Postpartal
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| show | Postpartal period or Puerperium period
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| show | Involution of uterus
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| show | umbilicus then descend 1 cm every 24 hrs
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| By day ____ should no longer feel the fundus, if it can be flet the uterus has not gone through involution and there is a risk for ____ | show 🗑
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| show | right
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| ____ is released during breastfeeding which enhanses ____ | show 🗑
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| Assessing the fundus; empty bladder, ____ position, support lower uterine segment to prevent ____, find fundus around umbilicus by palpating with fingers and make sure it is midline | show 🗑
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| show | 4-6 weeks
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| show | Redness - Echymosis (bruising) - Edema - Drainage - Approximation
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| show | Lochia
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| show | Rubra (dark red) first 2-3 days, Serosa (pink) 3-10 days, Alba (creamy white or light yellowish), clear
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| show | closed
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| show | infection
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| When is it safe to resume sex | show 🗑
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| show | 200-300cc
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| show | infection
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| show | uterus cleaned out when open
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| ___ are outpouching of veins seen around the anus after birth. If large need refrral to proctologist | show 🗑
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| Hemorrhoids are very painful, give ____ soak or ___ cream | show 🗑
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| Cervix changes from dimple-like os of a nullipara to a ____ of multipara | show 🗑
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| How long does the vagina take to decrease in size for nonlactating women and why longer in lactating women | show 🗑
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| show | 25-30 lbs
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| show | 6-10 weeeks usually
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| show | increased levels of prolactin - therefore breastfeeding is not a reliable means of contraception
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| The abdomen appears loose and flabby because the diastasis recti abdominis ____ | show 🗑
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| show | progestrone influence
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| Colace which is a ____ may be given to women who fear the first bowel movement (bearing down) - fear of pain and tearing episiotomy delays elimination | show 🗑
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| Puerperal diuresis occures because the ____ system that has been going to baby is going into general circulation | show 🗑
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| show | hemorrhage
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| show | bladder - causes the uterus to hemorrhage
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| If a woman can not get up to pee after giving birth, palpate the bladder, if full ____ | show 🗑
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| Dilated uteters increases the risk for ___. | show 🗑
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| If the bladder is empty and the uterus is still boggy then ____ uterus | show 🗑
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| show | WBC normally elevated after delivery so go by temp over 100.4F
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| The risk for thromboembolism lasts for ____ weeks due to progesterone/estrogen flucations | show 🗑
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| show | Lovonox
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| With the knee bent, doriflex the foot, if severe pain it is a positive ____ sign | show 🗑
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| ____ is a nervous response to vasomotor change | show 🗑
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| What kind of pain is more common in multiparas | show 🗑
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| show | oxytocin
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| show | taking in 1-2 days, taking hold 2-3 days
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| What are the four stages of maternal role attainment (Mercer's research) | show 🗑
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| show | Anticipatory - during pregnancy
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| Which of Mercer's stages does the woman act as she believes others expect her to act | show 🗑
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| Which of Mercer's stages does the mother develop her own style of mothering | show 🗑
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| show | Personal stage - 3-10 months after delivery
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| ____ is a transient period of depression occuring during the first few days after delivery until 10-14 days | show 🗑
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| show | Postpartum blues
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| changing hormone levels, psycholigic adjustments, unsupportive environment, insecurity, fatigue, discomfort, overstimulation and lack of sleep are all causes of | show 🗑
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| show | Maternal attachment behavior
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| unwraping the babies, fingertip exploration and enface position (direct gazing) are all which phase of maternal attachment behavior | show 🗑
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| show | Phase of mutual regulation - mom adjusts her needs to the infant
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| Which phase of maternal attachment behavior is mutually gratifying interaction amount mother infant and father | show 🗑
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| What may be given 30 minutes before doing assessment | show 🗑
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| show | be sure to knock first. Teach client self-care
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| show | no more than 38C (100.4F) for 24 hours - due to dehydration, if still high after hydrated may be an infection
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| show | blood pressure - if not stable may be due to pregnancy induced HTN
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| Which vital sign slows then retgurns to pre-pregnancy level after birth | show 🗑
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| show | hemorrhaging or shock
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| BUBBLEHE stand for what | show 🗑
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| show | Heparin
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| Urine elimination - Catherize if not voided within ____ hours after delivery or after urinary catherter removal | show 🗑
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| stool softners, ambulation increase fluid intake (200ml/day or more) add fruits and roughage to prevent ___- | show 🗑
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| show | 200kcal (in addition to the pregnancy 300 kcal increase)
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| Iron supplements, if prescribed must be taken for ____ - ____ weeks after delivery to prevent anemia | show 🗑
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| show | restoring physical condition, develope competence in caring for and meeting needs of infant, establish relationship with infant, adapt to altered lifestyle and family structure
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| mother's general attitude, feelings of competence, available support systems, caregiving skills, fatigue level, sence of satisfaction, and ability to accomplish developmental tasks are what type of adjustment assessment | show 🗑
