutrition required until the mother's milk becomes more abundant in a few days; thick creamy yellowish fluid with concentrated amounts of protein, fat-soluble vitamins, and minerals
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Foremilk
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the milk that flows from the breast at the start of a feeding or pumping session
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Hindmilk
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the milk that flows down during let-down; rich in fat (can exceed 10%) and therefore high in calories
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La Leche League
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International LActation Consultant Association, which can provide assistance with finding the closet lactation support
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Mature milk
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white or slighly blue-tinged in color; it is present by 2 weeks postpartum and continues thereafter until lactation ceases
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Milk/plasma ratio
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relates the concentration of the drug in the breast milk to the concentration in the maternal plasma
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Oxytocin
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hormone normally produced by the pituitary, responsible for stimulation of uterine contractions and the release of milk into the lactiferous ducts
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Prolactin
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released from the anterior pituitary in repsonse to breast stimulation from suckling or the use of a breast pump; stimulates the milk-secreting cells in the alveoli to produce milk, them rapidly drops back to baseline
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Transitional milk
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breast milk produced from the end of colostrum production until about 2 weeks postpartum
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Acculturation
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process by which people adapt to a new cultural norm
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Assimilation
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when a group completely changes their cultural identity to become part of the majority culture
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Cultural competence
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the skills and knowledge necessary to appreciate, understand, and work with individuals from different cultures
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Culture
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the beliefs, values, attitudes, and practices that are accepted by a population, a community, or an individual; learned and not ingrained in out genetic material
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Ethnicity
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a social identity that is associated with shared behaviors and patterns
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Ethnocentrism
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the conviction that the values and beliefs of one's own cultural group are the best ones or the only acceptable ones
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Family
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two or more persons who are joined together by bonds of sharing and emotional closeness and who identify themselves as being part of a family
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Family assessment
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collection of data regarding the family's current level of functioning, support systems, sociocultural information, environmental information, type of famliy, family structure, and needs
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Family development
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refers to the dynamics or changes that families experience over time; it includes relationships, communication patterns, roles, and changes in interactions
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Family power
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the potential or actual ability to change the behavior of other family members; this individual may affect how a client responds to a healthcare provider, a diagnosis, treatments, or health teaching
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Family roles
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homogeneous sets of behaviors that normativley defined and expected of an occupant of a given social position; ex breadwinner, homemaker, mother, father, social planner, and family peacemaker
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Family values
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system of ideas, attitudes, and beliefs about the worth of an entity or concept that consciously or unconsciously bind together the members of the family in a common culture
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Religion
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institutionalized system that shares a common set of beliefs and practices, others define it more simply as a belief in a transcendent power
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Spirituality
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a belief in a transcendent power pertaining to the spirit or soul
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Taboos
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behaviors or things that are avoided
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Acupressure
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(sometimes called Chinese massage) therapy using pressure from the fingers and thumbs to stimulate pressure point
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Acupuncture
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stronger technique, uses very fine (hairlike) stainless steel needles to stimulate specific points depending on the client's medical assessment and condition
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Alternative therapy
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used in place of conventional medicine;
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Aromatherapy
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the use of certain essential oils, derived from plants, whose odor or aroma is believed to have a therapeutic effect
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Ayurveda
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classical system of Hindu medicine; means the knowledge of how to live a vital, healthful life
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biofeedback
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a method used to help inidividuals learn to control their physiologic responses based on the concept that the mind controls the body
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Chiropractic
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the third largest independent health profession in the US (behind medicine and dentistry), based on concepts of manipulation
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Complementary therapy
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may be defined as any procedure or product that is used together with conventional medical treatment
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Guided imagery
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state of intense, focused concentration used to create compelling mental images; it is sometimes considered a form of hypnosis
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Hatha yoga
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physical branch of yoga, it is commonly practiced for wellness, illness prevention, and healing
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Homeopathy
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derived from the greek word homos meaning the same; often described as a healing system that uses like to cure like; minute dilutions of substances that if ingested in larger amounts, would produce effects similar to the symptoms of the disorder being treated
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Hypnosis
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state of great mental and physical relaxation during which a person is very open to suggestions
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Massage Therapy
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involves the manipulation of the soft tissues of the body to reduce stress and tension, increase circulation, diminish pain, and promote a sense of well-being
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Naturopathy
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commonly referred to as natural medicine; a healing system that combines safe an effective traditional means of preventing and treating human disease with the most current advances in modern medicine
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Reflexology
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form of massage that involves the application of pressure to designated points or reflexes on the client's feet, hands, or ears using the thumb and fingers
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Reiki
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a Tibetan-Japanese technique, is a form of hand-meditated therapy designed to promote healing, reduce stress, and encourage relaxation
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Therapeutic touch
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complementary therapy designed to interface with conventional medical care; grounded in the belief that people are a system of energy with a self-healing potential
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Traditional Chinese medicine (TCM)
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developed more than 3000 years ago in the Chinese culture and then gradually spread with modifications to other Asian countries; its goal is to promote health and well-being, so the underlying focus of TCM is prevention although diagnosis and treatment of the disease also play an impotant role
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Visualization
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complementary therapy in which a person goes into a relaxed state and focuses on or "visualizes" soothing or positive scenes such as a beach or a mountain glade; helps reduce stress and encourage relaxation
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Cervial cap
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a cup-shaped device placed over the cervix to prevent pregnancy
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Coitus interuptus
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method of contraception in which the male withdraws his penis from the vagina prior ro ejaculation
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Combined oral contraceptives (COCs)
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commonly called birth controls or the "pill"-combination of a synthetic estrogen and a progestin
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Condom
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a rubber sheath that covers the penis to prevent conception or disease
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Depo-Provera
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a long-acting, injectable progestin contraceptive
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Diaphragm
