How normal can you get?
Making the booty feel better one ice pack at a time
I wish you and your lady parts a speedy recovery
The passenger has arrived!
You remind me of the babe. What babe? The babe with the power.
100
Blood loss during delivery accounts for 300-500 mL. 1.___ to ___ mL with cesarean delivery. Cardiac output declines rapidly, putting the Pt at risk for 2._____ formation as a result of elevation of 3.______ in the early postpartum period.
What is 1. 600 to 800 mL 2. thrombus 3. platelets (837)
100
Is this correct? 1. Apply a covered ice pack to the perineum from front to back 2. For dry heat, position the lamp 50 cm from perineum; use once a day for 1 hour period.
What is 1. Yes 2. No (Box 27-2 p 838)
100
What is the term for this: The postpartum period that lasts from the time the woman delivers the placenta until the reproductive organs return to approximately nonpregnant size and position.
What is puerperium (pu-er-PER-e-um) (834)
100
Some babies are 9 lbs (eh hem... Cooper Hodges), but the average newborn... 1.Weighs? 2. Is __ inches long. 3. The head circumference averages?
What is 1. 7lbs 8oz (3400g) 2. 20 inches long 3. 13-14 inches (859 and slides pg 69)
100
The healthy newborn needs approx 1.___ kcal/kg of body weight each day. Including proteins, carbs, fats, vitamins, and minerals. Fluid intake needs are high 2.___ to ___ ml/kg/day. 1 kg = ___ lb
What is 1. 120 2. 140-160 3. 2.2 (866)
200
During the recovery phase, the mother's vital signs are the be monitored every 1. ___ minutes for the first hour and then hourly for the next 2. __ hours. 3. Thrombophlebitis is a potential complication of the postpartum period. What should the nurse do to prevent this problem?
What is 1. 15 2. 4 3. Early and frequent ambulation (846 and 847)
200
What squeeze bottle instructions are true/false? 1. Instruct woman to position nozzle between her legs so that squirts of water reach perineum as she sits on toilet. 2. Wipe the area prior to starting 3. Fill bottle with tap water warmed to approximately 100.4 degrees Fahrenheit. 4. Explain that it takes a whole bottle of water to cleanse perineum 5. Allow the area to air-dry
What is 1.T 2.F 3.T 4.T 5.F (Box 27-2 p838)
200
MATCH EM UP: 1. Lochia rubra 2. Lochia serosa 3. Lochia alba A. As the placental site heals, the discharge thins and becomes pink-brown B. Drainage is yellow-white, begins on the 7th day and can last another 2 weeks C. Bright red (bloody) drainage after the first day or two after delivery
What is 1.C 2.A 3.B (835)
200
A mother who's blood type is 1.___-____ gives birth to an infant who is 2.___-____ and must receive RhoGAM within 3.___ hours after delivery.
What is 1. Rh-negative 2. Rh-positive 3. 72
200
T/F? 1. Bottle-fed and breastfed babies need to be burped. 2. The infant's bath water should be approx 100 degrees. It is therapeutic to allow the infant to soak in the water for 20 minutes. 3. It is important to sway the mother to breastfeed her baby 4. The mother who delivered cesarean is excited about taking her baby home 72 hours after delivery. 5. The father shouldn't be concerned that his baby does not produce tears at 1 month of age.
What is 1.T(867) 2.F(867) 3.F(866) 4.F(859) 5.T(861)
300
Normal or not normal (N/NN)? You decide... 1. Temperature rises to 100.4 during the first 24 hours post delivery. 2. Bradycardia 8 days after delivery 3. Gestational hypertension that has persisted into the postpartum period 4. Lochia goes from serosa to rubra 5. The uterine fundus feels soft and boggy
What is 1. N (elevations in temp noted after 24 hours could mean infection) 2. N 3. NN- Pt could c/o headache. Confine her to bed and notify HCP 4. NN- this is a sign the Pt should slow down and increase activity gradually 5. NN- the fundus should remain contracted, firm, and midline. (846, Table 27-2, 847, 848)
300
Bruising and __1__ of the perineum is common. The episiotomy (if present) should be free of __2__ with the edges well __3__ and without discharge. It should heal withing 4. __-__ weeks.
What is 1. edema 2. erythema 3. approximated 4. 2-3 weeks (835-836)
300
The release of __1__ during breastfeeding stimulates contraction of the uterus, so it undergoes a more rapid __2__. A lower incidence of 3. _____ ______ is found in women who have nursed for at least __4__ months.
What is 1. oxytocin 2. involution 3. breast cancer 4. 3 (852-853)
300
Understood teaching (U) or Did not understand teaching (NU)? 1.The mother uses baby powder on the infant's bottom. 2. The father is not alarmed at the yellowish crust from the circumcision site two days later. 3.The mother avoids feeding on the right side because it isn't comfortable. 4. The mother feeds the infant with only the head turned toward the breast 5.The father burps the baby after bottle feeding every 0.5 to 1 oz of milk 6.The diaper is folded down with plastic side on outside to prevent moisture retention to the umbilical cord. 7. After feeding, the baby is placed on his right side to discourage regurgitation.
What is 1.NU 2.U 3.NU 4.NU 5.U 6.U 7.U (all from box 27-8 pgs 843-844)
300
Newborn vital signs go something like this... 1. Respiratory rate averages from __ to__ breaths/min. Brief periods of apnea is normal. 2. The pulse rate averages ___ to ___ bpm. 3.The bp averages __ to __ over __ to __ and should be approximately the same in all four extremities. 4. The axillary temp should be between ___ and ___ degrees F, with stabilization occurring within 8 to 10 hours after birth.
