Shared Flashcard Set

Details

Maternity: Normal Puerperium
"POSTPARTUM" hesi hints
15
Nursing
Not Applicable
08/12/2009

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Cards

Term
A nurse discovers a postpartum client with a boggy uterus that is displaced above and to the right of the umbilicus. What nursing action is indicated?
Definition
Perform immediate fundal massage. ambulate to the bathroom or use bedpan to empty the bladder because cardinal sign of bladder distention are present
Term
Which women experience afterpains more often than others?
Definition
breastfeeding women, Multiparas, and women who experienced overdistention of the uterus
Term
Upon admission to the postpartum room, Three hours after delivery a client has a temperature of 99.5*F. what nursing action is indicated?
Definition
Temperature is probably elevated due to dehydration and work of labor; force fluids and retake temperature in an hour; notify MD if above 100.4*F
Term
A client feels faint on the way to the bathroom. What nursing assessment should be made?
Definition
Assess BP sitting and lying; assess Hgb and Hct for anemia
Term
What factor place the postpartum client at risk for thromboembolism?
Definition
Increased clotting factors
Term
A breastfeeding mother complains of very tender nipples. What nursing actions should be taken?
Definition
Have her demonstrate infant position on breast (incorrect positioning often causes tenderness). Leave bra open to ary dry nipples for 15 mins three times daily. Express colostrum and rub on nipples
Term
Three days postpartum,a lactating mother has full, warm, taut, tender breast. What nursing action should be taken?
Definition
She is engorged; have newborn suckle frequently; take measures to increase milk flow= warm water, breast massage and supportive bra
Term
What information should be given to a client regarding resumption of sexual intercourse after delivery?
Definition
Avoid until postpartum exam. Use water soluble jelly. Expect slight discomfort due to vaginal changes
Term
A woman has decided to take birth control pills as her contraceptive method, What should she do if she misses taking the pill for 2
Definition
Take two pills for 2 days and use an alternative form of birth control
Term
A woman ask why she is urinating so much in the postpartum period. The nurse bases the response on what information?
Definition
Up to 3000mL/day can be voided because of the reduction in the 40% plasma volume increase during pregnancy
Term
A womans WBC is 17,000; she is afebrile and has no symptoms of infection. What nursing action is indicated?
Definition
Continue routine assessments; normal leukocytosis occurs during postpartal pd because of placental site healing
Term
What is the most common cause of uterine atony in the first 24 hours postpartum?
Definition
A full bladder
Term
What is the purpose of giving docusate sodium (colace)to the postpartum client?
Definition
To soften the stool in mothers with third or fourth degree episiotomies, Hemorrhoids, or cesarean section delivery.
Term
What should the fundal height be at 3 days postpartum for a woman who has had a vaginal delivery?
Definition
Three fingerbreadths/cm below the umbilicus
Term
List three signs of positive bonding between parents and newborn.
Definition
Calling infant by name, exploring newborn head to toe, using en face position.
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