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191 Cards in this Set

  • Front
  • Back
Forceps marks
reddended areas over the cheeks and jaws caused by the application of forceps. The red areas usually disappear within 1 to 2 days
Gestational age assessment tools
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
Grasping reflex
normal newborn reflex elicited by stimulating the palm with a finger or object, resulting in newborn firmly holding on to the finger or object
Harlequin sign
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
Jaundice
yellow pigmentation of body tissues caused by the presence of bile pigments
Assisted reproductive technology (ART)
term used to describe the highly technologic approaches used to produce pregnancy
birth rate
number of live births per 1000 population
Certified nurse-midwife (RNC)
a registered nurse who has shown expertise in a specific field by a passing a national certification examination
Client
person seeking assistance from professionals who have the special skills and knowledge the individual lacks
Clinical nurse specialist (CNS)
a nurse possessing a master's degree and specialized knowledge and competence in a specifc clinical area
Evidence-based practice
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
negligence
defined as omitting or committing an act that a reasonably prudent person would not omit or commit under the same or similar circumstances
informed consent
a legal concept designed to allow clients to make intelligent decisions regarding their own health care
emancipated minors
self-supporting adolescents under 18 years of age, not subject to parental control
mature minors
14 and 15 year-old adolescents who are able to understand treatment risks; can give consent for treatment or refuse treatment in some states
infant mortality rate
number of deaths of infants under 1 year of age per 1000 live births in a given population per year
Intrauterine fetal surgery
surgery performed on a fetus to correct anatomic lesions that are not compatible with life if left untreated
Maternal mortality rate
the number of maternal deaths from any cause during pregnancy cycle per 100,000 live births
Nurse Practitioner
a professional nurse who has received specialized education in either a master's degree program or a continuing education program
Therapeutic insemination
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
Amnioinfusion
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
Amniotomy
artificial rupturing of the amniotic membrane
Cervical ripening
softening of the cervix; occurs normally as a physiologic process before labor or is stimulated to occur through the process of induction of labor
Cesarean birth
birth of a fetus accomplished by performing a surgical incision through the maternal abdomen and uterus
Episiotomy
incision of the perineum to facilitate birth and to avoid laceration of the perineum
External cephalic version (ECV)
procedure involving external manipulation of the maternal abdomen to change the presentation of the fetus from breech to cephalic
Forceps-assisted birth
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
Labor augmentation
the stimulation of uterine contractions when spontaneous contractions have failed to result in progressive cervial dilation or descent of the fetus
Labor induction
the stimulation of uterine contractions before the spontaneous onset of labor, with or without ruptured fetal membranes for the purpose of accomplishing birth
Podalic version
type of version used to turn a second twin during a vaginal birth
Vacuum extraction
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
Vaginal birth after cesarean (VBAC)
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
Active acquired immunity
formation of antibodies by the pregnant woman in response to illness or immunizations
Brown adipose tissue (BAT)
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
Cardiopulmonary adaption
adaption of the newborn's cardiovascular and respiratory systems to life outside the womb
Conduction
loss of heat to a cooler surface by direct skin contact
Convection
loss of heat from warm body surface to cooler air currents
Evaporation
loss of heat incurred when water on skin surface is converted to vapor
Habituation
infant's ability to diminish innate responses to specific repeated stimuli
Meconium
dark green or black material present in the large intestine of a full-term infant; the first stools passed by the newborn
Neonatal transition
the first few hours of life, in which the newborn stabilizes his or her respiratory and circulatory function
Neutral thermal environment
an environment that provides for minimal heat loss or expenditure
Orientation
infant's ability to respond to auditory and visual stimuli in the environment
Passive acquired immunity
transfer of antibodies (IgG) from the mother to the fetus in utero
Periodic breathing
sporadic episodes of apnea, not associated with cyanosis, that last for about 10 seconds and commonly occur in preterm infant
Periods of reactivity
predictable patterns of newborn behavior during the first several hours after birth
Physiologic anemia of infancy
a harmless condition in which the hemoglobin level drops in the first 6 to 12 weeks after birth, then reverts to normal levels
Physiologic jaundice
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
Radiation
heat loss incurred when heat transfers to cooler surfaces and objects not in direct contact with the body
Self-quieting ability
infant's ability to use personal resources to quiet and console himself or herself
Surfactant
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
Total serum bilirubin
sum of conjugated (direct) and unconjugated (indirect) bilirubin
Acrocyanosis
Cyanosis of the extremities
Apgar Score
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.
