exam block 10
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
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| What is another name for the post partum period? | Puerperium.
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| When does the post partum period begin? | The delivery of the placenta.
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| What is the process that results in rapid healing and a return to the pre-pregnant state? | Involution.
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| What is assessed after a normal spontaneous, vaginal delivery? | Vitals, breasts, uterus, bladder, lochia, perineum, lower extremities, other systems.
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| True or false. Temperature may be elevated for up to 48 hours with no other symptoms after delivery. | True.
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| What is the top of the uterus known as? | The fundus.
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| True or false, the uterus should be soft and boggy after delivery. | False. The uterus should be firm.
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| What is lochia rubra? | Blood content; bright red colored for the first couple days.
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| What is lochia serosa? | Pink to brown discharge lasting the first postpartum week.
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| What is lochia alba? | Slightly yellow to white discharge which lasts 10 days to 2 weeks.
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| 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.
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| 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.
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| What postion would you lay the mother in to assess her perineum? | The sims position with the uppermost leg flexed.
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| 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.
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| When is Rhogam given post partum? | within 72 hrs after delivery.
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| What are the 3 phases of Rubin’s Psychological Changes? | 1 taking in, 2 taking hold, 3 letting go.
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| 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.
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| 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.
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| What are the two early causes of hemorrhage? | Uterine atony, trauma.
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| 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.
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| What are predisposing factors of uterine atony? | over distension of uterus, large infant, hydramnios, intrapartum factors, augmented labor with oxytocin, DIC
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| When does late post partum hemorrhage occur? | later than 24 hrs after delivery, w/o warning usually 7-14 days after.
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| What are typical causes of subinvolution? | Placental retention, pelvic infection
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| What is caput succedaneum? | localized edema that crosses suture lines, usually as a result of pressure on cervix.
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| Cephalohematoma. | bleeding between skull and periosteum, doesn't cross suture lines.
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| Epstein's pearls | White or yellow vesicles that occur in the palate of an infants mouth.
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| Milia | Tiny white cysts on the infants nose.
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| Meconium stools | First stools that occur 12 hrs after birth, dark green, tarry and odorless.
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| Transitional stools | Loose, greenish-brown stools on the 2nd or 3rd day
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| Average newborn length | 19-21cm
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| Average newborn weight | 5 lb 8 oz to 8 lb 13 oz.
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| axillary temperature | prefered temperature site of newborn,(97.7-99.5)
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| Normal resperatory rate | 30-60/bpm
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| Colostrum | A thick yellow substance high in protein, minerals, fat soluble vitamins and immunoglobulins, which transfers some immunity to the infant.
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| Kernicterus | Rare brain damage in infants caused by excessive bilirubin.
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| erythema toxicum | Harmless condition commonly called newborn rash or fleabite rash and resembles small bites or acne.
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| nevus flammeus | Permanent, flat, dark, reddish-purple mark, known as port-wine stains.
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| Term infant | 38-42 wks
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| Respiratory distress syndrome | insufficient production of surfactant
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| Necrotizing Enterocolitis | Blood is diverted from the GI tract
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| Bronchopulmonary Dysplasia | Chronic condition occurring most often in infants weighing less than 1500 g at birth.
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| 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.
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| At what gestational age do infants have the ability to suck and swallow? | 34 wks
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| Name the signs and symptoms of cold stress | Decreased skin temperature, increased resp rate with periods of apnea, bradycardia, mottling of skin and lethargy.
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