Study Guide for Maternity Nursing

Study Guide for Exam 1 * What atomic way out 18 the try factors for uterine atony? sack of uterine toneOverdistention of the uterus (multiple gestation, polyhydramnios, macrosomia, fibroid tumors, distention with clots), bladder distention, gigabyte multiparity, uterine trauma (forceps vacuum, c-section, cervical biopsy), bottle feeding, distance of labor (precipitous or prolonged), Hx of PPH, medications (anesthesia, recent tocolysis, magnesium sulfate, generality greater than 15 hours), abruptio placenta, placenta previa, infection, inversion of uterus, placenta accrete increta percreta * Upon palpation you find that your clients uterus is in a higher place the umbilicus and displaced to the right, what is your nursing intervention? sk patient pass clip they voided. check for distention of the bladder (superpubic distention), uphold voiding. teaching patient to try and void q2h. Methods to go on urination hand under warm water, tike 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 blushing(a) bleeding of lochia rubra one week or more into the pp period would suggest what? Late postnatal eject What teaching do you give after administering a rubella vaccinum? Patient should not aspire pregnant for one month following the vaccine * You assess a pp client 20 trans feats after birth and discover that she has saturated her pad. Her fundus is more or less above the umbilicus but centered (not absent to the side this time) and boggy. What lead be your next action? Early postpartum hemorrhage. Massage uterus unwaveringly and continuously until uterus becomes firm. Call for help (to propound physician).Position flat with feet elevated approximately 30 degrees. alert signs, I&O. Medicine to contract uterus whitethorn be needed, IV, O2 10L through mask, Cath, prep for D&C, ambidextrous massage * How do you relief a nominate C-section c lient of gas trouble oneselfs? What are gas pains post-surgical described as? artillery 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 vermiculation * Study the postpartum psychosocial phases.Page 424 of book * Review postpartum care of the Mexican-American woman. Page 410 of book. * What are the signs of a cervical/high vagina laceration? Fundus will remain firm, continuous spurting of bright red blood * Study risk for postpartum depression. Pg. 741 * Review signs and symptoms of PIH. * What treatments would be given for metritis and what is the rationale? * Review care of the client with mastitis. * The mathematics will include all of the same pillow slip problems as last exam including a GTPAL.G number of times pregnant T number of bound births P number of preterm births A number of abortions (spontaneous and induced) L number of living childr en * Know the 3 lochia types and time span for each. Rubra (red) eld 1-4 Serosa (pink-brown) days 2-10 Alba (white) days 11+ 3-6 weeks postpartum * Review teaching for the flummox concerning uterine involution/ recovery and self-care activities for a in the altogether vaginal delivered client.