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Questions and Answers
A nurse is providing care to a pregnant woman who is experiencing a high-risk pregnancy. The nurse recognizes the importance of respecting the woman's autonomy. Which of the following actions demonstrates the nurse's understanding of this ethical principle?
A nurse is providing care to a pregnant woman who is experiencing a high-risk pregnancy. The nurse recognizes the importance of respecting the woman's autonomy. Which of the following actions demonstrates the nurse's understanding of this ethical principle?
Which of the following ethical principles is violated when a nurse shares information about a patient's medical condition with unauthorized personnel?
Which of the following ethical principles is violated when a nurse shares information about a patient's medical condition with unauthorized personnel?
A nurse is caring for a postpartum patient who is struggling to breastfeed. The nurse offers support and encouragement to the patient, while also providing information about alternative feeding methods. What ethical principle is the nurse demonstrating?
A nurse is caring for a postpartum patient who is struggling to breastfeed. The nurse offers support and encouragement to the patient, while also providing information about alternative feeding methods. What ethical principle is the nurse demonstrating?
A nurse is providing care to a pregnant woman who is experiencing a high-risk pregnancy. The nurse recognizes the importance of providing the woman with complete and accurate information about her condition and treatment options. This demonstrates the nurse's understanding of which ethical principle?
A nurse is providing care to a pregnant woman who is experiencing a high-risk pregnancy. The nurse recognizes the importance of providing the woman with complete and accurate information about her condition and treatment options. This demonstrates the nurse's understanding of which ethical principle?
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Which of the following statements accurately describes the role of the AWHONN (Association of Women’s Health, Obstetric, & Neonatal Nurses) in ethical nursing practice?
Which of the following statements accurately describes the role of the AWHONN (Association of Women’s Health, Obstetric, & Neonatal Nurses) in ethical nursing practice?
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A nurse is providing care to a pregnant woman who is experiencing a high-risk pregnancy. The nurse educates the woman about the risks, benefits, and alternative options for a specific procedure. What ethical principle is the nurse upholding?
A nurse is providing care to a pregnant woman who is experiencing a high-risk pregnancy. The nurse educates the woman about the risks, benefits, and alternative options for a specific procedure. What ethical principle is the nurse upholding?
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A nurse is providing care to a pregnant woman who is experiencing a high-risk pregnancy. The nurse recognizes the importance of providing the woman with culturally sensitive care. Which of the following actions demonstrates the nurse's understanding of cultural humility?
A nurse is providing care to a pregnant woman who is experiencing a high-risk pregnancy. The nurse recognizes the importance of providing the woman with culturally sensitive care. Which of the following actions demonstrates the nurse's understanding of cultural humility?
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A nurse is providing care to a pregnant woman who is experiencing a high-risk pregnancy. The nurse recognizes the importance of promoting the woman's right to make decisions about her own healthcare. What ethical principle is the nurse demonstrating?
A nurse is providing care to a pregnant woman who is experiencing a high-risk pregnancy. The nurse recognizes the importance of promoting the woman's right to make decisions about her own healthcare. What ethical principle is the nurse demonstrating?
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What is one of the four core tenets of cultural humility?
What is one of the four core tenets of cultural humility?
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Which of the following is a trend that has been identified as contributing to challenges in maternal and infant health outcomes?
Which of the following is a trend that has been identified as contributing to challenges in maternal and infant health outcomes?
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What is the definition of infant mortality?
What is the definition of infant mortality?
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Which of the following is NOT a Healthy People 2030 goal related to maternal and infant care?
Which of the following is NOT a Healthy People 2030 goal related to maternal and infant care?
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Which of the following statements accurately describes evidence-based practice (EBP) in nursing?
Which of the following statements accurately describes evidence-based practice (EBP) in nursing?
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What is a key component of AWHONN's Perinatal Quality Measures?
What is a key component of AWHONN's Perinatal Quality Measures?
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What does 'cultural humility' refer to in the context of healthcare?
What does 'cultural humility' refer to in the context of healthcare?
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Which option is NOT considered a trend or issue impacting maternal and infant health outcomes?
Which option is NOT considered a trend or issue impacting maternal and infant health outcomes?
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What is NOT considered a red flag vital sign in a postpartum assessment?
What is NOT considered a red flag vital sign in a postpartum assessment?
