Blood and Blood Products
How many bags of blood products can run through tubing before it needs to be changed?
2
What is the differenced between acute and chronic pain?
Acute pain lasts less than 6 months, is often identifiable and protective
Chronic pain is more than 6 months, the cause can be unknown
Describe how lochia changes after birth
bright red to brownish red to lighter red/pink to pink to pink/white to white/clear
What are 3 ways to maintain a newborn babies body temperature.
1. Keep them swaddled
2. Make sure they are wearing a hat
3. Make sure they are dry
Dehiscence vs evisceration
Wound edges separate
Wound edges separate and internal structures come out
What can be given in conjunction with blood products?
Only Normal Saline
When is an adjuvant medication used?
Adjuvant drugs can be used to enhance the effects of pain medications, treat concurrent symptoms, and provide analgesia for other types of pain.
How stages of episiotomy involvement are there?
4
How long can blue fingers and toes in a newborn be considered normal?
up to 24 hours
How often should IV tubing be changed if it has not contained blood products?
every 72-96 hours
Mrs. Lee is receiving blood products and starts complaining of sudden low back pain. Her temperature is also elevated. What can this indicate?
Hemolytic transfusion reaction
List the signs and symptoms of infection (8)
Redness/discoloration, heat, odor, discolored drainage, swelling, fever, pain, a stop in healing
If the fundus is off to the left side and boggy, what should be done about it?
Ask client to void, once midline then massage fundus
At 10 minutes old a baby has an APGAR score of 9, what can/should the nurse do?
The nurse can swaddle baby and give it to the mother to hold
What is phlebitis?
inflammation of a vein near the surface of the skin
What is whole blood? When is it used?
Cells and plasma
Used for volume replacement when significant bleeding has occurred, and for its oxygen-carrying capacity for treatment of severe anemia, sometimes caused by hypovolemia
List 6 signs of pain in a patient who claims they are "fine"
Pacing, scrunched face, wincing, flinching, fidgeting, guarding, calling out, being defensive or irritable, increased resps, increased BP, increased pulse
How long can be normal before a postpartum mom voids?
up to 3 days
How can you tell if there is something wrong with the posterior or anterior fontanelles?
They will not be even with the skull, they will be raised or indented.
Name the 3 location prompts we use for the ventrogluteal IM
The greater trochanter
The iliac crest
The iliac spine
When administering blood products, at what points are you assessing vital signs??
Immediately prior to infusion, 15, 30 and 60 min after infusion begins, then hourly
Describe the differenced between neuropathic pain and nociceptive pain?
Nociceptive pain: Normal processing of stimuli that damages normal tissues or has the potential to do so if prolonged
Neuropathic pain: Abnormal processing of sensory input by the peripheral or central nervous system
Name the two c-section insicions and the directions they go
Transverse - from hip to hip above suprapubic region
Vertical - up midline
Name 3 reflexes we look for with newborns
Rooting
Moro
Bobinski
Palmer
Plantar
Startle
List the stages of wound healing
hemostasis, inflammation, proliferation, and remodeling/maturation