Term
| What does BubbleHe stand for? |
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Definition
| Breasts, Uterus, Bladder, Bowels, Lochia, Episitomy, Homan's, Emotional Status |
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Term
| What are two medications that can promote uterine contractions? |
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Definition
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Term
| What are interventions for episiotomy? |
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Definition
Ice packs. Used to promote comfort and reduce edema. Usually needed for 24 hours for pain
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Term
| Sitz baths are often what temperature? |
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Definition
102-105 degrees, can be cool sitz baths but you'll want to ask woman first
Warmth provides circulation to tissues, promotes healing, and reduces infection |
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Term
What are the two sprays that may be used to relieve discomfort?
When should you use them? |
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Definition
Americaine Spray and Dermoplast Spray
Adivse women to use these after sitz baths |
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Term
| Witch hazel pads may be used what? |
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Definition
Used to relieve discomfort and for edema
For hemorrhoids or perineal pain |
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Term
| How often should woman change pads? |
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Definition
| 4 times a day to prevent infection |
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Term
| How long will pernieal pain last? |
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Definition
| 8 weeks, gradually decreases |
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Term
| What position should relieve hemorrhoidal discomfort? |
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Definition
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Term
| What may help hemorrhoids? |
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Definition
| Adequate fluid intake and stool softeners |
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Term
What position may help afterpains?
Why does this position help? |
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Definition
Prone positioning with a pillow beneath the abdomen
This applies pressure to the uterus therefore stimulates uterine contractions |
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Term
| What can help a woman decrease her afterpains due to breastfeeding? |
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Definition
| Taking an anagelsic before breastfeeding |
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Term
| Should the nurse sit with patient during first shower? |
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Definition
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Term
| What may early ambulation help in postpartum moms? |
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Definition
| Decrease risk for thrombophlebitis and constipation |
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Term
| When the uterus maintains a contracted state _________ cease |
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Definition
Afterpains
This is why nulli women may not feel afterpains, their uterus may have an easier time returning to contracted state |
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Term
| Are there any pharm methods to supress lactation? |
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Definition
| There is, but discontinued due to side effects. |
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Term
| What are some mechanical ways to suppress lactation? |
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Definition
| Wear tight sports bra and apply ice to breasts (axillary area) for 20 minutes, 4 times daily |
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Term
| Where on the breast should you the ice packs to suppress lactation? |
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Definition
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Term
| What are two things you should avoid if you are trying to suppress lactation? |
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Definition
| Avoid heat and avoid stimulation because both stimulate milk production |
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Term
| When a patient takes a shower, what is advice the nurse can give to the mother to supress lactation? |
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Definition
| Let water run down back instead of boobs (warm water may stimulate milk production) |
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Term
| How long does it take the lactation/milk to supress? |
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Definition
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Term
Is Rubella vaccine live?
Where is it given?
What may happen as it is injected? |
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Definition
Yes
Outer aspect of upper arm
Warm burning/stinging injection site |
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Term
| Do you need signed informed consent for rubella vaccine? |
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Definition
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Term
| What are some contraindications to Rubella vaccine? |
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Definition
| Make sure woman isnt sensitive to neomycin, isnt immunosupressed, or hasnt received blood tranfusions |
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Term
| Is HA, sore throat, HA, rash, or malaise common in receipents of Rubella Vaccine? |
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Definition
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Term
What pain medication may be given in the eidural space after c section to promote pain relief?
How long does it last? |
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Definition
Morphine Sulfate
16-24 hours |
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Term
| What two medicaitons may be given PCA in smaller more frequent doses? |
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Definition
| Morphine sulfate or fetanyl |
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Term
What is a continuous peripheral nerve block?
How long can it last? |
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Definition
| Delivers a local anesthetic through tiny catheter that is positioned into wound site and connected to external balloon that allows medicaiton to be delivered at a steady rate up to 5 DAYS |
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Term
| Is General Anesthesia common? |
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Definition
| No due to maternal side effects and fetal effects |
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Term
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Definition
| Continuous Epidural Infusion: epidural catheter is left in place following C section birth that is controlled by client |
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Term
| Patient may feel what two things after C Section? |
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Definition
| Patient may be itchy and nauseous after C section. Nsaids and antiemetics given. |
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Term
| If firm abdomen after C section, what may this indicate? |
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Definition
| Patient may be having difficulty passing gas or stool |
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Term
| How many days after C section do patients normally get discharged? |
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Definition
3 days
showering on Day 2 and walking day after |
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Term
| In obese patients, what may help to reduce risk of pneumonia? |
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Definition
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Term
What can you give to your patient if she has nipple soreness?
What cream?
What gel?
Wear what? |
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Definition
Hypoallergenic medical grade anhydrous lanolin cream
Peppermint Gel
Wear protective bra shells
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Term
| If nipples are cracked, use other breast. Can you take anagelsics one hour prior to BF? |
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Definition
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Term
How long should the baby nurse suckle for feeding?
How often should a baby try to feed? |
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Definition
15 minutes per feeding
At least 8-12 times in 24 hours |
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Term
| When should you use cold compresses and warm compresses in relation to BF? |
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Definition
Warm compresses before nursing
Cold compresses after |
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Term
What can help plugged ducts?
What can plugged ducts lead to? |
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Definition
Heat and massage
Warm compresses
Mastitis |
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Term
Can breast pump help unplug duct?
Should the baby start on unaffected side or affected side? |
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Definition
Yes it can help
Baby can start on unaffected side if breast in tender however some people believe starting on affected side may help to dislodge duct due to vigorus suckling |
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Term
How can you prevent plugged ducts?
What may cause recurring plugged ducts? |
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Definition
Frequent nursing
Variety of positions to ensure complete emptying
Pressures from purse strap, seat belt, infant sling, may cause recurring plugged cuts |
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Term
| When should a mother stop drinking alcohol prior to breast feeding? |
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Definition
2 hours before feeding
Alcoholics shouldnt be adivsed to BF. |
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Term
| When should a mother stop drinking alcohol prior to breast feeding? |
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Definition
2 hours before feeding
Alcoholics shouldnt be adivsed to BF. |
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Term
| How can you start by weaning your infant off BF? |
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Definition
Replace one breast feeding session with bottle feed/cup feed so breast can graudally produce less milk
Then increase the substuitions over the next few weeks
Gradually weaning may prevent breast engorgement |
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