Postpartum

Question 1

MATERNAL RESPONSE TO LABOR

Answer 1

PAIN
FATIGUE
FEAR

Question 2

Fear leads to the release of ____________ ➔ and interferes with the release of _____________ ➔ineffective uterine contractions

Answer 2

adrenaline; oxytocin

Question 3

CO increases ________ from prelabor levels

Answer 3

40-50%

Question 4

____ total oxygen needed during 2nd stage of labor

Answer 4

100%

Question 5

Void every___________ - overfilling can decrease postpartal bladder tone

Answer 5

2 hours

Question 6

__________ is secreted from ovaries causing the cartilage between joints to be more flexible➔ allows fetal passage (pelvis open as much as 2cm)

Answer 6

Relaxin

Question 7

is an individual with specialized training who provides physical, emotional, and psychological support to laboring parents.

Answer 7

Duola

Question 8

Falling BP may indicate

Answer 8

hemorrhage, hypovolemic shock

Question 9

DANGER SIGNS OF LABOR

Answer 9

High or low BP
Abnormal pulse
Inadequate or Prolonged Contractions
Abnormal Lower Abdominal Contour
Increasing Apprehension
Inadequate or Prolonged Contractions

Question 10

contraction becomes less frequent, less intense and shorter duration

Answer 10

Uterine exhaustion (inertia)

Question 11

Contractions longer than __ seconds may compromise fetal well-being for it interferes with adequate uterine filling

Answer 11

70

Question 12

No amplitude range is detectable.

Answer 12

ABSENT

Question 13

Amplitude range is detectable but is 5 beats per minute or fewer

Answer 13

MINIMAL

Question 14

Amplitude range is 6- 25 beats per minute

Answer 14

MODERATE

Question 15

Amplitude range is more than 25 beats per minute

Answer 15

MARKED

Question 16

FHR – is lower than 110/min for 10 minutes

Answer 16

Fetal bradycardia

Question 17

FHR- is faster than 160 beats/min for 10 minutes

Answer 17

Fetal tachycardia

Question 18

Use of music or aroma

Answer 18

Relaxation technique

Question 19

Use of a photograph

Answer 19

Focusing and imagery

Question 20

Slow-paced breathing

Answer 20

Breathing technique

Question 21

Use of chamomile, raspberry leaf

Answer 21

Herbal preparations

Question 22

It reduces anxiety, promotes relaxation

Answer 22

Aromatherapy and Essential Oils

Question 23

For backpain

Answer 23

heating pad

Question 24

Exhausted

Answer 24

cold washcloth

Question 25

dry mouth

Answer 25

Ice chips

Question 26

Biofeedback

Answer 26

Bathing or Hydrotherapy

Question 27

Transcutaneous Electrical Nerve Stimulation (TENS)

Answer 27

Therapeutic Touch and Massage

Question 28

Intracutaneous Nerve Stimulation

Answer 28

Yoga and Meditation

Question 29

Acupuncture and acupressure

Answer 29

Reflexology

Question 30

Many nurses find it useful to use the acronym BUBBLE-LE to remember the necessary components of the post partum assessment and teaching topics. These include:

Answer 30

B Breasts U Uterus B Bowel Function B Bladder L Lochia E Episiotomy/perineum L Lower Extremities E Emotions

Question 31

The acronym REEDA is often used to assess an episiotomy or laceration of the perineum. REEDA stands for:

Answer 31

R Redness E Edema E Ecchymosis D Discharge A Approximation