Babinski reflex
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
Barlow's maneuver
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
Brazelton's Neonatal Behavioral Assessment Scale
provides valuable guidelines for assessing the newborn's state changes, temperament, and individual behavior patterns
Caput succedaneum
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
Cephalhematoma
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
Chemical conjunctivitis
irritation of the mucous membrane lining of the eyelid; may be due to instillation of silver nitrate ophthalmic drops
Dubowitz tool
a clinical gestational age assessment tool
Epstein's pearls
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
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
Erythema toxicum
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
Forceps marks
reddened areas over the cheeks and jaws; will disappear usually within 1 or 2 days
Gestational age assessment tools
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
Grasping reflex
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
Harlequin sign (clown)
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
Jaundice
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
Lanugo
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
Milia
exposed sebaceous glands, appear as raised white spots on the face, especially across the nose; will clear up spontaneously within the first month
Molding
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
Mongolian blue spots
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
Moro reflex
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
Mottling
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
Nevus flammeus
capillary angioma directly below the epidermis; it is nonelevated, sharply demarcated, red to purple areas of dense capillaries (port wine stain)
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
Ortolani's maneuver
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
pseudomenstruation
blood-tinged mucus from the vagina in the newborn female infant; caused by withdrawal of maternal hormones that were present during pregnancy
Rooting reflex
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)
Skin turgor
elasticity of skin; provides information on hydration status
Subconjunctival hemorrhages
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
Telangiectatic nevi (stork bites)
appear as pale pink, or red spots and are frequently found on the eyelids, nose, lower occipital bone, and nape of the neck;
Thrush
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
tonic neck reflex (fencer position)
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
Circumcision
Surgical removal of the prepuce (foreskin) of the penis
Newborn screening tests
tests that detect inborn errors of metabolism that, if left untreated, cause mental retardation and physical handicaps
Parent-newborn attachment
close affectional ties that develop between parent and child
Colostrum
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
Foremilk
the milk that flows from the breast at the start of a feeding or pumping session
Hindmilk
the milk that flows down during let-down; rich in fat (can exceed 10%) and therefore high in calories
La Leche League
International LActation Consultant Association, which can provide assistance with finding the closet lactation support
Mature milk
white or slighly blue-tinged in color; it is present by 2 weeks postpartum and continues thereafter until lactation ceases
Milk/plasma ratio
relates the concentration of the drug in the breast milk to the concentration in the maternal plasma
Oxytocin
hormone normally produced by the pituitary, responsible for stimulation of uterine contractions and the release of milk into the lactiferous ducts
Prolactin
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
Transitional milk
breast milk produced from the end of colostrum production until about 2 weeks postpartum
Acculturation
process by which people adapt to a new cultural norm
Assimilation
when a group completely changes their cultural identity to become part of the majority culture
Cultural competence
the skills and knowledge necessary to appreciate, understand, and work with individuals from different cultures
Culture
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
Ethnicity
a social identity that is associated with shared behaviors and patterns
Ethnocentrism
the conviction that the values and beliefs of one's own cultural group are the best ones or the only acceptable ones
Family
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
Family assessment
collection of data regarding the family's current level of functioning, support systems, sociocultural information, environmental information, type of famliy, family structure, and needs
Family development
refers to the dynamics or changes that families experience over time; it includes relationships, communication patterns, roles, and changes in interactions
Family power
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
Family roles
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
Family values
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
Religion
institutionalized system that shares a common set of beliefs and practices, others define it more simply as a belief in a transcendent power
Spirituality
a belief in a transcendent power pertaining to the spirit or soul
Taboos
behaviors or things that are avoided
Acupressure
(sometimes called Chinese massage) therapy using pressure from the fingers and thumbs to stimulate pressure point
Acupuncture
stronger technique, uses very fine (hairlike) stainless steel needles to stimulate specific points depending on the client's medical assessment and condition
Alternative therapy
used in place of conventional medicine;
Aromatherapy
the use of certain essential oils, derived from plants, whose odor or aroma is believed to have a therapeutic effect
Ayurveda
classical system of Hindu medicine; means the knowledge of how to live a vital, healthful life
biofeedback
a method used to help inidividuals learn to control their physiologic responses based on the concept that the mind controls the body
Chiropractic
the third largest independent health profession in the US (behind medicine and dentistry), based on concepts of manipulation
Complementary therapy
may be defined as any procedure or product that is used together with conventional medical treatment
Guided imagery
state of intense, focused concentration used to create compelling mental images; it is sometimes considered a form of hypnosis
