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Maternity 6d > Mat 6d > Flashcards

Mat 6d Flashcards

0
Q

2020 healthy incentive goals

A

Reduce infant mortality

Increase breast feeding rates

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1
Q

Fourth trimester is defined as……

A

Defined as from childbirth until 6 weeks post birth

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2
Q

Rn goal

A

Mom and baby
Promote family adj
Promote comfort and healing
Facilitate binding with dad and siblings

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3
Q

When are vitals done post vag delivery

A

Q15 for first hour
Q30 for second hour
Once during 3rd hour
Q8 hours until discharge is stable

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4
Q

Vitals after c section

A

Q30 for 4 hours
Q 1 hour for 3 hours
Then q 4-8

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5
Q

Temperature after birth

A

100.4 for 24 hours

Caused by exertion and dehydration

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6
Q

Pulse after birth

A

50-70 beats per minute 6-10 days (bradycardia)

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7
Q

Bp after birth

A

Equal to approx first trimester

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8
Q

Resp rate after birth

A

Within norm 12-20 range

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9
Q

Chills and shaking immed after giving birth

A

Due to pressure changes in abdomen
Temperature readjustment
Excitement and exhaustion may also play a part

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10
Q

Uterine fundal height immed after birth

A

Midline, half way between umbilicus and symphysus pubis

1 hour after risen to umbilicus where it remains for 24 hours
Then 1finger width per day
Not palpable after 10 days

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11
Q

Perineum assessment……

A 
R-redness
E- edema
E-ecchymosis 
D-drainage of discharge
A- approximation of episiotomy if present
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12
Q

Hemorrhoid treatment

A

Ice packs (20 min max)
Frozen tea peripads
Watch hazel pads
No hard surfaces or donuts as it seperated butt cheeks

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13
Q

Postpartum assessment head to to of mom

A 
B-breasts
U-uterus
B-bladder
B-bowels
L-lochia
E- episiotomy, incision
H- homans for DVT
E- emotions also b for bonding!❤️
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14
Q

Breasts in pregnancy…..

A

Soft first 2 postpartum days

3rd day firm and warm

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15
Q

Involution

A

Uterus returning to no pregnant state

16
Q

Why is homans sign controversial?

A

It may actually a cause the person to throw a clot… Instead look for swelling, equal
Calf circumference and feel for heat

17
Q

Mom feels urge to poooop after birth….

A

Check for presence of hematoma, roll mom on side, seperate ass…. Use good lighting

18
Q

After pains are…..

A

Intermittent uterine contractions during in volition

Worse for multi para, large baby, multiple births, hydramnios.
Breast feeding and exogenous oxytocin increase

19
Q

Bladder…..

A

Spontaneous void should occur within 6-8 hours, at least 150ml per hour

3,000 per day diuretics

20
Q

Gi after childbirth is….

A

More active soon after childbirth, relaxin during pregnancy suppresses

Ambulation, fluids, high fiber diet all prevent constipation

21
Q

Blood loss during delivery

A

500 ml vaginal delivery

800-1,000 in csection

22
Q

White blood count after delivery

A

Increases for 5-6 days

Norm is 4500 to 10k

23
Q

Episiotomy

A

1-2”surgical incision in perineum

Midline= straight
Mediolateral-,downward and off to side

24
Q

Early episiotomy care is…..

A

Apply ice or cold pack wrapped in towel to prevent thermal injury

Promotes vasoconstriction and reduces edema
After 24 hours moist heat sitz bath

25
Q

Pain (5th vital)

Assess for….

A

NSAIDs, Tylenol. Acetaminophen are safe

26
Q

Abdomen care

A

Never apply heat as could cause uterine relation and bleeding

27
Q

Hormones after delivery

A

Oxytocin and estrogen decrease after placenta delivery

Hormones all a mess

28
Q

Insulin levels after birth

A

Levels remain in the normal ranges for the first few days after childbirth

Women that usually require insulin may not during the period

29
Q

Carpel tunnel, pregnancy brain…..

A

Usually all gone shortly after birth

30
Q

Rubella vaccine in mom…

A

Avoid pregnancy for 4 weeks as this is a live virus

31
Q

RH- mom plus RH + baby =

A

Must get RhoGAM injection (mom) within 72 hours

32
Q

Ovulation of mom

A

Usually occurs within 6-8 weeks, first ovulation is a anovulatory( no egg)

33
Q

Cultural differences in portpartum

A

China-confinement 40 days
Some only eat hot or cold foods

Adopt a flexible approach, inquire about beliefs demonstrate sensitivity

34
Q

Perineal care teaching…

A

Teach to always wash hands before and after
Sitz baths first 24-48
Nurse provides pericare for csection moms

35
Q

Mom with HIV or aids

A

Use LATEX gloves unless latex allergy

Teach to avoid contact of body fluids with infants mucous membranes and open skin lesions

36
Q

Csection mom and respiratory care

A

Teach mom

To hold pillow on incision so she can deep breath and cough

37
Q

Benefits of breast feeding for mom

A 
Decreased breast cancer risk
No periods
Enhanced involution
Increased weightloss
Increased bone density
Enhanced bonding
38
Q

Benefits of breast feeding for baby

A 
Enhanced immunity ( ear infections)
Enhanced maturation of gi tract
Less type 1 diabetes
Enhanced jaw development
Protective effects of some childhood cancers

Maternity 6d (1 decks)

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