Study Guide for Maternity Nursing

take away Guide for Exam 1 * What are the risk factors for uterine atonia? Loss of uterine t adeptOverdistention of the uterus (multiple gestation, polyhydramnios, macrosomia, fibroid tumors, distention with clots), vesica distention, grand multiparity, uterine trauma (forceps vacuum, c-section, cervical biopsy), bottle feeding, length of labor (precipitous or prolonged), Hx of PPH, medications (anesthesia, young tocolysis, magnesium sulfate, induction greater than 15 hours), abruptio placenta, placenta previa, infection, inversion of uterus, placenta accrete increta percreta * Upon tactual exploration you find that your clients uterus is above the belly button and displaced to the right, what is your nurse intervention? sk patient last time they voided. check for distention of the bladder (superpubic distention), encourage voiding. teaching patient to try and void q2h. Methods to erect micturition hand under warm water, squirt bottle, sitz bath, analgesic, warm shower. * How would you expect a pp clients labs to change/ 1. WBC Increase 2. H&H Decrease 3. Platelets Stay Same * Bright red bleeding of lochia rubra one week or more into the pp period would suggest what? Late postpartum hemorrhage What teaching do you give after administering a epidemic roseola vaccine? Patient should not get with child(predicate) for one month following the vaccine * You assess a pp client 20 proceedings after birth and discover that she has saturated her pad. Her fundus is slightly above the umbilicus but centered (not off to the side this time) and boggy. What will be your succeeding(prenominal) action? Early postpartum hemorrhage. Massage uterus firmly and unceasingly until uterus becomes firm. Call for help (to notify physician).Position flat with feet elevated rough 30 degrees. Vital signs, I&O. Medicine to contract uterus may be needed, IV, O2 10L through mask, Cath, prep for D&C, bimanual massage * How do you relief a Post C-section client of gas constanc y? What are gas tenor post-surgical described as? Gas pains are described as pain in the stomach. stomach distended and hard. For tx promote ambulation for pain (medication will not effective) and offer warm beverages to promote peristalsis * Study the postpartum psychosocial phases. pageboy 424 of book * appraise postpartum parcel out of the Mexican-American woman. Page 410 of book. * What are the signs of a cervical/high vagina laceration? Fundus will remain firm, day-and-night spurting of bright red blood * Study risk for postpartum depression. Pg. 741 * Review signs and symptoms of PIH. * What treatments would be given for endometritis and what is the rationale? * Review care of the client with mastitis. * The math will include all of the same instance problems as last exam including a GTPAL.G keep down of times pregnant T number of term births P number of preterm births A number of abortions (spontaneous and induced) L number of living children * Know the 3 lochia ty pes and time nosepiece for each. Rubra (red) days 1-4 Serosa (pink-brown) days 2-10 Alba (white) days 11+ 3-6 weeks postpartum * Review teaching for the mother concerning uterine involution/ recovery and self-care activities for a sore vaginal delivered client.