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68wm6 post prego

exam block 10

What is another name for the post partum period? Puerperium.
When does the post partum period begin? The delivery of the placenta.
What is the process that results in rapid healing and a return to the pre-pregnant state? Involution.
What is assessed after a normal spontaneous, vaginal delivery? Vitals, breasts, uterus, bladder, lochia, perineum, lower extremities, other systems.
True or false. Temperature may be elevated for up to 48 hours with no other symptoms after delivery. True.
What is the top of the uterus known as? The fundus.
True or false, the uterus should be soft and boggy after delivery. False. The uterus should be firm.
What is lochia rubra? Blood content; bright red colored for the first couple days.
What is lochia serosa? Pink to brown discharge lasting the first postpartum week.
What is lochia alba? Slightly yellow to white discharge which lasts 10 days to 2 weeks.
What are some things you want to report to the provider during a lochia assessment? Foul smelling, bright red discharge. Fist sized clots, saturated pad in less than 1 hour.
What does the acronym REEDA stand for and what is it used to assess? It is used to assess an episiotomy. It stands for: redness, edema, ecchymosis, discharge, approximation.
What postion would you lay the mother in to assess her perineum? The sims position with the uppermost leg flexed.
A post partum patient asks her nurse "Will my feet shrink back to normal size?" You as the nurse would tell the patient? It is possible that your feet may remain permanently larger than they were before pregnancy.
When is Rhogam given post partum? within 72 hrs after delivery.
What are the 3 phases of Rubin’s Psychological Changes? 1 taking in, 2 taking hold, 3 letting go.
What are some post partum danger signs? Passive reactions, either verbal or nonverbal. Hostile reactions. Disappointment over the sex of the baby. Lack of eye contact. Non-supportive interaction between parents.
Blood loss greater than 500 ml after vaginal birth, or 1000 ml after cesarean birth or a drop in hematocrit of 10% or more is defined as? Post partum hemorrhage.
What are the two early causes of hemorrhage? Uterine atony, trauma.
What are the clinical signs of uterine atony? Boggy soft fundus, high fundus (above umbilicus), full bladder ( fundus high and to side, increased lochia with clots.
What are predisposing factors of uterine atony? over distension of uterus, large infant, hydramnios, intrapartum factors, augmented labor with oxytocin, DIC
When does late post partum hemorrhage occur? later than 24 hrs after delivery, w/o warning usually 7-14 days after.
What are typical causes of subinvolution? Placental retention, pelvic infection
What is caput succedaneum? localized edema that crosses suture lines, usually as a result of pressure on cervix.
Cephalohematoma. bleeding between skull and periosteum, doesn't cross suture lines.
Epstein's pearls White or yellow vesicles that occur in the palate of an infants mouth.
Milia Tiny white cysts on the infants nose.
Meconium stools First stools that occur 12 hrs after birth, dark green, tarry and odorless.
Transitional stools Loose, greenish-brown stools on the 2nd or 3rd day
Average newborn length 19-21cm
Average newborn weight 5 lb 8 oz to 8 lb 13 oz.
axillary temperature prefered temperature site of newborn,(97.7-99.5)
Normal resperatory rate 30-60/bpm
Colostrum A thick yellow substance high in protein, minerals, fat soluble vitamins and immunoglobulins, which transfers some immunity to the infant.
Kernicterus Rare brain damage in infants caused by excessive bilirubin.
erythema toxicum Harmless condition commonly called newborn rash or fleabite rash and resembles small bites or acne.
nevus flammeus Permanent, flat, dark, reddish-purple mark, known as port-wine stains.
Term infant 38-42 wks
Respiratory distress syndrome insufficient production of surfactant
Necrotizing Enterocolitis Blood is diverted from the GI tract
Bronchopulmonary Dysplasia Chronic condition occurring most often in infants weighing less than 1500 g at birth.
What are the handicaps of a preterm newborn? Inadequate respiratory function, sepsis, poor temperature control, hypoglycemia, hypocalcemia, increased tendency to bleed, ROP, NEC, immature kidneys, jaundice.
At what gestational age do infants have the ability to suck and swallow? 34 wks
Name the signs and symptoms of cold stress Decreased skin temperature, increased resp rate with periods of apnea, bradycardia, mottling of skin and lethargy.
Created by: wlthompson49