Questions and Answers
The first stage of labor has ___ phases.
3
The second stage of labor for a term pregnancy begins when the patient has dilated to ____ centimeters.
10
What is most likely the problem when there is a large soft protrusion just above the symphysis pubis, heavy lochia with clots, and a boggy uterus that is deviated from the midline?
Full bladder
What does BUBBLE-HEAVN stand for in postpartum assessment?
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Select all four correct fetal heart rate deceleration patterns.
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What is an indicator of fetal well-being?
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What are the two primary outcomes of using an ice pack on the perineum?
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When assessing for thrombophlebitis, the student nurse would ask the patient if she is experiencing __________ in the calf muscle and would also observe for ____________ over the area.
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Which of the following recommendations would you give to a postpartum patient to prevent thrombophlebitis?
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What does the mnemonic REEDA stand for when inspecting an episiotomy or Cesarean section incision?
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What is the normal course progression for vaginal discharge after the delivery of a baby?
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Differentiate between Cephalhematoma and Caput Succedaneum based on if they cross the suture line.
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A breastfed baby may or may not have to be burped after feeding.
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For the first hour after delivery, the standard frequency for assessing the mother's vital signs, fundus, and bleeding is at least every 15 minutes.
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What are the three primary reasons a newborn would need a urine sample collection immediately following delivery?
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What should a student nurse evaluate as part of the breastfeeding assessment?
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Identify two symptoms of a breast infection that a patient should report to her physician.
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List signs of the 'Taking-In' phase of a new mother during the postpartum period.
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What is the correct heart rate range for a fetus in the active phase of labor?
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How many arteries and veins are typically found in a normal umbilical cord?
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An initial assessment must be done prior to breastfeeding or feeding of the infant immediately after birth.
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Current Neonatal Resuscitation guidelines state that an infant must be suctioned after delivery ONLY when indicated and necessary.
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What should be done with the umbilical stump on the infant?
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Study Notes
Labor Stages and Phases
- The first stage of labor consists of three phases.
- The second stage of labor begins at 10 centimeters of dilation for a term pregnancy.
Postpartum Assessment
- A large soft protrusion above the symphysis pubis, heavy lochia with clots, and a boggy uterus deviated from the midline may indicate a full bladder.
- Utilize the BUBBLE-HEAVN mnemonic for postpartum assessment:
- B: Breasts
- U: Uterus
- B: Bladder
- B: Bowel
- L: Lochia
- E: Episiostomy
- H: Hemorrhoids
- E: Emotional Status
- A: Abdomen
- V: Vital Signs
- N: Nutrition
Fetal Heart Rate Monitoring
- Four fetal heart rate deceleration patterns:
- Early
- Late
- Prolonged
- Variable
- Fetal heart rate variability is the best indicator of fetal well-being.
Comfort Measures
- Ice packs applied to the perineum in the first 24-36 hours provide comfort and prevent edema.
Thrombophlebitis Assessment
- Assess for tenderness and warmth in the calf muscle when checking for thrombophlebitis.
- Recommendations to prevent thrombophlebitis:
- Avoid crossing legs
- Early ambulation
- Range of motion exercises
Incision Inspection and Healing
- The mnemonic REEDA is used for inspecting perineal episiotome or Cesarean Section incisions.
Vaginal Discharge Order
- Normal progression of vaginal discharge post-delivery includes:
- Rubra
- Serosa
- Alba
Newborn Head Assessment
- Cephalhematoma crosses suture lines; Caput Succedaneum does not.
Breastfeeding Insights
- It is true that a breastfed baby may or may not need burping after feeding.
- A LATCH score is evaluated as part of breastfeeding assessment.
- Signs of breast infection to report include:
- Fever or flu-like symptoms
- Area warm to touch
Postpartum Emotional Phases
- The "Taking-In" phase signifies normal emotional transitions:
- Reliving birth events
- Sleeping to restore balance
- Depending on others for needs
Fetal Monitoring and Newborn Assessment
- Normal fetal heart rate ranges between 110-160 bpm.
- A typical umbilical cord contains 2 arteries and 1 vein.
- An initial assessment of the newborn is essential prior to breastfeeding.
- Neonatal Resuscitation guidelines state that suctioning after delivery is necessary only when indicated.
Umbilical Stump Care
- The umbilical stump care involves letting it air dry; alcohol may be used occasionally as needed.
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Description
Test your knowledge on obstetrics with these clinical flashcards. This quiz covers stages of labor, assessments in postpartum care, and key measurements involved in childbirth. Perfect for nursing students and healthcare professionals!