What is 1. 30 to 60 breaths/min 2. Pulse rate 120 to 160 bpm 3. Bp of 60 to 80 over 40 to 50 mm Hg 4. Temp between 97.6 ad 98.6 degrees. (859 and slides pg 70)
400
T/F??... 1. The bladder should be full when palpating the fundus. 2. A lack of sleep can interfere with the mother's milk production 3. A pad with less than 4 inches of lochia is considered moderate flow. 4. A mother that wants to bottle feed should restrict fluid intake to suppress milk production 5. Ibuprofen (Motrin) is effective in reducing the severity of cramping without altering the contraction of the uterine muscle, but should use caution in Pts with kidney or heart disease or those taking diuretics.
What is 1.F (p848) 2.T (p848) 3.F (figure 27-4 p850) 4.F (p853) 5.T (855)
400
What intervention am I describing based on Box 27-2 on p 838? 1. Use at least twice a day for 20 minutes. 2. Offer witch hazel pads after voiding or defecating. 3. Used to decrease edema formation and increase comfort during the first 2 hours after birth. 4.Cover the lamp with towels.
What is 1. Sitz bath (built-in type) 2. Topical applications 3. Ice pack 4. Dry heat
400
1. What does BUBBLE-HE stand for? 2. Match the emotional status with the phase. I. "Taking In" II. "Taking Hold" III. "Letting Go" A. The mother sleeps, and depends on others for nurturing and food, and relives the events surrounding the birth. B. The mother wants to learn to care for her newborn. She is preoccupied with the present and concerned about her health and her baby's condition. C. Reestablishes relationships with other people
What is 1. Breast, Uterus, Bladder, Bowel, Lochia, Episiotomy, Homans' sign, Emotional status 2. I.A II.B III.C (box 27-9 p851)
400
Jaundice in infants results approximately 1.___ hours after birth and is termed physiologic jaundice. It gradually disappears by the 2. __th to __th day. Jaundice that occurs sooner than this after birth is considered 3._______ jaundice. This type of jaundice is NOT normal and may be the result of maternal-fetal blood incompatibility.
What is 1. 48 2. 7th to 10th day 3. pathologic (860)
400
Normal (N) or not normal (NN)? 1. The infant's gluteal and popliteal folds are asymmetric. 2. The Asian mother relinquishes care of her infant to grandmothers and not attempt to hold her baby. 3. A Vietnamese mother cares for her infant's needs, but does not cuddle or interact with her child.
What is 1. NN(865) 2. N(857) 3. N(857)
500
Immediately after delivery, the uterine fundus is about midway between the __1__ and the 2. _____ ____ or slightly higher. During the first 12 hours after birth, it 3.____ to the level of the ___4___ at midline. In the following 24-48 hours, the uterus begins a gradual descent. Within 1 week it is barely palpable at the level of the symphysis pubis. 5. How would the nurse know the uterus is a pelvic organ once again?
What is 1. umbilicus 2. symphysis pubis 3. rise 4. umbilicus 5. 6-8 weeks has passed and the uterine fundus is no longer palpable. (835)
500
Random maternal changes (T/F) 1. Pelvic joints fully return to their pre-pregnant position during the recovery phase. 2. The new mother may notice a permanent increase in shoe size. 3. Diaphoresis is common, especially at night, during the first week postpartum. 4. Normal bowel elimination should resume immediately after delivery.
What is 1. F (839) 2. T (839) 3. T (839) 4.F (838)
500
What are some things the nurse should do prior to assisting the mother to ambulate for the first time? (SATA) A. Instruct her to wiggle toes and massage calves B. Obtain a baseline bp C. Obtain amount of blood lost D. Ensure that the Pt is ready to ambulate within 1 hour to prevent DVT E. Type/amount of analgesic or anesthetic meds given during L&D F. Pain level
What is B, C, E, F (846) Never A and D isn't correct because the Pt needs to remain in bed to allow body systems to adjust to fluid volume changes prior to ambulating. My rationale is probably after 4 hours since the vitals need to be assessed hourly for 4 hours.
500
MATCH ME- match the type of heat loss to the nursing intervention to prevent it- 1. Radiation 2. Evaporation 3. Conduction 4. Convection A. Dry the infant thoroughly after delivery and promptly when bathing. B. Wrap newborn to protect from cool drafts from open doors, windows, or air conditioning C. Pad surfaces under the infant, tables and scales. Warm stethoscopes before use. D. Work quickly to avoid excessive time with skin exposed. Locate crib away from outside wall.
What is 1.D 2.A 3.C 4.B (867 table 27-7)
500
MATCH UP- Reflex assessments: 1. Moro (startle) reflex 2. Tonic neck reflex 3. Dance/stepping reflex 4. Babinski reflex 5. Grasp reflex-palmer 6. Grasp reflex-plantar 7. Pull to sit reflex A. Head quickly turns to one side, arm and leg extend on that side; opposite arm and leg flex B. Infant's fingers curl around examiner's fingers C. Toes fan out with dorsiflexion of the big toe when the sole of the foot is stroked upward from the heel to the side of the foot, and across the ball of the foot to the big toe D. A flexion and extension of the leg when the foot touches a hard surface E. Infant attempts to right head when pulled by the wrists from a supine position F. Extension and abduction of extremities and fanning of fingers. Index finger and thumb form a C shape G. Toes curl downward when touching the base of the toes
What is 1.F 2.A 3.D 4.C 5.B 6.G 7.E (863-864)
M
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