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406 5 Flashcards

1
Q

it is normal for _____ to occur for 12 to 24 hours post-delivery due to high oxytocin levels

A

contractions

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2
Q

post-delivery: pulse

A

may decrease to 50 (normal puerperal

bradycardia)

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3
Q

24 to 48 hours postpartum, cardiac output remains

A

elevated

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4
Q

post-delivery: ____ (especially at night) helps restore normal plasma volume.

A

sweating

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5
Q

post-delivery: WBC count is

A

elevated (so you can’t really use that to determine infection since it’s a normal finding)

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6
Q

post-delivery: changes in the blood increase the risk for

A

thrombus

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7
Q

post-delivery: GU

A

Diuresis occurs; woman excretes up to 3000 mL/ day of urine.

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8
Q

post-delivery: ____ distention and incomplete emptying are common.

A

Bladder

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9
Q

post-delivery: No bowel movements are expected for

A

2 to 3 days

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10
Q

remember the first step in teaching is

A

assess the current knowledge level and readiness to learn

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11
Q

post-delivery: RR

A

should be normal range

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12
Q

On the first postpartum day (first day following birth), the top of the fundus is located approximately

A

1 cm below the umbilicus

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13
Q

The fundus should be midline and ___ immediately after delivery

A

firm

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14
Q

blood-tinged discharge, including shreds of tissue and decidua

A

Lochia rubra

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15
Q

lochia ___ lasts 2 to 3 days postpartum

A

Lochia rubra

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16
Q

pale pinkish to brownish discharge lasting 1 week postpartum

A

Lochia serosa

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17
Q

discharge with leukocytes and degenerated cells

A

Lochia alba

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18
Q

lochia alba lasts up to _ weeks postpartum

A

4

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19
Q

after the first post partum day, the most common cause of uterine atony is

A

retained placental parts

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20
Q

The nurse must check for the presence of retained placental parts in the

A

lochia

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21
Q

placental site does not heal; lochia persists, with brisk periods of lochia rubra

A

Subinvolution

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22
Q

Women can tolerate __ __ in postpartum because the plasma volume has increased

A

blood loss

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23
Q

If not breastfeeding, teach woman nonpharmacologic measures of milk suppression:

A

supportive bra or binder, ice packs, and avoiding breast stimulation.

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24
Q

Clients should void within _ hours of delivery

A

4 hours

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25
__ exercises can improve urine retention
kegel
26
diet during breastfeeding
add 500 cal to the prepregnancy intake
27
the most common reason for decreased milk production is
stress
28
tests for antibodies against RBCs
Coombs test
29
RhoGAM is given to Rh-negative mother who has a ___ ___ test
negative Coombs test
30
Because Rh immune globulins suppress the immune system, the client who receives both RhoGAM and the rubella vaccine should be
tested for rubella immunity at 3 months
31
Postpartum: Instruct client to notify health care provider or clinic promptly of: Heavy
Heavy vaginal bleeding with clots
32
Postpartum: Instruct client to notify health care provider or clinic promptly of: Pain on
urination
33
Postpartum: Instruct client to notify health care provider or clinic promptly of: Tenderness in
in calf
34
abstain from __ until lochia | has ceased.
sex
35
newborn: drug that causes depressed respirations, hypocalcemia, and hypotonia.
Magnesium sulfate given during labor
36
newborn: RR
30 to 60
37
newborn: HR
110 to 160
38
newborn: HR sleeping
low as 100
39
newborn: HR crying
high as 180
40
newborn: auscultate heart at which landmark
3rd or 4th intercostal
41
newborn: BP
80/50 (BP is not usually measured in new borns)
42
newborn: weight during the 1st week
they usually lose about 10%
43
suction ___, then ___
mouth, then nose (Hesi hint)
44
Aspiration: Turn neonate on side or stomach and pat firmly on the back, holding head
10 to 15 degrees lower than feet
45
newborn: frog position indicates
premature
46
Tiny white bumps that commonly appear on a baby's face.
milia
47
newborn: caput succedaneum
edema under the scalp
48
cord abnormalities could indicate
cardiac or kidney problems
49
reflex: baby extends and abducts limbs
moro
50
reflex: when neck is turned to side, baby assumes fencing position
tonic neck
51
reflex: touch the base of the toe, causes the toe to curl
plantar
52
difference between caput succedaneum and cephalohematoma
caput crosses suture lines and is present at birth
53
If newborn’s temperature falls below 97.6° F (36.4° C),
place in radiant warmer and apply skin temperature | probe
54
to keep infant warm its acceptable to put skin to skin or
double wrap
55
Hypothermia -> Use up glucose -> must start using the brown fat ->
causes ketoacidosis and shock
56
small-for-gestational-age: Perform a ___ blood glucose assessment
heelstick
57
large-forgestational-age: Perform a ___ blood glucose assessment
heelstick
58
infants of diabetic mothers: Perform a ___ blood glucose assessment
heelstick
59
jittery babies: Perform a ___ blood glucose assessment
heelstick
60
babies with high-pitched cries: Perform a ___ blood glucose assessment
heelstick
61
Report any blood glucose levels under __ mg/dL in | the full-term infant
40
62
Report any blood glucose levels under __ mg/dL in the preterm infant
30
63
newborn: Normal serum glucose is
40 to 80
64
Large for gestational weight means the weight is above what percentile
90th
65
heelstick: use only the ___ surface of the heel
lateral
66
heelstick: after you puncture
wipe away the first drop of blood
67
which site do you administer the vit K
vastus lateralis
68
escalate if a newborn has not had a BM within
24 h
69
starting on day 6, the baby should use how many diapers a day
at least 6 to 8
70
There may be brick-red “dust” in the first
voiding
71
to find the urine output: weigh the wet diaper, for every
gram added, that's 1 mL urine
72
Screen for phenylketonuria (PKU) after
24 hours | of breast milk or formula ingestion
73
Do not feed a new born is the RR is
over 60
74
Most ___-fed newborns eat every 3 to 4 hours
bottle
75
___fed infants eat every 2 to 3 hours
breast
76
After the initial weight loss period, the infant should | gain approximately
1 oz (30 g) per day
77
An infant needs about __ calories/lb for the first 6 months.
50
78
needs medical attention: stools ___, ___
green, liquid
79
needs medical attention: refusal of __ feedings in a row
2
80
rectal temp: insert for __ minutes
5

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