Deck 3

Question 1

What is Lochia?

Answer 1

At 1 HR postpartum lochia rubra should be intermittent and associated with uterine contractions (small clots are common and lochia is similar to a heavy menstrual period)

Question 2

Lochia Rubra

Answer 2

Dark red

Question 3

Lochia Serosa

Answer 3

Pinkish brown color

Question 4

Lochia Albia

Answer 4

Yellowish white cream color

Question 5

As a nurse, what do we need to do regarding the lochia?

Answer 5

Document it and continue to monitor the client

Question 6

What do we need to document about the lochia?

Answer 6

Color, odor, consistency, amount (COCA)
• “What it looks like”

Question 7

What is quickening?

Answer 7

Fetal movement (fluttering sensation)

Question 8

What is a potentially life-threatening complication of Terbutaline?

Answer 8

Ischemia, pulmonary edema

Question 9

Where is the baby located if mom complains of severe backache?

Answer 9

Persistent occiput posterior (OP)

Question 10

What nursing actions are necessary before an epidural is placed?

Answer 10

Obtain a 20 to 30 min EFM strip before the spinal anesthesia is placed

Question 11

What about after the epidural is given?

Answer 11

Assess & document FHR and pattern q 5- 10 minutes, (provide emergency care for fetal distress).

Question 12

What places newborns who are SGA at higher risk for hypoglycemia? What is your priority intervention as a nurse?

Answer 12

Glycogenesis Monitor blood glucose levels

Question 13

What is nesting?

Answer 13

A sudden increase of energy before labor

Question 14

What is the criteria to permit a VBAC?

Answer 14

transverse incision (others risk uterine rupture)

Question 15

Are there any foods that are contraindicated while breastfeeding?

Answer 15

Avoid any foods with history of allergies in family or client has an allergy to.

Question 16

What side effects can happen with a warm sitz bath and what vital signs should you monitor?

Answer 16

Vasodilation, monitor clients pulse, monitor BP for orthostatic hypotension when standing to get out of the bath

Question 17

What interventions do we do to avoid venous stasis, thrombophlebitis, and clots?

Answer 17

Have the client ambulate as soon as she can after delivery and as often as possible

Question 18

What must a nurse know prior to administering an analgesic during active labor? Why?

Answer 18

How many centimeters the cervix is dilated, administration of analgesics to close to delivery can cause respiratory depression in newborn. (Don’t give after 8cm)

Question 19

What is important to remember in regard to urinary habits for a client in labor? Why?

Answer 19

Encourage to empty bladder every two hours, (full bladder can slow labor and can increase postpartum hemorrhage)

Question 20

What are your nursing interventions postpartum for the perineum? What do they do?

Answer 20

Ice packs, cool water sitz baths, Witch hazel compresses
• Prescribed anesthetic creams, sprays, ointments
• They Reduce edema/promote comfort

Question 21

What position should you put the patient in if you’re trying to increase blood pressure?

Answer 21

On left side with one hip elevated

Question 22

What measures can a mother take to prevent nipple soreness?

Answer 22

change positions, breast milk applied to the nipple, cream(s) (lanolin), proper latch, breast shells to soften nipples if cracked/irritated

Question 23

Describe Variable Decelerations. What do they indicate?

Answer 23

Abrupt decrease in fetal heart rate, gradual return to baseline, umbilical cord compression

Question 24

What methods can the nurse use to determine if a patient’s membranes have ruptured?

Answer 24

Positive (two lines) nitrazine(Amnisure) strips, ferning, pooling of fluid at the vaginal fornix

Question 25

What is the favored fetal position for delivery?

Answer 25

ROA