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Which of these lab values is NOT included in a normal postpartum assessment?
Which of these lab values is NOT included in a normal postpartum assessment?
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What is a normal expected finding during a postpartum assessment of the lower extremities?
What is a normal expected finding during a postpartum assessment of the lower extremities?
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Which of the following is a normal expected finding in the postpartum vital signs?
Which of the following is a normal expected finding in the postpartum vital signs?
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What is an expected finding regarding lochia during a normal postpartum assessment?
What is an expected finding regarding lochia during a normal postpartum assessment?
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What is the typical hospital stay for a mother after a Cesarean birth?
What is the typical hospital stay for a mother after a Cesarean birth?
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Which of the following is NOT a common complication after a Cesarean birth?
Which of the following is NOT a common complication after a Cesarean birth?
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What are the signs of a wound infection after a Cesarean birth?
What are the signs of a wound infection after a Cesarean birth?
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What is a major red flag to monitor for in the immediate post-operative period after a Cesarean birth?
What is a major red flag to monitor for in the immediate post-operative period after a Cesarean birth?
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What is the recommended frequency of vital sign monitoring in the first 24 hours after a Cesarean birth?
What is the recommended frequency of vital sign monitoring in the first 24 hours after a Cesarean birth?
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Which of the following measures is NOT recommended for preventing blood clots after a Cesarean birth?
Which of the following measures is NOT recommended for preventing blood clots after a Cesarean birth?
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What is the primary focus of nursing care for the mother in the first 2 hours after a Cesarean birth?
What is the primary focus of nursing care for the mother in the first 2 hours after a Cesarean birth?
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What is the recommended sleep position for infants to reduce the risk of SIDS?
What is the recommended sleep position for infants to reduce the risk of SIDS?
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What is a safe temperature for bath water for infants?
What is a safe temperature for bath water for infants?
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Which of the following is NOT advised when caring for an infant?
Which of the following is NOT advised when caring for an infant?
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Which of the following is NOT a long-term effect of Shaken Baby Syndrome?
Which of the following is NOT a long-term effect of Shaken Baby Syndrome?
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What is the recommended water heater thermostat setting to prevent scalding?
What is the recommended water heater thermostat setting to prevent scalding?
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What is the main difference between pharmacological pain management and non-pharmacological pain management in the postpartum period?
What is the main difference between pharmacological pain management and non-pharmacological pain management in the postpartum period?
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Which of the following is an example of a non-pharmacological pain management strategy for postpartum discomfort?
Which of the following is an example of a non-pharmacological pain management strategy for postpartum discomfort?
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Which of the following is NOT an example of a non-pharmacological pain management strategy that a nurse might recommend to a postpartum patient?
Which of the following is NOT an example of a non-pharmacological pain management strategy that a nurse might recommend to a postpartum patient?
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What is the main purpose of encouraging early ambulation after a Cesarean birth?
What is the main purpose of encouraging early ambulation after a Cesarean birth?
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What is the primary function of the placenta?
What is the primary function of the placenta?
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Which hormone is produced by the placenta and plays a crucial role in stimulating breast development in preparation for lactation?
Which hormone is produced by the placenta and plays a crucial role in stimulating breast development in preparation for lactation?
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Which of the following is true about amniotic fluid during the second and third trimesters?
Which of the following is true about amniotic fluid during the second and third trimesters?
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What is the normal range for amniotic fluid volume at term?
What is the normal range for amniotic fluid volume at term?
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What condition is characterized by an excess amount of amniotic fluid?
What condition is characterized by an excess amount of amniotic fluid?
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Which of the following is NOT a function of Wharton's jelly?
Which of the following is NOT a function of Wharton's jelly?
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During which stage of fetal development are the body organs formed and developed?
During which stage of fetal development are the body organs formed and developed?
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What is the most vulnerable period for the developing human to be affected by teratogens?
What is the most vulnerable period for the developing human to be affected by teratogens?
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What is a recommended intervention for fatigue during pregnancy?
What is a recommended intervention for fatigue during pregnancy?
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Which of the following is NOT a recommended intervention for managing Braxton-Hicks contractions?
Which of the following is NOT a recommended intervention for managing Braxton-Hicks contractions?
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What is the main cause of supine hypotension during pregnancy?
What is the main cause of supine hypotension during pregnancy?
