Ch21 study guide, exam 3 (Nursing Care Postpartum)

Question 1

first 3 months after childbirth

Answer 1

fourth trimester

Question 2

method for giving report that has been shown to increase patient satisfaction and improve patient outcomes

Answer 2

bedside report

Question 3

depends on many factors, including physical condition of the mother and newborn, mental and emotional status of the mother, social support at home, patient educational needs, and financial concerns

Answer 3

length of hospital stay

Question 4

classification of medications that stimulate contraction of the uterine smooth muscle

Answer 4

oxytocic

Question 5

failure of the uterine muscle to contract firmly

the most frequent cause for excessive bleeding following childbirth

Answer 5

uterine atony

Question 6

perineal treatment that involves sitting in warm water for approximately 20min to soothe and cleanse the site and to increase blood flow, thereby enhancing healing

Answer 6

sitz bath

Question 7

menstrual-like cramps experienced by many women as the uterus contracts after childbirth

Answer 7

afterpains (postbirth pains)

Question 8

dilation of the blood vessels supplying the intestines as a result of the rapid decrease in intraabdominal pressure after birth

Answer 8

splanchnic engorgement

Question 9

splanchnic engorgement can cause

Answer 9

blood to pool in the viscera and contribute to a drop in BP (orthostatic hypotension) when the woman sits, stands, first ambulates, or takes a warm shower

Question 10

complaint if pain in the calf muscles when the foot is sharply dorsiflexed
(can signal the presence of a DVT)

Answer 10

Homans sign

Question 11

exercises that can assist women to regain muscle tone that is often lost when pelvic tissues are stretched and torn during pregnancy and birth

Answer 11

Kegel

Question 12

swelling of the breast tissue caused by increased blood and lymph supply to the breasts as the body begins the process of lactation
(occurs about 72-96hrs after birth)

Answer 12

engorgement

Question 13

vaccine that can be given to postpartum women whose antibody titer is less than 1:8 or whose IEA level is less than 0.8
(used to prevent non immune women from contracting this TORCH infection during a subsequent pregnancy)

Answer 13

Rubella

Question 14

blood product that is administered to Rh-neg, antibody (Coombs)-negative women who give birth to Rh-pos newborns
(administered at 28 weeks and within 72hrs after birth)

Answer 14

RhoGAM

Question 15

telephone-based postpartum consultation service that can provide information and support
(NOT a crisis intervention line to be used for emergencies)

Answer 15

warm line