Peds Definition free essay sample

Effacement: thinning of the cervix Meconium: first feces of newborn Umbilicus: belly button Bili blanket: UV emitting light blanket that helps convert bilirubin to form that can be detoxed by liver Fetal monitor strip: a graphic record of FHR and uterine activity obtained by EFM (electronic fetal monitoring) Placenta accreta: A placenta in which the cotyledons have invaded the uterine musculature, resulting in difficult or impossible separation of the placenta. Complications of manually separating the placenta include hemorrhage, damage to the uterus, and, in rare cases, hysterectomy. Postpartum: first 6 wks after childbirth. Circumcision: Surgical removal of the end of the foreskin of the penis. ROM (R/T intrapartum): rupture of membranes Cesarean: CS Delivery of the fetus by means of an incision through the abdominal wall and into the uterus. Amniotic fluid:fluid that surrounds fetus in utero, protects fetus. Derived from fetal urine and fluid transport from maternal blood across the amnion. We will write a custom essay sample on Peds Definition or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Neonatal jaundice: Nonpathological jaundice affecting newborns, usually resulting from the destruction of red blood cells by the immature liver at birth. The destruction of red blood cells causes unconjugated bilirubin to accumulate in the blood and skin. Benign neonatal jaundice manifests 48 to 72 hr after birth, lasts only a few days, and typically does not require therapy. Preeclampsia: An increase in hypertension (HTN), proteinuria, and edema, a complication occurring in about 3% to 5% of pregnancies. It may progress rapidly from mild to severe and, if untreated, to eclampsia. It is the leading cause of fetal and maternal morbidity and death, esp. in underdeveloped countries. Postpartum depression: PPD Depression occurring up to 6 months after childbirth and not resolving in 1 or 2 weeks. The disease occurs in about 10% to 20% of women who have recently delivered. IUFD: Intrauterine fetal death Prematurity: The state of an infant born any time before completion of the 37th week of gestation. Nullipara: A woman who has never produced a viable offspring Gestational age: The age of an embryo or fetus as timed from the date of onset of the last menstrual period. Gestational age is specified numerically by the following convention: 360/7 indicates an age of 36 weeks, 0 days . 295/7 indicates an age of 29 weeks, 5 days . The first two numbers are the number of weeks of gestation. The number designated as X/7 is the number of days since the completion of the last full week. Perineum: The structures occupying the pelvic outlet and constituting the pelvic floor. The external region between the vulva and anus in a female or between the scrotum and anus in a male. It is made up of skin, muscle, and fasciae. The muscles of the perineum are the anterior portion of the intact levator ani muscle and the transverse perineal muscle. PIH: Pregnancy induced hypertension Homans sign: Pain in the calf when the foot is passively dorsiflexed. This is a physical finding suggestive of venous thrombosis of the deep veins of the calf; however, diagnostic reliability is limited, that is, elicited calf pain may be associated with conditions other than thrombosis, and an absence of calf pain does not rule out thrombosis. Gravida: A pregnant woman Station during labor: Measurement of fetal descent in relation to the ischial spines of the maternal pelvis. Hemorrhoid: Veins of the internal or external hemorrhoidal plexuses and the immediately surrounding tissues. Hemorrhoids are most often referred to only when diseased (i. e. , enlarged, painful, bleeding). Other anorectal conditions (e. g. , anal fissure, condylomata, anal cancers) may produce similar symptoms and must be distinguished from hemorrhoids by appropriate examination. Lochia: The puerperal discharge of blood, mucus, and tissue from the uterus. OFC: Occipitofrontal circumference Dilatation: The gradual opening of the cervical os during labor to allow the fetus to leave the uterus Uterine atony: Lack of normal tone or strength; debility of uterus Apgar score: A system for evaluating an infants physical condition at birth. The infants heart rate, respiration, muscle tone, response to stimuli, and color are rated at 1 min, and again at 5 min after birth. Each factor is scored 0, 1, or 2; the maximum total score is 10. Interpretation of scores: 7 to 10, good to excellent; 4 to 6, fair; less than 4, poor condition. A low score at 1 min is a sign of perinatal asphyxia and the need for immediate assisted ventilation. Infants with scores below 7 at 5 min should be assessed again in 5 more min; scores less than 6 at any time may indicate need for