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Which of the following is NOT a recommended intervention for managing dependent edema in the lower extremities during pregnancy?
Which of the following is NOT a recommended intervention for managing dependent edema in the lower extremities during pregnancy?
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Which of the following is a recommended intervention for managing constipation during pregnancy?
Which of the following is a recommended intervention for managing constipation during pregnancy?
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What is a recommended intervention for managing heartburn during pregnancy?
What is a recommended intervention for managing heartburn during pregnancy?
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What is a recommended intervention for managing leg cramps during pregnancy?
What is a recommended intervention for managing leg cramps during pregnancy?
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Which of the following is a recommended intervention for managing skin pruritus during pregnancy?
Which of the following is a recommended intervention for managing skin pruritus during pregnancy?
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Which of the following is NOT a recommended intervention for managing headaches and syncope during pregnancy?
Which of the following is NOT a recommended intervention for managing headaches and syncope during pregnancy?
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What is the primary cause of afterpains in postpartum women?
What is the primary cause of afterpains in postpartum women?
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What characterizes a pathological breast engorgement compared to a physiological one?
What characterizes a pathological breast engorgement compared to a physiological one?
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Which of the following factors is NOT associated with an increased risk of mastitis in postpartum women?
Which of the following factors is NOT associated with an increased risk of mastitis in postpartum women?
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At what point postpartum does the uterus typically descend below the umbilicus and become firm and midline?
At what point postpartum does the uterus typically descend below the umbilicus and become firm and midline?
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Which of the following is NOT a recommended treatment for a woman experiencing breast engorgement while breastfeeding?
Which of the following is NOT a recommended treatment for a woman experiencing breast engorgement while breastfeeding?
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What is the primary reason for instructing a postpartum woman to void before palpating her uterus?
What is the primary reason for instructing a postpartum woman to void before palpating her uterus?
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What is the primary mechanism by which uterine contractions help to reduce postpartum hemorrhage (PPH)?
What is the primary mechanism by which uterine contractions help to reduce postpartum hemorrhage (PPH)?
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What is the earliest expected location of the fundus after birth, relative to the umbilicus?
What is the earliest expected location of the fundus after birth, relative to the umbilicus?
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What is the most likely cause of Subinvolution, a delay in the uterus's descent and involution?
What is the most likely cause of Subinvolution, a delay in the uterus's descent and involution?
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Which of the following is NOT a recommended prevention strategy for breast engorgement in non-breastfeeding women?
Which of the following is NOT a recommended prevention strategy for breast engorgement in non-breastfeeding women?
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What is the primary purpose of assessing the location, position, and tone of the fundus in postpartum women?
What is the primary purpose of assessing the location, position, and tone of the fundus in postpartum women?
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When are the breasts typically soft and nontender in the postpartum period?
When are the breasts typically soft and nontender in the postpartum period?
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What is the significance of colostrum in newborn infant health?
What is the significance of colostrum in newborn infant health?
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What is the recommended treatment for a woman experiencing a plugged milk duct while breastfeeding?
What is the recommended treatment for a woman experiencing a plugged milk duct while breastfeeding?
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How often should a postpartum woman's uterus be assessed for location, position, and tone during the first hour following delivery?
How often should a postpartum woman's uterus be assessed for location, position, and tone during the first hour following delivery?
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What is the primary reason for instructing postpartum women to expose their nipples to air after feeding?
What is the primary reason for instructing postpartum women to expose their nipples to air after feeding?
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Flashcards
Postpartum Assessment
Postpartum Assessment
A comprehensive evaluation of a new mother’s health status including vital signs, pain, and emotional well-being.
Red Flags in Assessment
Red Flags in Assessment
Critical warning signs indicating potential health issues after delivery, such as BP extremes or abnormal heart rates.
Normal Vital Signs Postpartum
Normal Vital Signs Postpartum
Expected ranges for pulse, blood pressure, respiratory rate and oxygen saturation after delivery.
