MATERNAL PHYSIOLOGICAL CHANGES
NURSING CARE DURING POSTPARTUM
POSTPARTUM COMPLICATIONS
NEWBORN PHYSIOLOGICAL CHANGES
HIGH RISK NEWBORN
100

Within 12 hrs following birth, where would the nurse expect to locate this woman’s fundus?

What is 1cm above the umbilicus

100

The most likely cause of postpartum hemorrhage in a woman whose labor was augmented with Pitocin is:

What is uterine atony.

100
Greater than 500 ml blood loss after vaginal delivery and greater than 1000 ml after cesarean birth
What is postpartum hemorrhage
100

The first stage of the transition period lasts up to 30 minutes after birth.

What is first period of reactivity

100

The most common cause of pathologic hyperbilirubinemia is:

What is hemolytic disorders in the newborn

200
Uncomfortable cramping caused by periodic relaxation and vigorous contractions and are more common in subsequent pregnancies:
What is afterpains
200
Women should be warned that this vaccine is teratogenic, and that they must avoid pregnancy for 1 month after vaccination.
What is Rubella
200
Transient, self-limiting mood disorder that affects new mothers after childbirth:
What is postpartum blues
200

The appearance of slightly cyanotic hands and feet, is caused by vasomotor instability, capillary stasis, and a high hemoglobin level.

What is acrocyanosis

200

Infant is noted to be small for gestational age with small eyes and a thin upper lip. The infant also is microcephalic. What do your findings indicate?

What is Fetal Alcohol Syndrome

300

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.

300
During this phase the mother assumes responsibility for her own care and shifts her attention to the infant
What is taking-hold
300
Most common postpartum infection. Signs include fever greater than 38 C, increased pulse, chills, anorexia, nausea, fatigue and lethargy, pelvic pain, uterine tenderness, and foul smelling profuse lochia
What is endometritis
300
Prevent gonorrheal and chlamydial infection of the infant’s eyes potentially acquired from the birth canal.
What is Ilotycin ophthalmic ointment
300

What complication is thought to be a result of high arterial blood oxygen level?

What is Retinopathy of Prematurity

400

Most serious condition to occur from bladder distention:

What is excessive uterine bleeding (PPH).

400

On assessment a nurse finds a perineal pad that is heavily saturated. The nurse’s initial action is to:

What is massage the patient fundus

400

Delayed return of the enlarged uterus to normal size and function, resulting in late postpartum bleeding.

What is subinvolution

400
In the classification of newborns by gestational age and birth weight, the appropriate for gestational age
What is fall between the 10th and 90th percentiles for the infant’s age.
400

Clinical manifestations include: LGA, very plump, abundant vernix caseosa, plethora, listless and lethargic...(Macrosomia baby)

What is infant of diabetic mother

500

Pelvic floor exercises that will help to strengthen the perineal muscles and encourage healing:

What is Kegel exercises

500

Best treatment for a bottle-feeding mother with swollen, warm, and tender breasts.

What is applying ice packs for comfort.

500
On assessment, the nurse finds pain and tenderness in the patient extremities, along with warmth, redness, and hardness, likely indicate
What is thrombophlebitis
500
The reflex response to open the mouth to maintain an airway if the nose is obstructed appears in newborns at:
What is three weeks
500
The first step in providing care to an infant whose mother abused substance is:
What is Neonatal Abstinence Scoring
M
e
n
u