resuscitation. In depressed infants, a more accurate determination of the degree of fetal hypoxia may be obtained by direct measures of umbilical cord blood oxygen, carbon dioxide partial pressure, and pH. Although the Apgar score is eponymous, some practitioners recall its elements with the mnemonic Appearance, Pulse, Grimace, Activity, Respiration Bulb syringe: a syringe with a bulb on one end; compression of the bulb creates a vacuum for gentle suction of small amounts of bodily drainage, such as oral and nasal secretions. It is also used for intraoperative irrigation. Neonate abstinence scoring: Neonatal abstinence syndrome scoring system, which assigns points based on each symptom and its severity. The infant’s score can help determine treatment. Fontanel: Any of the tough, fibrous membranes lying between the bones of the cranial vault of a fetus or infant. Fontanels, colloquially known as soft spots, allow an infants skull to be compressed during passage through the birth canal. The fontanels ossify generally by age two. LMP: last menstral period Induction of labor: The use of pharmacological, mechanical, or operative interventions to initiate labor or to assist the progression of a previously dysfunctional labor. Induction may be considered when the risks of expectant management outweigh the benefits, placing the fetus and/or the mother in jeopardy. Among the more common indications are preeclampsia or eclampsia, premature rupture of membranes, fetal compromise, maternal medical diseases, chorioamnionitis, intrauterine fetal demise, postdate pregnancy, as well as some psychosocial factors. Contraindications include placenta previa, vasa previa, umbilical cord prolapse, history of classic uterine incision, and transverse fetal lie, as well as many relative contraindications. VDRL/RPR: Venereal Disease Research Laboratories / rapid plasma regain Fundus: the top of the uterus Forceps: A forceps for extracting the fetal head from the pelvis during delivery. In obstetrics, forceps application is classified according to the position of the fetal head when the forceps are applied, i. e. , outlet forceps, low forceps, and midforceps. The forceps allows withdrawal force to be applied to the fetal head and protects the head during the passage. Clonus: Spasmodic alternation of muscular contractions between antagonistic muscle groups caused by a hyperactive stretch reflex from an upper motor neuron lesion. Sustained pressure or stretch of one of the muscles usually inhibits the reflex Rooting during breastfeeding: The turning of an infants mouth toward the stimulus when the infants cheek is stroked. This reflex is present at birth; by age 4 months it is gone when the infant is awake; by age 7 months it is gone when the infant is asleep. Labor: In pregnancy, the process that begins with the onset of repetitive and forceful uterine contractions sufficient to cause dilation of the cervix and ends with delivery of the placenta. Perineal laceration: An injury of the perineum caused by childbirth. The lacerations may be classified as first-, second-, third-, or fourth-degree, depending on the extent of injury. A first-degree laceration may not require repair, but a fourth-degree laceration, which involves the vaginal mucosa, perineal muscles, and the sphincter ani, requires extensive repair. Pre-term labor: Labor that begins before completion of 37 weeks from the last menstrual period. Rhogam: Rho(D) Immune Globulin is a medicine given by intramuscular injection that is used to prevent the immunological condition known as Rhesus disease (or hemolytic disease of newborn). The medicine is a solution of IgG anti-D (anti-RhD) antibodies that suppresses the mothers immune system from attacking Rh-positive blood cells which have entered the maternal blood stream from fetal circulation. Vertex: the top of the head Labor augmentation: the use of pharmacological or surgical interventions to help the progression of a previously dysfunctional labor Gestational diabetes: GDM DM that begins during pregnancy owing to changes in glucose metabolism and insulin resistance. Non-stress test: NST An external electronic monitoring procedure to assess fetal well-being. An acceleration in fetal heart rate should be evident in response to fetal movement. Reactive test: Two criteria indicate satisfactory fetal status. The monitor records a minimum of two episodes of heart rate acceleration accompanying fetal movement within one 20-min period, and accelerations of 15 beats per minute (BPM) persist for a minimum of 15 sec per episode. Nonreactive test: The monitor record does not meet either criterion for reactivity. This indicates the need for a second test within the next several hours—contraction stress testing, a fetal biophysical profile, or all