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68wm6 post prego
exam block 10
| Question | Answer |
|---|---|
| What is another name for the post partum period? | Puerperium. |
| When does the post partum period begin? | The delivery of the placenta. |
| What is the process that results in rapid healing and a return to the pre-pregnant state? | Involution. |
| What is assessed after a normal spontaneous, vaginal delivery? | Vitals, breasts, uterus, bladder, lochia, perineum, lower extremities, other systems. |
| True or false. Temperature may be elevated for up to 48 hours with no other symptoms after delivery. | True. |
| What is the top of the uterus known as? | The fundus. |
| True or false, the uterus should be soft and boggy after delivery. | False. The uterus should be firm. |
| What is lochia rubra? | Blood content; bright red colored for the first couple days. |
| What is lochia serosa? | Pink to brown discharge lasting the first postpartum week. |
| What is lochia alba? | Slightly yellow to white discharge which lasts 10 days to 2 weeks. |
| What are some things you want to report to the provider during a lochia assessment? | Foul smelling, bright red discharge. Fist sized clots, saturated pad in less than 1 hour. |
| What does the acronym REEDA stand for and what is it used to assess? | It is used to assess an episiotomy. It stands for: redness, edema, ecchymosis, discharge, approximation. |
| What postion would you lay the mother in to assess her perineum? | The sims position with the uppermost leg flexed. |
| A post partum patient asks her nurse "Will my feet shrink back to normal size?" You as the nurse would tell the patient? | It is possible that your feet may remain permanently larger than they were before pregnancy. |
| When is Rhogam given post partum? | within 72 hrs after delivery. |
| What are the 3 phases of Rubin’s Psychological Changes? | 1 taking in, 2 taking hold, 3 letting go. |
| What are some post partum danger signs? | Passive reactions, either verbal or nonverbal. Hostile reactions. Disappointment over the sex of the baby. Lack of eye contact. Non-supportive interaction between parents. |
| Blood loss greater than 500 ml after vaginal birth, or 1000 ml after cesarean birth or a drop in hematocrit of 10% or more is defined as? | Post partum hemorrhage. |
| What are the two early causes of hemorrhage? | Uterine atony, trauma. |
| What are the clinical signs of uterine atony? | Boggy soft fundus, high fundus (above umbilicus), full bladder ( fundus high and to side, increased lochia with clots. |
| What are predisposing factors of uterine atony? | over distension of uterus, large infant, hydramnios, intrapartum factors, augmented labor with oxytocin, DIC |
| When does late post partum hemorrhage occur? | later than 24 hrs after delivery, w/o warning usually 7-14 days after. |
| What are typical causes of subinvolution? | Placental retention, pelvic infection |
| What is caput succedaneum? | localized edema that crosses suture lines, usually as a result of pressure on cervix. |
| Cephalohematoma. | bleeding between skull and periosteum, doesn't cross suture lines. |
| Epstein's pearls | White or yellow vesicles that occur in the palate of an infants mouth. |
| Milia | Tiny white cysts on the infants nose. |
| Meconium stools | First stools that occur 12 hrs after birth, dark green, tarry and odorless. |
| Transitional stools | Loose, greenish-brown stools on the 2nd or 3rd day |
| Average newborn length | 19-21cm |
| Average newborn weight | 5 lb 8 oz to 8 lb 13 oz. |
| axillary temperature | prefered temperature site of newborn,(97.7-99.5) |
| Normal resperatory rate | 30-60/bpm |
| Colostrum | A thick yellow substance high in protein, minerals, fat soluble vitamins and immunoglobulins, which transfers some immunity to the infant. |
| Kernicterus | Rare brain damage in infants caused by excessive bilirubin. |
| erythema toxicum | Harmless condition commonly called newborn rash or fleabite rash and resembles small bites or acne. |
| nevus flammeus | Permanent, flat, dark, reddish-purple mark, known as port-wine stains. |
| Term infant | 38-42 wks |
| Respiratory distress syndrome | insufficient production of surfactant |
| Necrotizing Enterocolitis | Blood is diverted from the GI tract |
| Bronchopulmonary Dysplasia | Chronic condition occurring most often in infants weighing less than 1500 g at birth. |
| What are the handicaps of a preterm newborn? | Inadequate respiratory function, sepsis, poor temperature control, hypoglycemia, hypocalcemia, increased tendency to bleed, ROP, NEC, immature kidneys, jaundice. |
| At what gestational age do infants have the ability to suck and swallow? | 34 wks |
| Name the signs and symptoms of cold stress | Decreased skin temperature, increased resp rate with periods of apnea, bradycardia, mottling of skin and lethargy. |
Created by:
wlthompson49
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