Unit VIII - Postpartum Flashcards Preview

NUR 102- Test 2 > Unit VIII - Postpartum > Flashcards

Flashcards in Unit VIII - Postpartum Deck (40):
1

Postpartum Powerpoint

What is involution?

It is the return of the uterus to the non pregnant state.

2

Postpartum Powerpoint

What is Lochia Rubra? When does it occur? How long does it last?

It is the first sage of vaginal discharge. It is bright red color, bloody consistency, fleshy odor, may contain small clots. Lasts 1 to 3 days after delivery

3

Postpartum Powerpoint

What is Lochia Serosa? When does it occur? How long does it last?

It is the second stage of vaginal discharge. It is pinkish brown color and serosanguineous consistency. Lasts from approximately day 4 to day 10 after delivery.

4

Postpartum Powerpoint

What is Lochia Alba? When does it occur? How long does it last?

It is the third stage of vaginal discharge after delivery. It is yellowish, white creamy color, fleshy odor. Lasts from day 11 up to beyond 2 weeks.

5

Postpartum Powerpoint

What is a boggy uterus? How should the LPN treat it?

It is when the uterus is not firm. The LPN should massage it until it becomes firm.

6

Postpartum Powerpoint

During a postpartum examination, what should the LPN do if the uterus is not midline in the pelvis or displaced laterally?

Ask the client to void. The bladder may be full causing it to be displaced.

7

Postpartum Powerpoint

Describe "Scant" Lochia?

It is <1 inch on a pad in one hour.

8

Postpartum Powerpoint

Describe "Light" Lochia?

It is <4 inches on a pad in one hour.

9

Postpartum Powerpoint

Describe "Moderate" Lochia?

It is <6 inches on a pad in one hour

10

Postpartum Powerpoint

Describe "Heavy" Lochia?

It is a saturated pad in one hour

11

Postpartum Powerpoint

Describe the temperature within 6 hours after delivery.

It is sometimes slightly elevated.
Client should not have an elevated temp after 24h.

12

Postpartum Powerpoint

How does oxytocin (Pitocin) work?

It contracts the uterus and stimulates the let down reflex. Levels are highest during pregnancy and decreases after.

Client should be encouraged to breasted early to stimulate natural production.

13

ATI - PN Maternal Newborn Nursing Book - Chapter 11

What should the nurse monitor with oxytocin (Pitocin) administration?

Monitor for hypotension.

14

ATI - PN Maternal Newborn Nursing Book - Chapter 11

What does excessive spurting of lochia rubra indicate? Is this a normal or abnormal finding?

This is an abnormal finding that could indicate a cervical or vaginal tear.

15

ATI - PN Maternal Newborn Nursing Book - Chapter 11

What could numerous large clots and excessive blood loss (saturation of one pad in 15 min or less), may indicate? This is a normal or abnormal finding?

This is an abnormal finding that could indicate a hemorrhage.

16

ATI - PN Maternal Newborn Nursing Book - Chapter 11

What does a foul odor in the lochia flow indicate?

It is suggestive of an infection.

17

ATI - PN Maternal Newborn Nursing Book - Chapter 11

What does persistent lochia rubra in the early postpartum period beyond day three indicate? Is this a normal or abnormal finding?

This is an abnormal finding that could indicate retained placental fragments.

18

ATI - PN Maternal Newborn Nursing Book - Chapter 11

What does continued flow of lochia serosa or alba beyond the normal length of time indicate?

This could indicate endometritis.

19

ATI - PN Maternal Newborn Nursing Book - Chapter 11

What are the signs and symptoms of endometritis?

Fever
Pain
Abdominal tenderness

20

ATI - PN Maternal Newborn Nursing Book - Chapter 11

Is blood flowing more steadily during uterine contractions a normal or abnormal finding?

normal finding.

21

ATI - PN Maternal Newborn Nursing Book - Chapter 11

Is a gush of lochia with the expression of clots and dark blood that has pooled in the vagina and occuring with ambulation or massage of the uterus a normal or abnormal finding?

This is a normal finding.

22

ATI - PN Maternal Newborn Nursing Book - Chapter 11

Describe the cervix in the postpartum stage.

It is swollen, bruised, and have small lacerations.

23

ATI - PN Maternal Newborn Nursing Book - Chapter 11

Is a bright red trick of blood from the episiotomy site in the early postpartum period a normal or abnormal finding?

This is a normal finding.

24

ATI - PN Maternal Newborn Nursing Book - Chapter 11

What are some pericare comfort measure a nurse can promote?

* Hygiene: Wipe from front to back
* Ice Packs: Intermittent (20 min on/20 min off)
* Sitz baths (after 1st 24h for at least twice a day)
* Analgesics (Do not administer aspirin. This is a blood thinner and this will increase bleeding.)
* Topical anesthetic sprays (Dermoplast)

25

ATI - PN Maternal Newborn Nursing Book - Chapter 11

Is slower psychological reactions to sexual activity and less intensity an abnormal or normal finding?