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| show | fatigue, depression, preoccupation with physical status or discomfort, low self-esteem, lack of support, material probs, inablity to care for newborn, current family crisis (illness or unemployment)
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| If there is an problem with early attachment, the nurse should find out what the problem is and the ____ of the problem | show 🗑
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| When giving RhoGAM during the discharge assessment, must get into the muscle not sub Q b/c | show 🗑
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| show | SubQ - tell them not to get pregnant for at least 3 months
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| show | Discharge assessment
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| handouts and discharge instuctional manuals, formal classes, videotapes, individual intraction and demonstrations and closed circuit educational TV shows for new mothers are all examples of ____ methods | show 🗑
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| show | evaluation methods - done with nurse
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| maternal and infant care, role changes, psychological adjustment, special education needs (CS, Multiple, congenital anomaly) and anticipatory guidance are all apart of ____ content | show 🗑
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| show | every 15 min for first hour, then every 30 minutes for second hour, then hourly for 2 more hours, then every 4 hours for first 24 hours (follow institution protocols or physician orders)
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| What is used to cleanse perineal area | show 🗑
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| show | icepack on 20 off 10 for 24 hrs, warm sitz bath 102-105 F for 20 min PRN, cool sitz bath, and anesthetic spray, which hazel compresses and ointment
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| What is done to relieve after pains | show 🗑
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| What can help supress lactation in non-breastfeeding mother | show 🗑
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| What are the risk factors for suboptimal breastfeeding | show 🗑
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| show | Nipple soreness(peak 3-6 day), cracked niples, breast engorgement, plugged ducts, alcohol and medications, return to work, weaning
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| Ways to promote maternal rest | show 🗑
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| Teach client to increase ambulation over 6 weeks, avoid ____, ____, ____ activity, and return to work after final postpartal examination | show 🗑
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| show | increased locia and pain
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| what are the health benefits of postpartial exercises | show 🗑
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| advantage of mother-baby or couplet care | show 🗑
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| Advantages of sibiling visitation | show 🗑
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| show | water-soluble
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| Why should a mother breastfeed prior to sex | show 🗑
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| show | crying baby, unattractive to mother body, sleep deprivation, hormonal changes, decreased libido
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| show | cough and deep breath every 2-4 hours and CS moms use incentive spirometer
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| ways to increase circulation after birth | show 🗑
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| CS moms must have ____ B4 liquids may be given | show 🗑
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| show | maternal-infant interaction, roles of support people, plans for discharge, knowledge of childrearing, plans for foll-up care
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| show | self-care, infant care and behaviors, contraception, responsibilities of motherhood, goal setting, peer relationships, and resources
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| show | emotional support, explain grief process, respect special requests regarding care of infant (whether to see and hold infant, early discharge, transfer to medical unit)
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| When to call primary care provider for temperature | show 🗑
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| show | foul smelling, return to bright red bleeding, excessive amount, or passage of large clot
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| When to contact primary care provider with changes in breasts | show 🗑
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| When to contact primary care provider with thrombophlebitis | show 🗑
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| show | urgency, frequency and burning on urination
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| show | incapacitating
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| show | discharge
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| What is assessed for preparation of discharge | show 🗑
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| A nurse is assessing the lochia of a 24-hour postpartum client and notes the presence of blood clots. What would be the appropriate nursing action? | show 🗑
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| show | asprin
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| ____ may cause an overdistended uterus, contributing to afterpains. | show 🗑
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| show | midway and at the level of the umbilicus
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| T/F Pt is allergic to aspirin; therefore, she cannot have the Empirin #3. | show 🗑
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| While the nurse is palpating the fundus of a 12-hour postpartum client, she complains of severe pain. What diagnosis should the nurse suspect? | show 🗑
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| The nurse is caring for four postpartum clients. Which client is at greatest risk for bladder atony? | show 🗑
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| show | 500 more than prepregnancy
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| The nurse is caring for four high-risk postpartum clients. Which predisposing condition places a client at risk for developing pulmonary edema? | show 🗑
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| show | dyspareunia
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| The nurse is caring for a postpartum client 10 hours after a normal vaginal birth. Where should the nurse expect to palpate the fundus? | show 🗑
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| show | a cervical laceration
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| show | "6-9 weeks."
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| show | Assess the perineum and lochia. If heavy bleeding is not seen, ask the client to put on a clean perineal pad and then reassess the client's pad in 1 hour.
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| Assessment of the postpartal woman includes an evaluation of the lochia. Evaluation of the lochia includes character, amount, odor, and the presence of clots. Describe the normal progression of lochia after birth. | show 🗑
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| Normal Vaginal Birth.Ms. Jenkins is concerned because she experiences a rush of blood when she first gets out of bed to walk to the bathroom. Is this a serious problem? How would you explain it to the client? | show 🗑
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| what is engrossment? | show 🗑
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| Ms. Jenkins tells you, "I don't feel as excited about the baby as I expected. Mostly, I'm just tired. Is there something wrong with me?" How would you best respond to her concerns? | show 🗑
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Created by:
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