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a flexible disk that covers the cervix to prevent pregnancy
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Fertility awareness-based methods (FAB)
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based on an understanding of the changes that occur throughout a woman's menstrual cycle and require recording of certain events to identify fertile days
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Intrauterine devices (IUDs)
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small metal or plastic form that is placed in the uterus to prevent implantation of a fertilized ovum
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Postcoital emergency contraception (EC)
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a form of combined hormonal contraception that is used when a woman is worried about pregnancy because of unprotected intercourse, rape, or possible contraceptive failure (broken condom, slipped diaphragmm missed oral contraceptives, or too long a time between DMPA injections)
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Spermicides
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a variety of creams, foams, jellies, and suppositories that, when inserted into the vagina prior to intercouse, destroy sperm or neutralize any vaginal secretions and thereby immobilize sperm
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Sterilization
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an inclusive term that refers to surgical procedures that permanently prevent pregnancy; in the male achieved through a vasectomy, in the female done by tubal ligation
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Subdermal implants
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sterilization of a woman's upper under arm that prevent ovulation in most women; also called Norplant
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Tubal ligation
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sterilization of a woman accomplished by transecting or occluding the fallopian tubes
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Vasectomy
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involves surgically severing the vas deferens in both sides of the scrotum
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Negligence
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defined as omitting or committing an act that a reasonably prudent person would not omit or commit under the same or similar circumstances
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scope of practice
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correctly interpreting and understanding state practice acts enables the nurse to provide safe care within the limits of nursing practice
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standards of care
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establish a minimum criteria for competent, proficient delivery of nursing care
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Privacy
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the right of a person to keep his or her person and property free from public scrutiny
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Confientiality
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given the highly personal and intimate information requested of clients;
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Advanced directives
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writing a living a will or authorizing a durable power of attorney for health-care decisions on the individual's behalf
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Multigravida
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a woman who is in her second or any subsequent pregnancy
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Abortion
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Birth that occurs before 20 weeks gestation of the birth of a fetus-neonate who weighs less than 500g
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Gestation
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the number of weeks since the first day of the last menstrual period
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Postterm
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time from birth until the woman's body return's to an essentially prepregnant condition
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Postterm labor
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labor that occurs after 42 weeks gestation
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Nulligravida
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a woman who has never been pregnant
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primipara
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a woman who has had one birth at more than 20 weeks' gestation, regardless of whether the infant is born dead or alive
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Intrapartum
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time from onset of labor until the birth of the infant and placenta
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Kleinhauer-betke test
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a blood test that examines maternal blood for fetal erythrocytes
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Erythroblastosis fetalis
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severe hemolytuc disease of the newborn; the hemolysis caused by maternal IgG antibodies in the fetus creates anemia.
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Term
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the normal duration of pregnancy (38 to 42 weeks gestation)
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TPAL
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term, preterm, abortions, living
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primigravida
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a woman who pregnant for the first time
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nullipara
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a women who has not had one birth at more than 20 weeks' gestation
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Multipara
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a woman who has has two or more births at more than 20 weeks gestation
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Antepartum
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time between conception and onset of labor, usually used to describe the period during which a woman is pregnant; also called prenatal
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Para
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Birth after 20 weeks gestation, regardless of whether the infant is born dead or alive
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Gravida
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any pregnancy, regardless of duration, including present pregnancy
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Stillbirth
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a fetus born dead after 20 weeks gestation
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Abruptio placentae
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the premature separation of a normally implanted placenta from the uterine wall
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Eclampsia
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the occurence of a seizure in a woman with preeclampsia who has no other cause for seizure
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Labor augmentation
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the stimulation of uterine contractions when spontaneous contractions have failed to result in progressive cervial dilation or descent of the fetus
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Incompetent cervix
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cervical insufficiency or cervical incompetence as painless dilation of the cervix without contractions because of a structural or functional defect of the cervix
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Ectopic pregnancy
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an implantation of a fertilized ovum in a site other than the endometrial lining of the uterus
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External Cephalic Version
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the fetus is changed from a breech, transverse, or oblique lie to a cephalic presentation
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IUGR
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intrauterine growth restriction is a term used to describe a fetus that falls< 10th percentile
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Placenta previa
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the placenta is improperly implanted in the lower uterine segment, sometimes over the lower uterine
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Tocolysis
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use of medications to arrest preterm labor
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Preeclampsia
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toxemia of pregnancy; a syndrome that affects the mother and fetus, is clinically defined as in increase in BP after 20 weeks gestation accompanied by proteinuria
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VBAC
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vaginal birth after cesarean
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Yin
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The female force-passive, cool, wet, and close to the earth
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Prayer
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addressing a deity such as Allah, Jesus, Shiva, or great Spirit to achieve change or healing
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J. Krishnamurtis definition of meditation
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something one can do every day at any moment
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Craniosacral therapy
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therapy that uses light touch to test for restrictions in the flow of CSF
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Feldenkreis Method
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therapy that attempts to establish new connections between the brains and body through movement
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Alexander Technique
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Focuses on proper alignment of the head, neck and trunk;
Helps problems related to poor posture, respiratory, digestive system and often recommended for stress-related disorders |
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dietary supplment
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Substances such as minerals, vitamins, and extracts that are not conventional food products or the sole item of a meal
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Sound therapy
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Use of Tivetan and crystal “bowls,”vibrating tuning forks, and mantras to promote healing
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Light therapy
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An accepted treatment in newborns with jaundice; also used in the treatment of seasonal affective disorder
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Garlic
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Acts as an immune system stimulant; also a natural antibiotic
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