33 Questions
During the recovery period after delivery, how often are the mother's vital signs and fundal rubs checked in the first 4 hours?
Every 15 minutes for 4 times, then every 30 minutes for 2 times, and then every hour for 2 times
How often are the baby's vital signs checked during the recovery period after delivery?
Every 15 minutes for 4 times, then every 30 minutes for 2 times, and then every hour for 2 times
What is included in the recovery period after delivery for the mother and baby?
Vital signs checks and fundal rubs for the mother and recovery period is 4 hours
What is the purpose of a fundal rub after delivery?
To reduce the risk of postpartum hemorrhage
What is the desired condition of the fundus during a fundal rub?
Firm
What may be expelled during a fundal rub?
Clots or lochia
What does the term 'lochia rubra' refer to in the postpartum period? Rubra is normal btw
Dark red vaginal discharge
Why is it important to assess lochia throughout the postpartum stay?
To detect potential postpartum hemorrhage
What does saturation of a perineal pad within 1 hour indicate during the postpartum period?
Potential postpartum hemorrhage
Which medication is commonly used to prevent or treat postpartum hemorrhage by causing uterine contractions?
Oxytocin, cytotec, and methylergovine
Which medication is a synthetic prostaglandin and is sometimes used to induce labor or manage postpartum hemorrhage?
Cytotec
Which medication is an ergot alkaloid and is typically used to prevent or treat postpartum hemorrhage?
Methylergonovine
Why is an episiotomy performed during a vaginal delivery?
To widen the birth canal and facilitate delivery
What is the primary reason for healthcare professionals to be familiar with interventions to care for an episiotomy?
To provide effective care for women undergoing a vaginal delivery
When is an episiotomy typically performed?
When there is a risk of perineal tearing during delivery
Why is it important to know the hemoglobin level of a postpartum patient?
To evaluate the need for blood transfusion
What is the significance of knowing the rubella status of a postpartum patient?
To determine the need for rubella vaccination
Why do healthcare professionals need to be aware of the blood type/Rh factor of a postpartum patient?
To assess the risk of Rh incompatibility between the mother and baby
What is the correct order of actions following delivery according to the information provided?
APGAR assessment,appearance, pulse, grimace, activity, and respiration ABCs Suction airway with bulb syringe and tactile stimulation Thermoregulation- Skin to skin is best, BUT swaddling x2 blankets and a HAT are necessary when S2S is not in play.
Why is informed consent from the mother necessary prior to administering hepatitis b.
To protect the legal rights of the mother and ensure she has agreed to the treatment
When is swaddling with two blankets and a hat necessary for the newborn according to the information provided?
When skin-to-skin contact is not possible
What is the expected time frame for the first occurrence of voiding and stooling in a normal, healthy newborn?
24 hours after birth
What is strongly encouraged for newborn feeding, despite being difficult during the first 1-2 weeks?
Breastfeeding with skin to skin contact and bottle feeding every 3-4 hours
What is the term used to describe the first stool passed by a newborn, which can be looked up for further information and pictures?
Meconium
Why is it important to assess the fontanels and suture lines of a newborn?
To evaluate neurological development and brain growth
Why is it crucial to assess the palate of a newborn?
To identify potential feeding difficulties and oral abnormalities
Why is it necessary to take the newborn's heart rate at the apical x1 minute or at the base of the umbilical cord?
To accurately evaluate the newborn's cardiovascular function
Which tests are mandatory for every newborn prior to discharge?
Hearing screening and critical congenital heart defect test Measures pre and postductal oxygen saturation Right hand and either foot Both readings must be >95% and within 3 points of each other in order for the newborn to pass. This is done after 24 hours of age. Noninvasive Mandatory on every newborn
At what age is the metabolic screening mandated by the state to be completed for newborns?
24 hours of age and 10-14 days of age
What condition must the newborn's pre and postductal oxygen saturation readings meet in order for the newborn to pass the test?
Both readings must be >95% and within 3 points of each other
What is the primary treatment for Bilirubin Jaundice in newborns?
Phototherapy, encourage feeding, IV fluids
What is the recommended action to encourage feeding in newborns with Bilirubin Jaundice?
Breastfeeding
What is the initial screening test for Bilirubin Jaundice in newborns?
Bilirubin level measurement
Learn about the recovery period after delivery for both the mother and the baby, including the monitoring of vital signs and fundal rubs at specific time intervals.
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