Psychosocial Adaptations
Skin to skin contact between mom and baby is an example of __?
Bonding
What should you do if mom has questionable feelings about her baby and the bonding process?
Acknowledge them
Keep open ended communication
True or false: Adverse sibling responses such as a previously potty trained 4 year-old who goes back to bedwetting is a normal sibling adaptation
True
What causes variable decelerations?
Umbilical cord compression
What action needs to be taken promptly to avoid DVTs after surgery?
Ambulation
Eye contact with the newborn, grasping, and holding the infant's finger are examples of ___?
Attachment
What are some ways that a new mom can maximize the amount of time spent with her baby?
Scheduling
Negotiating with others about household tasks
A client in the early postpartum stage is very excitable and will not stop talking during your assessment. What is the proper nursing intervention?
Give her time to express her feelings
What do late decelerations mean?
Uteroplacental insufficiency
A patient's uterus is boggy and deviated to the right. What is the first intervention that should be done?
Empty the bladder
What should nurses do to make certain that mothers are bonding with their babies?
Observe interactions
How are body image and smoking major maternal concerns?
Body image - may be self conscious of her weight/body change. Calorie restriction may lead to decreased immunity and energy
Smoking - May relapse in the postpartum period and continue her old habits after the baby is born
What is the best way for the nurse to promote and support the maternal-infant bonding process?
Rooming-in
How should contractions be measured?
From the beginning of one contraction to the beginning of the next
What are characteristics of postpartum blues?
Irritability, fatigue, tearfulness, mood swings, anxiety
Briefly describe the 3 Reva Rubin Phases
Taking-In Phase: Focused on self and needs help with the baby
Taking-Hold Phase: More independent and confident
Letting Go Phase: Reestablishing how her life was before the baby
Smoking increases the risk for ___ in infants?
SIDS (Sudden Infant Death Syndrome)
How can you (as the nurse) prepare a school age child for a sibling?
Addressing concerns, time alone with mom, feeling the baby, talking to mom's belly
Mirror images of the contractions are also known as __ decelerations?
Early decelerations
What are risk factors for postpartum hemorrhage?
Things that would overstretch the uterus (not limited to):
Multiple gestations
Macrosomia
Others: Overdistention, hydramnios, obesity
What are some ways to facilitate bonding between mom and baby?
Skin to skin contact
Rooming in
Observing features of the baby and comparing to the parents
Holding face-to-face position
What is the definition of postpartum blues?
Mild depression usually lasting longer than 2 weeks
What is the best way to communicate with a patient who's primary language is not English?
Fetal hypoxia is correlated with which type of deceleration?
Prolonged decelerations
What does a foul odor indicate?
Infection (never good!)