orientation

Question 1

the 4 P’s

Answer 1

pain, potty, position, physical environment

Question 2

breast fed infants should have how many stools per day

Answer 2

4 stools

Question 3

formula fed infants should have how many stools per day

Answer 3

1-3

Question 4

When using the bulb syringe which should be suctioned first, the mouth or the nose?

Answer 4

the mouth

Question 5

respirations and pulses should be counted for

Answer 5

a full minute

Question 6

normal heart rate is

Answer 6

120-160 bpm at rest

Question 7

normal respiratory rate

Answer 7

30 - 60 breaths per minute

Question 8

IM injection

Answer 8

use 1 mL syringe in 5/8 in and a 25 gauge needle; best site is the vastus lateralis muscle. divide area between th greater trochanter of the femur and the knee into thirds. give injection in the middle third of the muscle. insert angle at 90 degrees. withdraw needle and massage area

Question 9

bulb syringe procedure

Answer 9

position infants head to the side. insert syringe in the mouth between the gums and the cheek. dont insert it straight back into the throat

Question 10

position for sleep

Answer 10

infant should be placed on their back, firm mattress, no loose objects in the bed.

Question 11

prone position puts baby at risk for

Answer 11

SIDS

Question 12

identification

Answer 12

id bands, electronic devices, footprints; moms fingerprints and birthmarks on the baby

Question 13

How do nurses in the hospital prevent infant abduction?

Answer 13

They should wear picture identification. Teach parents to only allow staff to transport the baby. Transport baby in their crib. Alert hospital security of anything suspicious.

Question 14

How do nurses prevent infection in nurseries with many babies

Answer 14

hand washing, good hygiene, every infant has their own supplies.

Question 15

How do nurses care for an infant boy who was circumcised by a Gomco clamp?

Answer 15

squeeze petroleum jelly on the circumcision site to prevent the diaper from sticking to it and also a small piece of gauze may be placed over the site.

Question 16

Which method of circumcision does not require petroleum jelly in care while healing?

Answer 16

plastibell

Question 17

normal axillary temp

Answer 17

97..7-99.5

Question 18

Where is the Doppler ultrasound transducer placed?

Answer 18

On the fetal back: monitoring the fetal heart rate.

Question 19

Why is it important to palpate contractions?

Are they really even labor?

Answer 19

to determine the uterine tone. Also to measure frequency, duration, relaxation time, and resting tone

Question 20

Explain how to determine frequency and duration of contractions.

Answer 20

Frequency: The average time that is the beginning of one contraction to the beginning of the other contraction.
Duration: From the beginning of the contraction to the end of the same contraction.

Question 21

Mild contractions feel similar to the tip of the

Answer 21

nose

Question 22

Moderate contractions feel similar to the

Answer 22

chin

Question 23

Strong contractions feel similar to the

Answer 23

forehead

Question 24

Describe the three types of lochia and what day post-partum they occur.

Answer 24

Lochia Rubra, Lochia Serosa, Lochia Albia

Question 25

normal is bloody small cloths, earthy odor, fleshly, dark red or red brown -Abnormal:really large clots, foul odor

Answer 25

Lochia Rubra

Question 26

day 3-10 Decreased amount of blood- pink or brown tinged | -Abnormal: excessive amount, foul smell, dark deep red color

Answer 26

lochia serosa

Question 27

day 10-14 white creamy light yellow color | Abnormal: red foul odor, discharge is continuous

Answer 27

lochia albia

Question 28

If a woman has a full bladder what will happen to the placement of the uterus?

Answer 28

The uterus will come up and move to the side. | With a full bladder the uterus is displaced upward and laterally.

Question 29

What position should the woman be in to assess the fundus?

Answer 29

The supine position with the knees flexed.

Question 30

What position should she be in to assess the perineum?

Answer 30

The sims position and flex her upper leg.

Question 31

What does REEDA mean?

Answer 31

``` REEDA for someone who has had an episiotomy (cut) or a laceration. Redness Edema Ecchymosis Discharge Approximation ```

Question 32

How do we do a bubblehe assessment on a postpartum mother?

Answer 32

Breast - check nipples, wearing supportive bra Uterus - palpate fundus Bladder - pain or burning with urination Bowel - passing gas, bowel movement, listen to bowel sounds Lochia - how much they have been bleeding, color Edema - check stitches for REEDA, education on peri bottle Hommen’s sign/hemorrhoids - hommen’s sign is patient has history of DVT Education/emotion - overall mood and bonding with infant, signs of baby blues

Question 33

LMP and due dates

Answer 33

from last menstrual period you subtract 3 months then add 7 days and thats the due date