ob test part 2

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Author:
kcurry66
ID:
98594
Filename:
ob test part 2
Updated:
2011-08-27 14:48:27
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newborn ob
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Description:
chap 1&29
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  1. The # of weeks since the first day of the LMP
    gestation
  2. A woman who is in her second or any subsequent pregnancy
    Multigravida
  3. Labor that occurs after 42 weeks
    Post term labor
  4. Time between conception and onset of labor
    Antepartum
  5. A woman who is pregnant for the first time
    Primigravida
  6. Any pregnancy, regardless of duration, including present pregnancy
    Gravida
  7. A fetus born dead after 20 weeks
    Stillborn
  8. A woman who has had one birth at more than 20 weeks gestation, regardless of wheather the infant is born alive or dead
    Primipara
  9. A woman who has not given birth at more than 20 weeks gestation
    Nullipara
  10. Labor that occurs after 20 weeks but before the completion of 37 weeks gestation
    Pre term labor
  11. Time from birth until the woman's body returns to prepregnant condition
    Postpartum
  12. A woman who has never been pregnant
    Nulligravida
  13. Birth after 20 wks gestation, regardless of whether the infant is born alive or dead
    Para
  14. The normal duration of pregnancy (38-42weeks gestation)
    Term
  15. A woman who has had two or more births at more than 20 wks gestation
    Mutipara
  16. Time from onset of labor until the birth of the infant and placenta
    Intrapartum
  17. Bluish color or the hands and feet
    Acrocyanosis
  18. Swelling due to maternal hormones
    breast enlargement
  19. Swelling of soft tissues of head and scalp
    Caput succedaneum
  20. Enlargement resulting from bleeding beneath the periosteum
    Cephalhematoma
  21. sign of possible fracture due to delivery trauma
    Crepitant feel in clavicles
  22. Small, shiny, yellow-white nodules on palate
    Espstein's pearls
  23. Small red patches on cheeks or trunk
    Erythema toxicum
  24. tongue thrust
    Extrusion reflex
  25. Line dividing bright red body half from pale body half
    harlequin sign
  26. Fine, downy hair often found on forehead, ears and shoulders
    lanugo
  27. pinnas below level of outer canthus of eyes
    low set ears
  28. protruding tongue
    macroglossia
  29. small white papules caused by blocked sebaceous glands
    Milia
  30. Bluish-black ares on buttocks of dark-skinned babies
    mongolian spots
  31. Widening of nares on respiration
    nasal flaring
  32. thorax pulls inward and abdomen bulges outward
    Paradoxical breathing
  33. protruding tongue
    Plethora
  34. Crossed eys
    strabismus
  35. Red areas in eyes due to pressure during delivery
    subconjunctival hemorrhages
  36. Cheesy white substance composed of sebum and skin cells
    vernix caseosa
  37. Yellow discharge from cord
    sign of infection
  38. Formation of antibodies by the pregnant woman in response to illness or immunization
    Active acquired immunity
  39. The contracting force between alveoli
    Alveolar surface tension
  40. Fat deposits in newborns that provide greater heat generating activity than ordinary fat. Found around the kindesys, adrenals and neck;between the scapulas and behind the sternum,
    Brown adipose tissue(BAT), aka brown fat
  41. Adaptation of the newborn's cardiovascular and respiratory systems to life outside the womb.
    Cardiopulmonary adaptation
  42. Loss of heat to a cooler surface by direct skn contact
    Conduction
  43. Loss of heat incurred when water on the skin surface is converted to a vapor
    Evaporation
  44. Intrauterine practice respiratory movements that begin around the 17th-20 wk of gestation
    Fetal breathing movements
  45. The amount of air remaining in the lungs at the end of a normal expiration
    Functional residual capacity (FRC)
  46. Infant's ability to diminish innate responses to specific repeated stimuli
    Habituation
  47. The ease with which the lung is able to fill with air
    Lung compliance
  48. Dark green or black material present in the large intestine of a full term infant;the first stools passed by the newborn
    meconium
  49. The first few hours of life, in which the newborn stabilizes his or her respiratory and circulatory functions.
    Neonatal transition
  50. Infant's ability to respond to auditory and visual stimuli in the environment
    Orientation
  51. Transfer of antibodies (IgG) from the mother to the fetus in utero
    Passive acquired immunity
  52. Sporadic episodes of apnea, not associated with cyanosis, that lasts for about 10 seconds and commonly occur in preterm infants
    Periodic breathing
  53. predictable patterns of newborn behavior during the first several hours after birth.
    Periods of reactivity
  54. The initial decline in hemoglobin that has declined during the first 2 months after birth
    physiologic anemia of the newborn
  55. The accelerated destruction of fetal RBC's, impaired conjugation of bilirubin and increased bilirubin absorption from the intestinal tract. This condition does not have a pathologic basis, but rather is a normal biolgic response of the newborn
    Psysiologic jaundice
  56. Newborn care to decrease the probability of high bilirubin levels:
    • Maintain the newborn's skin temp at 97.8 or above, cold stress results in acidosis
    • Monitor stool for amount and chracteristics. Bilirubin is eliminated in feces;inadequate stooling may result in reabsortion &recylcling of bilirubin. Colostrum has laxative effect
    • Encourage early feedings to promote intestinal elimination &bacterial colonization
  57. Heat loss when heat transfers to cooler surfaces and objects not in direct contact w/body
    Radiation
  58. Infant's ability to use personal resources to quiet and console himself or herself
    Self quieting ability
  59. 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 the alveoli during expiration
    surfactant
  60. The newborn's physiologic mechanisms that increase heat production
    Thermogenesis
  61. Sum of conjugated (direct) and unconjugated(indirect) bilirubin
    Total serum bilirubin
  62. To maintain life, 2 significant changes must take place immediatly following birth for the lungs to begin adequate functiong:
    Pulmonary ventilation must be established through lung expansion

    A marked increase in the pulmonary circulation must occur
  63. Pathologic events whose events may give rise to physioligic jaundice
    • Large amounts of bilirubin delivered to the liver
    • Defective uptake of bilirubin from the plasma
    • Defective conjugation of the bilirubin
    • Defect in bilirubin excretion
    • Inadequate hepatic circulation
    • Increased reabsorption of bilirubin from the intestines
  64. The signs of physiologic jaundice appear after _____________ hours, differentiating it from pathologic jaundice
    24
  65. A rise in bilirubin beginning after the first week of life, may last from several weeks to several months
    Breast milk jaundice

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