Maternityreview
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| 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)
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
bdragich1
Popular Nursing sets