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This medication, along with oxytocin, may be prescribed to treat postpartum hemorrhage.
What is methylergonovine (Methergine), misoprostol (Cytotec), or carboprost (Hemabate)?
A postpartum patient who delivered after a long labor has a boggy fundus and heavy lochia with large clots. The first nursing intervention should be this.
What is fundal massage?
This is the cause of excessive night sweats in a postpartum patient.
What is the body secreting excess fluids from pregnancy?
This condition is suspected in a postpartum patient who complains of pain while urinating and increased frequency.
What is a urinary tract infection (UTI) or cystitis?
A patient who delivered three hours ago has a temperature of 102.4°F. The nurse should take this immediate action.
What is notifying the provider?
These are two important assessments for a postpartum patient who had a cesarean section.
What are lung sounds and bowel sounds?
A postpartum patient is experiencing heavy lochia and a firm fundus. This is the likely cause.
What is a cervical or vaginal laceration?
A postpartum patient is experiencing excessive thirst, chills, and muscle aches. These are signs of this postpartum complication.
What is an infection?
A newborn with a respiratory rate of 66 breaths per minute, nasal flaring, and grunting may have this condition.
What is respiratory distress syndrome?
The expected respiratory rate of a normal newborn is this range.
What is 30-60 breaths per minute?
This condition is characterized by jaundice appearing within the first 24 hours of life.
What is pathologic jaundice?
A baby delivered by cesarean section is at risk for complications in this body system.
What is the respiratory system?
If a newborn is placed too close to a cold air vent, heat loss occurs through this mechanism.
What is convection?
The thick, white coating seen on a newborn at birth is called this.
What is vernix caseosa?
This is the primary way newborns regulate their temperature.
What is brown fat metabolism?
A newborn with poor tone, low temperature, and jitteriness should be assessed for this condition.
What is hypoglycemia?
This is a change in the cardiovascular system that occurs at birth.
What is closure of the ductus arteriosus?
This lab value in a postpartum patient would indicate a need for further assessment: hemoglobin 9 g/dL, hematocrit 32%.
What is anemia?
This is the reason why newborns develop physiologic jaundice.
What are an immature liver and excess breakdown of fetal red blood cells?
This is the Apgar heart rate score for a newborn with a heart rate of 110 bpm.
What is 2?
Stroking the side of a newborn’s face causes the baby to turn toward the touch. This reflex is called this.
What is the rooting reflex?
The Moro reflex is commonly known as this reaction.
What is the startle reflex?
The Ortolani maneuver is used to assess for this condition in newborns.
What is hip dislocation?
This is the most likely cause of bilateral breast pain 72 hours after delivery.
What is engorgement?
A mother experiencing a red, painful area in one breast while breastfeeding may have this condition.
What is mastitis?
This is when a mother should begin birth control after giving birth.
What is as soon as she resumes sexual activity?
A postpartum patient complaining of sudden shortness of breath and chest pain should be assessed for this condition.
What is a pulmonary embolism?
A postpartum patient with fever, foul-smelling lochia, and a high WBC count may have this infection.
What is endometritis?
This is the first action the nurse should take when a postpartum patient saturates a perineal pad within 15 minutes.
What is assessing the fundus?
A newborn with an Apgar score of 5 at one minute and 6 at five minutes needs this type of care.
What is close observation throughout the transition period?
These are the five components of the Apgar score.
What are heart rate, respiratory effort, muscle tone, reflex irritability, and color?
This is the primary reason why newborns transition from fetal circulation at birth.
What is pressure changes causing closure of fetal shunts?
A newborn experiencing difficulty adapting to extrauterine life may exhibit these three signs.
What are grunting, nasal flaring, and retractions?
A high-pitched, shrill cry in a newborn may indicate this condition.
What is neurological dysfunction?
If a newborn's skin is wet, they are at risk for heat loss via this mechanism.
What is evaporation?
This nursing action is the most important in preventing infection in a postpartum patient.
What is proper handwashing?
The normal blood glucose range for a newborn within the first 24 hours is this.
What is 40-60 mg/dL?
This is the correct intervention when a newborn presents with a low temperature and jitteriness.
What is assessing blood glucose?
This is how the nurse should define bonding to an expecting mother.
What is the process of developing an attachment with the newborn?
This is an appropriate intervention for a couple grieving the loss of their newborn.
What is offering a lock of hair or photo of the baby?