Brainscape's Knowledge GenomeTM

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


See full index

Families > Exam 2 > Flashcards

Exam 2 Flashcards

1
Q

What should be assessed immediately after birth on the mother?

A

Vitals
uterine firmness & location
amount of vag bleeding

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

What could happen if BP drops & HR increases?

A

Shock, bleeding

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

Temperature elevated to what in the first 24 hours post delivery is normal?

A

100.4

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

How many days can it take for mom’s milk to come in?

A

3-5 days

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

Where should the uterus be post-delivery?

A

midline with the umbilicus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What should you as the nurse do if the uterus is boggy?

A

fundal massage in circular motions

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

What medications can be given for a boggy uterus?

A

oxytocin or methylergonovine to promote uterine contraction & prevent hemorrhage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How many days can bowel movements be delayed for post-delivery?

A

2-3 days

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

What can cause urinary retention after birth?

A

loss of bladder elasticity
meds/anesthesia

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

What can cause uterine atony & displacement after birth?

A

urinary distention

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

What is the normal amount of urine output in the first 2-3 days?

A

> 3,000 ml

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

What should the lochia look like in the first 2 hours after delivery?

A

heavy period and then steadily decrease

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

How would you classify heavy lochia?

A

one pad saturated in 2 hours

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

What is rubra lochia?

A

blood with small clots no bigger than a nickel
day 1-3

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

What is serosa lochia?

A

pinkish brown
day 4-10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is alba lochia?

A

yellowish-white discharge
day 10-28

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

If the lochia is heavy with clots you should do what?

A

Assess for hemorrhage

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

First-degree laceration?

A

skin only

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Second-degree laceration?

A

skin & muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Third-degree laceration?

A

skin, muscles, perineum, external anal sphincter muscle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Fourth-degree laceration?

A

skin, muscles, anal sphincter & anterior rectal wall

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What can you do as the nurse to help with the pain from an episiotomy/laceration?

A

ice packs
Dermoplast
sitz bath
stool softener (docusate sodium)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

If the mom had an epidural, what should you assess for first?

A

maternal hypotension

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

A warm sitz bath can help what?

A

decrease pain
promotes circulation
decreases risk for infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

A cold sitz bath can help what?

A

reduce perineal edema
reduce the response of the nerve ending causing pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

After receiving the rubella vaccine what should you avoid for the first month after the immunization?

A

getting pregnant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

If mom is Hep B positive what must the baby get within 12 hours post-delivery?

A

Hep B vaccine & immunoglobulin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What can the WBC be elevated to in the first 4-7 days to protect the body from infection?

A

20,000-25,000

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

When is the taking-in phase?

A

first 24-48 hours

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

What should you not do in the taking-in phase?

A

teaching
only teach how not to kill the baby like feeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

When is the taking-hold phase?

A

begins on 2-3 day and can last 10 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

What should you do in the taking-hold phase?

A

teach everything!!!
they want to learn

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

What should you administer to a mom with pregnancy-induced hypertension?

A

Magnesium sulfate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

What should you assess for with pregnancy-induced hypertension?

A

vaginal bleeding
signs of hypovolemic shock

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

What amount of blood is classified as a PPH after vaginal delivery?

A

> 500 ml

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

What amount of blood is classified as a PPH after C-section?

A

> 1,000 ml

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

What should the nurse do for a mom with a PPH?

A

firmly massage fundus
assess lochia
assess bladder
Initiate IV fluids
O2
elevate legs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

What medications can help a mom with a PPH?

A

oxytocin
Methylergonovine (NOT for HTN moms)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

What is a laceration?

A

continuous slow oozing of blood with or without clots

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

What is a hematoma?

A

collection of 250-500 ml of clotted blood within the tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

What does a hematoma look like?

A

should not see any blood
bulging blue mass or area of red-purple discoloration on the vulva, perineum, or rectum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

How can small hematomas be treated?

A

ice packs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

What are some expected side effects from magnesium sulfate?

