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OB > Chapter 17 > Flashcards

Chapter 17 Flashcards

1
Q

Function of oxytocin

A

Stimulates uterine contractions to help prevent hemorrhage and bleed

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2
Q

An increase/decrease of which placental hormone is associated with breast engorgement, diaphoresis, vaginal secretions?

A

Estrogen

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3
Q

An increase/decrease of which placental hormone is associated with increased muscle tone?

A

Progesterone

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4
Q

An increase/decrease of which placental hormone is associated with a decrease in blood sugar?

A

Placenta enzyme

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5
Q

What hormones would you expect to increase in breastfeeding woman?

A

Prolactin

Oxytocin

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6
Q

Ovulation can suppressed

up to ______ in breastfeeding women

A

6 mos

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7
Q

Ovulation can start as early as _______ for mom-breastfeeding women

A

1-3 months

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8
Q

Postpartum chill is normal in first 2 hrs after giving birth unless accompanied by a fever. True/False

A

True

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9
Q

Common laboratory and diagnostic tests postpartum

A

Hgb, Hct, WBCs, Platelets

Rho D
Kleihaur Betke rest

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10
Q

An Rh- mother should be as administered Rho (D) within ______

A

72h

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11
Q

Fundal height, uterine placement, & consistency should be assessed every

A

8h

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12
Q

Clients are advised to void every

A

2-3 hrs to prevent uterine displacement and atony

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13
Q

Oxytoxics such as ______________, ____________, ______________, _____________, & __________ can be given IM or IV after delivery to help with uterine involution.

A

Oxytocin, mistoprosol, methylergonovine, ergonovine, carboprost

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14
Q

Perineum care:

ice packs can be applied for the first _________ to reduce edema and provide an anesthetic effect

A

24-48h

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15
Q

Perineal Care:

Sitz baths can be done at least ______ at a temperature between _________C (________F)

A

Two times a day

38-40 C or 100 - 104 F

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16
Q

Perineal care:

Explain how to cleanse the perineal area

A

Squeeze bottle w/ warm water and antiseptic sol. to perineal area after each void

Blot, not white

use topical antiseptic cream/spray (benzocaine) sparingly

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17
Q

Analgesics such as _________ can be taken for pain and discomfort

A

Acetaminophen, ibuprofen, codeine, hydrocodone

18
Q

When is colostrum produced?

A

During pregnancy and for 2-3 days after birth

19
Q

Cracked nipples is an indication of _________and can be accompanied by __________

A

Mastitis

Flu-like symptoms

20
Q

Best prevention for sore nipples

A

Proper latching

21
Q

Blood loss during childbirth in an uncomplicated pregnancy is about _________mL and ________mL for a cesarean birth.

A

300-500 mL (10%)

500-1000 mL (15-30%)

22
Q

Hypovolemic shock occurs as a result to normal blood loss from vaginal or cesarean birth. True/False

A

False

23
Q

What can you expect to see with the clients Hct levels after delivery?

A

Moderate decrease for about 3-4 days than increase by week 8

24
Q

You can expect WBC levels to be around _________ after delivery

A

20,000-25,000

25
Q

What can you expect to see with the clients coagulation and fibrinogen levels after delivery?

A

Increase and remains elevated for 2-3 weeks

26
Q

Hypercoagulability predisposes the postpartum client to

A

Thrombus formation

27
Q

Orthostatic hypotension can occur w/in the first 48 hrs postpartum. True/False

A

True

28
Q

A clients temperature can elevate to _______C (______F) as a result of dehydration after labor during first 24h and should return to normal
after 24h

A

38

100.4

29
Q

Signs of venous thrombosis includes:

A

Redness, swelling, calf pain, warmth

30
Q

Nursing interventions to prevent venous stasis and thrombosis

A

Ambulate
Antiembolism stockings (remove when ambulatory)
Meds as prescribe

31
Q

You can expect bowel

elimination and movement to be delayed up to _________

A

2-3 days

32
Q

What can you advise client to do to promote bowel elimination/movement?

A

Increase fluids and fiber intake
Ambulate
Stool softeners as prescribed (docusate sodium)

33
Q

Enemas & suppositories are contraindicated for clients w/ 3rd to 4th degree perineal lacerations. True/False

A

True

34
Q

Excessive urine >3,000mL/day is a normal finding in the first 2-3
days. True/False

A

True

35
Q

A distended bladder can result to

A

Urinary retention and uterine displacement and atony

36
Q

Evidence of a distended bladder includes:

A

Fundal height above umbilicus or baseline level

Fundus displaced midline

Bladder bulges above symphysis pubis

Excessive lo his

Tenderness over bladder

37
Q

Frequent voiding of ___________ is indicative of urinary retention w/overflow

A

<150 mL

38
Q

Patient is encouraged to void every

A

2-3 h

39
Q

What diastasis recti? Will this require surgery?

A

Separation of abdominal muscle from 2cm to 4cm

No, will reserve within 6 weeks

40
Q

A client with a titer of <1:8 for rubella is administered a SubQ injection of MMR vaccine to protect against _________

A

Subsequent fetal malformations

41
Q

Clients to receive live vaccines such as rubella and varicella should be advised NOT to:

A

Get pregnant for 1 month

OB (5 decks)

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