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21 Cards in this Set
- Front
- Back
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What is a doula?
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A person trained to assist women in labor. A doula stays before and after a baby is born. She provides guidance about the women's birth process and helps to meet her emotional needs. A midwife is there to assist during a birth.
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Who are professional helpers that can help a woman prepare for childbirth?
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Medical doctors and nurses, midwives, and doulas.
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Where are some places for a woman to have her child?
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Hosptial, birthing center/delivery room, birth center, home settings, factors influence the choice of the setting. Lamaze can help before birth.
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What is the neonatal intensive care unit (NICU)?
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A specialized medical facility designed to support the health of premature and low birth weight infants.
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What are the precursors for labor and delivery?
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Cervix softens, baby's head drops down lower, bloody discharge.
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What is stage one of labor and what occurs during this stage?
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Dilation and effacement of the cervix.
Contractions become stronger and more frequent Cervix dilates and effaces Transition occurs water breaks Pain: epidural(side effects: small percentage of being paralyzed), demoral(relaxing) stage lasts: 12 hours Longest stage |
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What is stage two of labor and what occurs during this stage?
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Delivery of the baby. Baby descends through birth canal and is born
Umbilical cord is cut Baby's health is assessed stage lasts: |
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What is stage three of delivery and what occurs during this stage?
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Delivery of the placenta. Placenta is delivered
Shortest stage |
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What happens after the baby is born?
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The baby during and after labor delivery:
Head may be misshapen (molding) Remnants of lanugo and vernix may be present (white stuff and hair) Skin may have a blue tint (less oxygen) Fontanels present (soft spots on the head so baby can get through birth canal) First lungful of air is inhaled Baby knows your smell. Lights and music to make less stressful for the baby. |
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What is molding?
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Squeezing together of the plates of the skull as the infant moves through the birth canal giving the newborn's head an odd shape, usually disappears soon after birth.
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What is fontanel?
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space between the bones of a newborn's skull before the bones fuse together; can be felt as a "soft spot" on the baby's head.
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What are medical techniques during and after labor?
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options: c-section (increased rates), rotate position of baby, forceps (as part of instrumental delivery) but not really used cause brain damage can happen, vacuum extractor pulls the baby out through tube on its head, induced labor if something is wrong or if the baby is late and is used more for convenience but is the baby ready to be born (petocin is given), fetal monitoring (good thing to use), natural childbirth or pain meds.
Forceps Vacuum extractor Fetal monitor (measures baby heartbeat) |
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What is the Apgar scale?
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A rating scale, usually administered at 1 minute and 5 minutes after birth, that provides an overview of the infant's health.
A ppearance (color, 0 pale, 1, body pink but extremities blue, 2 completely pink) P ulse (heart rate, 0 absent, 1 slow (below 100) 2 rapid (over 100) G rimace(reflex irritability, 0 no response, 1 grimace, 2 cry) A ctivity (muscle tone, 0 limp, 1 some flexion of extremities, 2 active motion) R espiration (respiratory effort, 0 absent, 1 slow and irregular, 2 good and strong cry) 10 is a perfect score If the infant does not do well in the second 5 minutes, infant mortality can occur |
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What tests are performed on infants after they are born?
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**PKU – causes damage to central nervous system if not diagnosed and controlled with special diet
Sickle cell anemia And others, which may be required by state law |
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What do preterm or low birthweight babies cause?
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Increased risk.
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What can occur when a baby is preterm or has a low birthweight?
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Anoxia (when the fetus does not receive enough oxygen) and cerebral palsy (brain damage that affects muscle control and may result from oxygen deprivation during birth)
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What is a preterm infant?
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An infant born 3 more more weeks before the due date; so, 35 weeks after conception rather than the normal 38 weeks.
Can happen due to drugs Immune system isn't developed, breathing problems, longer hospital stays, babies that are massaged grow better. Behavioral problems and physical problems as they get older. Babies are surviving because of medical technology. Brain development is different. |
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Low birth weight
Very low birth weight Extremely low birth weight |
Below 5.5 lbs.
Below 3 lbs. Below 2 lbs. |
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What is an isolette?
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A specially designed bed surrounded by plastic shields, intended to maintain an LBW infants temperature and protect the infant from infection; generally seen in NICUs.
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What is a surfactant?
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A substance that helps the air sacs in preterm or LBW infants' lungs to work properly, even though the sacs may not be fully developed; helps these infants to breathe so they do not suffer from anoxia.
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What is infant mortality?
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Infant death before first birthday. Rates very among different populations depending on access to medical care.
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