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Obstetrics for Nurses

INDEX

Reading edition

A

Abderhalden test for pregnancy, 61

Abdomen: care of, 70 changes in pregnancy, 59 weakness of, 85

Abortion, 95 etiology, 207 management, 207

Accessory articles of diet, 319

Accidental hæmorrhage, 228

After-birth, 41, 117

After-pains, 154, 254 relief of, 154

Albuminuria, 77 (see Eclampsia)

Amenorrhœa, 57 during lactation, 158 in the nonpregnant, 58

Amnion, 38 adhesions, 87

Anæsthetics, 103, 138, 142

Anencephalus, 309

Anus, 23

Aphthæ, 294

Areola, 31

Asepsis in delivery, 142

Aseptic care, 200

Asphyxia neonatorum, 278 methods of resuscitation, 279

Atelectasis, 283

Attitude of child, 165

B

Baby: anencephalus, 309 aphthæ, 294 asphyxia, 142, 278 balanitis, 306 bath, 266 bowels, 273 breasts, 293 care after delivery, 144 care at birth, 142 circumcision, 306 cleansing, 265 clothing, 270 colic, 299 constipation, 298 convulsions, 282 cradle cap, 295 diarrhœa, 298 exercise, 284 eyes, 268 furuncles, 305 flushings, 285 gavage, 285 genitals, 272 hæmorrhage, 289 harelip and cleft palate, 287 heart, 278 hernia, 287 hydrocephalus, 308 icterus, 293 lavage, 286 marasmus, 303 menstruation, 293 mouth, 272 nails, 289 nursing periods, 273, 156 paraphimosis, 305 phimosis, 305 pneumonia, 304 prematurity, 301 priapism, 308 respiration, first, 142 routine for, 270 significant symptoms and conditions, 320 sleep, 272 snuffles, 304 spina bifida, 308 temperature, 276 thrush, 294 tongue-tie, 287 toilet basket, 271 383umbilicus, 267 urticaria, 294 vomiting, 300 weight, 271

Bag of waters, 39, 110

Balanitis, 306

Ballottement, 62

Barley water, 316

Baths, 69, 325

Bed, making, 133

Bed-linen, care of, 150

Bed sores, 263

Bednar’s disease, 294

Bichloride solution, 135

Birthmarks and deformities, 72, 87

Binder, 153

Bladder, 23 after delivery, 159 in pregnancy, 56, 58

Bleeders, 232, 290

Blood, in pregnancy, 55

Bowels, in pregnancy, 68 in puerperium, 157

Breast milk, quantity, 275

Breasts, 30 caked, 156, 243 care of, 71 changes due to marriage and pregnancy, 53, 59 inflow of milk, 53 massage, 156 nursing periods, 156 of puberty, 33 preparation for lactation, 155 removal of child, 252, 261 sensations in pregnancy, 59 supernumerary, 31

Breech presentation, 168

Brow presentation, 177, 179

Buttermilk, 314

C

Cæsarean section, 195

Caput succedaneum, 127

Case record, nurse’s, 131

Catheterization, after delivery, 159 before operations, 183

Caul, 114

Cephalhæmatoma, 128

Cervix, effacement, 110 repair, 144, 211

Child (see Baby)

Chill in puerperium, 151

Chloasma, 55

Chloroform in labor, 103

Chorion, 38

Circumcision, 306

Clamp for cord, 268

Clitoris, 26

Coitus, 71

Colic, 300

Colostrum, 53

Conception, 36

Condylomata, 75

Confinement, estimating date, 58, 66

Constipation, 68, 298

Contraction of pelvis, 214

Contractions of Braxton Hicks, 53, 62, 109

Convulsions, of child, 282 of mother, 236

Cord, umbilical, 40 attachment to placenta, 42 cutting, 142 granulations of, 293 prolapse of, 220, 137 separation, 292

