POSTPARTUM 2

Question 1

produced by hypothalamus, stored in the posterior pituitary
that causes uterus to contract to control post partum hemorrhage

Answer 1

Oxytocin(pitocin)

Question 2

oxytocin can increase __________ that is why you should always measure ___________before administering

Answer 2

BP

Question 3

when administering oxytoxin, with BP>140/90 mmHG, what action of the nurse should do?

Answer 3

Withhold agent and Notify woman’s physician

Question 4

Narcotic Analgesic, 1-2 tablets PO every 4 hours PRN For relief of mild to moderate pain

Answer 4

Acetaminophen (Tylenol)

Question 4

acetaminophen

Determine whether woman is to__________ acetaminophen

Monitor ______________, _________________ and ____________

Administer with food or after meals if GI upset occurs

Take 1 full glass of water with tablet

Answer 4

sensitive

bowel sound, RR, and UO

Question 5

prevent constipation
by lowering surface tension of feces; allow lipids & water to penetrate & soften stool

Answer 5

Docusate Sodium (Colace, Surfak)

Question 6

Possible adverse effects of Docusate Sodium

Answer 6

occasional abdominal pain and Diarrhea

Question 7

if (+) atony, investigate causes

Determine relationship of _______________ to umbilicus

Assess ____________ of fundus

Note if fundus is in _____________________ or displaced to either side of abdomen

Record results of assessment

Answer 7

fundus

firmness

midline

Question 8

rationale why the fundus is displaced on either side of abdomen

Answer 8

the bladder is full

Question 9

1st hour after child birth should monitor VS every__________

Answer 9

15 mins

Question 10

next after after first hour after child birth, monitor patient every ____________________

Answer 10

30 mins

Question 11

2 hours after child birth, monitor patient every _________

Answer 11

1 hour

Question 12

monitor uterine status every ___________ or more frequently if problems arise

Answer 12

8 hrs

Question 13

5 signs to assess episiotomy

Answer 13

R redness
E edema
E ecchymosis
D discharge
A approximation

Question 14

mild edema is ______________

severe edema __________________ with healing

Answer 14

common

interferes

Question 15

few small superficial bruises (common)

larger bruises (interfere with normal healing)

Answer 15

ecchymosis

Question 16

Redness associated with healing without excessive tenderness

Answer 16

True

Question 17

pain with redness

Answer 17

infection

Question 18

discharge should be present in episiotomy healing

Answer 18

false

Question 19

suture line should not be separated

Answer 19

approximation

Question 20

decreases pain and promotes circulation to tissues that causes healing and reduce incidence of infection

Answer 20

sitz bath

Question 21

applied in first 24 hours to reduce edema, reduce possibility of hematoma formation, provide numbing of the tissues

Answer 21

cold therapy

Question 22

apply ice pack for approximately ________________, then remove for about _____________

Answer 22

20 mins

10 mins

Question 23

have a clean, unused towel to pat dry perineum _____________sitz bath

Answer 23

after

Question 24

use sitz bath _____________x/day

Answer 24

3-4

Question 25

sitz bath maximum of ___________ each time

Answer 25

10 mins

Question 26

reduce perineal edema and reduce response of nerve endings which cause perineal discomfort

Answer 26

Cool sitz bath

Question 27

sexual activity can resume if:

Answer 27

healed episiotomy and lochial flow has stopped

Question 28

when is the return to prepregnant level of sexual interest and activity

Answer 28

3 months post-partum

Question 29

When breastfeeding women experience decreased ___________ for several months

Answer 29

libido

Question 30

example of postpartal exercise

Answer 30

 Kegel’s Exercise