BUBBLE HEB
BUBBLE HEB
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Lab Values Postpartum
Lab Values Postpartum
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ANA Code of Ethics
ANA Code of Ethics
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Beneficence
Beneficence
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Nonmaleficence
Nonmaleficence
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Fidelity
Fidelity
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Autonomy
Autonomy
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Justice
Justice
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Informed Consent
Informed Consent
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Culture in Nursing
Culture in Nursing
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Cultural Humility
Cultural Humility
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Four Core Tenets of Cultural Humility
Four Core Tenets of Cultural Humility
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Evidence-Based Practice (EBP)
Evidence-Based Practice (EBP)
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Infant Mortality
Infant Mortality
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Maternal Mortality
Maternal Mortality
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AWHONN Perinatal Quality Measures
AWHONN Perinatal Quality Measures
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Healthy People 2030 Goals
Healthy People 2030 Goals
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Postpartum Changes
Postpartum Changes
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Prolactin
Prolactin
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Milk Ejection Reflex
Milk Ejection Reflex
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Colostrum
Colostrum
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Mature Milk
Mature Milk
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Breast Engorgement
Breast Engorgement
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Mastitis
Mastitis
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Afterpains
Afterpains
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Uterine Involution
Uterine Involution
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Postpartum Hemorrhage (PPH)
Postpartum Hemorrhage (PPH)
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Subinvolution
Subinvolution
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Uterine Contractions
Uterine Contractions
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Breast Care Assessment
Breast Care Assessment
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Plugged Milk Ducts
Plugged Milk Ducts
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Breastfeeding Techniques
Breastfeeding Techniques
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Supporting Bra
Supporting Bra
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Pharmacologic interventions
Pharmacologic interventions
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Non-pharmacologic interventions
Non-pharmacologic interventions
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Postoperative monitoring frequency
Postoperative monitoring frequency
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Main complications postpartum
Main complications postpartum
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Signs of infection post-Cesarean
Signs of infection post-Cesarean
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SIDS prevention strategies
SIDS prevention strategies
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Shaken Baby Syndrome (SBS)
Shaken Baby Syndrome (SBS)
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Safe sleep environment for infants
Safe sleep environment for infants
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Tummy time for infants
Tummy time for infants
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Breastfeeding benefits
Breastfeeding benefits
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Post-op care for the mother
Post-op care for the mother
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Signs of thrombosis
Signs of thrombosis
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Importance of hydration postpartum
Importance of hydration postpartum
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Morphine side effects
Morphine side effects
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Placenta
Placenta
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Placental Membrane
Placental Membrane
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Estrogen
Estrogen
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Progesterone
Progesterone
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hCG
hCG
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hPL
hPL
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Amniotic Fluid
Amniotic Fluid
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Oligohydramnios
Oligohydramnios
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Polyhydramnios
Polyhydramnios
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Umbilical Cord
Umbilical Cord
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Organogenesis
Organogenesis
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Teratogens
Teratogens
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Amniotic Fluid Index (AFI)
Amniotic Fluid Index (AFI)
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Braxton-Hicks Contractions
Braxton-Hicks Contractions
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Study Notes
Study Guide 1
- Describe legal and ethical issues influencing nursing care for childbearing families.
- American Nurses Association (ANA) code of ethics and practice standards include compassion, commitment, advocacy, accountability, personal growth, effort, research, human rights, and justice.
- Association of Women's Health, Obstetric, & Neonatal Nurses (AWHONN) protects nurses' rights to participate in reproductive healthcare and promotes access to affordable care to improve outcomes for women and newborns.
- State Nursing Practice Acts govern nursing practice within a state, specifying scope of practice, licensure requirements, standards of practice, education programs, and grounds for disciplinary procedures.
Ethical Terms
- Beneficence: acting to benefit others.
- Nonmaleficence: avoiding harm to others.
- Fidelity: keeping one's word.
- Veracity: truthfulness.
- Autonomy: the right of self-determination.
Cultural Humility in Childbearing
- Cultural humility involves building trust, acknowledging individual experiences, and understanding beliefs, values, and identities.
- There are 4 core tenets: critical reflection, mitigating power imbalances, creating beneficial partnerships, and institutional alignment.
Evidence-Based Practice in Nursing
- Evidence-based practice in nursing incorporates best current evidence, clinical expertise, and patient/family preferences and values to deliver optimal healthcare.
Maternal and Infant Health Outcomes
- Define infant mortality as death before the age of 1 year.
- Define maternal morality as death to a woman during pregnancy or within 42 days of the termination.
- Trends in maternal and infant health include topics like teen pregnancy, tobacco use, substance use, and health disparities.
AWHONN's Perinatal Quality Measures
- AWHONN's perinatal quality measures involve the use of evidence-based education and practices that shape the environment.
