random maternal questions Flashcards
how should a pt relieve swelling and discomfort from engorgement?
apply ice pack for 15 mins
what kind of bra should a pt wear to relive discomfort from engorgement
a well fitted supported bra
should a pt post partum wear a supportive bra while asleep? if yes for how long??
yes for at least the first 4 days
should a pt express breast milk 3x per day? why or why not?
no because expressing can stimulate more milk production.
should a pt experiencing engorgement run warm water over the breast? why or why not
no because warm water can increase milk production
light massaging on pt abdomen in rhythm with breathing during contractions is called
effleurage
steady pressure applied to sacral area during contractions using heel of hand, tennis ball or fist during contractions is called
counterpressure
what is counterpressure used for
relieving low back pain from fetus in occipitoposterior presentation
can a newborns face be washed using a mild soap?
no use plain water
what part of a new borns boy should be washed last? and what should you use to wash a newborns body
genitals last. use mild soap
should a newborn be bathed once a day? why or why not?
no because it can mess w skin integrity & protective acid mantle
when should a newborn be bathed
when they wake up and before a feeding
should you bathe a newborn after a feeding? why or why not?
no because they can regurgitate food
should you clean a newborns ears & nose w a cotton swab?
no
what should you clean a newborns ears with
corner of a washcloth
hyperglycemia, polyphagia, polyuria and polydipsia are signs of what pregnancy complication
gestational diabetes
headache, vision changes, epigastric/abdominal pain, facial/hand edema are signs of what pregnancy complication
preeclampsia
severe vomiting, weight loss, fluid and electrolyte imbalances and nutritional deficits are signs of what pregnancy complication?
hyperemesis gravidarum
vaginal bleeding, abdominal pain, uterine contractions are signs of what pregnancy complication
abruptio placentae
what is fundal height and what is it used for
distance of top of uterus to pubic bone. used to see if baby small for gestational age
is umbilical cord stump blackening an expected finding in a newborn who was born a few days ago
yes it should happen by 2nd or 3rd day
is skin redness at base of the umbillacal stump an expected finding in a newborn who was born a few days ago
no its a sign of infection
is dried blood on skin around umbillical cord stump an expected finding in a newborn who was born a few days ago
yes
is a hardened umbillical cord stump an expected finding in a newborn who was born a few days ago
yes
how many times should a newborn be fed in 24hrs
8-12 times
how many wet diapers should a newborn have after 4 days
at least 6 wet diapers
what does fewer than 6 wet diapers after day 4 indicate
ineffective breastfeeding
what 5 things do an apgar score asses
heart rate
resp effort
muscle tone
reflex irritability
color at 1 and 5 min following birth
heart rate score of 0 means what on apgar scoring
absent heart rate
heart rate score of 1 means what on apgar scoring
slow heart rate below 100 bpm
heart rate score of 2 means what on apgar scoring
heart rate above 100 bpm
resp rate score of 0 means what on apgar scoring
absent resp effort
resp rate score of 1 means what on apgar scoring
slow/weak resp effort
resp rate score of 2 means what on apgar scoring
loud cry
muscle tone score of 0 means what on apgar scoring
flaccid
muscle tone score of 1 means what on apgar scoring
some flexion of extremities
muscle tone score of 2 means what on apgar scoring
well flexed
reflex irratibility score of 0 means what on apgar scoring
no response
reflex irratibility score of 1 means what on apgar scoring
grimace
reflex irratibility score of 2 means what on apgar scoring
cry
color score of 0 means what on apgar scoring
pale/blue
color score of 1 means what on apgar scoring
pink body w blue extremities
color score of 2 means what on apgar scoring
completely pink
Prepregnancy BMI of what is considered obese
over 30
a obese prepregnant pt should plan to limit their weight gain to how many pounds? kg if ur feeling fancy
11-20 lbs (5-9.1 kg)
Prepregnancy pts are underweight if they have a BMI of?
less than 18.5
underweight prepregnancy pts should plan to gain how many lbs during pregnancy? kg if ur feeling fancy
28-40 lbs (12.7-18.1 kg)
normal prepregnant BMI
18.5-24.9
A nurse is caring for 4 newborns. Which of the following newborns is at the greatest risk of hypoglycemia?
A. A newborn who is large for gestational age
B. A newborn who has an Rh incompatibility
C. A newborn who has pathologic jaundice
D. A newborn who has fetal alcohol syndrome
A. A newborn who is large for gestational age
A nurse is checking laboratory values to determine if a client with diabetes mellitus is adhering to the treatment plan. Which of the following tests should the nurse use to make this determination?
A. Glycosylated hemoglobin levels
B. Urine sugar and acetone levels
C. Glucose tolerance test
D. Fasting serum glucose
A. Glycosylated hemoglobin levels
A nurse is planning care for a client who is at 35 weeks gestation. Which of the following laboratory tests should the nurse obtain?
A. Rubella titer
B. Blood type
C. Group B streptococcus ß-hemolytic
D. 1-hour glucose tolerance test
C. Group B streptococcus ß-hemolytic
what should be given prophalactically for pts during labor who are group B strep positive
antibiotics
when should maternal blood type and Rh factor testing be done
first prenatal visit
when will RhoGAM be given to rh - pt
28 weeks
A nurse is reviewing the medical record of a client who is scheduled for induction of labor and has a prescription for misoprostol. Which of the following conditions should the nurse identify as a contraindication to administering this medication?
A. Gestational diabetes
B. Past cesarean delivery
C. Preeclampsia
D. Genital herpes
B. Past cesarean delivery
what is misoprostol used for
inducing labor
why is misoprostol contraindicated in pts w hx of c-sections or uterine surgery
increases risk of uterine tachysystole
what is uterine tachysystole
more than 5 contractions/10 mins in 2 consecutive intervals
A nurse is caring for a recently delivered newborn whose mother had gestational diabetes. What action should the nurse take within 1 hr after birth?
A. Administer the hepatitis B (HBV) vaccine
B. Assess the newborn’s blood glucose level
C. Bathe the newborn
D. Perform a screening for congenital heart disease
B. Assess the newborn’s blood glucose level
when should skin to skin contact occur
the first 1-2 hrs after birth
when should newborn be bathed
when temp has stabalized
when should congenital heart disease be screened in newborn
24-48 hrs after birth
what happens if congenital heart disease screening occurs prior to 12 hrs after birth
acrocyanosis (bluish discoloration)
what is used to screen for congenital heart disease
pulse oximeter
when should Hepatitis B vaccine be administered to newborn
prior to discharge
A nurse is reviewing the laboratory values of a client who is pregnant and has a low progesterone level. Which of the following complications should the nurse expect?
A. Gestational diabetes
B. Preterm labor
C. Inadequate milk supply
D. Inadequate uterine growth
B. Preterm labor
what does progesterone do
maintains uterus lining
reduces uterine contractility
what happens if a preg pt has low progesterone
preterm labor
human placental lactogen (HPL) can cause what preg complication
gestational dm
lactogenesis is influcenced by what
human placental lactogen
what stimulates uterine growth and mammary gland development
estrogen