Exam 2: NUR230/ NUR 230 (NEW 2023/ 2024) The Childbearing/Child Caring Family Exam | Questions and Verified Answers| Graded A- Galen
QUESTION
Who is
... [Show More] most likely to die from hemorrhage during labor, a women having an 11 lb. baby or a woman delivering sextuplets?
Answer:
The woman with the 11 lb. baby.
QUESTION
What are the steps of a postpartum assessment?
Answer:
BUBBLE HE= BREAST (mastitis), UTERUS (fundus should be firm and midline several fingers above umbilicus about the size of a GRAPEFRUIT), BLADDER (distension, diuresis during 1st 2 days post), BOWEL (laxative need 3rd day should be normal), LOCHIA (no odor & appropriate type), EPIOSIOTOMY (infection & healing), HOMANS SIGN (thrombophlebitis), AND EMOTIONAL (Support).
QUESTION
What are the 3 types of lochia and when do they occur?
Answer:
Rubra (dark red, 1st 3 days), Serosa (pinkish, sero-sanguinous, 3-10 days), and alba (creamy or yellowish after the 10th day and may last a week or two).
QUESTION
What should be done if a woman is cramping after being given methergine?
Answer:
Nothing it is an expected outcome and means that the drug is working.
QUESTION
How is methergine used after birth?
Answer:
It is used to control bleeding by promoting increased contractions and stiffening of the uterus muscles.
QUESTION
What should be taught to a woman with mastitis?
Answer:
Continue to breast feed on both breasts.
QUESTION
What should a pregnant woman be taught to do to toughen nipples?
Answer:
Expose to air after a feeding
QUESTION
What should a woman who is having trouble producing milk do?
Answer:
Apply heating pads to the breasts
QUESTION
What should a woman do if not breast feeding their baby to prevent engorgement?
Answer:
Apply ice pack to breasts and wear a tight bra
QUESTION
What sign will the baby show that they are correctly latched to the breast?
Answer:
Their lips will flange
QUESTION
What is the proper way to help the baby release suction on the breast?
Answer:
Put finger in the corner of the mouth to break suction. DON'T pull or can cause trauma to breast.
QUESTION
What are the 4 types of heat loss in an infant?
Answer:
Evaporation (moisture on skin), CONDUCTION (CONTACT WITH COLD OBJECTS-SCALE OR COLD HANDS), Convection (drafts from open doors or air conditioning), and Radiation (by cold surfaces, so from baby to crib and out window).
QUESTION
What will a woman with abruptio placentae present with?
Answer:
Sharp abdominal pains and vaginal spotting (or large amounts of vaginal bleeding), tender and rigid abdomen, pale, anxiousness, diaphoretic, tachycardia, increased respirations, and increased temperature.
QUESTION
What should be done 1st for abruptio placentae?
Answer:
Place in left side lying position and administer 4 L nasal cannula.
QUESTION
What are the risks of abruptio placentae?
Answer:
Fetal anoxia or death, and maternal shock, hemorrhage, or death. (an emergency c-section is usually indicated).
QUESTION
What should be done in preparation for an emergency c-section as a result of an abruptio placentae?
Answer:
Keep her NPO for surgery, administer supplemental oxygen, and start a large bore IV line.
QUESTION
What are causes of abruptio placentae?
Answer:
HTN, trauma, diabetes, cocaine use, alcohol abuse, cigarette smoking, PROM, or an abnormally short umbilical cord.
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