Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

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

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.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

How early is postpartum discharge?

A

Discharge is usually < 24 hrs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the benefits of early discharge?

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Hospitalization must be long enough to:

A
  • Identify problems.
  • Ensure that woman sufficiently recovered.
  • Prepare her to care for self & her baby
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is a requirement for post anesthesia recovery patients?

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

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

A
  • Breasts
  • Uterus
  • Bowel
  • Bladder
  • Lochia
  • Edema
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

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

A

More than 100.4 F (concerned)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Which would be a nurses number 1 priority?

A

Heavy vaginal bleeding.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

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

A

Tachy or marked bradycardia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

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

A

Hypo or HTN

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

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

A

Lethargy or extreme fatigue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

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

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

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

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

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

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

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

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

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

A

Lack of appetite

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
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
When is the appropriate time to give narcotics to breastfeeding mothers?
Time medications for directly after breastfeeding to lessen infant exposure.
26
The best way to prevent/remedy constipation is ..
Roughage foods
27
How soon should a mother begin breastfeeding?
1-2 hrs ideal
28
What does breastfeeding promote?
Promotes contraction of uterus & assists in prevention of maternal hemorrhage.
29
How do you suppress lactation?
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
Biggest benefit in mother that breastfeeds is
Prevention of hemorrhage
31
Cab breastfeeding mothers be vaccinated with the Rubella Vaccination?
Yes.
32
When should be rubella vaccination be withheld?
mother or other family members immunocompromised | Don’t give to women allergic to eggs.
33
After receiving the Rubella Vaccination, how long before pregnancy is safe again?
1 month
34
Varicella Vaccination?
2nd dose at 4-8 wks PP. | Can take and breastfeed.
35
Tdap
Protects mom against pertussis (decreases newborn contraction) Can continue to breastfeed.
36
How do you prevent Rh isoimmunization?
Give RH immune globulin (RhoGam) within 72 hrs of birth to all RH – women with Rh + babies.
37
What are the requirements of RhoGam?
Must be checked as all blood products. Verify lot # & expiration date. 2 RNs check.
38
What are the postpartum blues?
Weeping, insomnia, irritability, anxiety, forgetfulness, mood swings, & negative thoughts toward the infant.
39
When can individuals safely resume intercourse?
2 wks postpartum without risk | Doctor will set time limit
40
What medications should be expected for 3rd & 4th degree lacerations & episiotomies?
Stool Softeners
41
When will a routine check be scheduled for an uncomplicated vaginal birth?
6 wks
42
When will a routine check be scheduled for a cesarean?
Within 2 wks
43
When will a routine check be scheduled for a baby visit?
By age 2 wks
44
What is the nurse responsible for during routine check ups?
Nurse is responsible for making appointments or encouraging woman to call & make one after returning home.
45
What consists of a home visit?
Nurse visits 1-4 days after discharge. | Mother, infant & home environment assessed, questions answered, & community referrals made if necessary.
46
What are benefits of home visits?
Decrease stress in new families & reduces need for nonroutine health care & rehospitalization.

Maternal Child Nursing (Exam 1) (11 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions