Postpartum Adaptations
What is the expected fundal height 12 hours after birth?
At the umbilicus
What is the 1st line management of a postpartum hemorrhage?
Fundal massage
What type of medication is given to treat Vaginal Candidiasis?
Antifungal
-zole (Miconazole, Fluconazole)
What tube/organ is cut in a vasectomy?
Vas deferens
What is the most common treatment for urinary incontinence?
Kegels
A nurse notes a firm, but deviated fundus. What is her first action?
Assist the patient in emptying her bladder
List 3 causes of uterine over distention.
Multiples, polyhydramnios, macrosomia.
Chlamydia is commonly coinfected with what other STI? Both of these infections put a woman at an increased risk for?
Gonorrhea
Pelvic Inflammatory Disease
A woman states that her cervical mucous is clear, slippery, and smooth. When she stretches it between her fingers it doesn’t break. What is the name of this mucous and what is she at high risk for?
Spinnbarkeit and high risk for pregnancy
A woman diagnosed with cervical cancer most likely had what STI?
HPV
True or False. Constipation is a normal assessment finding after delivery.
True
What uterotonic drug is given rectally?
Cytotec/Misoprostol
Name the most prominent sign of Bacterial Vaginosis.
Thin white discharge with a FISHY odor
What hormone is responsible for temperature increase near ovulation?
Progesterone
A new mother states that one of her nipples is red and swollen, and she is worried that she won’t be able to continue breastfeeding. What do you suspect the woman is experiencing and what would you educate her in regard to breastfeeding?
Mastitis and the importance of continuing to feed
A woman does not want to breastfeed and is looking for some tips to control engorgement. Name 3 recommendations you would give.
Use a cold compress on each breast, wear a tight bra, avoid nipple stimulation.
A woman has history of high blood pressure. She recently delivered and is saturating a pad approximately every 45 minutes.. Which uterotonic drug is contraindicated.
Methergine
What stage of a Syphilis infection is the chancre present?
Primary
A woman is interested in the Diaphragm as a form of birth control. What are teaching points?
She needs to be fitted by a clinician and refitted after pregnancy or weight changes, inserted up to 4 hours before intercourse, leave in place for at least 6 hours after.
What is the gene that puts an individual at an increased risk for breast cancer?
BRCA1
Name abnormal findings in regard to Lochia.
Foul odor, saturating a pad within the hour, large clots, returning to rubra after transitioning to serosa.
List the 5 T’s associated with PPH
Tone, Tissue, Trauma, Thrombin, Traction
List 4 risk factors for Vaginal Candidiasis.
High estrogen contraceptives, pregnancy, antibiotic use, tight clothing, nylon underwear, high sugar intake
A woman who frequently smokes is interested in a hormonal form of birth control. What should she not be prescribed?
Combination oral pill, Patch, Ring
What STI can lead to liver damage if not treated properly?
Hepatitis B