Questions and Answers
What does it mean when a fundus is boggy?
What should you do for hemorrhoids?
Lay on her side, maintain a high-fiber diet, and begin moderate exercise.
How much weight do you expect to lose right after delivery?
10-12 lbs initially, plus an additional 5 lbs due to postpartum diuresis.
How do you assess the healing of a placental site?
Signup and view all the answers
What is Homan's sign?
Signup and view all the answers
What does it mean if a fundus is not at midline?
Signup and view all the answers
What would it mean if there's a steady trickle of blood?
Signup and view all the answers
When should a rubella vaccine be administered?
Signup and view all the answers
What is RhoGAM?
Signup and view all the answers
What are the feeding requirements for breastfeeding mothers?
Signup and view all the answers
What do you do for engorgement?
Signup and view all the answers
What contraception is recommended for breastfeeding moms?
Signup and view all the answers
Match the following normal vitals for a newborn:
Signup and view all the answers
What is the most common form of heat loss in babies?
Signup and view all the answers
What is hyperbilirubinemia?
Signup and view all the answers
Study Notes
Fundus Assessment
- A boggy fundus indicates a lack of firmness, often signifying hemorrhage due to uterine atony.
- Interventions include fundal massage, administering Pitocin, or encouraging breastfeeding to firm the uterus.
Hemorrhoid Care
- Recommend lying on the side and tightening buttocks while sitting to reduce perineal pressure.
- Advise maintaining a high-fiber diet and fluid intake, along with moderate exercise like walking.
Postpartum Weight Loss
- Expect an initial weight loss of 10-12 lbs from the infant, placenta, and fluids, with an additional loss of 5 lbs due to postpartum diuresis.
Assessing Placental Healing
- Full healing of placental site can take 6-7 weeks, primarily through exfoliation.
- Monitor lochia for type, amount, and consistency, noting the progression from lochia rubra to serosa and finally to alba.
Homan's Sign
- A clinical sign indicating the potential presence of thrombosis, characterized by pain at the back of the knee or calf during dorsiflexion of the ankle.
Uterine Positioning
- A fundus that is not midline suggests a full bladder, indicated by bulging lower abdomen and spongy mass below the fundus.
- A full bladder can hinder uterine contraction and potentially cause postpartum hemorrhage; encourage the patient to void.
Steady Trickling of Blood
- A consistent trickle of blood may indicate lacerations that require suturing.
Rubella Vaccination
- Rubella vaccine is advised early postpartum and should be administered immediately after childbirth.
RhoGAM Usage
- RhoGAM is a vaccine used to prevent Rh-negative mothers from developing antibodies against Rh-positive babies, essential to be given before discharge.
Breastfeeding Interventions
- Breastfeeding requirements include 140-160 ml/kg/day and caloric needs of 100-115 kcal/kg/day.
- Regular assessments of breastfeeding technique, infant weight, and feeding history are necessary; provide breast pump instructions as needed.
Managing Engorgement
- Engorgement results from inadequate breast emptying, leading to painful swelling and potential complications like mastitis.
- Treatment includes applying moist heat, using cold compresses, wearing a supportive bra, and possibly needing antibiotics if infection occurs.
Contraception for Breastfeeding Mothers
- Pregnancy can occur before the first postpartum menstruation; recommend progestin-only contraceptives to avoid decreasing milk production.
Normal Vital Signs for Newborns
- Respiratory rate: 30-60 breaths per minute.
- Heart rate: 120-160 beats per minute.
- Blood pressure: systolic 70-100, diastolic 50-65.
- Normal weight: 4.5-7 lbs.
- Temperature range: 97.7-98.9°F.
Heat Loss Prevention in Newborns
- Common heat loss occurs through radiation; preventive measures include maintaining a warm environment and minimizing exposure to cooler surfaces.
- Other heat loss types: convection (cool air currents), evaporation (water turning to vapor), and conduction (direct skin contact with cool surfaces).
Hyperbilirubinemia Overview
- Hyperbilirubinemia involves accelerated destruction of fetal red blood cells and inefficiency in bilirubin conjugation and elimination.
- Bilirubin aids in fat digestion and is processed by the liver; jaundice develops when the liver fails to efficiently manage bilirubin levels.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
This quiz covers important nursing concepts related to fundus assessment and management of hemorrhoids. Understand the implications of a boggy fundus and learn appropriate interventions for patients experiencing hemorrhoids. Test your knowledge on these key nursing topics to enhance your clinical skills.