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From Flashcardlet > 09 - POSTPARTUM: Key Points > Flashcards

09 - POSTPARTUM: Key Points Flashcards

1
Q

It is essential to consider all Pts individually to better incorporate their __ and __ into the plan of care.

A

culture and special needs

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2
Q

From its level at the umbilicus, the uterus should descend about __ per day after birth.

A

1 finger’s width

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3
Q

The uterus should no longer be palpable at __ days porstpartum

A

10 days

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4
Q

A (rapid/slow) pulse is common in the early postpartum period.

A

slow pulse

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5
Q

A high maternal pulse rate that would be normal at other times may indicate __ or __ in the postpartum Pt.

A

hemorrhage or infection

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6
Q

A full bladder interferes with __ __, which can lead to hemorrhage

A

uterine contraction

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7
Q

Measures to prevent constipation should be emphasized at each assessment (3)

A
  1. Fluid intake
  2. High-fiber diet
  3. Activity
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8
Q

RhoGAM is given within __ to the Rh-negative mother who delivers an Rh-positive infant

A

72 hours

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9
Q

The postpartum check should include status of (9)

A
  1. Fundus
  2. Lochia
  3. Breasts
  4. Perineum
  5. Bowel and Bladder Elimination
  6. Vital Signs
  7. Homans’ sign
  8. Pain
  9. Evidence of attachment
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10
Q

Neonatal screening tests (PKU) identify __ that can be treated to reduce or prevent disability

A

disorders

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11
Q

The nurse must always keep the possibility of infant __ in mind when providing care

A

abductions

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12
Q

__ and __ require contact between parents and infant

A

Bonding and attachment

the nurse should promote this contact whenever possible

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13
Q

More breast milk removed means ____

A

more milk produced

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14
Q

__, __, and __ __ promotes milk production and lessens engorgement

A

Early, regular, and frequent nursing

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15
Q

Duration of nursing on the first breast should be at least ___ to stimulate milk production.

A

15 minutes

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16
Q

Weaning from the breast should be __

A

gradual

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17
Q

Commercially prepared formulas are available in (3)

A
  1. ready-to-feed
  2. concentrated liquid
  3. powdered
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18
Q

Discharge planning: Nurse teaches the mother (3)

A
  1. Normal findings
  2. Significance
  3. What to report
    (written materials should be provided)
19
Q

After __ the fundus begins to descend about 1 cm each day

A

24 hours

20
Q

Nursing the infant promotes uterine involution, because is ___

A

causes the pituitary to secrete oxytocin to contract the uterus

21
Q

Breastfeeding mothers have more __ because infant suckling causes the pituitary to secrete more oxytocin

A

afterpains

22
Q

Hormone that contracts the uterus

A

oxytocin

23
Q

The best way to maintain a newborn’s temperature immediately after birth

A

dry the infant thoroughly, including the hair (and covering the infant’s head)

24
Q

Newborns lose heat quickly because (3)

A
  1. Amniotic fluid evaporates from their bodies
  2. Drafts move heat away
  3. May contact cold surfaces
25
Q

When in need of an interpreter to assist with discharge instructions, the interpreter should not be a family member because ___

A

the person may interpret selectively.

26
Q

__ __ provide adequate relief of afterpains for most women

A

Mild analgesics

27
Q

To minimize sedation and side effects passing to the newborn, when should the breastfeeding mother who is experiencing afterpains take an analgesic?

A

Immediately AFTER breastfeeding

28
Q

Aspirin is not used postpartum because ___

A

it interferes with blood clotting

29
Q

Hormone responsible for production of breast milk

A

prolactin

30
Q

What postpartum assessment does the acronym REEDA help a nurse remember how to complete thoroughly?

A

Perineum or an Incision (c-section)

31
Q

REEDA

A

redness, edema, ecchymosis, discharge, approximation

32
Q

Risk factors for low blood glucose after birth

A
  1. Pre- and Post- term
  2. Diabetic mothers
  3. LGA or SGA
  4. IUGR
  5. Asphyxiated
  6. Cold stressed
33
Q

By the __ day, breasts will become firm from milk production

A

3rd day

34
Q

Afterpains should decrease rapidly within ___ postpartum

A

48 hours

35
Q

Mother may see a __ __ of blood flow during ambulation

A

temporary increase

36
Q

The uterus should return to its approximate pre-pregnancy size by __ __

A

6 weeks

37
Q

The Rh-negative mother should receive a dose of RhoGAM within ____ after giving birth to an Rh-positive infant.

A

72 hours

38
Q

After 3rd stage of labor, there is a fall in the blood levels of (5)

A
  1. Placental Hormones
  2. hPL
  3. hCH
  4. Estrogen
  5. Progesterone
39
Q

Failure of the uterus to return to the pre-pregnant state after 6 weeks is called __

A

subinvolution

40
Q

The uterine lining (endometrium) is shed when the __ __

A

placenta detaches

41
Q

A layer of the uterine lining remains to ____

A

generate new endometrium (prepare for future pregnancies)

42
Q

The placental site is fully healed in ___ weeks

A

6 - 7 weeks

43
Q

Immediately after the placenta is expelled, the uterine fundus can be felt ______

A

midline, at or below the level of the umbilicus

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