This is a normal finding.

26

Postpartum Powerpoint

What is uterine atony?

It is when the uterus does not fully contract.

27

Postpartum Powerpoint

How would the LPN treat uterine atony?

* Massage the fundus
* Administer Pitocin and Methergine (to cause the uterus to contract)

28

Postpartum Powerpoint

What is the best position to assess an episiotomy?

Left Sims' position

29

Postpartum Powerpoint

What does REEDA stand for?

R- Redness
E - Edema
E - Ecchymosis
D - Discharge
A - Approximation

30

Postpartum Powerpoint

Is it safe to administer aspirin during pericare? Explain your answer.

No. Aspirin is a blood thinner and will increase bleeding.

31

Postpartum Powerpoint

How should the nurse administer treatment for pericare? What should the nurse use?

* Ice packs intermittently (20 min on/20 min off)
* Analgesics
* Anesthetic sprays

32

Postpartum Powerpoint

What are the signs and symptoms of postpartum depression?

* Sadness
* Frequent crying
* Insomnia or excessive sleeping
* Change in appetite
* Difficulty concentrating
* Feelings of worthlessness
* Lack of interest and concern for appearnance

33

Maternal-Child Nursing Care Text Book - Chapter 10

Which of the following assessment findings are related to uterine atony in the postpartum client? Choose all that apply.

A. A boggy uterus
B. Increased vaginal bleeding
C. Large amounts of clots expressed
D. Fundus midline
E. Fundus displaced to left or right
F. Scant amount of lochia rubra

A. A boggy uterus
B. Increased vaginal bleeding
C. Large amounts of clots expressed
E. Fundus displaced to left or right

34

Maternal-Child Nursing Care Text Book - Chapter 10

On the second day postpartum, the nurse palpates the fundus one finger breadth below the umbilicus. The fundus was found to be firm. What nursing action is appropriate?

A. Document the finding
B. Call the physician
C. Catheterize the client
D. Administer Lortab PO

A. Document the finding

35

The Thinking Nurse - Maternity Nursing

The nurse is caring for a client who experienced an uncomplicated, unmedicated, vaginal delivery 5 hours ago. She is now getting out of bed for the first time. THe nurse knows the client should have assistance because

A. the physical stress of delivery makes it difficult for women to ambulate.
B. diuresis after delivery may cause a fluid imbalance.
C. excessive blood loss during delivery may make her dizzy.
D. hypotension from bedrest and fluid loss during labor may make her dizzy.

D. hypotension from bedrest and fluid loss during labor may make her dizzy.

36

The Thinking Nurse - Maternity Nursing

Afterpains tend to occur more often in multigravida women than in primigravida women. Why is this true?

A. The loss of uterine muscle tone in multigravida women causes intermittent muscular contraction.
B. Multigravida women tend to have a larger babies and the uterine muscle must contract more forcefully.
C. Primigravida women are less likely to recognize the symptoms of afterpains because their uterus is less sensitive.
D. Primigravida women tend to bottle feed and therefore do not notice afterpains.

A. The loss of uterine muscle tone in multigravida women causes intermittent muscular contraction.

37

The Thinking Nurse - Maternity Nursing

The nurse is caring for a client going home following an uncomplicated vaginal birth. She asks the nurse about when she can resume sexual activity with her husband. What should teh nurse teach this client?

A. She should wait until after her six week check-up to resume sexual relations.
B. Sexual intercourse is safe if she uses a condom.
C. Her physician will discuss this with her when she feels ready.
D. She should abstain from intercourse until her episiotomy is healed and her lochia flow has stopped.

D. She should abstain from intercourse until her episiotomy is healed and her lochia flow has stopped.

38

The Thinking Nurse - Maternity Nursing

The nurse is administering an injection of Rhogam to a client who is 28 weeks pregnant and Rh negative. Which comment would lead the nurse to believe the client does not understand why she is receiving this injection?

A. My blood is Rh negative; this injection will help if my baby is Rh positive.
B. With any luck, may baby will be Rh negative and I won't need this again.
C. If there was no Rhogam available my body could produce antibodies that could cause problems for my baby.
D. I am glad I am getting this injection now, so it will prevent my needing any more injections.

D. I am glad I am getting this injection now, so it will prevent my needing any more injections.

39

The Thinking Nurse - Maternity Nursing

When is the time during which postpartum blues typically occur?

A. Immediately after delivery
B. 1 to 2 weeks after delivery
C. 3 to 4 weeks after delivery
D. 5 to 6 weeks after delivery

B. 1 to 2 weeks after delivery

40

The Thinking Nurse - Maternity Nursing

What hormone is responsible for the "let-down" reflex when a woman is breast feeding?

A. Estrogen
B. Oxytocin
C. Progesterone
D. Prolactin

B. Oxytocin