Shared Flashcard Set

Details

MATERNITY: Postpartum High Risk Disorders
Hesi Hints
9
Nursing
Not Applicable
08/12/2009

Additional Nursing Flashcards

 


 

Cards

Term
May women with positive HIV antibody test breast feed?
Definition
NO!!!! HIV has been found in breast milk
Term
What are the common side effects of antibiotics used to treat puerperal infection?
Definition
GI adverse reactions: N/V/D and cramping.
Hypersenistivity Reactions: rashes, urticaria and hives
Term
How does the nurse differentiate the symptomatology of cystitis from that of pyelonephritis?
Definition
Pyelonephritis has the same symptoms as cystitis (dysuria, frequency, and urgency) with the addition of flank pain, fever and pain at costovertebral angle.
Term
What are the signs of endometritis?
Definition
Subinvolution (boggy, high uterus); lochia returning to rubra with possible foul smell; temperature 100.4*F or higher; unusal fundal tenderness
Term
What are the nursing actions for endometritis and parametritis?
Definition
Measures to promote lochial drainage; antipyretic measures (acetaminophen/cool baths); admin of analgesics and antibiotics as prescribed; increase of fluids with attention to high protein and high vitamin C diet.
Term
State four risk factors for or predisposing factors to postpartum infection.
Definition
Operative delivery, intrauterine manipulation, anemia or poor physical health, traumatic delivery and hemorrhage
Term
State four risk factors for or predisposing factors to postpartum hemorrhage
Definition
Dystocia or prolonged labor, overdistention of the uterus, abruptio placentae and infection
Term
What immediate nursing actions should be taken when a postpartum hemorrhage is detected?
Definition
Fundal Massage. Notify health care provider if massage does not firm fundus. Count pads to estimate blood loss. Assess and record vital signs. Increase IV fluids and admin oxytocin infusion as prescribed.
Term
Must women diagnosed with mastitis stop breast feeding?
Definition
NO. Women who stop breast feeding abruptly may make the situation worse by increasing congestion and engorgement and providing further media for bacterial growth. Client may have to discontinue breast feeding if pus is present or if antibiotics are contraindicated for neonate.
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