REVIEWER: CARE OF MOTHER, CHILD postpartum day when the milk comes in.

AND ADOLESCENTS It occurs regardless of whether the

mother is breastfeeding or bottle-
1. When assessing a mother 12 hours feeding.
following the delivery of a baby, where C. It occurs only in women who are not
should the nurse expect to palpate the breastfeeding
fundus?
D. It occurs near the nipple on the third
A. 2 cm below the umbilicus
postpartum day
B. At the umbilicus - Within 12 hours, the
5. When is breast engorgement most likely to
fundus rises to the level of the
occur?
umbilicus. The fundus should be firm.
A. When the infant's mouth surrounds the
Immediately following delivery, the
areola when feeding
fundus will be felt halfway between the
B. When the breast tissue becomes
umbilicus and the symphysis.
congested - Engorgement is the result
C. 1 cm below the umbilicus
of venous and lymphatic stasis
D. Halfway between the umbilicus and the
(congestion). Emptying the breast at
symphysis pubis
each feeding, the infant grasping the
2. What is the name of the vaginal discharge
nipple firmly, and the infant's mouth
that occurs immediately following delivery?
surrounding the areola when feeding are
A. Lochia serosa
all measures that will aid in decreasing
B. Lochia rubra - The vaginal discharge
engorgement.
that occurs immediately following
C. When the breast is emptied completely
discharge is known as lochia rubra and
at each feeding
is made up mostly of blood. As the
D. When the infant's mouth grasps the
placenta heals, the draining turns pink to
nipple firmly
dark brown in color and is known as
6. Which statement would be a correct
lochia serosa. After about 7 days, the
description of colostrum?
discharge turns slight yellow to white
A. Slightly yellow and low in protein
and is called lochia alba.
B. Slightly yellow and provides
C. Lochia palatine
antibodies
D. Lochia alba
C. Creamy and high in fat and protein
3. What is the first secretion produced by the
D. Colorless and high in fat and
breast?
carbohydrates
A. Prolactin
7. The new mother has decided not to
B. Colostrum
breastfeed the baby. How should the nurse
C. False milk
correctly instruct the mother to suppress
D. Whey
her milk supply?
4. What should be included in a teaching plan
A. Pump the breasts to remove milk
regarding breast engorgement?
B. Apply warm, moist compresses
A. It typically occurs on the first postpartum
C. Restrict oral fluids
day
D. Apply a firm bra and ice packs - If a
B. It is usually first observed in the
patient is not breastfeeding, compress
axillary region - Filling of the breast
the breasts with a firm bra and wrapped
with milk (engorgement) usually begins
ice packs to suppress the milk supply.
in the axillary region on the third
Pumping the breasts and applying
 warm, moist compresses are As the nurse palpates the level of the
instructions for the breastfeeding mother fundus of the uterus, it should be:
to deal with the painful symptoms of A. Firm and 2 cm below the umbilicus.
engorgement. B. Firm and at the umbilicus - Within 12
8. During the immediate postpartum period, hours, the fundus contracts to the level
the mother has a temperature of 100.2° F, of the umbilicus.
pulse 52, respirations 18, BP 138/84. What C. Slightly boggy and 1 cm below the
should the nurse do? umbilicus
A. Report the temperature as abnormal D. Halfway between the umbilicus and the
B. Continue to monitor every 15 minutes symphysis pubis.
C. Report the pulse as abnormal 12. The vaginal discharge following delivery is
D. Nothing as the vital signs are normal called lochia. It changes color over time and
- The vital signs are normal for a new has different names. The initial discharge is
postpartum patient. charted by the nurse as lochia:
9. Within the first hour following a vaginal A. Serosa
delivery, the nurse assesses the mother B. Rubra - Initially, the drainage is called
and finds the fundus is firm and there is a lochia rubra.
trickle of bright red blood. What should be C. Palatine
the nurse's reaction to the assessment? D. Alba
A. This is a normal occurrence - A bright 13. The nurse explains that following delivery,
red drainage is normal immediately after the return of the menstrual cycle, which is
delivery. The patient should be anovulatory, depends on the return of
monitored at regular intervals. Bed rest estrogen to normal levels, which may take
is not indicated. A blood thinner would from:
not be given. A. 3 weeks to 3 months
B. This is abnormal and should be B. 4 weeks to 4 months
reported. C. 6 weeks to 6 months - The first cycle
C. The patient should be administered a may be from 6 weeks to 6 months
blood thinner. postpartum.