Cow’s milk vs. breast milk, 311

Cradle cap, 295

Cramps, 56, 86

Cranioclasis, 194

Curettage of uterus, 206 in abortion, 207

Curve of Carus, 20

D

Decapitation, 194

Delivery, asepsis during, 142 care of mother after, 144 on side, 140

Diabetes and pregnancy, 95

Diapers, 270, 273 bluing on, 270, 296

384Diarrhœa of child, 298

Diet in puerperium, 152, 155

Diets, 336

Doctor, 130 when to call, 131 what to report, 131, 319

Douche, vaginal, 202 aseptic, 200 in pregnancy, 71, 160 intrauterine, 205, 233

Dress in pregnancy, 69

Drugs affecting the milk, 275

Dry birth, 225

Ductus arteriosus, 49 venosus, 48

E

Eclampsia, 78 blood pressure in, 55 symptoms and management, 237 wet packs in, 231

Ectopic pregnancy, 89

Edema, 69

Enemas, eliminative, 355 nutrient, 334

Episiotomy, 211

Ergot, 143 after delivery, 150 in abortion, 207 in post partum hæmorrhage, 233

Eruptions on the skin, 55

Erythema, 296

Ether in labor, 103

Examination of patient, 134, 140

Excavation of pelvis, 19

Extrauterine pregnancy, 89

Exudative diathesis, 295

Eye symptoms in pregnancy, 69

F

Face presentation, 174, 179

Fallopian tubes, 22

Fainting, 70

Fevers and pregnancy, 91

Flour ball, 316

Flushings, 285

Fœtus, attitude, 44 circulation, 48 diameters of head, 46 fontanelles, 46 heart tones, 63, 180 movements, 44, 62 rate of growth, 46 rule for estimating length, 47 rule for estimating weight, 47 signs of danger to, 180 signs of death, 97 signs of maturity, 47

Food mixings, 317 preparation for infants, 314

Foramen ovale, 50

Forceps, application, 186 conditions for, 185 dangers of, 185 in breech cases, 173 in face presentations, 176 indications for, 185 preparations for, 183

Fumigation, 329

Furuncles, 305

G

Galactorrhœa, 250

Gas analgesia, 104

Gas pains, 154, 158, 253

Gavage, 285

Genital crease, 25

Genitalia, care after delivery, 142, 148 preparation for delivery, 131 preparation for operation, 182

Getting up, 161

Gingivitis, 75

Glands, Bartholin, 27 mammary, 30 Montgomery, 31 thyroid, 56

Glossary, 351

Glycosuria, 69

Gonorrhœa and pregnancy, 93

Goodell’s sign, 60

Gossip, 161

385Graafian follicle, 33

Gums in pregnancy, 75

H

Hæmorrhage, accidental, 228 in abortion, 207 in labor, 144, 119, 143 in the newborn, 289 in pregnancy, 95 post partum, 232, 234 unavoidable, 228 uterine douche for, 205

Hæmorrhoids, 86

Hair, 55, 132

Hands, care of, 160, 323 sterilization of, 134

Harelip and cleft palate, 287

Head, descent, 123 expulsion of, 115 effect of labor on, 126 extension, 126 external restitution, 126 flexion, 123 internal rotation, 124

Headache, 237, 254

Heart changes in pregnancy, 55 lesions in pregnancy, 94

Heart tones, fœtal, where heard, 130 significance, 137 when membranes rupture prematurely, 226

Hegar’s sign, 60

Hernia, 287

Herpes in pregnancy, 76

Hospital drums, packing, 138

Hottentot apron, 26

Hydramnios, 87 and malpresentations, 175 and twins, 84

Hydrocephalus, 308

Hymen, 26

Hypodermoclysis, 206

Hyperemesis gravidarum, 79

I

Icterus, 293

Induction of labor, 208

Infant feeding, 310 outfit, 101

Infection, 226, 255

Injections, eliminative, 335 intravenous, 205 nutrient, 334

Insomnia, 56

Intertrigo, 296

Involution, 152, 160, 161

J

Jacquemins’ sign, 62

Jaundice, of child, 293 of mother, 95

K

Kidneys of child, 44 of mother, 56, 68, 95

L

Labia majora, 25 minora, 26

Labor, care during, 140 induction of, 208 precipitate, 223 preparations for, 130, 138, 326 signs of, 129 vomiting in, 228