A

flushed
hot
sedated
(esp for a bolus)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

What are the signs of mag sulfate toxicity?

A

loss of DTRs
urinary output < 30ml/hr
Respiratory depression (< 12/min)
pulmonary edema
chest pain
dysrhythmias

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

When does endometritis begin?

A

2nd to 5th day PP

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

Does a mom with endometritis have to worry about it affecting her baby?

A

No, this infection does not harm baby and mom should still bond with the baby

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

What should you as the nurse do for a mom with endometritis?

A

Culture
Antibiotics
teach HH

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

What are some signs of endometritis?

A

pelvic pain
systemic effects (chills, fever, fatigue)
dark profuse lochia
Tachycardia
uterine tenderness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

What is Mastitis?

A

a clogged milk duct that gets infected

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

What are some signs of mastitis?

A

a painful, red, localized hard mass
axillary adenopathy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

What should you as the nurse do for a mom with mastitis?

A

give antibiotics
increase fluids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

What should you teach a mom with mastitis about?

A

DON’T stop breastfeeding!!
Completely empty breast when feeding
feed on unaffected breast first
wash hands before feeding
allow nips to airdry
increase breast pad changes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
53
Q

What are some manifestations of vulvovaginitis?

A

thick, white vaginal discharge
can smell fishy
severe itching, dysuria & dyspareunia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
54
Q

What med can be administered for vulvovaginitis?

A

Metronidazole gel
-intravaginally 1x/day for 5 days
OR
-orally (take on empty stomach & no ETOH)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
55
Q

What are the risks to the neonate with vulvovaginitis?

A

preterm birth/low birth weight
PROM
2nd trimester miscarriage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
56
Q

What should you teach a mom with vulvovaginitis?

A

bathe daily
wear loose fitting clothing
finish all antibiotic regimens

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
57
Q

What are some signs of gonorrhea?

A

yellow/green discharge
endocervical bleeding
spotting
Dysmenorrhea

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
58
Q

What are some risks to the neonate with gonorrhea?

A

Miscarriage
amniotic fluid infection
PROM
increased risk of endometritis after delivery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
59
Q

What medication should be given to baby once born from a mom with gonorrhea?

A

Erythromycin eye drops

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
60
Q

What are some signs of baby blues?

A

sad
crying easily
headache
Anxiety
anger
restless

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
61
Q

What is the treatment for baby blues?

A

there is no treatment
symptoms should resolve in 10 days without interventions

62
Q

What are some signs of PP depression?

A

feeling guilt or inadequate
severe anxiety
extreme fatigue
flat affect
anorexia
rejection of infant
intense mood swings
panic attacks

63
Q

What is the treatment for PP depression?

A

Antidepressants

64
Q

What should you teach mom & family about for PP blues or depression?

A

rest when the baby naps
time time for self
Schedule follow-up visit before normal PP visit for ar-risk pts
seek counseling

65
Q

What should you encourage a mom with HIV to do during pregnancy?

A

get vaccines against Hep B, PNA, & the flu

66
Q

What should be done after birth to the baby for a mom with HIV?

A

bathe the baby before remaining with mother

67
Q

What medication should be given to both mom and baby with HIV?

A

Retrovir

68
Q

When should the mom receive retrovir?

A

14 weeks gestation
throughout pregnancy
before onset of labor or c-section

69
Q

When should the baby receive retrovir?

A

at delivery
6 weeks following birth

70
Q

What does colostrum contain?

A

IgA immunoglobulin, provides passive immunity

71
Q

If you have sore, cracked, or dry nipples what should you do?

A

apply breast milk to the nipples and allow it to sir dry

72
Q

Non-lactating mothers should wear what type of bras for the 1st 72 hours?

A

well-fitting supportive bras

73
Q

What should non-lactating mothers do to prevent lactation?

A

Avoid running warm water over breasts
put fresh cold cabbage leaves in bra (also helps with engorgment)

74
Q

You know that your baby is getting enough milk if they are having how many diapers a day?

