Care of the Postpartum Client

Question 1

Assessment:

Answer 1

Lung sounds
Vital signs
BUBBLE-HE

Question 2

Postpartum Bleeding Subjective

Answer 2

Scant
Light
Moderate
Heavy

Question 3

Postpartum Bleeding Objective

Answer 3

Hct and Hgb
Weighting clots and other items

Question 4

Fundal massage

Answer 4

Gentle
Maintain/restore uterine tone

Question 5

Kegel’s exercises

Answer 5

Make sure the bladder is empty
Tighten the pelvic floor muscles for the count 3-5
Relax the muscles and count 3-5 secs
Repeat 10 times (3x a day)

Question 6

What does Kegel’s exercises prevent

Answer 6

Urge incontinence

Question 7

Rh Immune Globulin is given to

Answer 7

Rh neg mothers @ 28 wks gestation

Question 8

Rh Immune Globulin is given another time

Answer 8

72 hrs after birth Rh+ baby

Question 9

What is the usual dose of Rhogam

Answer 9

300 mcg IM

Question 10

Rubella vaccine

Answer 10

MMR- measles, mumps, rubella vaccine
prevent future rubella infection during pregnnacy

Question 11

Where is Rubella given?

Answer 11

SQ

Question 12

Is Rubella a live vaccine

Answer 12

YEs; use birth control for at least 4 weeks

Question 13

Nursing considerations for Rubella

Answer 13

Continue to breastfeed because they are getting it too

Question 14

Varicella vaccine (chickenpox) where is it give

Answer 14

SQ

Question 15

When is the 2nd dose of varicella vaccine due

Answer 15

4-8 weeks

Question 16

Tdap vaccine

Answer 16

tetanus-dipheria-acellular-pertussis
decrease chance of getting the whooping cough

Question 17

Where is Tdap is given

Answer 17

IM