Lactation and menstruation, 157

Lavage, 286

Leucorrhœa, 71

Lightening, 65, 108

Linea albicantes, 55 nigra, 55

Liquor amnii, 38 in disease, 87

Liver, of child, 44 of mother in pregnancy, 56, 95

Lochia, 154 and the hands, 160

Longings, 56

Lungs in pregnancy, 56

M

Malæna neonatorum, 290

Marasmus, 303

386Mask of pregnancy, 55

Mastitis, 247

Maternal impressions, 72

Membranes, 110 premature rupture, 225 relation of rupture to labor, 114 rupture of, 109, 114

Menstruation, definition of, 33 during lactation, 157 in infant, 298 physiology of, 34 relation to conception and pregnancy, 33 systemic effects, 35

Milk fever, 243

Milk, elements of human, 312 excess of, 249 fat-free, 317 inflow, 156 peptonizing, 338 pasteurizing, 316 quality, 251 scarcity, 249 sterilization, 316 to dry up, 163 whole milk, 317

Milk leg, 262

Mind in pregnancy, 72

Moles, 80

Monsters, 88, 308

Mons veneris, 25

Morning sickness, 58

Multiple pregnancy, 83

N

Nausea, 58

Nervous system, 56

Neuralgia, 56

Nipple, 30 care of, 71 cracks and fissures, 244 imperfect, 245 preparation for lactation, 155 rubber, 318

Normal labor, 107 amount of blood lost, 119 causes of, 107 course of, 110 date of onset, 107 duration of first stage, 114 duration of second stage, 114 general effects, 118 mechanism, 120 subjective phenomena, 115

Nurse, 98 and cleanliness, 129, 323 and history sheet, 131 in obstetrics, 98 in puerperal fever, 262 outfit, 99 qualifications, 323 sterilizing, 101

Nursery rules, 269

Nursing periods, 156

Nursing the child, 293

O

Odors of person, 324

Oligohydramnios, 87

Operations, preparations for, 180 why required, 179

Ophthalmia neonatorum, 93, 142, 192

Os, digital dilatation, 211 physiology of dilatation, 111 rigidity of, 222

Ovaries, 23

Ovulation, 33

Ovum, 33 death of, 96 fertilization, 36 implantation, 37 mode of progress, 23 relation to uterine cavity, 52

P

Packs, wet, 213

Pains, after, 154 cause of, 109 character of, 115, 131, 138 false, 108 from gas, 154 regularity of, 110, 130

Palpation, 134

387Paralysis, facial, 291 of shoulder (Erb’s), 291

Paraphimosis, 305

Patient, care of, after delivery, 144 during second stage, 137 examination of, 74, 133 in first stage, 133 loss of weight post partum, 155 preparation of, 131, 138 rest, 160 visitors, 133, 161

Pelvic floor rigidity, 223

Pelvis, 17 brim, 18 contracted, 214 diameters, 214 false, 17 measurements, 214 quadrants of, 121 shape, 18 true, 17 upper strait, 18

Pemphigus neonatorum, 296

Perineorrhaphy, 144 instruments, 139, 145, 146 after-care, 147

Perineum, 28, 25 head on, 115 preservation, 145 repair, 143, 144 torn in labor, 30

Peritoneum, 24

Peritonitis, (see Infection)

Phimosis, 305

Phlebitis, 263

Physical signs of pregnancy, 59

Pigmentation, 55, 77

Pituitrin, 143, 224

Placenta prævia, 29

Placenta, 41 anomalies, 88 early expression, 149 infarcts, 88 conditions for Crede expression, 150 manual removal, 150

Pneumonia in child, 304

Point of direction, 121

Position, occipito-posterior, 178 of breech, 165 of face, 175 of head, 121 Walcher, 193

Pregnancy, Abderhalden’s test for, 61 age of, 65 albuminuria in, 77 at fourth month, 61 bowels in, 68 cathartics in, 68 condylomata, 75 constipation in, 75 cramps, 86 diabetes in, 95 diagnosis, 57 duration of, 66, 107 extra uterine, 89 fevers and, 91 general effects, 56 gingivitis, 75 gonorrhœa, 93 hæmorrhages, 95 hæmorrhoids in, 86 heart disease and, 94 heartburn, 68 herpes, 76 hydramnios in, 87 hygiene of, 66 hyperemesis in, 79 kidneys in, 68 local effects, 51 maternal changes, 51 mental conditions in, 72 pressure symptoms, 85 probable signs, 61 pruritus, 76 pyelitis, 79 salivation, 75 signs at 26th week, 62 syphilis, 92 toothache, 75 toxæmias, 74 tuberculosis, 92 varicose veins, 85 vomiting in, 79