Hatha yoga
physical branch of yoga, it is commonly practiced for wellness, illness prevention, and healing
Homeopathy
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
Hypnosis
state of great mental and physical relaxation during which a person is very open to suggestions
Massage Therapy
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
Naturopathy
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
Reflexology
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
Reiki
a Tibetan-Japanese technique, is a form of hand-meditated therapy designed to promote healing, reduce stress, and encourage relaxation
Therapeutic touch
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
Traditional Chinese medicine (TCM)
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
Visualization
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
Cervial cap
a cup-shaped device placed over the cervix to prevent pregnancy
Coitus interuptus
method of contraception in which the male withdraws his penis from the vagina prior ro ejaculation
Combined oral contraceptives (COCs)
commonly called birth controls or the "pill"-combination of a synthetic estrogen and a progestin
Condom
a rubber sheath that covers the penis to prevent conception or disease
Depo-Provera
a long-acting, injectable progestin contraceptive
Diaphragm
a flexible disk that covers the cervix to prevent pregnancy
Fertility awareness-based methods (FAB)
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
Intrauterine devices (IUDs)
small metal or plastic form that is placed in the uterus to prevent implantation of a fertilized ovum
Postcoital emergency contraception (EC)
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)
Spermicides
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
Sterilization
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
Subdermal implants
sterilization of a woman's upper under arm that prevent ovulation in most women; also called Norplant
Tubal ligation
sterilization of a woman accomplished by transecting or occluding the fallopian tubes
Vasectomy
involves surgically severing the vas deferens in both sides of the scrotum
Negligence
defined as omitting or committing an act that a reasonably prudent person would not omit or commit under the same or similar circumstances
scope of practice
correctly interpreting and understanding state practice acts enables the nurse to provide safe care within the limits of nursing practice
standards of care
establish a minimum criteria for competent, proficient delivery of nursing care
Privacy
the right of a person to keep his or her person and property free from public scrutiny
Confientiality
given the highly personal and intimate information requested of clients;
Advanced directives
writing a living a will or authorizing a durable power of attorney for health-care decisions on the individual's behalf
Multigravida
a woman who is in her second or any subsequent pregnancy
Abortion
Birth that occurs before 20 weeks gestation of the birth of a fetus-neonate who weighs less than 500g
Gestation
the number of weeks since the first day of the last menstrual period
Postterm
time from birth until the woman's body return's to an essentially prepregnant condition
Postterm labor
labor that occurs after 42 weeks gestation
Nulligravida
a woman who has never been pregnant
primipara
a woman who has had one birth at more than 20 weeks' gestation, regardless of whether the infant is born dead or alive
Intrapartum
time from onset of labor until the birth of the infant and placenta
Kleinhauer-betke test
a blood test that examines maternal blood for fetal erythrocytes
Erythroblastosis fetalis
severe hemolytuc disease of the newborn; the hemolysis caused by maternal IgG antibodies in the fetus creates anemia.
Term
the normal duration of pregnancy (38 to 42 weeks gestation)
TPAL
term, preterm, abortions, living
primigravida
a woman who pregnant for the first time
nullipara
a women who has not had one birth at more than 20 weeks' gestation
Multipara
a woman who has has two or more births at more than 20 weeks gestation
Antepartum
time between conception and onset of labor, usually used to describe the period during which a woman is pregnant; also called prenatal
Para
Birth after 20 weeks gestation, regardless of whether the infant is born dead or alive
Gravida
any pregnancy, regardless of duration, including present pregnancy
Stillbirth
a fetus born dead after 20 weeks gestation
Abruptio placentae
the premature separation of a normally implanted placenta from the uterine wall
Eclampsia
the occurence of a seizure in a woman with preeclampsia who has no other cause for seizure
Labor augmentation
the stimulation of uterine contractions when spontaneous contractions have failed to result in progressive cervial dilation or descent of the fetus
Incompetent cervix
cervical insufficiency or cervical incompetence as painless dilation of the cervix without contractions because of a structural or functional defect of the cervix
Ectopic pregnancy
an implantation of a fertilized ovum in a site other than the endometrial lining of the uterus
External Cephalic Version
the fetus is changed from a breech, transverse, or oblique lie to a cephalic presentation
IUGR
intrauterine growth restriction is a term used to describe a fetus that falls< 10th percentile
Placenta previa
the placenta is improperly implanted in the lower uterine segment, sometimes over the lower uterine
Tocolysis
use of medications to arrest preterm labor
Preeclampsia
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
VBAC
vaginal birth after cesarean
Yin
The female force-passive, cool, wet, and close to the earth
Prayer
addressing a deity such as Allah, Jesus, Shiva, or great Spirit to achieve change or healing
J. Krishnamurtis definition of meditation
something one can do every day at any moment
Craniosacral therapy
therapy that uses light touch to test for restrictions in the flow of CSF
Feldenkreis Method
therapy that attempts to establish new connections between the brains and body through movement
Alexander Technique
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
dietary supplment
Substances such as minerals, vitamins, and extracts that are not conventional food products or the sole item of a meal
Sound therapy
Use of Tivetan and crystal “bowls,”vibrating tuning forks, and mantras to promote healing
Light therapy
An accepted treatment in newborns with jaundice; also used in the treatment of seasonal affective disorder
Garlic
Acts as an immune system stimulant; also a natural antibiotic