MATERNAL PHYSIOLOGICAL CHANGES
Within 12 hrs following birth, where would the nurse expect to locate the client's fundus?
What is 1cm above the umbilicus (belly button)
This is the most likely cause of postpartum hemorrhage in a woman whose labor was augmented with Pitocin.
What is uterine atony.
This is the term for greater than 500 ml blood loss after vaginal delivery and greater than 1000 ml after cesarean birth
What is postpartum hemorrhage (PPH)
This the first stage of the transition period lasts up to 30 minutes after birth in a newborn.
What is first period of reactivity
This the most common cause of pathologic hyperbilirubinemia.
What is hemolytic disorders in the newborn
This is uncomfortable uterine cramping caused by periodic relaxation and vigorous contractions and are more common in subsequent pregnancies (and for breastfeeding moms).
What is afterpains
Women should be warned that this vaccine is teratogenic, and that they must avoid pregnancy for 1 month after vaccination.
What is Rubella
This is the transient, self-limiting mood disorder that affects new mothers after childbirth due to hormonal changes.
What is postpartum blues
This is the appearance of slightly cyanotic hands and feet, is caused by vasomotor instability, capillary stasis, and a high hemoglobin level.
What is acrocyanosis
In this syndrome, the infant is noted to be small for gestational age with small eyes and a thin upper lip. The infant also is microcephalic.
What is Fetal Alcohol Syndrome
What does lochia rubra look like, consist of, and when does it occur?
Lochia Rubra is bright red blood within the first few days postpartum. Rubra consists of blood and decidual debris. It is a fleshy odor; it's not a foul-smelling odor.
During this phase the mother assumes responsibility for her own care and shifts her attention to the infant
What is the Taking-hold phase.
This is considered one of the most common postpartum infections. Signs include fever, increased pulse, chills, anorexia, nausea, fatigue, lethargy, pelvic pain, uterine tenderness, and foul smelling profuse lochia.
What is endometritis
This is used to prevent gonorrheal and chlamydial infection of the infant’s eyes potentially acquired from the birth canal following birth.
What is Erythromycin ophthalmic ointment
This complication is thought to be a result of high arterial blood oxygen level.
What is Retinopathy of Prematurity (ROP)
This is the most serious condition that causes bladder distention and uterine atony.
What is excessive uterine bleeding (PPH).
On assessment a nurse finds a perineal pad that is heavily saturated. The nurse’s initial action is to:
What is massage the fundus
This is the delayed return of the uterus to normal size and function, resulting in late postpartum bleeding.
What is subinvolution
This is considered the classification of newborns by gestational age and birth weight, the appropriate for gestational age (AGA)
What is fall between the 10th and 90th percentiles for the infant’s age.
This newborn has clinical manifestations: LGA, plump, abundant vernix caseosa, listless and lethargic...(Macrosomia baby). This newborn also tends to have issues with hypoglcemia.
What is infant of diabetic mother
These are pelvic floor exercises that will help to strengthen the perineal muscles and encourage healing.
What are Kegel exercises
This is one of the best treatments for a bottle-feeding mother with swollen, warm, and tender breasts.
What is applying ice packs for comfort.
On assessment, the nurse finds pain and tenderness in the patient's extremities, along with warmth, redness and tenderness.
What is thrombophlebitis (DVT)
This reflex occurs when rubbing the side of the foot, the toes fan out.
What is the Babinski reflex.
This is one of the first steps in providing care to an infant whose mother abused substances during pregnancy.
What is Neonatal Abstinence Scoring (the higher the score, the more issues trying to console the newborn)