maternal

Question 1

The nurse is checking lochia discharge on a client in the immediate postpartum period and notes that the lochia is bright red and contains some small clots. Which interpretation would the nurse make about this finding?

Answer 1

Lochia, the uterine discharge present after birth, initially is** bright red and may contain small clots**. During the 2 hours after birth, the amount of uterine discharge should be approximately that of a heavy menstrual period. After that time the lochial flow should steadily decrease, and the color of the discharge should change to a pinkish red or reddish brown. Because this is a normal, expected occurrence, the remaining options are incorrect.

Question 2

Constant fever of 101° F
Persistence of lochia alba
Foul-smelling vaginal discharge

Answer 2

subinvolution of the uterus

Subinvolution is a condition in which the uterus does not return to its normal size after childbirth. Manifestations include fever, pelvic pain or heaviness, red lochia (or return of bleeding after it has changed), or foul-smelling vaginal discharge. The uterine fundus is no longer palpable by 12 days postpartum; this is a normal finding and not indicative of subinvolution. Lochia alba is normal vaginal drainage at this time following delivery.

Question 3

a rubella titer 1.8 during the antepartum period

Answer 3

Administration of a subcutaneous rubella virus vaccine

A blood sample for rubella titer is done on all women in the antepartum or postpartum period. A postpartum woman with a titer of 1.8 or less should receive a subcutaneous rubella virus vaccine (Meruvax II) following the birth of her baby. This stimulates active immunity against the rubella virus. The woman should be counseled to avoid pregnancy for 3 months after receiving the vaccine.

Question 4

oxytocin to induce labor
+
when to immediately discontinue the oxytocin infusion?

Answer 4

Uterine hyperstimulation
Late decelerations of the fetal heart rate

Question 5

contraction stress test assesses

Answer 5

A contraction stress test assesses placental oxygenation and function and determines the fetus’s ability to tolerate labor, as well as its well-being. The test is performed if the nonstress test result is abnormal. During the stress test, the fetus is exposed to the stressor of contractions to assess the adequacy of placental perfusion under simulated labor conditions. An external fetal monitor is applied to the mother, and a 20- to 30-minute baseline strip is recorded. The uterus is stimulated to contract, either by the administration of a dilute dose of oxytocin or by having the mother use nipple stimulation, until three palpable contractions with a duration of 40 seconds or more during a 10-minute period have occurred. Frequent maternal blood pressure readings are performed and the client is monitored closely while increasing doses of oxytocin are given. Leopold’s maneuvers are performed to locate the position of the fetus. Only external fetal monitoring is employed.

Question 6

quickening

Question 7

Braxton Hicks contraction

Question 8

disseminated intravascular coagulapathy (DIC)

Answer 8

Petechiae
ozzing from injection sites
hematuria

Question 9

eclampsia