Prematurity, 301

Presentation, definition, 120 frequency of vertex, 121 388of breech, 165 of face and brow, 174 transverse, 174

Pressure symptoms, 85

Priapism, 308

Proprietary foods, 314

Pruritus in pregnancy, 76

Ptyalism, 75

Puberty, 33

Pubiotomy, 198 after-care, 199

Puerperal fever, 255 disposal of excreta, 261 etiology, 255 nurse and, 262 prevention, 258 symptoms, 259 treatment, 260

Puerperium, 151 diet in, 152 laxatives, 158 standing orders for, 162

Pulse in puerperium, 151

Pyelitis, 79

Pyloric stenosis, 303

Q

Quickening, 59

R

Rectal feeding, 333

Rectal infusions, 212

Rectum, 23 in labor, 23, 142

Red gum, 297

Renal disease, 95

Rest, 160

Room, setting up, 130, 180

Rubber gloves, 136

Rubber nipples, 318

S

Salivation, 75

Second stage of labor, 114

Sex, determination of, 65, 72

Sexual relations, 71

Sheet sling, 146, 181

Show, 109, 129

Skin, changes, 54 care of, 69 eruptions, 55 pigmentation, 55, 77 striæ gravidarum, 54

Snuffles, 304

Solutions, 340 percentage table of, 341

Souffle, funic, 65 uterine, 63

Spermatozoa, 36

Spina bifida, 308

Standing orders for nurse, 164 for puerperium, 163

Starvation fever, 276

Sterile linen, application, 138, 182

Sterilization, 101, 323 dressings, 325 instruments, 327 rubber goods, 328

Stitches, care of, 160 removal, 202

Stomach capacity of child, 275

Subinvolution, 155, 260, 261

Subjective signs of pregnancy, 57, 59

Sudden death of infant, 309 of mother, 263

Sugar in urine, 69

Sugars and flours, 317

Supplemental feedings, 310

Supplies for house, 99 for sterilization, 101 preparation of, 326

Symphyseotomy, 198

Syphilis and fœtus, 88 and pregnancy, 92 of placenta, 88

T

Tampon of uterus, 202 of vagina, 204

Temperature in puerperium, 151

Third stage of labor, 117, 142, 143 conduct of, 149

Thrombus, 263

Thrush, 294

389Thyroid gland, 56

Toilet basket, 271

Tongue-tie, 287

Toothache, 75

Toxæmia, 74

Transfusion, 205 in eclampsia, 240

Tubercles of Montgomery, 31

Tuberculosis and pregnancy, 92

Twilight sleep, 103

Twins, 83

U

Umbilicus, 267

Unavoidable hæmorrhage, 228

Urination, after delivery, 158 of child, 273

Urine, 56 in pregnancy, 77 in puerperium, 151 sterile specimen, 200 sterile specimen from child, 200

Urticaria, 294

Utensils for milk modification, 318

Uterus, anatomy, 21 changes in pregnancy, 51, 59 curettage, 206 displacements, 84 height at various months of pregnancy, 64 inertia, 223 malformations, 85 rupture, 226

Uterine souffle, 63

V

Vagina, anatomy, 21 attachments, 21 distensibility, 21

Vaginal tampon, 204 in abortion, 207

Varicose veins, 85

Ventral stalk, 40

Version, 190, 192, 193

Vestibule, 26

Vessels of cord, 48

Villi, 37

Visitors, 133, 161

Vomiting, 300, 321 in pregnancy, 79 in labor, 228 uncontrollable, 79

Vorhees bag, 224, 230

Vulva, anatomy, 24 care of, 143 preparation, 132

W

Walcher position, 173, 193

Weaning, 252, 273

Wet nurse, 253

Wharton’s jelly, 40

Whey, 315

Wiegand compression, 173, 194

Witch’s milk, 32

TRANSCRIBER’S NOTES

Silently corrected typographical errors and variations in spelling.

Anachronistic, non-standard, and uncertain spellings retained as printed.

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