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Maternityreview
| Question | Answer |
|---|---|
| Can a prolapsed cord occur if the membranes are artificially ruptured when the presenting part is not engaged? | yes |
| When is the presenting part engaged? | When it is at the ischial spines |
| What does a tocolytic drug do? | It relaxes the uterus |
| What is thee priority nursing response with an Oxytocin infusion? | Nurse's primary response is to monitor uterine response to Oxytocin (because of the risk of hyper-stimulation, which could result in decreased placental perfusion |
| Why should you observed an infant closely after he/she was delivered by forceps? | Forceps delivery can result in local irritation, bruising, or lacerations of the fetal scalp. |
| Why are after pains more acute for multi-paras ? | Because of repeated stretching of muscle fibers that leads to loss of uterine muscle tone |
| For the first three days after dlievery lochia is what color? | Rubra |
| Lochial color changing from rubra to alba in the early postpartum period is normal or abnormal;l | abnormal |
| Is a WBC count of 25,000 normal or abnormal in the postpartum period | normal |
| Incomplete emptying and over distention of the bladder can lead to _____________ | urinary tract infection |
| What does over distention of the bladder do to the uterus? | It displaces the uterus and prevent contraction of the uterine muscle |
| When the the uterus is displace and can not contract this leads to_____? | Postpartum hemorrhage and urinary tract infection |
| Do stretch marks disappear? | Never disappear completely |
| Why does the linea nigra disappear after delivery? | Decreases because of decreased melanocyte -stimulating hormone |
| In what situation is Rho-immune globulin is ordered during the postpartum period? | Mother is Rh- negative and the baby Rh-positive |
| What instructions should be given to the mother is there is an indication for the rubella vaccine? | There are risks if the mother becomes pregnant with 28 days. There are potential risks to the fetus if pregnancy results within 3 months after rubella administration |
| What is the best method to decrease abdominal distention after a C-section | Early and frequent ambulation |
| Accepting the real infant and relinquishing the fantasy infant occurs during what phase of maternal adjustment? | Letting-go |
| In what phase does the mother assume responsibility for her own care and shifts attention to the infant? | Taking hold |
| In this phase the mother is primarily focused on her own needs? | Taking on |
| How can the nurse assist the mother immediately after delivery in bonding and attachment? | Assist the mother in assuming an en face position with her newborn |
| What is a sign of thrombophlebitis? | Local tenderness, heat, and swelling |
| In discharge instructions, the mother should be told that to assist with early recognition of complications? | Notify the physician of any increase in the amount of lochia or a return to bright read bleeding |
| What indicates laceration of the genital tract in the postpartum period.? | A steady trickle of bright red blood from the vagina and the fundus is firm |
| Why should the placenta be inspected closely after delivery? | Retained placenta can lead to late postpartum hemorrhage. |
| In teaching new family members, what principles should be included? | Always include the father, Praise the mother's early attempts at infant care, Reassure the parents that procedure may vary but they are based on standard principle |
| How can thrombophlebitis be prevented during the postpartum period for a mother with a c section? | Client should exercise legs every 2 hours. |
| A temperature elevation greater than 100.4 for F for 2 postpartum days not including the first 24 hours indicates ----? | infection |
| Lochia and infectious material are eliminated from the body by gravity . True or False | True |
| Why should you place the client with endometritis in a Fowler's' position? | Facilitates drainage of lochia |
| Name a nursing measure that prevents urinary tract infections. | Increasing fluid |
| List a nursing measure that may help prevent mastitis? | Forcing fluids to at least 3000 ml/day |
| Can a mother who has an active infection (mastitis) breast-feed? | Yes. Organisms that cause mastitis are not passed to milk |
| What is an assessment for a postpartum client with a uterine infection.? | The nursing staff should assess the odor of the lochia |
| What type of feeding should be given first to an infant of a diabetic mother who is hypoglycemic? | Small amounts of glucose water followed by formula or breast milk |
| What contraceptive method provides protection against sexually transmitted disease? | Male or female condom |
| What behaviors are seen in newborns whose mothers are substance abuser | Decreased amounts of sleep, hyperactive Moro reflex,and difficulty feeding. |
| Why does turning every 2 hours make photo-therapy more effective? | It exposes all parts of the skin and thereby making photo-therapy more effective |
| List a complication off of meconium aspiration syndrome | Persistent pulmonary hypertension |
| Why does transient tachypnea of the newborn occur | Delayed absorption of fetal lung fluid |
| If an infant has sever meconium aspiration syndrome and is not responding to conventional treatment , why may they be transferred to a level III facility ? | There is extra-corporeal membrane oxygenation |
| Feedings need to be monitored in an infant with hyperbilirubinemia every 2 to 3hours. What is the purpose of these feedings? | Provide fluid and protein |
| What is the most reliable method of birth control? | The intrauterine device |
| Protein helps maintain______ in a newborn's blood and extra fluids help eliminate________ | Albumin ; and bilirubin |
| What is the role of the nurse in family Planning? | Educate the couple on various methods of contraception |
| Why most informed consent be given for contraceptive use? | Some contraceptive have potentially dangerous side effects. |
| The client should avoid douching for at least 6 hours with what methods of contraception? | Spermicidal forms or gels |
| What symptoms should a client on oral contraceptives report immediately to the physician? | leg pain and edema |
| What should the couple using basal body temperature birth control method know? | The female's temperature will increase 0.4 to 0.8 F after ovulation. |
| What is the major difference between cervical cap and diaphragm? | Diaphragm applies pressure on the urethra. |
| What should you instruct the client who had an IUD inserted to do? | Check the placement of the string once a week for 4 weeks. |
| Infants who develop cephalohematoma are at increased risk for ? | Jaundice |
| Name an important principle of cord care. | keep the cord dry and there will be decrease bacterial growth |
| Why does a client who had a vasectomy need a back up method of birth control? | It may take a month or more for all the sperm to be removed from the system. |
| How can you increase the effectiveness of condoms? | by using vaginal foam |
| What oral contraceptive is the best choice for a breastfeeding mother? | Progestin only pill |
| How are contractions timed | From the beginning of one contraction to the beginning of the next contraction |
| What structures are involved in a second degree lacerations? | Perineal skin through perineal muscle |
| What is the second stage of reactivity in a newborn? | Begins when the infant awakes from a deep sleep and ends when the amounts of respiratory mucus have decreased |
| What is the first stage of reactivity in a newborn? | Infant is alert ,cries vigorously, may suck the fist vigorously and appears interested in environment |
| Before a c-section, the nurse should administer | oral antacid (Bicitra) |
Created by:
bdragich1
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