Care of the Mother and Newborn (Ch. 28)
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Care of the Mother and Newborn (Ch. 28) - Marcador
Care of the Mother and Newborn (Ch. 28) - Detalles
Niveles:
Preguntas:
127 preguntas
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| The postpartum period is part of which stage of labor? | The fourth stage |
| Oxytocin is produced by which gland? | Posterior pituitary gland |
| What is the position of the uterine fundus immediately after birth? | Midway between umbilicus and symphysis pubis |
| What is the position of the uterine fundus 12 hours after birth? | Level of umbilicus |
| After birth, what is the rate of descent of the fundus? | One fingerbreadth per day |
| Autolysis is a result of sudden withdrawal of________ and _________ | Estrogen and progesterone |
| Lochia consists of which 3 components? | Blood Tissue Mucus |
| Describe the appearance of lochia rubra | Bright red drainage |
| What is yellow to white discharge called? | Lochia alba |
| When should hemorrhage related to lacerations be suspected ? | If bleeding continues despite a firm, contracted uterine fundus |
| When should an episiotimy be healed? | 2-3 weeks |
| List the factors leading to obstetric lacerations of the lower genital tract? | Operative birth Precipitous birth Congenital abnormalities Contracted pelvis |
| Describe a first-degree perineal laceration? | Extends through skin and structures superficial to muscle |
| A laceration extending through the muscles of the perineal body is what degree laceration? | Second-degree |
| Describe a fourth degree perineal laceration | Involves anterior rectal wall |
| The production of colostrum continues for how long? | 2 days after delivery |
| Colostrum is rich in: | Protein Calories Antibodies Lymphocytes |
| Prolactin is secreted by which gland? | Posterior pituitary |
| What is prolactin responsible for? | Stimulating milk production |
| What causes the release of oxytocin? | Stimulation of the nipples |
| How much blood is lost during delivery? | 300mL - 500mL |
| What accounts for the most fluid loss after delivery? | Diuresis and diaphoresis |
| Why is the mother at risk for thrombus in the early postpartum period? | Due to elevation of platelets |
| Postpartum headaches may be caused by: | Hypertension Stress Leakage of cerebrospinal fluid |
| When do estrogen and progesterone reach their lowest levels after delivery? | 1 week into the postpartum period |
| List 5 postpartum maternal danger signs: | Fever Maloderous discharge Excessive vaginal discharge Bright red vaginal bleeding Edema |
| If the mother has been under general anesthesia, what must be assessed prior to offering solid foods? | Presence of bowel sounds |
| The breast feeding mother should increase their caloric intake by how much? | 300 to 500 kcal/day |
| Why might the postpartum woman experience vertigo while showering? | Due to vascular shifts related to heat of the shower |
| Why should the nurse encourage voiding after birth? | A full bladder interferes with the complete contraction of the uterus |
| How often should perineal pads be changed? | After each urination or defecation |
| Enemas and suppositories are contraindicated in women who experience which degree lacerations? | Third and fourth-degree |
| When is bradycardia not considered abnormal? | If other vital signs are within normal limits |
| What contributes to orthostatic hypotension in the postpartum woman? | Pooling of blood in the viscera |
| What should be kept on hand to revive the patient who is ambulating for the first time? | Ammonia ampules |
| What is considered indicative of puerperal infection? | Temperature of 100.4 or higher on 2 consecutive days during the first 10 days after delivery |
| What kind of exercises tone without causing undue exertion? | Isometric exercises |
| The new breast feeding mother feeds her baby at ___ to ___ hour intervals through the night | 2 to 3 hour intervals |
| How often should the lochia and fundus be checked after birth? | Every 15 minutes for the first 1-2 hours |
| Which oxytocic medications are prescribed to to induce uterine contractions? | Oxytocin (Pitocin) Maleate (Methergine) |
| What are afterbirth pains? | Cramping sensations that result from the contraction of the uterus |
| Ibuprofen are used cautiously in people with which 3 conditions | Kidney disease Heart disease Taking diuretics |
| After delivery, the mother is instructed to make a follow-up appointment within how many weeks? | 6 weeks |
| When are healthy babies seen by a physician after birth? | At 2 weeks of age |
| Babies who are discharged before 48 hours of age are seen by the health care provider within how many days? | 2 to 5 days of discharge |
| Well baby visits are scheduled every __ to __ months | 2 to 3 months |
| The baby's first doctors appointment after birth is aimed at reviewing which factors? | Nutritional status Elimination Presence of jaundice |
| What is the respiratory rate of the newborn? | 30 to 60 breaths per min |
| How much does the average newborn weigh? | 7 lbs 8 oz |
| When should the apical pulse of the newborn be auscultated? | While the infant is asleep |
| What might pathologic jaundice be the result of | Maternal-fetal blood incompatibility |
| At birth, the skin is covered in a yellowish white, cream cheese-like substance. What is this substance called? | Vernix caseosa |
| What is the purpose of vernix caseosa? | Protects the infants skin from amniotic fluid |
| What are Epstein pearls? | White nodules on the hard palate |
| A two vessel cord may indicate: | Congenital abnormalities |
| Infection of the newborn's eyes, usually resulting from gonorrheal other infection contracted from the birth canal is called ________ __________. | Opthalmia neonatrum |
| At what distance can newborns see best? | 8 to 10 inches |
| When does the umbilical cord usually fall off? | 10 to 14 days |
| What should the newborn's spine look like? | Straight without curves |
| What is the term for extra digits? | Polydactyl |
| How much fluid is intake is necessary for the newborn? | 140-160 mL/kg/day |