D. The patient should be restricted to bed D. 8 weeks to 8 months
rest. 14. The nurse tells the new mother that the
10. What is the appropriate way to assess the prepregnancy weight is usually achieved
fundus of the postpartum patient? without dieting within:
A. Using the side of one hand moving A. 2 to 3 weeks
down from the umbilicus B. 4 to 5 weeks
B. Using one hand over the lower segment C. 6 to 8 weeks - The prepregnancy
of the uterus weight is usually achieved within 6 to 8
C. Using one hand pushing upward from weeks without dieting.
the lower uterus D. 3 months
D. Using one hand on the lower uterine 15. The postpartum patient complains of
segment while the other hand locates discomfort in her breasts. When explaining
the fundus of the uterus engorgement to the mother, the nurse
11. Twelve hours following the delivery of a states that it:
baby, the mother is assessed by the nurse. A. Occurs on the first or second
postpartum day.
 B. Is first observed in the axillary region - Both cross the placental barrier.
- Filling of the breast with milk 23. Test that identifies the maternal level of Rh
(engorgement) usually begins in the antibodies in the mother's blood?
axillary region. - Indirect Coombs test
C. Occurs only in women who are not 24. Features of postpartum depression?
breastfeeding. - Rejection of the infant
D. Occurs near the nipple on the third 25. At 14 weeks pregnant a woman complains
postpartum day. of a brief bleeding episode a week ago, her
uterus appearing smaller, and no return of
16. When instructing the nursing mother, the
her period. What might this indicate?
nurse explains that engorgement is most - Missed abortion
likely to occur when the: 26. If a pregnant woman passes a small grape
A. Infant's mouth surrounds the areola like object, the nurse would suspect what?
when feeding. - Hydatidiform mole
B. Breast tissue becomes congested - 27. What injection can protect a patient who
Engorgement is the result of venous and has become sensitized to Rh antigen?
lymphatic stasis (congestion). - RhoGAM prevents the development
C. Breast is emptied completely at each of naturally occurring maternal
feeding. antibodies.
D. Infant's mouth grasps the nipple firmly. 28. Possible complications of delivery with
17. During the immediate postpartum period, delivery of multiple fetuses?
the mother has a temperature of 100.2° F, - Loss of uterine tone
pulse 52, respirations 18, BP 138/84. What 29. What symptoms at any stage of pregnancy,
should the nurse do? should be reported immediately?
A. Report the temperature as abnormal. - Vaginal bleeding
B. Continue to monitor every 15 minutes. 30. A patient is admitted to the hospital with
C. Report the pulse as abnormal. hyperemesis gravidarum. The patient is
D. Report that vital signs are normal - malnourished and severely dehydrated.
Vital signs are normal for a new The nurse alters the care plan to include
postpartum patient. interventions for:
18. What should you do to help a mother who A. Hyperalimentation
has a 3rd degree laceration and is afraid to B. IV feedings and electrolyte
have a BM? replacement - Medical treatment is
- Offer stool softeners as prescribed aimed at meeting nutritional needs and
19. If a new mother had spinal anesthesia electrolyte replacement.
during a c-section, desires to get up and go C. Hormone replacement therapy.
to the bathroom to void, and can wiggle her D. Vitamin supplements.
toes, what should the nurses' response be? 31. A patient with hyperemesis gravidarum
- Assist the pt to ambulate to the asks the nurse what would have happened
bathroom if she had not come to the hospital. The
20. Interventions for Hyperemesis Gravidarum? nurse explains that if untreated, this
- IV fluids and electrolyte replacement condition could result in:
21. Antidote for magnesium sulfate toxicity? A. A large for gestational age infant.
- Calcium gluconate B. Anorexia nervosa.
22. Effects of alcohol and illegal drugs on the C. Preterm delivery.
fetus?
