• Shuffle
    Toggle On
    Toggle Off
  • Alphabetize
    Toggle On
    Toggle Off
  • Front First
    Toggle On
    Toggle Off
  • Both Sides
    Toggle On
    Toggle Off
  • Read
    Toggle On
    Toggle Off
Reading...
Front

Card Range To Study

through

image

Play button

image

Play button

image

Progress

1/23

Click to flip

Use LEFT and RIGHT arrow keys to navigate between flashcards;

Use UP and DOWN arrow keys to flip the card;

H to show hint;

A reads text to speech;

23 Cards in this Set

  • Front
  • Back

Nursing care management approach in which one nurse cares for both the mother and her infant. It is also called __________ or ______________.

Couplet care; mother-baby care, single-room maternity care
Term used for the decreasing length of hospital stays of mothers and their babies after low risk births. Other terms used are ____________ and __________.
early postpartum discharge; shortened hospital stay, one day maternity stay
Classification of medications that stimulate contraction of the uterine smooth muscle.
oxytocic
failure of the uterine muscle to contract firmly. It is the most frequent cause for excessive bleeding following childbirth.
uterine atony
Perineal treatment that involves sitting in warm water for approximately 20 minutes to soothe and cleanse the site and to increase blood flow, thereby enhancing healing
sitz bath
Menstrual like cramps experienced by many women as the uterus contracts after childbirth
Afterpains (after-birth pains)
Dilation of the blood bessels supplying the intestines as a result of the rapid decrease in intraabdominal pressure after birth. It causes blood to pool in the viscera and thereby contributes to the development of _________ when the woman who has recently given birth sits or stands, first ambulates , or takes a warm shower.
Splanchnic engorgement, orthostatic hypotension
Complaint of pain in calf muscles when the foot is sharply dorsiflexed; it could signal the presence of a deep vein thrombosis (DVT)
Homan's sign
Exercises that can assist women to regain muscle tone that is often lost when pelvic tissues are stretched and torn during pregnancy and birth
Kegel
Swelling of breast tissue caused by increased blood and lymph supply to the breast as the body begins the process of lactation
Engorgement
Vaccine that can be given to postpartum women whose antibody titer is less than 1:8 or whose EIA level is less that 0.8. It is used to prevent nonimmune women from contracting this TORCH infection during a subsequent pregnancy
Rubella
Blood product that is administered to Ph-negative, antibody (Coombs')-negative women who have Ph-positive newborns. It is administered at 28 weeks of gestation and again within 72 hours after birth.
RhoGAM (Rh immune globulin)
Telephone-based postpartum consultation service that can provide information and support; it is not a crisis intervention line to be used for emergencies.
Warm line
A postpartum woman at 6 hours after a vaginal birth is having difficulty voiding. List the measures that you would try to help this woman void spontaneously
help her assume an upright position on bedpan or in bathroom, listen to running water put hands in warm water, pour water over vulva with peri bottle, stand in shower, or sit in a sitz bath, provide analgesics, put oil of peppermint in bedpan
Identify the measures the nurse should teach a postpartum woman in an effort to prevent the development of thrombophlebitis
exercise legs with active ROM of knees, ankles, feet, and toes; early ambulation; wear support hose, keep well hydrated
Identify the measures you would teach a bottle-feeding mother to suppress lactation naturally and to relieve discomfort during breast engorgement
Wear supportive bra or a breast binder 24 hours a day for at least the first 72 hours postpartum, avoid stimulating breast (no warm water during shower, no infant sucking, no pumping or removal of milk) apply ice packs intermittently to relieve soreness and use cabbage leaves, mild analgesic
State the 2 most important interventions that can be used to prevent excessive postpartum bleeding in the early postpartum period.
1. Maintain uterine tone: massage fundus if boggy, expel clots when fundus is firm, administer oxytocic medications, breast-feed or stimulate nipples
2. prevent bladder distention
The nurse is prepared to assess a postpartum woman's fundus. The nurse would tell the woman to:
the woman should be assisted into a supine position with head and shoulders on a pillow, arms at sides, and knees flexed; this will facilitate relaxation of abdominal muscles and allow deep palpation
Teh expected outcome for care when methylergonovine (Methergine), an oxytocic, is administered to a postpartum woman during the 4th stage of labor, the woman will:
Methergine as an oxytocic that contracts the uterus, thereby preventing excessive blood loss; lochia will therefore reflect expected characteristics
A nurse is preparing to administer RhoGAM to a postpartum woman. Before implementing this care measure the nurse should:
a direct and indirect Coombs' must be negative, indicating that antibodies have not been formed, before RhoGAM can be given; it must be given within 72 hours of birth; the newborn needs to be Rh+; it is often given in the 3 trimester and then again after birth
When teaching a postpartum woman with an episiotomy about using a sitz bath, the nurse should emphasize:
this is a medical aseptic procedure; therefore clean, not sterile, equipment should be used; the water should be warm at 38 to 40.6; it is often used 2-3 times a day for 20 minutes each time
Prior to discharge at 2 days postpartum, the nurse evaluates a woman's level of knowledge regarding the care of her episiotomy. What would indicate the woman needs further instruction:
Ice packs are used during the first 24 hours after birth to decrease edema; the sitz bath should be used 2-3 times per day for 20 minutes each time; topical medications should be used sparingly only 3-4 times per day.
When assessing pospartum women during the first 24 hours after birth, the nurse must be alert for signs that could indicate the development of postpartum physiologic complications. What sign would be of concern to the nurse.
temperature of 38 during the first 24 hours may be related to deficient fluid and is therefore not a concern; fundus should be firm not boggy; saturation of the pad in 15 minutes or less would be a concern; a positive Homan sign could indicate DVT; usually women have a good appetite after birth; each voiding should be at least 100ml