OB Module 1

Delivery addmission and stay

# of live births in 1 year/1000 people

# of deaths of infants >28 days age/1000 live births

# of deaths of infants under 1 yr/1000 live births

# of maternal deaths/100000 live births. includes 42 days post

# of births/1000 woman ages 15-44

done yearly

acts of omission and commission

the negligent behavior of a professional

divorced family; child is a member of both the maternal and paternal nuclear households

up to date systematic reviews and dissemination of reviews of randomized controlled trials of health care

range of clinical services provided for an indivdual or group that relects care given during a single hospitalization

awareness, acceptance and knowledge of cultural differences and adaptation of services to acknowledge and support the culture of the patient

setting in which one considers the individuals and the family's beliefs and practices

knowlege that includes beliefs and values about each facet of life and is passed from generation to the next

learning about and applying the standards of another person's cuture to activities within a particular culture

belief in the rightness of one's culture's way of doing things

practice based on knowledge that has been gained through research and trials

family that includes the nuclear family and other people related by blood

pictorial representation of family relationships and health history

complementary and alternative therapies in comination with conventional wester modalities of treatment

Baby born weighing less than 2500 g

consists of parents and their dependent children

born before 37 weeks of gestation

includes stepparents and stepchildren

level of practice that a reasonable nurse would provide

use of communication technologies to provide health care and support when patient is seperated from health care team

using one's senses while traveling through a community to obtain info about sociocultural characteristics and the environment, housing, transportation, and local community agencies

consists of an outer layer (trophoblast) and a hollow sphere of cells enclosing a cavity.

after the morula stage

vascular protrusions on the chorionic surface that project into the blood sinuses of the uterus and help form the placenta

formation of the one celled zygote

maternal aspect of the placenta made up of uterine blood vessels, endometrial stroma, and glands that shed in lochial discharge after birth

conceptus from day 15 of development until approximately the 8th week after conception

amnion chorion surrounding the fetus

9th week after conception until birth

mature male or female germ cell; sperm or ovum

fine hair from 12 weeks and cover body by 20 weeks

process by which germ cells divide and decrese their chromosomal numbers by one half

process of somatic cell division in which a single cell divides, but both of the new cells have the same number of chromosomes as the first

chromosomal aberration characterized by the absence of one chromosome from the normal diploid complement.

developmental stage of the fertilized ovum characterized by a solid mass of cells (16)

condition in which some somatic cells are normal, whereas others show chromosomal aberrations

white, cheesy, material that protects the skin of the fetus

cell formed by the union of two reproductive cells or gametes

uterus is known as this after implantation

pre embryonic stage

embryonic stage

fetus

Amniotic fluid amounts

Umbilical cord

Wharton Jelly

maternal placental embryonic circulation

week placenta is in placenta

Dizygotic twins

monozygotic twins

heart develops and begins to beat

eyeys, ears, nose mouth recognizable

sex recognizable

mother can feel baby move

vernix caseosa and lanugo appears

baby can hear

nails appear, eyelids reopen

subq fat forms, L/S ratio 1.2:1

L/S ratio 2:1

testes in scrotum; labia majora well developed

swelling of tissue over the presenting part of the fetal head caused by pressure during labor

swelling of the infants head limited by the margins of the cranial bone

response to a constant or repetitve stimulus is decreased

first stool from during fetal life

small, white sebaceous glands on head of neonate

bluish gray or dark nonelevated pigmented areas usually lower back and butt that are present at birth in some infants, usually fade

necessary for normal respiratory function that prevents alveolar collapse (atelactasis)

pretective gray-white fatty substance of cheesy consistency covering the fetal skin

30 minutes after birth, higher HR, resp, crying, maybe pass meconium

sleeping a lot, not alert, poor reflexes. slumber stage. 2-4 hours after birth

between 2-8 hrs after birth, increased alertness, HR, Resp

when to be concerned with a newborn regarding respirations

normal resp rate for newborn

opening between atria that closes immediately after birth

opening between pulmonary artery and aorta, closes within 24 hours

shunts arterial blood into inferior vena cava

average HR

range of HR in a term newborn

WBC in a newborn

Heat loss of a newborn occurs by

cooler surface directly contacts skin

heat from body to a coller solid surface in relative proximity

voiding of the newborn
1st 24 hrs:
2nd 24 hrs:
3rd 34 hrs:

Daily usual:

stomach capacity at 10 days of life

size of the stomach the first day of life

jaundice that occurs after 24 hrs of age and is it a concern?

jaundice that occurs before 24 hrs of age or after 7 days of life and is it a concern?

kernicterus

swelling and discharge from the nipple of a newborn

concern over a dimple or tuft of hair on lower back of newborn

normal response in babinski reflex

SIDS prevention

temperature that falls below 35 degrees C

pathologic process characterized by deposition of bilirubin in the brain

infants born at 34 to 36 weeks gestation

infection in the neonates eyes usually resulting from STD passing through birth canal

done for glucose measurement or newborn screen

most effective intervention for decreasing the pain of circumcision

circumcision;
no petroleum needed, cleanse with warm water, no alcohol should be used, do not submerge in water until bell dries and falls off in 7-10 days, yellow exudates is normal for 2 to 3 days- do not try and remove it

circumcision; apply petroleum to the glans with each diaper change, cleanse with warm water, no alcohol should be used, soap can be used once circumcision is healed in 5 to 6 days, yellow exudates is normal for 2 to 3 days- do not try and remove it

nursing considerations for admin of opthalmalgic med

Nursing considerations for vit K admin

early milk, produced from 16 weeks of pregnancy into the first postpartum days.

feeding in response to feeding cues exhibited by the infant that indicate the presnce of hunger

painful swelling of breast tissue as a result of rapid increase in milk production and venous congestion edema

times of increased neonatal growth that usually occur at 6-10 days, 6 weeks, 3 months, and 6 months.

physical injury resulting from changing air pressure

the feelings of loss, pain, desolation and sadness that occur after the death of a loved one

most severe expression of fetal hemolytic disorder with high mortality

infants exhibit gross edema, cardiac decompensation, and pallor from anemia

infant whose birth weight is less than 2500g

infant whose birth weight is less than 1500g

an infant whose birth weight is less than 1000g

an infant born between the beginning of 38 weeks and the completion of 42 weeks of gestation, regardless of birth weight

C sections may not be covered by insurance if they are performed before week ___

PIH

most common nursing dx for preterm babies

(4, in order of importance)

when are lungs considered mature?

Reasons for Respiratory problems in preterm babies

major s/s of respiratory distress in a newborn

factors that increase occurence of RDS (respiratory distress syndrome)

factors that decrease occurence of RDS (resp distress syndrom)

treatment for RDS (resp distress syndrom)

room air O2 level

normal calorie per oz of milk/formula

surfactant therapy

Nursing actions for RDS (resp distress syndrome)

tx of meconium aspiration syndrome

complications of Persistant Pulmonary HTN of the newborn

reasons preterm babies are a high risk for heat loss

ways to achieve a neutral thermal environment

most common infection in preterm babies

s/s of infection in the neonate

interventions for PV-IVH (periventricular and Intraventricular hemorrhage)

acceptable range for BP for a newborn

range of acceptable Hgb values for a newborn

range of acceptable HCT level in a newborn

acceptable range of RBC for a newborn

short term acceptable range of WBC in a newborn