 D. Maternal or fetal death - If untreated, C. 15% - It is estimated that 10% to 15% of
hyperemesis gravidarum can result in first-trimester pregnancies end in
maternal or fetal death. spontaneous abortion.
32. The nurse uses a picture to explain that D. 20%
twins who share a placenta, come from one 36. During an antepartum visit, the nurse tells
fertilized ovum, and are identical are the mother that one sign that must be
identified as: reported immediately, no matter what the
A. Dizygotic stage of pregnancy, is
B. Trizygotic A. Backache
C. Genetically different. B. Urinary frequency
D. Monozygotic - Monozygotic twins C. Vaginal bleeding - Women should be
originate from one fertilized ovum and instructed to contact their physician if
share a placenta. any bleeding occurs during pregnancy.
33. When assessing the woman who is D. Uterine tightening
pregnant with multiple fetuses, the nurse 37. A patient in her second trimester of
recognizes that the delivery will probably pregnancy arrives at the hospital
be: complaining of bright red, painless vaginal
A. Complicated by an ectopic tendency. bleeding. Based on this information, the
B. Difficult due to the fetal lie. nurse suspects a(n):
C. A vaginal delivery. A. Abruptio placentae
D. Complicated by loss of uterine tone - B. Hemorrhage
Maternal and infant risks are increased C. Placenta previa - Placenta previa
when there are multiple fetuses because consists of bright red painless vaginal
the delivery will probably be cesarean bleeding occurring after 20 weeks of
because labor will be complicated due pregnancy.
to loss of uterine tone. D. Placentitis
34.  A patient is admitted to the hospital with 38. A pregnant woman comes to the hospital 3
signs of an ectopic pregnancy. The nurse weeks before her estimated date of birth
modifies the care plan to include: (EDB) complaining of severe pain and a
A. Long-term bed rest. rigid abdomen. The nurse recognizes these
B. Episodes of extreme hypertension. as signs and symptoms of:
C. Surgery to remove the embryo/fetus - A. Placenta previa
An ectopic implantation occurs B. Appendicitis
somewhere outside the uterus and C. Ectopic pregnancy
either resolves itself in a spontaneous D. Abruptio placentae
abortion or requires surgical 39.  A patient presents with symptoms of
intervention. abruptio placentae. To facilitate uterine-
D. Risk for dehydration placental perfusion, the nurse positions the
35. A patient was admitted following a patient in:
spontaneous abortion. When attempting to A. Prone position
console the patient, the nurse tells her the B. Trendelenburg position
percentage of first trimester pregnancies C. Supine position
that abort is: D. Side-lying position - facilitates uterine-
A. 5% placental perfusion
B. 10%
40. The nurse explains that implantation is the 45. When lecturing to a class of prenatal
embedding of the fertilized ovum in the women, the nurse explains that the fetus is
uterine mucosa. This implantation usually protected from most bacterial invasions by
occurs in the: the:
A. Lower uterine wall A. Yolk sac
B. Side of the uterus B. Placental barrier - The placental barrier
C. Fundus of the uterus protects the embryo/fetus from most
D. Body of the uterus bacteria, but not from viruses or drugs.
41. When the patient is diagnosed with a tubal C. Cotyledons
pregnancy, the nurse is aware that in this D. Chorionic villa
pregnancy, the patient will probably: 46. The nurse explains that the maternity cycle
A. Carry the pregnancy to term and have a is divided into three periods. The intrapartal
cesarean delivery period covers:
B. Have to remain in bed for the remainder A. Beginning of pregnancy to midterm
of the pregnancy. B. Conception to third trimester
C. Spontaneously abort this ectopic C. Onset of labor to delivery of the baby
pregnancy. D. Onset of labor to delivery of the
D. Require surgery to remove the zygote placenta
42. The nurse uses a diagram to show the 47. A woman who has just discovered she is
development of the embryonic stage of pregnant states that the first day of her last
pregnancy, which usually lasts about: menstrual period was July 10. The nurse
A. 3 weeks tells her that her expected date of birth
B. 4 weeks (EDB) will be:
C. 6 weeks A. April 10.
D. 8 weeks - The embryonic stage B. April 17
encompasses the first 8 weeks C. May 10
43. The nurse is concerned about the patient D. October 17
who is in her first trimester of pregnancy 48. Which is a positive sign of pregnancy?
