Quiz 2 Flashcards
Tocolytic therapy; for preterm patients
indomethacin, nifedipine procardia
Oxytoxic meds; hemorrhage
baby position for back labor:
oxytocin, hemabate, methergine
less than 24 hrs postpartum. Expect to find?
Fundus at umbilicus, everyday
post 1 sonometer down (-1, -2, -3), tone is firm midline.
First thing to do when fundus is boggy and shifted to right
empty bladder
Walk in two hours after assessments, saturated two pads within 30 mins what to do
assess the fungus
Person just delivered, 12-14 hrs postpartum, dependent taking in phase of postpartum adjustment. What are we seeing?
Talkative and excited.
3 wks pp, feels down no energy, wants to cry. U first ask?
For signs of postpartum depression, it affects her and her lil dumbass baby
What patient gets rhogam
mom is rh- and gave birth to rh+
Walk in delivered 4 hrs ago, got oxytocin bag infusing, large amount of lochia, bp 152/94 p 80 rr 18, reviewing orders, which order do you question?
Methergine order (oxytoxic)
Best thing to do for pt who is 6hr post C-sec, Hx of __, and u want to prevent complications?
ambulate
Signs of postpartum infection
pelvic pain, chills, fever, tachycardia, anorexia and fatigue
Pt delivered 10 days ago, pain redness left calf ( what to do )
Tell to see HCP immediately. Elevate.
Signs of bladder distention on PP pt?
Boggy shifted left or right up??
Pt delivered shift ago
Ice pack infected area
Ngn: pt is presenting with signs of premature rupture membrane, what are the
interventions?
Check temperature & odor bc we’re suspecting chorioamnionitis
NGN: upt has boggy uterus, large amount of lokia, saturation on pad. Suspected:
hemorrhage.
Check: fundus is nice and firm. Document: amount of lochia
Administered methergine.
Signs that indicate effectiveness? Uterus tone
Purpose of betamethasone:
for the lungs of premature babies to promote lung maturity
Pt is preterm and gets terbutaline, expect to see?
Lessening of contractions, shaking
and shivering
Red, swollen in ONE breast.
Mastitis
Walk in and postpartum pt has a baby that is 9 lb what is the mom at risk for?
Tearing,
bleeding, uterine atony
Pt is reporting abd pain, fundal height is +3, large amount of vaginal bleeding. We are
suspecting?
Subinvolution of the uterus. Expect to give? Pitocin and methergine
Name of potential risk for prolapse umbilical cord. Rupture of membranes, head that is
high and not engaged in pelvis
(-3, -4, breached, can’t feel top of head)
Adverse responses to terbutaline:
tachycardia n shaking
Priority nursing assessment for pt receiving mag sulfate?
RR
Assessing mom, home visit, 3-4 days pp, breast feeding, baby lost wt. What is this
from?
short , infrequent feeding. 5-6% weight lost after birth, incorrect latch or feeding.
Reflex that the newborn have to breastfeed:
rooting
Nurse is teaching about nutrition guidelines to parents. Which statement indicates understanding?
I should give fruit juice until my baby is 6 months of age.
Review assessment finding.
UTI, Preterm or Both. Vaginal exam 3 sonometer (preterm) Lower abd pain (Both), Has vaginal dc (Preterm), Temp of 100.5 (UTI)
Teaching pt about bottle feeding, which needs further instructions?
I will tilt the nipple so air would be present while bby sucks
1 thing to do to help w breast engorgement?
Feed more frequently
Walk in look on monitor, pt just delivered, bp 60/50. What do you do?
Assess the fundus
Pt has severe pelvic pain, no contractions, fetal heart rate it bradycardic:
it is uterine abruption so we prepare pt for surgery and if they have oxytocin u shut it off
Pt is PP, breastfeeding and has nipple soreness.
Suggestions to reduce nipple pain? Making sure baby is latching correctly, start on non sore nipple, apply cyclosternum breastmilk before feeding
