Shared Flashcard Set

Details

OB test 6 Postpartum
Old TQs
32
Medical
Undergraduate 4
04/29/2009

Additional Medical Flashcards

 


 

Cards

Term
What should a 5 day post partum patient's lochia be documented as?
Definition
Lochia Serosa
Term
Patient is told that it will take how long before the vagina returns to prepregnancy state?
Definition
6-8 Weeks.
Term
The level of what hormone rises in the bloodstream with breastfeeding?
Definition
Prolactin
Term
What can the nurse teach the patient about birth control and breastfeeding?
Definition
She will still ovulate.
Term
Patient asks why she is sweating so badly, even 6 hours after birth. How could the nurse explain this?
Definition
Tell her she is still getting rid of excess fluids.
Term
What condition, that is not normal in pregnancy, needs closer evaluation post partally?
Definition
Headaches.
Term
What pregnancy condition returns to normal after delivery?
Definition
Brittle fingernails
Term
PAtient's vital signs six hours postpartum are 116/77, P 82, T 99.2. What intervention should the nurse include?
Definition
Encourage fluids.
Term
What intervention is performed for a patient 2 days post-op c-section with constipation?
Definition
Ambulate
Term
Patient has 3rd degree episiotomy. All except what can be expected in postpartum orders.
Definition
Suppository
Term
What medications are administered to help stop hemorrhage and increase uterine contractions?
Definition
Pitocin, methergine, and hemabate
Term
How would the nurse observe/assess attachment of mother and newborn?
Definition
Observe a feeding and how the mother responds when the infant cries.
Term
How do you teach a new mother to prevent mastitis?
Definition
Proper breastfeeding technique
Term
What is the most common postpartum infection?
Definition
ENdometritis
Term
What lab value is indicative of DIC?
Definition
Presence of split fibrin
Term
What is something a nurse can tell a new father to help him see the attachment/bond with his newborn?
Definition
Tell him the baby responds to his voice.
Term
Nurse follows up with a new mom approximately 5 days after discharge. NEw mom reports she loves her baby but finds herself crying for no reason. What would be the best explanation?
Definition
Postpartum blues.
Term
What is an early sign of postpartum hemorrhage?
Definition
Uterine atony
Term
Patient delivered the night before. During the 7:30 a.m. assessment the nurse palpates a firm fundus but continuous bleeding. What intervention is necessary?
Definition
Call the physician.
Term
What must always be done before calling a physician regarding continuous bleeding?
Definition
Palpate and massage the fundus.
Term
10 days post-op checkup the patient's fundus is just above the symphisis pubis, what is suspected?
Definition
Subinvolution.
Term
Postpartum labs indicated the patient had a rubella titer of 1:7, what should the nurse prepare to do?
Definition
Administer the meruvac injection.
Term
When should the nurse anticipate administration of rhogam?
Definition
Within 72 hours of birth.
Term
What advice is given to patient regarding resuming sexual activity?
Definition
Can resume when the episiotomy heals (2-3 weeks) and there's no lochia.
Term
What patient is at risk for postpartum hemorrhage?
Definition
The patient that is induced and then given MGSO4 for seizures.
Term
What condition presisposes patient to infection?
Definition
Malnutrition
Term
How should a patient clean the perineum to prevent UTI?
Definition
Wipe from front to back.
Term
What are the signs/symptoms of DIC?
Definition
Oozing around the IV site and spontaneous bleeding in the gums.
Term
What orders should be completed 1st?
Definition
Culture and sensitivity.
Term
Patient is complaining of afterbirth pains, what should the nurse do?
Definition
Give prescribed opioids and delay assessment until medications begin to work.
Term
What is the cause of afterbirth pains?
Definition
OVerly distended uterus.
Term
What is the best explanation of the end result of stretch marks?
Definition
The fade to white or silver
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