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Maternal Child Nursing (Exam 1) > Exam 1 (Nursing Care of the Family During the Postpartum Period) > Flashcards

Exam 1 (Nursing Care of the Family During the Postpartum Period) Flashcards

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1
Q

What should a nurse check for when handing a baby to the family?

A

Check mother/father/baby armbands & ID #’s to promote infant safety & security.

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2
Q

How early is postpartum discharge?

A

Discharge is usually < 24 hrs.

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3
Q

What are the benefits of early discharge?

A

Provides for less medical intervention & more family centered options.
Decreased exposure to hospital pathogens.

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4
Q

What are some disadvantages to early discharge?

A

Medical problems don’t show up within 24-48 hrs.

Breastfeeding difficulties occur after 24 hrs.

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5
Q

Hospitalization must be long enough to:

A
  • Identify problems.
  • Ensure that woman sufficiently recovered.
  • Prepare her to care for self & her baby
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6
Q

What is a requirement for post anesthesia recovery patients?

A

Patients must be cleared by members of the anesthesia team for transfer.

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7
Q

What does B.U.B.B.L.E stand for?

A
  • Breasts
  • Uterus
  • Bowel
  • Bladder
  • Lochia
  • Edema
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8
Q

What are some signs of potential physiologic complications (temperature)?

A

More than 100.4 F (concerned)

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9
Q

Which would be a nurses number 1 priority?

A

Heavy vaginal bleeding.

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10
Q

What are some signs of potential physiologic complications (Pulse)?

A

Tachy or marked bradycardia

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11
Q

What are some signs of potential physiologic complications (Blood Pressure)?

A

Hypo or HTN

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12
Q

What are some signs of potential physiologic complications (Energy Level)?

A

Lethargy or extreme fatigue

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13
Q

What are some signs of potential physiologic complications (Uterus)?

A

Deviated from midline; boggy; remains above umbilicus over 24 hrs

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14
Q

What are some signs of potential physiologic complications (Lochia)?

A

Heavy, foul odor; bright red bleeding that is not lochia

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15
Q

What are some signs of potential physiologic complications (Perineum)?

A

Pronounced edema; not intact; signs of infection; marked discomfort

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16
Q

What are some signs of potential physiologic complications (Legs)?

A

reddened; warmth on posterior calf

Calf circumference is the best way to identify PDV

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17
Q

What are some signs of potential physiologic complications (Breasts)?

A

Redness, heat, pain; cracked or fissured nipples; inverted nipples; palpable mass

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18
Q

What are some signs of potential physiologic complications (Appetite)?

A

Lack of appetite

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19
Q

What are some signs of potential physiologic complications (Elimination)?

A

Inability to void, urgency, frequency, dysuria; constipation, diarrhea

20
Q

What are some signs of potential physiologic complications (Rest)?

A

Inability to rest or sleep

21
Q

What is ominous bleeding defined as?

A

saturates a pad within 15 minutes or blood pools under buttocks.
Check under buttocks pad
Primary care provider should be notified.

22
Q

What inspections should be performed if heavy bleeding is suspected?

A

inspect skin, respirations, pulse & urinary output. Better indicators than BP of hypovolemic shock from hemorrhage.

23
Q

What order should the nurse suspect if funds remains boggy after massage?

A

Expect order for IV fluids & oxytocin

24
Q

What can a distended bladder cause?

A

Full bladder displaces uterus above the umbilicus & to one side or the other.
Increases risk of hemorrhage

25
Q

When is the appropriate time to give narcotics to breastfeeding mothers?

A

Time medications for directly after breastfeeding to lessen infant exposure.

26
Q

The best way to prevent/remedy constipation is ..

A

Roughage foods

27
Q

How soon should a mother begin breastfeeding?

A

1-2 hrs ideal

28
Q

What does breastfeeding promote?

A

Promotes contraction of uterus & assists in prevention of maternal hemorrhage.

29
Q

How do you suppress lactation?

A

Wear tight support bra or breast binder for at least 72 hrs.

Avoid breast stimulation, including running warm water over breasts, newborn sucking, or pumping.

30
Q

Biggest benefit in mother that breastfeeds is

A

Prevention of hemorrhage

31
Q

Cab breastfeeding mothers be vaccinated with the Rubella Vaccination?

A

Yes.

32
Q

When should be rubella vaccination be withheld?

A

mother or other family members immunocompromised

Don’t give to women allergic to eggs.

33
Q

After receiving the Rubella Vaccination, how long before pregnancy is safe again?

A

1 month

34
Q

Varicella Vaccination?

A

2nd dose at 4-8 wks PP.

Can take and breastfeed.

35
Q

Tdap

A

Protects mom against pertussis (decreases newborn contraction)
Can continue to breastfeed.

36
Q

How do you prevent Rh isoimmunization?

A

Give RH immune globulin (RhoGam) within 72 hrs of birth to all RH – women with Rh + babies.

37
Q

What are the requirements of RhoGam?

A

Must be checked as all blood products.
Verify lot # & expiration date.
2 RNs check.

38
Q

What are the postpartum blues?

A

Weeping, insomnia, irritability, anxiety, forgetfulness, mood swings, & negative thoughts toward the infant.

39
Q

When can individuals safely resume intercourse?

A

2 wks postpartum without risk

Doctor will set time limit

40
Q

What medications should be expected for 3rd & 4th degree lacerations & episiotomies?

A

Stool Softeners

41
Q

When will a routine check be scheduled for an uncomplicated vaginal birth?

A

6 wks

42
Q

When will a routine check be scheduled for a cesarean?

A

Within 2 wks

43
Q

When will a routine check be scheduled for a baby visit?

A

By age 2 wks

44
Q

What is the nurse responsible for during routine check ups?

A

Nurse is responsible for making appointments or encouraging woman to call & make one after returning home.

45
Q

What consists of a home visit?

A

Nurse visits 1-4 days after discharge.

Mother, infant & home environment assessed, questions answered, & community referrals made if necessary.

46
Q

What are benefits of home visits?

A

Decrease stress in new families & reduces need for nonroutine health care & rehospitalization.

Maternal Child Nursing (Exam 1) (11 decks)

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