and has been exposed to German measles, A. Positive pregnancy test
because this disease is capable of: B. Positive Chadwick's sign
A. Causing a spontaneous abortion C. Ultrasonic tracing of the fetus
B. Causing birth defects - Rubella is a D. Positive Goodell's sign
known teratogen, which can cause birth 49. When the patient complains of frequency of
defects. urination, the nurse explains that frequency
C. Causing high fever and convulsions. of urination early in the pregnancy occurs
D. Interfering with placental implantation. due to:
44. The nurse explains that the placenta A. Increased fluid intake.
functions as an endocrine gland, secreting B. The fetus's kidneys functioning
estrogen, progesterone, and: C. Retention of fluid
A. Follicle-stimulating hormone (FSH) D. Increased circulating volume - Early
B. Alpha-fetoprotein (AFP) in pregnancy, the increase in circulating
C. Human chorionic gonadotropin volume and the enlarging uterus placing
(HCG) pressure on the bladder cause urinary
D. Luteinizing hormone (LH) frequency.
50. The total number of chromosomes c. One umbilical artery.
contained in a mature sperm or ovum is: d. Two umbilical arteries.
A. 22 55. The nurse explains that the usual location
B. 23 for implantation of the zygote is the:
C. 44 A. upper section of the posterior uterine
D. 46 wall - The zygote usually implants in the
51. A pregnant woman states, "My husband upper section of the posterior uterine
hopes I will give him a boy because we wall.
have three girls." The nurse explains that: B. lower portion of the uterus near the
A. The sex chromosome of the fertilized cervical os.
ovum determines the gender of the C. inner third of the fallopian tube near the
child. uterus.
B. When the sperm and ovum are united, D. lateral aspect of the uterine wall.
there is a 75% chance the child will be a 56. The embryonic membrane that contains
girl. fingerlike projections on its surface, which
C. When the pH of the female reproductive attach to the uterine wall, is the:
tract is acidic, the child will be a girl. A. Amnion
D. If a sperm carrying a Y chromosome B. yolk sac.
fertilizes an ovum, then a boy is C. Chorion
produced. D. decidua basalis
52. Using a diagram, the nurse points out the 57. The nurse explains that the hormone
most common site for fertilization, which is responsible for converting the endometrium
the: into decidual cells for implantation is:
A. Lower segment of the uterus. A. Estrogen
B. Outer third of the fallopian tube near B. Human chorionic gonadotropin.
the ovary. C. Human placental lactogen.
C. Upper portion of the uterus. D. Progesterone
D. Area of the fallopian tube farthest from 58. When the patient asks when her infant's
the ovary heart will begin to pump blood, the nurse
53. The embryo is termed a fetus at which replies that blood circulation begins:
stage of prenatal development? A. By the end of week 3.
A. 2 weeks B. Beginning in week 8.
B. 4 weeks - The fetus (third stage of C. At the end of week 16.
prenatal development) begins at the D. Beginning in week 24.
ninth week and continues until the 40th 59. In fetal circulation, the purpose of the
week of gestation or until birth ductus venosus is to bypass the:
C. 9 weeks A. Liver
D. 16 weeks B. Heart
54. The nurse explains to a pregnant patient C. Lung
that blood is circulating through the D. Kidneys
placenta to the fetus by way of: 60. A primigravida has delivered a baby
a. One umbilical vein - The umbilical vein vaginally after 6 hrs of labor. She had an
transports richly oxygenated blood from uneventful pregnancy and is in good
the placenta to the fetus. general health. She is transferred from the
recovery room to the postpartum unit. What
b. Two umbilical veins.
 interventions are included in routine within the next 2 hrs, based on these
postpartum care? findings?
- Assessment of intake and output - Temp will stabilize @ 36.5-37 degrees
until the pt is voiding in sufficient
C.
quantities
- Assessment of the emotional status 67. When teaching parents how to bathe their
of the new mother baby, which point should the nurse stress?