three. Inconclusive test: The monitor records less than one acceleration in 20 min or an acceleration less than 15 BPM lasting less than 15 sec. Engorgement: Filling of a breast with milk Involution: The return of the uterus to normal size after childbirth EBL: estimated blood loss Abortion: The spontaneous or induced termination of pregnancy before the fetus reaches a viable age. Neonate: A newborn infant up to 1 month of age Leopolds Maneuvers: In obstetrics, the use of four steps in palpating the uterus in order to determine the position and presentation of the fetus. Fetal heart tones: FHT, fetal heart sounds Placenta previa: PP A placenta that is implanted in the lower uterine segment. There are three types: centralis, lateralis, and marginalis. Placenta previa centralis (total or complete PP) is the condition in which the placenta has been implanted in the lower uterine segment and has grown to completely cover the internal cervical os. Placenta previa lateralis (low marginal implantation) is the condition in which the placenta lies just within the lower uterine segment. Placenta previa marginalis is the condition in which the placenta partially covers the internal cervical os (partial or incomplete PP). Tubal ligation: A surgical method of contraception in which the fallopian tubes are severed and their cut ends are tied. It is used to prevent eggs, released from the ovaries, from entering the uterus where they might be penetrated by sperm. Ballard gestatinal assessment score: A system for estimating newborn gestational age by rating physical and neuromuscular characteristics of maturity. For infants born between 20 and 28 weeks gestation, Ballard tools are more accurate than other systems of estimating gestational age. Six neuromuscular markers are assessed: posture, square window (degree of wrist flexion), arm recoil, popliteal angle (degree of knee flexion); scarf sign (ability to extend infants arm across the chest past the midline); and heel-to-ear extension. Seven physical characteristics are also evaluated: skin; lanugo; plantar creases; breast; eye and ear; and genitals. Each factor is scored independently, and then an overall sum is used to determine the gestational age. The tool is most accurate if performed within the first 12 to 20 hr of life or as soon as the babys condition stabilizes. Bloody show: The sanguinoserous discharge from the vagina during the first stage of labor or just preceding menstruation Vacuum extraction: A vacuum extraction is a procedure sometimes done during the course of vaginal childbirth. During vacuum extraction, a health care provider applies the vacuum — a soft or rigid cup with a handle and a vacuum pump — to the babys head to help guide the baby out of the birth canal. This is typically done during a contraction while the mother pushes. DIC: disseminated intravascular coagulation Colostrum: Breast fluid that may be secreted from the second trimester of pregnancy onward but is most evident in the first 2 to 3 days after birth and before the onset of true lactation. This yellowish fluid, which is the first milk produced by the breast after childbirth, contains abundant carbohydrates, proteins (including antibodies), and minimal fat. Contractions: tightening of uterus during pregnancy and labor Episiotomy: Incision of the perineum at the end of the second stage of labor to avoid spontaneous laceration of the perineum and to facilitate delivery. In the U. S. episiotomy is done in about 40% of all vaginal deliveries, making the procedure one of the most common forms of surgery performed on women. Perineal massage in the weeks before delivery can reduce the use of episiotomy. Vernex: A protective sebaceous deposit covering the fetus during intrauterine life, consisting of exfoliations of the outer skin layer, lanugo, and secretions of the sebaceous glands. It helps the neonate conserve body heat. It is most abundant in the creases and flexor surfaces. It is not necessary to remove this after the fetus is delivered. Full-term infant: an infant born between the beginning of the 38th and the end of the 41st week of gestation. Parity: The number of live children a woman has delivered After pains: the pains after delivery while uterus is involuting Newborn screen: Newborn screening tests look for serious developmental, genetic, and metabolic disorders so that important action can be taken during the critical time before symptoms develop. Most of these illnesses are very rare, but are treatable if caught early. Membranes: the amniotic sac that surrounds the fetus Lactation: The production and release of milk by mammary glands Kangaroo care: The placing of a newborn infant, esp.. a premature baby, in an upright position between the breasts of the mother for several hours a day.