Brainscape's Knowledge GenomeTM

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


See full index

Women's Health > Exam 3 pt 3 > Flashcards

Exam 3 pt 3 Flashcards

1
Q

c section pot op nursing interventions

A

-turn, cough, deep breath
-incentive spirometry every 2-4 hrs
-pillow to splint incision
leg exercises every 15 min-2 hrs till ambulate
-SCDs
-monitor/manage pain/ PCA analgesic
-administer analgesic
-comfort measures
-encourage breathing, relaxation

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

when is incentive spirometry needed

A

every 2-4 hrs if pt needed general anesthesia

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

what type of analgesics given after c section

A
  • spinal anesthesia with 24 hr morphine (duramorph) which helps with postop pain
  • watch for respiratory distress though
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what PCA analgesic is given post op csection

A

toradol

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

course of care for c section postop

A
  • indwelling cath 24 hrs
  • PCA/Epidural/IM meds
  • NPO at first, then liquids, then soft diet
  • headaceh
  • depression/anger/withdrawal
  • slower to bond/breastfeed
  • longer costlier stay at hospital
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

usually occur as the fetal head is being born

A

perineal lacerations

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

first degree perineal laceration

A

laceration that extends through the skin and vaginal mucous membrane but not the underlying fascia and muscle

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

second degree perineal laceration

A

laceration that extends through the fascia and muscles of the perineal body but not the anal sphincter

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

third degree perineal laceration

A

laceration that include the vaginal tissue, perineal muscle, and anal sphincter

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

fourth degree perineal laceration

A

laceration that extends completely through the rectal mucosa, disrupting both the external and internal sphincters

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

third and fourth degree lacerations must…

A

be carefully repaired so that the woman retains fecal continence

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

often occur in conjunction with perineal lacerations

circular and often the result of use of forceps, rapid fetal descent or precipituous birth

A

vaginal lacerations

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

injuries to the ____ can have adverse effects on future pregnancies and childbirth

A

cervix

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

occurs when the cervix retracts over the advancing fetal head

A

cervical injuries

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

what are causes of post partum hemorrhage

A

lacerations of cervix, vagina, and perineum

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

when should hemorrhage related lacerations be suspected

A

if bleeding continues despite firm, contracted uterine fundus

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

what are the most common of all injuries in the lower portion of the the genital tract

A

lacerations of the perineum

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

episiotomy

A

RARE (,10% of births)

incision into the perineum to enlarge the vaginal outlet

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

how are pelvic muscles supported

A

pelvic relaxation and Kegel exercises

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

when assessing for genital injury always look to…

A

rule out hematoma esp. if forceps/vacuum used for delivery

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

describe hematomas

A

deep, severe, unrelieved pain and feelings of pressure

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

treatment of genital injuries

A

-ice for 24 hr, then heat in form of Sitz bath
Tucks, Epifoam, Dermaplast
-Motrin for relief of pain and discomfort
-promote or suppress lactation depending on breastfeeding

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

how often should you sitz bath if genital injury

A

2-4 times a day

soothing and helps debride after 24 hrs

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

describe bowel evacuation

A

occurs 2-3 days after childbirth

anal sphincter lacerations are associated with postpartum incontinence

25
Q

nursing interventions for episiotomy

A

perineal tightening
ice, then sitz bath, motrin
(same as vaginal lacerations)

26
Q

why does abdominal distension occur post op c section

A

surgery stops peristalsis for around 24 hrs after surgery
gut may stop working due to block
rigid/boardlike abdomen=BLEEDING

27
Q

side effects and adverse effects caused by epidural and spinal anesthesia

A

hypotension, local anesthetic toxicity, dizziness, slurred speech, urinary retention, pruritus, headache, and infection

28
Q

nursing intervention for perineal laceration

A

1) place woman in lateral sims, don gloves
2) check for redness, edema, hematoma
3) teach self check with mirror
4) instruct pt to change pad with every void
5) wipe perineum front to back
6) teach pt pain/discomfort relief measures ie ice, sitz, lavage, anesthetic spray

29
Q

collection of blood in the connective tissue

A

pelvic hematomas

30
Q

types of pelvic hematomas

A

vulvar, vaginal, retroperitoneal

31
Q

most common and visible hematomas

s/s: persistent pain and feeling of pressure

A

vulvar

32
Q

the least common hematoma but life threatening

s/s: minimal pain and shock

A

retroperitoneal

33
Q

what is needs to evacuate hematoma

A

surgery

34
Q

post op hematoma surgery nursing interventions

A

pain control (Percocet and ibuprogen)
monitor for bleeding
replace fluids
monitor Hct and Hgb levels

35
Q

reasons for post delivery headache and interventions

A

1) caffeine withdrawal (give cup of coffee)

2) preeclampsia induced (do full head to toe)

36
Q

what is included in head to toe assessment if positive for preeclampsia

A

clonus, hyper reflexes, abdominal RUQ pain, blurred vision

37
Q

how to determine if spinal headache

A

pain in high fowlers but subsides in supine position then positive for spinal headache and call anesthesia

38
Q

what creates bonding

A

having the baby close/proximity

39
Q

the process by which a parent comes to love and accept a child and a child come to love and accept a parent

A

attachment

40
Q

attachment occurs through the process of ___

A

bonding

41
Q

the infant’s behavior sand characteristics elicit a corresponding set of parental behaviors and characteristics

A

mutuality

42
Q

eye contact, touching, talking and exploring the baby

A

acquantance

43
Q

signaling behaviors

A

crying, smiling, and cooing

44
Q

what is the claiming process

A

“like me or like you”

identification of the new baby (likeliness, differences, uniqueness)

45
Q

assessment of attachment behaviors that should be noted prior to discharge

A

early contact, extended contact, senses, biorhythmicity

46
Q

baby in tune with mothers natural rhythms (Arcadian and heart rhythms)

A

biorhythmicity

47
Q

postpartum infection drugs

A

ampicillin

clindamycin

48
Q

postpartum pain meds

A 
Percocet
Ibuprofen
Extra Strength Tylenol
Toradol
Narcan
49
Q

Percocet ingredients and how much in 24 hrs

A

oxycodone, acetaminophen and do not exceed 30-40 mg in 24 hrs

50
Q

Percocet indications

A

relief of moderate to moderately severe pain

51
Q

common and serious side effects of percocet

A

lightheadedness, dizziness, drowsiness, N/V

serious: resp depression, apnea, circulatory depression, hypotension, shock

52
Q

pt teaching of percocet

A

1) assess BP
2) high concentration first 1-2 hrs (avoid breastfeeding)
3) change position slowly d/t orthostatic hypotension

53
Q

how often can ibuprofen be given

A

800 mg PO q8h

54
Q

ibuprofen indications and contraindications

A

treatment of mild to moderate pain and fever

contrainidcations: bleeding, GI ulcers, coagulopathy, thyrombocytopenia

55
Q

common and serious side effects of ibuprofen

A

headache, dizziness, constipation, dyspepsia, N/V, abdominal discomfort
serious: steven johnsons, anaphylaxis, GI bleed, MI

56
Q

pt teaching of ibuprofen

A

1) avoid driving if drowsy
2) avoid concurrent NSAIDS and alcohol
3) consult HCP if bleeding, visual disturbance, headache
4) okay to consume when breastfeeding!!

57
Q

how much tylenol in 24 hr

A

2x 500 mg tablets q6h

max daily dose is 4000 mg

58
Q

tylenol indications and contraindications

A

mild to moderate pain and reduce fever

contraindicated: severe hepatic impairment and lever disease and concurrent alcohol usage

Women's Health (31 decks)

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