Deck 3 Flashcards
What is Lochia?
At 1 HR postpartum lochia rubra should be intermittent and associated with uterine contractions (small clots are common and lochia is similar to a heavy menstrual period)
Lochia Rubra
Dark red
Lochia Serosa
Pinkish brown color
Lochia Albia
Yellowish white cream color
As a nurse, what do we need to do regarding the lochia?
Document it and continue to monitor the client
What do we need to document about the lochia?
Color, odor, consistency, amount (COCA)
• “What it looks like”
What is quickening?
Fetal movement (fluttering sensation)
What is a potentially life-threatening complication of Terbutaline?
Ischemia, pulmonary edema
Where is the baby located if mom complains of severe backache?
Persistent occiput posterior (OP)
What nursing actions are necessary before an epidural is placed?
Obtain a 20 to 30 min EFM strip before the spinal anesthesia is placed
What about after the epidural is given?
Assess & document FHR and pattern q 5- 10 minutes, (provide emergency care for fetal distress).
What places newborns who are SGA at higher risk for hypoglycemia? What is your priority intervention as a nurse?
Glycogenesis Monitor blood glucose levels
What is nesting?
A sudden increase of energy before labor
What is the criteria to permit a VBAC?
transverse incision (others risk uterine rupture)
Are there any foods that are contraindicated while breastfeeding?
Avoid any foods with history of allergies in family or client has an allergy to.
What side effects can happen with a warm sitz bath and what vital signs should you monitor?
Vasodilation, monitor clients pulse, monitor BP for orthostatic hypotension when standing to get out of the bath
What interventions do we do to avoid venous stasis, thrombophlebitis, and clots?
Have the client ambulate as soon as she can after delivery and as often as possible
What must a nurse know prior to administering an analgesic during active labor? Why?
How many centimeters the cervix is dilated, administration of analgesics to close to delivery can cause respiratory depression in newborn. (Don’t give after 8cm)
What is important to remember in regard to urinary habits for a client in labor? Why?
Encourage to empty bladder every two hours, (full bladder can slow labor and can increase postpartum hemorrhage)
What are your nursing interventions postpartum for the perineum? What do they do?
Ice packs, cool water sitz baths, Witch hazel compresses
• Prescribed anesthetic creams, sprays, ointments
• They Reduce edema/promote comfort
What position should you put the patient in if you’re trying to increase blood pressure?
On left side with one hip elevated
What measures can a mother take to prevent nipple soreness?
change positions, breast milk applied to the nipple, cream(s) (lanolin), proper latch, breast shells to soften nipples if cracked/irritated
Describe Variable Decelerations. What do they indicate?
Abrupt decrease in fetal heart rate, gradual return to baseline, umbilical cord compression
What methods can the nurse use to determine if a patient’s membranes have ruptured?
Positive (two lines) nitrazine(Amnisure) strips, ferning, pooling of fluid at the vaginal fornix
What is the favored fetal position for delivery?
ROA
