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 the level of 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

A complication where there is a seepage of vaginal bleeding but the nurse finds the uterus firm and U-1 position, she could be suffering from

What is a cervical or vaginal laceration

100
The most common cause of pathologic hyperbilirubinemia is:
What is hemolytic disorders in the newborn
200

What type of lochia would the nurse expect to see in a Patient at 2 days postpartum

What is lochia rubra

200

Women should be warned that this vaccine is teratogenic, and that they must avoid pregnancy for 1 month after vaccination.

What is MMR, specifically the 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 acrocynosis
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

The nurse finds during assessment of the fundus that the uterus is displaced to the left, what should the nurse instruct the patient to do

What is empty your bladder

300

2 days postpartum, the status-post cesarean section patient complains of gas pain, the nurse should instruct the patient to

What is ambulate more often

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

The postpartum patient is complaining of severe pain, pressure and a tearing sensation in her perineum, she is most likely suffering from 

What is a hematoma

400

The milk present in the breasts 7-10 days postpartum is known as

What is transitional milk

400
On assessment a nurse finds a perineal pad that is heavily saturated. The nurse’s inital action is to
What is massage the patient fundus
400

The insulin requirements in a type 2 diabetic mother within the first 48 hours of giving birth are usually______ than in pregnancy

What is lower

400
In the first 24 hours after giving birth, the mother can suffer from the dehydration effect of labor, a manifestation of this could be

What is a low-grade fever

400
Clinical manifestation include: LGA, very plump, abundant vernix caseosa, plethora, listless and lethargic...
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 on palpation breast
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

This medication cannot be administered for PPH if the patient is hypertensive

What is methergine

500

The most important assessment when providing care to an infant whose mother abused substance is:

What is Neonatal Abstinence Scoring