Post-Partum Assessments
A new mother who feels sad and emotional for a week or two but the SX do not interfere with daily functioning, may have _____ ______.
Postpartum Blues
What is the priority nursing action for a mid-line boggy uterus?
Massage the fundus
True or False:
The respiratory system returns to the pre-pregnant state by 6-8 weeks post-partum
True
A nurse is teaching about crib safety with the parent of a newborn. The nurse instructs the client that is safe to have ______ blankets in the crib with the baby
Zero, NO,
According to HealthyPeople 2030 progress has been made in reduction of fetal deaths and access to ______ _______.
Prenatal care
A patient who delivered 48 hours ago phoned the OB/GYN office concerning her bleeding. She thinks she may be bleeding too much. The nurse should instruct her that she should call the office if she has an egg-sized clot or is soaking through _____ pad(s) an hour
One or more
What is the priority nursing action for a fundus that is deviated to the right on palpation.
Have the patient void.
True or False
Sweating more than normal and urinating more than normal are physiologic ways the body rids itself of the increased blood volume associated with the pregnancy during the PP period
True
When taking a newborn's measurements, the chest should be measured around which landmark?
Nipples
After birth, maternal _______ count may rise to 30,000/mm within a hours of birth and return to normal levels within 7 days
WBC
During post-partum fundal assessment, this action protects against uterine inversion
Supporting the lower uterine segment with your non-dominant hand.
A woman who has a blood type of O- and gave birth to a baby with blood type A+ will receive an IM injection of _______ within 72 hours of delivery to prevent antibody formation (ABO, Rhesus incompatibility)
Rhogam
Multiparous women and fetal macrosomia are risk factors for post-partum hemorrhage due to _____ _____.
(hint, think 4T's)
Uterine Atony
An APGAR Score is a rapid assessment of all babies at _____ minute and ______ minutes after birth
One
Five
Bacteria that synthesize this vitamin are not present in the newborn's intestinal tract at birth and it is administered shortly after birth to prevent complications with clotting. What is the name of this vitamin?
Vitamin K
At a postpartum check up 10 days after delivery, the nurse asks the client about the color of her lochia. Which of the following colors is expected?
Lochia Alba
A new mother who receives the rubella vaccine following birth should be instructed about the importance of _______ for the next 30 days.
Contraception
A parent who is making eye contact with the baby, naming the child, engaging in newborn care are exhibiting positive __________ behaviors
Bonding, but parental attachment would also work
An APGAR score is a measurement of how well the neonate is adjusting to ________ ________
Extrauterine Life
The causes of postpartum hemorrhage are T____, T_____, T______, and T_______
Tone, Trauma, Thrombin, and Tissue
A nurse assesses a woman's temperature 3 hours after a vaginal birth and finds it to be 100.1F with no other symptoms. The nurse suspects that this elevation in temp is likely due to ________
Dehydration
Pitocin/Oxytocin is used in the post-partum period to prevent and treat the complication, _______ ________.
Postpartum Hemorrhage
A nurse is caring for a newborn immediately following birth. After assuring a patent airway, what is the priority nursing action?
Dry the baby (stimulates and prevents heat loss by evaporation)
Name at least five newborn reflexes that are assessed in the neonate
Tonic Neck (Fencer)
Babinski
Stepping
Rooting
Sucking
Moro
Plantar
Palmer
Following birth, the neonate is at risk of heat loss from these four methods.
Conduction, Convection, Radiation, Evaporation