Mod D obj 1-4 cards

Question 1

Intermittent uterine contractions after delivery are called?

Answer 1

Afterpains

Question 2

When is Rhogam given?

Answer 2

Rh Neg mom, Rh Pos baby. Given within 72h of birth.

Question 3

On dorsiflexion of foot, patient has pain in the calf- what is this called and what could it indicate?

Answer 3

Homan’s sign and it could indicate thrombophlebitis

Question 4

What are Rubin’s psychological stages?

Answer 4

Taking in, Taking hold, letting go

Question 5

What happens in the Taking In phase?

Answer 5

It’s all about the mom. She is excited and talkative. She relies on others and wants to talk about the experience.

Question 6

What happens in the Taking Hold phase?

Answer 6

The focus is on the infant and competence. She is eager and desires to take charge. She can handle discomfort and emotional changes.

Question 7

What happens in the Letting Go phase?

Answer 7

The focus is on the moving forward of the family as a unit. Reasserts relationship with father.

Question 8

An intense display of interest in the child by the father is called…

Answer 8

Engrossment

Question 9

Is sibling regression normal?

Answer 9

Yes.

Question 10

What is the failure of a uterus to return to a non-pregnant state called?

Answer 10

Subinvolution

Question 11

What are the characteristics of Lochia Rubra?

Answer 11

Bright Red, 1-3 days

Question 12

What are the characteristics of Lochia Serosa

Answer 12

Pink-Brown 3-4 days

Question 13

What are the characteristics of Lochia Alba

Answer 13

Colorless to whitish 10 days

Question 14

What can a relaxed uterus indicate?

Answer 14

Atony

Question 15

What can a firm uterus indicate?

Answer 15

possible lacerations

Question 16

What does fowl smelling lochia indicate?

Answer 16

Infection

Question 17

What does persistent Lochia Rubra in early post partum indicate?

Answer 17

Retention of placental fragments

Question 18

Does the vaginal canal return to pre-pregnant state? if so, how long?

Answer 18

Yes. 6 weeks.

Question 19

What do you do for a patient with an epistiotomy/lacerations?

Answer 19

Intermittant ice for first 24h, then sitz bath

Question 20

Can ovulation occur without menses?

Answer 20

Yes

Question 21

Are the first few cycles of menstration odd?

Answer 21

Yes- irregular/heavy/light/often not normal

Question 22

How is ovulation different in lactating women?

Answer 22

Ovulation is delayed.

Question 23

What is the proper way to take BP to assess for orthostatic hypotension?

Answer 23

Take BP lying down, have them dangle feet, then take it standing up.

Question 24

What is the normal blood loss in vag delivery?

Answer 24

500 mL

Question 25

What is the normal blood los? in C-section delivery?

Answer 25

1000 mL

Question 26

Is a WBC count of 15,000 or greater normal in pregnant women?

Answer 26

Yes

Question 27

What is the hcg for pregnant women?

Answer 27

11-14

Question 28

What is the hct for pregnant women?

Answer 28

32-41

Question 29

Normal RBC count for pregnant women?

Answer 29

3.75-5

Question 30

What is the overstretching of the abdominal muscles called?

Answer 30

Diastasis Recti

Question 31

What do you give for constipation?

Answer 31

Collace

Question 32

What route is Rhogam given?

Answer 32

IM

Question 33

Can you give Rhogam and Rubella Titer together?

Answer 33

NO!!!!!

Question 34

How often are vitals taken in post partum period?

Answer 34

q15 then q30

Question 35

Is a fever above 100.4 normal once a client is discharged from hospital?

Answer 35

No. This is bad.

Question 36

After hospital discharge is a backache or severe abdominal cramping normal?

Answer 36

No. This is bad.

Question 37

After delivery, are peripads that are soaked more than once an hour with bright red lochia good?

Answer 37

No. Bad.

Question 38

What are contraindications to breastfeeding?

Answer 38

HIV, TB, Drugs of abuse

Question 39

S/S of DIC?

Answer 39

Bleeding from non-genital sites (gums, nose, mouth, rectal bleeding)

Question 40

When are vitals taken in the post partum period?

Answer 40

q15 then q30

Question 41

What is going on with the pulse in the pp period?

Answer 41

Increases immediately after birth then returns to normal. It should NOT go above 100