Patient Education
What are some normal postpartum diuretic changes
What is massive fluid mobilization that occurs after birth? With up to 3000mL/ day being excrteted
What makes the APGAR score
What is appearance, pulse, grimace, activity, and respiration
What are some interventions for late decelerations
What is apply oxygen 10L/min via a non-rebreather face mask, turn the client on the left lateral side, decrease oxytocin, and increase IV fluids
Why do we give magneisum sulfate
What is preventing and treating seizures? As well as serving as neuroprotection for preterm infants
When to defer vaginal exam
What is placenta previa, active vaginal bleeding, PROM, and recent sexual intercourse within 24 hours
What are the three lochia colors
What is lochia rubia (dark or bright red), lochia serosa (pink or brown), and lochia alba (yellow to white)
What are some safe sleep measures
What is a firm mattress, no co-sleeping, no blanklets, pillows, bumpers, or toys, place baby on back, and room sharing is recommended
What are some symptoms of magnesium sulfate toxicity
What is the antidote for magnesium sulfate
What is preclampsia
What is a pregnancy-specific condition in which hypertension (>140/90) and proteinuria developed after 20 weeks of gestation
What is the purpose of the KB stain
What is used to determine the presence of fetal-to-maternal bleeding
What must be included in a car seat safety
What are the output concerns related to magnesium sulfate
What is the increased risk for accumulation and toxicity due to the medication not being excreted by the kidneys
What is bethmethasone used for
What is used for pregnant patients at risk of preterm delivery to help mature fetal lungs
What are some labs/ medical history that must be obtained before epidural placement
What is platelet count, coagulation profile, use of blood thinners, and coagulation disorders
What are some APA feeding recommendations
What is feeding 8-12 times per day (every 2-3 hours), holding the baby upright, keeping the bottle tipped full of milk to prevent air swallowing, not prop bottles, discarding unused formula, and mixing formula exactly as directed
What are some hospital newborn security measures
What is electronic security tags, staff identifications, and matching ID bands
What are some risk factors for gestational diabetes
What is hypertension, preclampsia, miscarriage, maternal mortality, monilial vaginitis, UTI, ketoacidosis, complications in birth (e.g., preterm, C-section, placental insufficiency, polyhdramnios, epistotomy & forceps), and newborn complications (e.g., birth injuries, stillbirth, hypoglycemia, polycythemia, hyperbilirubinemia, respiratory distress syndrome, congenital abnormalities, and fetal macrosomia)
What are the side effects of nifedipine
What is hypotension, facial flushing, peripheral edema, and constipation
What nursing intervention MUST be done before an epidural is placed
Administer an IV bolus (999mL/ hr)
What are some signs of neonatal abstinence syndrome
What is irritability, seizures, high-pitched cry, tremors, poor feeding, mottled skin, fever, tachypnea, nasal stuffiness, disrupted sleep patterns, and temperure instability
What newborn system is related to oligohydramnios
What is the renal/ urinary system
What are some possible complications that may result from abdominal trauma
What is placental abruption, pelvic fractures, and pulmonary contusion
What are some side effects of an epidural and narcotics
What are maternal hypotension, inability to void, decreased ability to push, vertigo, pruritus, and spinal headache (epidural)
What are C/V/N, respiratory depression and sedation (narcotics)
How do we determine true labor
What is regular contractions that increase in strength and duration as time passes, vaginal bleeding related to cervical changes, and pain that radiates from the lower back and around to the front of the abdomen