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10 Cards in this Set
- Front
- Back
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What is Apgar scoring?
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Scoring test performed at 1 minute then at 5 minutes. If the score is less than 8, then it is probable that some measure need to be taken Each of the following gets a score of 0 – 2, giving a total score of 0 – 10: Heart Rate, Respiratory effort, Muscle tone, Reflex irritability, Color
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What is the nursing postpartum care for a vaginal delivery?
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Vitals Q 15 minutes, Fundus checks, Lochia checks, Episiotomy and perineal care – ice packs PRN – Use ice in the first 8-24 hours if lots of swelling. After 24 hours, use warm pack., Bonding and breast feeding if desired., Rest and nutrition.
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What are the major issues or complications to worry about during the antepartum period?
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Hemorrhage and infection
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The term ____ is used to describe the rapid reduction in size and the return of the uterus to a nonpregnant state. Following separatin of the placenta, the decidua of the uterus is irregular, jagged, and varied in thickness. The spongy layer of the decidua is cast off as lochia, while the inner layer forms the basis for the development of new endometrium.
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involution
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What are the psychological factors to remember during the intrapartum period?
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Stress Factors – Stress causes a reduction of myometrial activity (More stress = more pain), Comfort measures, Relaxation / breathing techniques, Reassurance and rapport
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What is the nursing postpartum care for a cesarean delivery?
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Vital signs Q 5 minutes, then Q 15 minutes when stable., Oxygen status, pulse ox and TDBC, I/O, NPO, IV, Foley. The IV will be 10-20 U of Pitocin. Used to cause involution of the uterus., Incision and dressing – If bleeding, circle, date and time., Fundus and lochia checks.,Assess post-anesthesia state – epidural and general.
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Describe the newborn sleep states.
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Sleep states: Deep / Quiet sleep – regular breathing, no movement except sudden body jerks, Active REM – irregular breathing, body twitching, may cry out but not awake, Quiet alert – Infant awake and involved with the surroundings, Awake / crying states
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How does age affect complications in the antepartum period?
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21-35 yrs = optimal time for pregnancies under 21 yrs = HTN and nutritional problems over 35 years = Downs syndrome and HTN
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What are the postpartum vital signs changes?
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Temperature: slightly increases in the first 24 hours due to dehydration intrapartum. A temp > 100.4 = febrile. The increase is due to dehydration. If > 101.00 after 24 hours = infection., Pulse: Slightly slower than normal – evaluate according to baseline norms of postpartum., Blood Pressure: Compare with pre-brith levels. Above 140/90 consider PIH. Watch for orthostatic hypotension. ***Pt can be pre-eclamptic and eclamptic postpartum.
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Discuss newborns and temperature.
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Temperature regulation – babies lose heat very rapidly. When a baby is cold, there is: An increase of O2 consumption, An increase of utilization of glucose (hypoglycemia) & brown fat, An increase need for calories, An increased risk for metabolic acidosis, A decrease in surfactant production. They lose heat by: Convection – Body heat lost to cool air flow, Conduction –Body heat lost to blankets, etc., Radiation – Body heat lost to cool temps., Evaporation – Body heat lost due to moisture from skin and lungs., Management – babies are stimulated to breath by drying action post birth.
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