A

6-8

75
Q

How should you lay your baby after feeding?

A

on their back-supine

76
Q

Why is the basal body temp method not very reliable?

A

because outside variables can alter the temperature

77
Q

What time should you take your temp when using the basal temp method?

A

before you get out of bed in the morning

78
Q

What birth control method must you use spermicide gel with?

A

Diaphragm

79
Q

What contraceptive requires a prescription, provider visits, and fitting?

A

diaphragm

80
Q

How many hours before sex do you have to insert the diaphragm?

A

up to 6 hours before sex

81
Q

How long do you have to leave the diaphragm in after sex?

A

at least 6 hours but no more than 24

82
Q

What are some contraindications for the diaphragm?

A

hx of toxic shock syndrome
frequent UTIs

83
Q

What are some adverse effects of combination and progestin-only BC?

A

HA
nausea
breast tenderness
Breakthrough bleeding

84
Q

What are some advantages to combined oral BC?

A

highly effective
decreases blood loss
regulates menstration
protects against endometrial, ovarian and colon cancer

85
Q

What are some advantages to progestin-only pills?

A

fewer adverse effects than with combined
safe to use while breastfeeding

86
Q

What is one disadvantage to progestin-only pills?

A

less effective at suppressing ovulation than combined

87
Q

Can an emergency oral contraceptive terminate an already-established pregnancy?

A

NO

88
Q

What is something you should teach your patient receiving injectable progestin?

A

maintain an adequate intake of calcium & vitamin D

89
Q

Which contraceptive can cause discomfort during sex?

A

vaginal ring

90
Q

What contraceptives can be inserted immediately after abortion, miscarriage, childbirth, or breastfeeding?

A

Implantable progestin
IUD

91
Q

How long is an implantable progestin effective for?

A

3 years

92
Q

how long is an IUD effective for?

A

1-10 years

93
Q

How long after childbirth can female sterilization be performed?

A

within 24-48 hours

94
Q

What is hysterosalpingography and what is it used for?

A

it is a diagnostic procedure that uses dye to assess the patency of the fallopian tubes that helps determine the woman’s ability to bare children

95
Q

When using a bulb syringe, what should you always suction first?

A

mouth first then nose!!!

96
Q

What is classified as bradypnea in a newborn?

A

<30/min

97
Q

What is classified as tachypnea in a newborn?

A

> 60/min

98
Q

What three shunts close?

A

foramen ovale- few min
Ductus arteriosus- a few hours
Umbilical vein & ductus venosus- few days

99
Q

In what order should vitals be taken after delivery?

A

RR
HR
BP
Temp

100
Q

How much longer should the head be compared to the chest?

A

2-3 cm

101
Q

If the head is >4 cm larger than that could mean what?

A

hydrocephaly

102
Q

If the head is <3-2 cm then that could mean what?

A

microcephaly

103
Q

How should the fontanels look?

A

soft & flat
may bulge with cry, cough or vomiting but this is normal

104
Q

Bulging of the fontanels can indicate what?

A

increased intercranial pressure
infection
hemorrhage

105
Q

What shape is the anterior fontanel and how long does it take to close?

A

diamond-shaped
12-18 months

106
Q

What shape is the posterior fontanel and how long does it take to close?

A

triangular shaped
6-8 weeks

107
Q

What is Caput Succedaneum and what is it caused from?

A

swelling of the soft tissue of the scalp due to pressure on the head during labor
resolves in 3-4 days

108
Q

What is cephalohematoma?

A

collection of blood in the head
appears 1-2 days after birth
resolves in 2-3 weeks
check for jaundice

109
Q

A low set of ears can indicate what?

A

chromosomal abnormality (down’s syndrome)
kidney disorders

110
Q

What can excessive saliva indicate?

A

tracheoesophageal fistula
trachea & esophagus fuse together

111
Q

When should meconium be first passed by?

A

within 24 hours after birth

112
Q

When should urine first be passed?