- Avoid immersing the baby in water
- Checking of breasts for engorgement
and cracking of nipples until after the umbilical cord has
61. The nurse is performing a routine fallen off.
postpartum assessment. Which action is 68. When providing education to parents about
indicated before the fundal height is care of the umbilical cord, what info should
measured? be included?
- Cleaning the cord w/ an alcohol swab
- Ask the pt to empty her bladder.
- Keeping the diaper folded below the
62. The nurse finds bright red bleeding on a pt's
cord
peripad. The stain is about 6 inches long.
69. A baby has a Gomco circumcision. What
What is the correct description of the instruction should the nurse give his
character and amount of lochia? parents for care of the circumcised penis?
- Lochia rubra, moderate - Cover the glans w/ a petroleum gauze
63. The nurse is teaching breast care for the dressing.
lactating woman. What info should be 70. What nursing actions should be
implemented when assisting women to the
included?
bathroom post delivery?
- Expose the nipples to air for 20-30 - Stay close
mins daily. - Assess ability to stand
- Wear a supportive bra 24 hrs a day - Wheelchair available
for the 1st few weeks. - Bp &Pulse
64. A woman asks the nurse how she will know - Nonskid shoes/socks
her baby is getting enough milk. The 71. Three stages of mother's emotional status
- Taking in
nurse's response is based on
- Taking hold
understanding that which is the best - Letting go
determinant? 72. How is engorgement treated for a woman
- The baby has 6-10 wet diapers per who is not breastfeeding?
day. - Compression of the breasts, ice
65. In evaluating maternal adjustment, which packs, analgesics, firm supportive
behavior leads the nurse to believe that the bra, cabbage leaves
73. What are steps taken to prevent infant
pt is still in the taking-in phase?
abduction?
- The majority of the mother's time is - Verify armbands of mother and baby,
spent talking about her delivery ID check, sensors on infants, visitor
experience. check in, teach parents to identify
66. A baby boy is 1 hr old when admitted to the badges
newborn nursery. He weighs 7 lb, 3 oz; is 74. What are some common tests done on the
21" long; has irregular rspirations of 42 newborn using blood or urine samples?
- PKU- errors of metabolism, hearing,
breaths/min w/ adequate chest movement,
CCHD
a hr of 145 bpm, and a temp of 35.6 75. Why is vitamin K administered to a
degrees C, axillary; and is acrocyanotic. newborn?
What is an appropriate goal for this baby - Low clotting factors
76. What interventions are implemented post A. Lochia rubra, moderate
circumcision? B. Lochia serosa, heavy
- Loose diapering, gauze with C. Lochia rubra, heavy
petroleum, keep penis clean D. Lochia serosa, light
77. What are some techniques to establish 83. The nurse is teaching breast care for the
bonding? lactating woman. What information should
- Early contact with infant, skin to skin, be included? (Select all that apply.)
face to face A. Expose the nipples to air for 20 to 30
78. What are some techniques to help quiet an
minutes daily.
infant?
- Soothing voice, pacifier, swaddling, B. Wear a supportive bra 24 hours a day
breast feeding, movement/car ride, for the first few weeks.
skin to skin C. Wash breasts and nipples with soap and
79. What is the proper way to asses the water before each feeding.
fundus? D. Use plastic liners in bras.
- One hand on lower uterine segment
E. Use ice packs every 4 hours as needed
while massaging/feeling
80. A primigravida has delivered a baby for discomfort associated with
vaginally after 6 hours of labor. She had an engorgement
uneventful pregnancy and is in good 84. In evaluating maternal adjustment, which
general health. She is transferred from the behavior leads the nurse to believe that the
recovery room to the postpartum unit. What patient is still in the taking-in phase?
interventions are included in routine A. The mother states she is "starving" and
postpartum care? (Select all that apply.) can't wait to eat
A. Assessment of intake and output B. The majority of the mother's time is
until the patient is voiding in spent talking about her delivery
sufficient quantities experience.
B. Insertion of a catheter to assess residual C. The mother takes a shower and washes
urine after the initial voiding her hair.
C. Firm massage of the fundus every 15 D. The mother asks the nurse to teach her
minutes how to give her baby a bath.
D. Assessment of the emotional status 85. When teaching parents how to bathe their
of the new mother baby, which point should the nurse stress?
E. Checking of breasts for engorgement A. Avoid immersing the baby in water
and cracking of nipples until after the umbilical cord has
81. The nurse is performing a routine fallen off.
postpartum assessment. Which action is B. Use only mild medicated or scented
indicated before the fundal height is soap.
measured? C. Apply baby powder after the bath to
A. Massage the uterus. keep the skin dry.
B. Apply pressure to the fundus to check D. Apply baby oil after the bath to keep the
for clots. skin soft and smooth.
C. Elevate the head of the bed. 86. When providing education to parents about
D. Ask the patient to empty her bladder. care of the umbilical cord, what information
82. The nurse finds bright red bleeding on a should be included? (Select all that apply.)
patient's peripad. The stain is about 6 A. Cleaning the cord with an alcohol
inches long. What is the correct description swab
of the character and amount of lochia?
 B. Keeping the diaper folded below the 91. The nurse is caring for a postpartum client
cord with a diagnosis of thrombophlebitis. The
C. Applying triple dye to the cord client suddenly complains of chest pain and
dyspnea. The nurse should initially check
D. Keeping the cord moist to promote
which item?
healing - Vital signs
E. Oiling the cord to facilitate it falling off 92. The nurse suspects that the client has a
87. A baby has a Gomco circumcision. What pulmonary embolism. Which is the most
instruction should the nurse give his important nursing action?
parents for care of the circumcised penis? - Administer oxygen by face mask, as
A. Soak the penis in warm water daily. prescribed
93. The nurse notes that the 4-hour postpartum
B. Cover the glans with a petroleum
client has cool, clammy skin and that she is
gauze dressing. restless and excessively thirsty. The nurse
C. Clean the glans with alcohol to promote immediately notifies the registered nurse
healing. and then performs which action?
D. Remove any yellowish exudate that - Checks the vital signs
forms within 24 hours. 94. The nurse is assisting which caring for a
88. The client received epidural anesthesia postpartum client who is experiencing
during labor and had a forceps delivery uterine hemorrhage. When planning to
after pushing for 2 hours. At 6 hours meet the psychosocial needs of the client,
postpartum, the client's systolic blood the nurse should plan which action?
pressure (BP) dropped 20 points,, the - Keeping the client and her family
diastolic BP dropped 10 points, and her members informed of her progress
pulse is 120 beats per minute. The client is 95. The nurse palpates the fundus and checks
very anxious and restless. The nurse is told the character of the lochia of a postpartum
that the client has a vulvar hematoma. client who is in the fourth stage of labor.
Based on this diagnosis, the nurse should Which lochia characteristic should the
plan which action? nurse expect to note?
- Preparing the client for surgery - Red
89. The nurse is preparing a list of self-care 96. After episiotomy and the delivery of a
newborn, the nurse performs a perineal
instructions for a postpartum client who has
check on the mother. The nurse notes a
been diagnosed with mastitis. Which trickle of bright red blood coming from the
instructions should be included on the list? perineum. The nurse checks the fundus
(Select all that apply) and notes that it is firm. Which
- Rest during the acute phase determination should the nurse make?
- Wear a supportive, non-underwire - The bright red bleeding is abnormal
bra and should be reported
97. The nurse is assigned to care for the client
- Maintain a fluid intake of at least 3000
during the postpartum period. The client
mL asks the nurse what the term involution
- Continue to breastfeed if the breasts means. Which description should the nurse
are not too sore give to the client?
90. A postpartum client is getting ready for - The progressive descent of the
discharge. The nurse suspects that the uterus into the pelvic cavity, which
client needs further teaching related to occurs at a rate of approximately 1
breastfeeding when she makes which cm/day
statement?
- "I don't need birth control because I
will be breastfeeding."