Healthy People 2030 Goals for Maternal and Infant Care
- Goals include reducing rates of maternal mortality, infant mortality, and preterm births.
Postpartum Period Changes
- Rubin's three phases (taking in, taking hold, letting go) describe the physiological, emotional, and psychological changes in the postpartum period.
- These phases include an initial dependent phase (taking in), a transitional independent phase (taking hold), and a phase of shifting focus to the new role as a mother (letting go).
Postpartum Blues vs. Depression
- Postpartum blues are characterized by sadness and crying spells, but are typically temporary (first few weeks postpartum).
- Postpartum depression involves more severe symptoms, such as persistent sadness, loss of interest, and difficulty concentrating.
- Postpartum psychosis involves more severe symptoms, including hallucinations and delusions.
Postpartum Assessment
- A comprehensive postpartum assessment considers vital signs, pain, breath and heart sounds, laboratory findings (CBC, rubella, Rh, vaccination status, etc.), breast examination, uterine assessment, bladder assessment, bowel assessment, lochia assessment, episiotomy/lacerations, perineum, hemorrhoids, lower extremities, emotions, bonding, psychosocial factors and red flags like blood pressure, heart rate, respiratory rate, oxygen saturation, etc.
Assessment of Breastfeeding
- Assess nipples for signs of irritation.
- Mastitis is breast infection, commonly occurring postpartum and associated with milk stasis.
Uterine Assessment
- Assess uterine fundus for location, position, and tone.
- The fundus (the top of the uterus) should be firm.
- Lochia (discharge after birth) changes over time: from red, to pinkish-brown to yellowish.
Bowel Assessment
- Assess bowel sounds and frequency.
- Constipation is common postpartum and can be addressed by increasing fluid and fibre.
Postpartum Bladder Assessment
- Assessment of bladder function, including time to void, volume of urine, frequency, and pain.
- Monitor for signs of infection, such as increased frequency, urgency, burning on urination or fever
- Prevent complications by getting the mother to urinate within 2-4 hours post-delivery
- Monitor for urinary output.
Lochia
- Lochia rubra (red) occurs in the first few days postpartum, followed by lochia serosa (pink-brown) and lochia alba (white). It may vary in amount depending on the activity and feeding/pumping patterns.
Episiotomy
- Definition, usual types and care, or complications.
Homan's Sign
- Assessment for thrombosis in the legs that involves dorsiflexing the foot in a supine position
- Pain/tenderness in the calf muscle or posterior calf might indicate blood clot.
Emotional Considerations
- Understand postpartum blues vs. depression vs. psychosis.
- Assess for risk factors and support system.
Cultural Considerations
- Understand expectations, communication, and support systems within various cultures.
- Tailor care to individual needs.
Post-Cesarean Assessment
- Post-Cesarean assessment should include detailed monitoring of vitals, including blood pressure, respiration, heart rate, oxygen saturation, and pain and detailed assessment of surgical wound, incision, or staples. Review of urinary output and bowel movements, and review of postpartum healing.
Discharge Planning
- Discuss home care, including diet, activity, medications, and follow-up appointments.
- Include information about Shaken Infant Syndrome (SIS) and safe sleep practices for infants.
Breastfeeding vs. Formula Feeding
- Benefits and drawbacks of each.
- Nutritional needs for both breastfeeding and formula-feeding mothers.
- Discuss potential problems like colostrum and mature milk production.
Stages of Fetal Development
- Organogenesis (formation of organs), teratogens (factors that may harm a fetus), and the development throughout the different stages of the pregnancy.
Common Problems/Discomforts of Pregnancy
- Management principles for various discomforts of pregnancy.
Assessment of Maternal & Fetal Well-being
- Review different diagnostic tests (AFP, ultrasound, cell-free DNA) used to assess maternal and fetal health during pregnancy.
Obstetric Terminology
- Define common terms used in maternal-child health (gravida, para, multipara, primipara, GTPAL).
- Calculate or determine the estimated date of birth using Nagele's Rule.
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Description
This quiz explores the legal and ethical issues influencing nursing care for childbearing families, emphasizing the ANA code of ethics and standards of practice. It also addresses the role of cultural humility in providing equitable care. Test your knowledge on key ethical terms and the significance of advocacy and accountability in nursing.