OB Lab handout/study guide
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| Immediately after birth, the uterus is the size of a what? | show 🗑
|
||||
| show | 1 cm; 10-14th day
🗑
|
||||
| T/F: At 12 hours after the delivery, the fundus should not be above the umbilicus. | show 🗑
|
||||
| show | midline; bladder
🗑
|
||||
| show | -Fundus displaced from midline -Excessive lochia -Bladder discomfort -Bulge of bladder above symphysis -Frequent voiding
🗑
|
||||
| Urinary retention and over-distention of the bladder may cause ___ and ____. | show 🗑
|
||||
| show | Massaging the uterus
🗑
|
||||
| show | Clots
🗑
|
||||
| show | 1.infant sucking -->
2.increased oxytocin -->
3.uterine contractions -->
4.mod/severe cramping
(this was a very poorly worded question - above is the sequence of events leading to afterpains)
🗑
|
||||
| ___ refers to the slower than expected return of the uterus to its non-pregnant size. | show 🗑
|
||||
| show | teach her how to palpate/assess fundus------teach what to expect in lochia changes
🗑
|
||||
| Medical intervention for sub involution is oral ___ | show 🗑
|
||||
| show | 500; 24
🗑
|
||||
| What are the 2 major causes of early PP hemorrhage? | show 🗑
|
||||
| List the early signs of PP hemorrhage. | show 🗑
|
||||
| show | Lacerations of the birth canal; health care provider must be notified so laceration can be repaired
🗑
|
||||
| Including precipitate of labor or delivery, prolonged labor, Cesarian birth, and clotting disorder, List the predisposing factors for PP hemorrhage: | show 🗑
|
||||
| show | Endometrial infection
🗑
|
||||
| List the 3 types of lochia and at what day post childbirth you would see each: | show 🗑
|
||||
| You have a woman who has a boggy fundus, heavy bleeding, and unchanged VS. You help her to void and massage her fundus. This does not change the boggy fundus or heavy bleeding. What do you do next? | show 🗑
|
||||
| How long does it usually take for an episiotomy to heal? | show 🗑
|
||||
| show | -Infection
-Perineal pain
-Increased blood loss
-Can decrease sexual satisfaction and comfort
🗑
|
||||
| A fourth degree laceration extends through the anal sphincter and into the ___ ___ | show 🗑
|
||||
| show | Medial-lateral; median-midline
🗑
|
||||
| What is the key to reducing the risk for an episiotomy? | show 🗑
|
||||
| show | Redness, Edema, Ecchymosis (bruising), Discharge, Approximation (REEDA)
🗑
|
||||
| show | Hematoma
🗑
|
||||
| List 3 comfort measures you can provide to a new mother for perineal pain | show 🗑
|
||||
| show | Vasoconstriction, reducing edema, and providing for numbing of the area
🗑
|
||||
| How does sitz baths help the new mother? | show 🗑
|
||||
| show | True
🗑
|
||||
| The definition of a version is: | show 🗑
|
||||
| In what instance is an internal version done? | show 🗑
|
||||
| show | Non-Stress, tocolytic (terbutaline)(for uterine relaxation)
🗑
|
||||
| show | ?bradycardia
🗑
|
||||
| show | An abruption
🗑
|
||||
| What are the maternal risks of forceps or vacuum assisted delivery? | show 🗑
|
||||
| show | ecchymosis----facial/scalp lacerations or abrasions-----facial nerve injury-----cephalhematoma-----intracranial hemorrhage
🗑
|
||||
| show | to decrease 2nd stage labor trauma
🗑
|
||||
| show | forcep marks or trauma
🗑
|
||||
| show | perforation amniotic sac - this rupture of membranes helps to progress labor
🗑
|
||||
| What are the three (four) risks of an amniotomy? | show 🗑
|
||||
| What nursing interventions are done after an amniotomy? | show 🗑
|
||||
| show | Negative; positive
🗑
|
||||
| Rho immunoglobulin is given to prevent the development of maternal ___ | show 🗑
|
||||
| show | Sensitized
🗑
|
||||
| What can happen to the fetus if the mother develops or already has antibodies? | show 🗑
|
||||
| Besides birth, what other ways can sensitization happen? | show 🗑
|
||||
| All pregnant women are screed to determine if the are rubella ___ | show 🗑
|
||||
| Rubella is a ___ virus | show 🗑
|
||||
| show | False - must be given after birth, so she does not make antibodies
🗑
|
||||
| How long should a woman wait to get pregnant after receiving the Rubella vaccine? | show 🗑
|
||||
| List the S/S of superficial thrombosis of thrombophlebitis | show 🗑
|
||||
| show | -Redness
-Heat
-Tenderness
-Positive Homan's sign
🗑
|
||||
| What is a positive Homan's sign? | show 🗑
|
||||
| What is used to confirm the dx of DVT? | show 🗑
|
||||
| Why would you place warm, moist heat to an extremity affected by thrombophlebitis or DVT? | show 🗑
|
||||
| show | Pulmonary embolism - a clot obstruction
🗑
|
||||
| List the measures to help prevent thrombophlebitis and DVT | show 🗑
|
||||
| show | -early/frequent ambulation
-pelvic lifts
-tightening/relaxing of abd muscles
-avoid carbonated beverages/straws (creates gas)
-Rectal suppositories to stimulate peristalsis and the passage of flatus
🗑
|
||||
| Which one would be best for the immediate post-op cesarean section? Tightening and relaxing of the ABD muscles or Rectal suppositories | show 🗑
|
||||
| Normal bowel function resumes how soon after delivery? | show 🗑
|
||||
| show | False
🗑
|
||||
| When assessing the ABD, it should be ___, non-___ and without ___ ___ | show 🗑
|
||||
| show | Diastasis recti
🗑
|
||||
| show | Weak; soft; flabby; exercise (crunches and sit-ups
🗑
|
||||
| What hormone decreases after childbirth and allows pigmentation to recede? | show 🗑
|
||||
| show | Stretch marks
🗑
|
||||
| show | 30-60
🗑
|
||||
| show | -Assit parents in positioning baby
-Mom/baby eye contact
-Point out reciprocal bonding
-Encourage parents to participate in care
-Model bonding behaviors
-Refer to infant's characteristics positively
🗑
|
||||
| show | attachement
🗑
|
||||
| "___ ___" is the mildest form of PP depression. These are normal and ___ | show 🗑
|
||||
| show | -Panic attack (leads to CP, increased HR, increased RR's)
-Refusal to eat
-Inability to cope/care for baby
-Hostile/easily angered toward baby
-Irrational
-Phobias
-Hallucinations
🗑
|
||||
| show | Immediately or months after birth - anytime within the first year
🗑
|
||||
| show | -Usually epidural
-NPO, except for meds to neutralize gastric acids
-EFM until skin prep, wedge under hip
-Labs: CBC, Type and screen, clotting studies PRN
-IV line, prophylactic ABX
-Skin shave and foley insertion
-Provide emotional support
🗑
|
||||
| What are the 2 types of skin (ABD wall) incisions? | show 🗑
|
||||
| What are the 3 types of uterine incisions? | show 🗑
|
||||
| Which type of uterine incision eliminates a VBAC as an option for birth? | show 🗑
|
||||
| show | -Return of motion and sensation
-ABD dressing
-LOC and respirations
-Pain level and administer narcotics
-I & O, maintain pt. IV
🗑
|
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:
MEPN 2013
Popular Nursing sets