OB TERMS: 18. Diaphoresis - profuse sweating
19. Homan's Sign - pain in calf upon
1. Blastocyst - The embryonic form; a dorsiflexion of foot and may indicated
spherical mass of cells with a central thrombophlebitis
fluid-filled cavity surrounded by two 20. Engorgement - Uncomfortable fullness
layers of cells of the breasts that occurs when the milk
supply initially comes in
2. Abortion - The medical term used to
21. Acrocyanosis - Peripheral cyanosis;
refer to the loss of a pregnancy before the blue discoloration of the hands and
20 weeks gestation feet in most infants at birth that
3. Amniocentesis - Removal of a small sometimes persists for 7 to 10 days.
amount of amniotic fluid with a needle 22. Autolysis - Self-dissolution or self-
passed through the abdominal wall digestion in tissues or cells by enzymes
4. Antepartal - Begins with conception in the cells.
23. Circumcision - Surgical procedure in
and ends with the onset of labor
which a part of the foreskin is removed,
5. Ballottement - A technique that leaving the glans penis uncovered.
involves palpating the uterus in such a 24. Colostrum - Breast fluid that may be
way that the examiner feels the rebound excreted from the second trimester of
of the floating fetus pregnancy onward but is most evident in
6. Chronic Villi - Tiny vascular protrusions the first 2 or 3 days after birth and
on the chorionic surface that project into before the onset of true lactation. This
thin, yellowish fluid is rich in proteins
the maternal blood sinuses of the uterus
and calories in addition to antibodies
and help form the placenta and lymphocytes.
7. Chorionic Villus Sampling - A test to 25. Cryptorchidism - Failure of testes to
detect genetic disorders of the fetus descend into the scrotum.
8. Crown-Rump Length - The 26. Diaphoresis - The secretion of sweat,
measurements from the top of the fetal especially the profuse secretion of
sweat.
head to the buttocks
27. Diuresis - Secretion and passage of
9. Ectoderm - Outer layer of embryonic large amounts of urine.
tissue that gives rise to skin, nails, and 28. Engorgement - Swelling of the breast
hair tissue brought about by an increase in
10. Ectopic Pregnancy - A serious blood and lymph supply to the breast;
condition that refers to the implantation occurs about 48 hours postpartum and
of the fertilized egg outside of the usually reaches a peak between the
third and fifth days after delivery.
uterine cavity
29. Fontanelles - Broad area or soft spot
11. Puerperium - period from delivery until consisting of a strong bond of
the reproductive organs return to normal connective tissue between an infant's
(approximately 6 weeks) cranial bones.
12. Involution - decrease in size 30. Gynecomastia - Development of
13. Autolysis - the self-dissolution or self- abnormally large mammary glands in a
digestion that occurs in tissues or cells male that sometimes may secrete milk.
by enzymes in the cells themselves When observed in the newborn, it is in
14. Lochia - Vaginal Bloody Discharge after response to maternal hormones; may be
delivery noted in either sex of the newborn.
15. Lactation - secretion of milk 31. What are the types of lacerations? -
16. Prolactin - stimulates milk production
Perineal lacerations, vaginal and
17. Diuresis - increased formation and
secretion of urine
 urethral lacerations, and cervical
lacerations.
32. How to lacerations of the genital tract
occur? - Hemorrhage and other
causes.
33. Subinvolution - Complications during
the recovery phase after delivery.
34. Rubra - Bright red drainage that is
mostly made up of blood. Usually lasts
for the first to second day postpartum
35. Serosa - As the placental site heals, the
discharge thins and
becomes pink to brown
36. Alba - After the 7th day, the drainage is
slightly yellow to white
37. S/S of hypovolemic shock - Persistent
significant bleeding; This may be
accompanied by an change in vital signs
or maternal color or behavior. Women
states she feels "light-headed", "funny",
"sick to my stomach" or "sees stars".
Begins to act anxious or exhibits air
hunger. Skin turns ashen or grayish.
Skin feels cool and clammy. Pulse rate
increases. BP declines.
38. Perineal Lacerations - Are the most
common of injuries in the lower genital
tract. They usually occur when the fetal
head is being born. The extent of the
laceration is defined in terms of its
depth. First degree, Second degree,
Third degree, and Fourth degree.
39. Perineal Lacerations: First Degree --
Laceration extends through the skin and
structures superficial to muscles.
40. Perineal Lacerations: Second Degree -
Laceration extends through muscles of
perineal body.