A

within 24 hours
will be rust-colored first few days

113
Q

what is acrocyanosis?

A

bluish hands & feet

114
Q

what is Vernis Caseosa?

A

thick, cheese-like protective covering over baby’s body when born

115
Q

What is lanugo?

A

fine, downy hair usually on pinnas, forehead, shoulders

116
Q

What is Milia?

A

small raised white spots on chin, nose & forehead
do not squeeze the spots

117
Q

what are Mongolian spots?

A

bluish-purple spots that look like bruises
document these!

118
Q

What are Telangiectatic Nevi?

A

stork bite, flat pink or red marks that easily blanch

119
Q

What are Nevus Flammeus?

A

port wine stain, capillary angioma
do not go away or blanch

120
Q

What is erythema toxicum?

A

newborn rash, pink
appears during the first 3 weeks
no tx needed

121
Q

What is the sucking & rooting reflex and when does it disappear?

A

turning head to side that is touched
3-4 months

122
Q

What is the palmar grasp and when does it disappear?

A

fingers curl around your finger
3-4 months

123
Q

What is the Plantar Grasp and when does it disappear?

A

toes curl around your finger
8 months

124
Q

What is the Moro reflex and when does it disappear?

A

startle reflex
baby falls and extends then abducts arms back to core
6 months

125
Q

What is the tonic neck reflex and when does it disappear?

A

fencer position
turn head to left and arm & leg on that side will extend and the other side flexes
3-4 months

126
Q

What is the Babinski reflex and when does it disappear?

A

stroke foot upward and toes will fan upward & out
12 months

127
Q

What is the stepping reflex and when does it disappear?

A

stand baby up and touch feet to surface and they will take a step
up to 4 weeks

128
Q

At what stages does a baby born to a mom without Hep B receive their vaccines?

A

at birth
1 month
6 months

129
Q

At what stages does a baby born to a mom with Hep B receive their vaccines?

A

hep B immunoglobulin & vaccine at birth
1 month
2 months
12 months

130
Q

What at birth med HAS TO BE GIVEN?

A

erythromycin eye ointment to prevent blindness

131
Q

When can a baby have their first bath?

A

once their temp has stabilized at 97.7

132
Q

What temp should the bath water be at?

A

100.4 and warm room

133
Q

Prepared formula can be refrigerated for up to how many hours?

A

48 hours

134
Q

breast milk can stay at room temp for how many hours?

A

8 hours

135
Q

breast milk can be refrigerated for how many days?

A

8 days

136
Q

breast milk can stay frozen for how many months?

A

6 months

137
Q

breast milk can stay in the deep freezer for how many months?

A

12 months

138
Q

thawed breast milk can stay in the fridge for how many hours

A

24 hours

139
Q

what percentage of weight is lost after birth and when is it gained back?

A

5-10% after birth
regain in 10-14 days

140
Q

baby’s weight it doubled by?

A

6 months

141
Q

baby’s weight is tripled by?

A

12 months

142
Q

When should you report your baby’s temp?

A

> 100.4
<97.9

143
Q

what are some signs of Withdrawing infants?

A

seizures
high-pitched
shrill cry
trouble feeding
hyperactivity of moro reflex
increased muscle tone

144
Q

What can you do to help with feeding in a baby with NAS?

A

switch nipples
nipple confusion is okay!

145
Q

What should you do to soothe baby with NAS?

A

swaddle
reduce stimuli
offer paci

146
Q

What should you not do to a baby who is withdrawing from cocaine?

A

make eye contact

147
Q

What are some major complications for preterm babies?

A

respiratory distress syndrome
lack of surfactant
poor temp control
infection
hemorrhage
retinopathy
apnea
bradycardia
death

148
Q

What is exstrophy of the bladder?

A

bladder is on the outside of the body

149
Q

what is hypospadias?

A

pee hole is under the penis

150
Q

what is epispadias?

A

pee hole on top of the penis

Families (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions