You have a patient that just gave birth. What is your priority assessment?
Assess the fundus at the umbilicus and make sure it is firm.
Where do
... [Show More] you palpate the uterus the day of birth?
Midline at the umbilicus
Where should the fundus be 2 days after birth?
2 finger breaths (widths) below the umbilicus
If the uterus isn't contracted, is 1 finger breath above the umbilicus and to the side
This means patient has a full bladder- have them empty their bladder and recheck
How would you instruct postpartum peri care?
Use a warm bottle of water every time they void.
You have a postpartum patient who is bottle feeding. When should she expect her period again?
5 weeks if bottle feeding, 8 weeks if breast feeding
When doing a newborn assessment, how many vessels should at the umbilicus?
3 (2 arteries and 1 vein)
You have a postpartum patient who has shortness of breath and an O2 of 84%, how do you position them?
High fowlers
You are caring for a one day postpartum patient. In the last 4 hours she has had bright red lochia. What do you do?
Assess the fundus to see if it is boggy.
A patient is at home and 5 days postpartum has pink lochia with an odor. What should she do?
Call and get an appointment with her doctor today.
When does a mother not get a Rhogam shot?
No Rhogam shot if mom's blood type and baby's blood type are both negative.
If a baby is stillborn and parents still want to hold it, what do you do?
Swaddle him/her, keep them warm and give him/her to the parents for as long as they want
What do we need to teach the patient about constipation?
A lot of fluids; high fiber diet; increased activity; and using a stool softener as a last resort
When discharging a postpartum patient, what education should we give?
watch for: Swelling in the calves; fever over 101; & foul smelling discharge
What do you give a toddler who likes finger foods and is a vegetarian?
Give supplements
You are caring for postpartum patient who has a bright red saturated pad. What do you do?
Assess the fundus
How do you know when a toddler is ready to be toilet trained?
When they stay dry overnight and are able to communicate that they need to go to the bathroom.
Why do toddlers throw temper tantrums?
when they are frustrated
What is the leading cause of death in infants?
Accidents because they are so low to the ground and they are curious
Parallel play
Playing side-by-side, but not interactively
Late pre-k/schoolage
Grow mostly in legs and double their 1 year weight by age 5
When should you discipline a child?
As soon as it happens.
Discipline
Should be firm in decisions, makes kids feel safe and secure, prevents injuries, removes pressure of making decisions from kids that they are young
What is not a good toy to give a child due to allergens?
Teddy bear
What should you do if you find a mongolian spot during your newborn assessment?
Document it right away to ensure other nurses/Dr.'s know it is not a sign of abuse.
What should you do if the fundus is not firm?
Vigorous massage.
What should the heartrate of a newborn be?
110-160
What should the respiratory rate of a newborn be?
30-60
What should the blood pressure of a newborn be?
65-95/30-60
What should the temp of a newborn be?
97.7-98.6 (should be taken axillary)
When should a birth weight be doubled?
At 6 months
When should a birth weight be tripled?
At 1 year.
When does connective tissue turn to cartilage?
While in utero
What is important to consider with nutrition?
Consistency
When is it appropriate to use the Denver 2?
Birth-6 years
When should a child be introduced to solid foods?
When the tongue extrusion goes away.
What are some important factors when it comes to bedtime?
Stick to a routine and decrease stimuli
When do you give rhogam?
Mom gets it at 28 weeks and again 72 hours after birth
When evaluating development, what should you use?
Denver 2
What should you do if you suspect that your child has a speech delay?
Speak with Primary Care Physician [Show Less]