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Exam (elaborations)

RN ATI MATERNAL NEWBORN PROCTORED EXAM (VERSION 12)

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- Acrocyanosis: bluish color of hands and feed - Acupressure: treatment method that involves massage of points along body’s energy pathways - Acupuncture: treatment that involves therapeutic stimulation along body’s energy pathways with needles - Apgar scoring: assignment of numbers to an assessment of a newborn @ 1 and 5 minutes after birth - Areola: pigmented tissue around the nipple - Asphyxia: inadequate O2 that causes unconsciousness, without intervention, death - Atony: lack of muscle tone - Bilirubin: yellow or orange product of the breakdown of hemoglobin - Braxton-hicks contraction: painless, ineffective uterine contractions that occur during late pregnancy - Cervix: low narrow end of the uterus that contains opening - Circumcision: surgical removal of the foreskin of the penis - Colostrum: white to yellowish fluid that precedes breast milk - Counterpressure: application of pressure to the sacrum during contractions - Cradle cap: infant scalp dermatitis manifesting as THINK YELLOWISH scales - Cyanosis: blue discoloration of skin or mucous membranes due to excessive concentration of deoxyhemoglobin in blood - Dilation: stretching of the opening of the cervix to accommodate childbirth - Ecchymosis: hemorrhagic spot, or bruise, caused by bleeding under the skin and irregularly formed in blue, purple, or brown patches - Edema: accumulation of excess fluid - Effacement: thinning and shortening of cervix in preparation for childbirth - Effleurage: light massage or stroking, usually on patient’s abdomen, in rhythm with breathing during contractions - Engagement: entrance of fetal presenting part into the upper pelvic channel or birth canal - Fetus: unborn child still inside uterus - Fetoscope: stethoscope for listening to fetal heart tones - Friable: easily broken - Fundus: rounded upper portion of the uterus - Hematoma: localized collection of blood underneath tissues, appearing as a swelling mass often characterized by bluish discoloration - Hyperemesis gravidarum: COMPLICATION of pregnancy that involves excessive vomiting, electrolyte imbalances, weight loss, nutritional deficits, and ketonuria - Hyperglycemia: ELEVATED blood glucose - Hyperventilation: excessively rapid or deep breathing - Hypoglycemia: LOW blood glucose - Lanugo: fine, downy hair on the fetus after 20 weeks of gestation - Leopold maneuvers: series of 4 types of abdominal palpation for determining fetal position - Letdown reflex: release of breastmilk in response to oxytocin, “milk ejection reflex” - Lightening: descent of the uterus into the pelvic cavity about 2 weeks before term labor - Meconium: odorless, green-tinged, black sticky initial stools of a newborn - Moro reflex: expected newborn response to a loud noise or readily perceived stimulus, demonstrated as arm flexion and an embracing posture - Oxytocic: drug that stimulates uterine contractions - Perinatal: referring to the time or process of birth - Perineum: skin and muscle over the pelvic structures usually meaning the area between the vagina and anus - Placenta previa: implantation of the placenta low in the uterus and completely or partially covering the cervix - Popliteal: referring to the posterior part of the leg behind the knee joint - Pre-eclampsia: complication of middle to late pregnancy that involves HYPERTENSION, PROTEINURIA, and HEMOCONCENTRATION - Preterm: referring to the period of pregnancy BEFORE 37 weeks - Quickening: perception of fetal movement - Rooting reflex: expected newborn response that involves moving toward whatever touches mouth and initiating sucking motions - Sitz bath: immersion of the perineum in warm water in a tub or basin - Supine hypotension: DROP in BP due to altered venous return from gravid uterus exerting pressure on ascending vena cava - Symphysis pubis: semi-rigid articulation or union of the two pubic bones in the midline of the lower anterior part of the abdomen - Therapeutic touch: promoting relation and healing through hands over patient’s body - Translucent: allowing passage of light - Trimester: one of three periods of time, about three months each, that comprise pregnancy - Umbilical cord: long structure that connects fetus with placenta: encases 2 ARTERIES and 1 VEIN surrounded by a clear gel (Wharton’s jelly) - Uterus: the hollow muscular female reproductive organ where fetus develops - Vernix caseosa: grayish white protective substance that coats fetal skin and has cream cheese like consistency - Viability: capability of living outside uterus, generally about 20 weeks and beyond

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