Ch 18
This is yellowish-white discharge that starts around day 10-14 and lasts until 3-6 weeks after birth.
Lochia Alba
This is defined as the failure of the uterine muscle to contract firmly and results in excessive bleeding.
Uterine atony
This describes the time after birth up to 10 days postpartum where a woman experiences mood lability and cries more easily with no apparent reason. It does not impact ADLs.
Postpartum blues
This is blue coloring to the extremities (hands and feet).
Acrocyanosis
Name 1 feeding cue, prior to crying, a baby exhibits to suggest they are ready to eat.
sucking or mouthing motions; hand-to-mouth or hand-to-hand movements, rooting reflex
At 24 hours postpartum, this would be the expected fundal height.
U/U
*By 24 hrs postpartum, the fundus should be at U or starting to go under the umbilicus (U/1 or U/2). We are worried if the fundal height is starting to go above the umbilicus.
Name 1 vaccine that cannot be given during pregnancy due to teratogenic effects, but it can be administered postpartum with no contraindications for breastfeeding.
Rubella or Varicella (live attenuated vaccines)
Name 2 examples of positive interactions that suggest that the parents and baby are demonstrating appropriate attachment.
Mutuality; acquaintance; claiming process; eye contact; talking about baby/using name of baby; smiling at baby; holding baby/touching hands, arms, face, etc; entrainment; biorhythmicity; reciprocity; synchrony
Name 2 signs of respiratory distress
Nasal flaring; retractions; seesaw/paradoxal respirations; tachypnea; central cyanosis; grunting
Describe 2 education points for a parent regarding formula preparation/bottle feeding.
Burp a baby during the feeding and after feeding; Never prop a bottle; Wash hands with soap and water before preparing formula; Sanitize bottle parts before use; clean bottle parts between feedings/uses - hot, soapy water in basin designated for baby bottles, dishwasher; Note expiration of formula; Mix exactly how label states with safe to drink tap water; Wash the top of the can with hot, soapy water; Use unused prepared bottles within 48 hrs; Refrigerated formula can be warmed by placing the bottle in a pan of hot water; NEVER microwave a bottle; Test temperature on inside of wrist; A used bottle of formula needs to be discarded within 1 hr after being fed to the infant
The first action that should be performed if a woman's fundus is found to be boggy.
Fundal Massage/Massage the fundus
List 2 education topics for a woman who has decided to bottle-feed her infant to manage engorgement.
Wear well-fitted support bra first 72 hrs; avoid breast stimulation from warm water in shower, newborn suckling, or expressing milk; apply ice packs to the breasts; Cabbage leaves on breasts; Mild analgesic or anti-inflammatory medication
Name 2 vital sign changes that can be seen with hemorrhagic (hypovolemic) shock.
Tachypnea; tachycardia; hypotension; cool, pale, clammy skin; decreased U/O; Decreased LOC/Mental status; CVP decreased
An infant is placed in a cold crib right after birth. This would put the baby at risk of this type of heat loss.
Conduction
This is an inflammatory disease of the GI mucosa that can cause perforation of the bowel. Signs of this condition include abdominal distention and bloody stools.
Necrotizing enterocolitis (NEC)
Normal blood loss for a C/S delivery.
<1000 mL
You are the nurse caring for a patient whose fundus is found to be 2/U and off to the side. Name your primary action.
Help patient empty her bladder - straight cath, assist to the bathroom, bladder scan. *She is experiencing distended bladder.
At 4 weeks postpartum, a woman who is experiencing irritability, severe concern for newborn well-being, and feelings of sadness that disrupt activities of daily living will be diagnosed with this.
Postpartum depression without psychotic features
This reflex is seen when you stroke the side of an infant's face and they turn toward that side.
Rooting reflex
Infants who are exposed to this substance during pregnancy are noted to be small for gestational age (SGA), have small eyes and a thin upper lip, and is microcephalic.
Alcohol
Fetal Alcohol Syndrome (FAS)
Name 1 normal physiologic change after birth for the urinary system or the GI system
Urinary - Diuresis; Night sweating; Bladder distension & lost tone (tone to return by 5-7 days)
GI - Hungry and slowed peristalsis, decreased tone - could have constipation
Name this procedure where the nurse asks the patient to place her feet on the bed and lift her buttocks off of the bed to determine if she has regained sensation and motor movement after an epidural or spinal.
Bridge
Oxytocin (Pitocin); methylergonovine (Methergine); carboprost (Hemabate); misoprostol (Cytotec); tranexamic acid (TXA) are all examples of this.
Postpartum hemorrhage medications (medications to stop heavy bleeding)
At 1 minute of birth, the infant has a HR of 120; Cries with a Weak Cry; Some flexion of extremities; pink body with blue extremities. Calculate the APGAR for baby and what does that mean.
7
HR: >100/min = 2
Resp Effort: Weak cry = 1
Muscle Tone: Some Flexion of extremities = 1
Reflex Irritability: Cry = 2
Color: Body pink, extremities blue = 1
Swaddling, nonnutritive sucking, skin-to-skin contact with the mother, and sucrose are all examples of this.
Pain management techniques
Non-pharmacologic pain management techniques