Ch21 study guide, exam 3 (Nursing Care Postpartum) Flashcards

1
Q

first 3 months after childbirth

A

fourth trimester

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2
Q

method for giving report that has been shown to increase patient satisfaction and improve patient outcomes

A

bedside report

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3
Q

depends on many factors, including physical condition of the mother and newborn, mental and emotional status of the mother, social support at home, patient educational needs, and financial concerns

A

length of hospital stay

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4
Q

classification of medications that stimulate contraction of the uterine smooth muscle

A

oxytocic

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5
Q

failure of the uterine muscle to contract firmly

the most frequent cause for excessive bleeding following childbirth

A

uterine atony

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6
Q

perineal treatment that involves sitting in warm water for approximately 20min to soothe and cleanse the site and to increase blood flow, thereby enhancing healing

A

sitz bath

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7
Q

menstrual-like cramps experienced by many women as the uterus contracts after childbirth

A

afterpains (postbirth pains)

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8
Q

dilation of the blood vessels supplying the intestines as a result of the rapid decrease in intraabdominal pressure after birth

A

splanchnic engorgement

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9
Q

splanchnic engorgement can cause

A

blood to pool in the viscera and contribute to a drop in BP (orthostatic hypotension) when the woman sits, stands, first ambulates, or takes a warm shower

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10
Q

complaint if pain in the calf muscles when the foot is sharply dorsiflexed
(can signal the presence of a DVT)

A

Homans sign

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11
Q

exercises that can assist women to regain muscle tone that is often lost when pelvic tissues are stretched and torn during pregnancy and birth

A

Kegel

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12
Q

swelling of the breast tissue caused by increased blood and lymph supply to the breasts as the body begins the process of lactation
(occurs about 72-96hrs after birth)

A

engorgement

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13
Q

vaccine that can be given to postpartum women whose antibody titer is less than 1:8 or whose IEA level is less than 0.8
(used to prevent non immune women from contracting this TORCH infection during a subsequent pregnancy)

A

Rubella

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14
Q

blood product that is administered to Rh-neg, antibody (Coombs)-negative women who give birth to Rh-pos newborns
(administered at 28 weeks and within 72hrs after birth)

A

RhoGAM

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15
Q

telephone-based postpartum consultation service that can provide information and support
(NOT a crisis intervention line to be used for emergencies)

A

warm line

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