Podcast
Questions and Answers
Which of the following interventions would be most appropriate for a postpartum patient experiencing a small vulvar hematoma?
Which of the following interventions would be most appropriate for a postpartum patient experiencing a small vulvar hematoma?
A patient with a postpartum infection of the endometrium (endometritis) is most likely to present with which of the following signs or symptoms?
A patient with a postpartum infection of the endometrium (endometritis) is most likely to present with which of the following signs or symptoms?
Which of the following factors increase the risk of developing a postpartum laceration?
Which of the following factors increase the risk of developing a postpartum laceration?
A postpartum patient experiencing a deep vein thrombosis (DVT) is MOST likely to present with which of the following clinical manifestations?
A postpartum patient experiencing a deep vein thrombosis (DVT) is MOST likely to present with which of the following clinical manifestations?
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What is the MOST common cause of postpartum shock?
What is the MOST common cause of postpartum shock?
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Which of these is NOT a suitable measure for preventing deep vein thrombosis (DVT) in postpartum patients?
Which of these is NOT a suitable measure for preventing deep vein thrombosis (DVT) in postpartum patients?
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Which of the following interventions is MOST appropriate for a postpartum patient with a large vulvar hematoma causing significant pain?
Which of the following interventions is MOST appropriate for a postpartum patient with a large vulvar hematoma causing significant pain?
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Which of the following options is NOT a symptom of postpartum shock?
Which of the following options is NOT a symptom of postpartum shock?
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When is a Pap test recommended for women aged 30-65 years old?
When is a Pap test recommended for women aged 30-65 years old?
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Which method of contraception requires the consistent use of a thermometer?
Which method of contraception requires the consistent use of a thermometer?
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Which barrier method of contraception is inserted 15 minutes before intercourse and lasts for approximately one hour?
Which barrier method of contraception is inserted 15 minutes before intercourse and lasts for approximately one hour?
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What is the recommended timeframe for leaving a diaphragm in place?
What is the recommended timeframe for leaving a diaphragm in place?
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Which of these methods is NOT considered a barrier method of contraception?
Which of these methods is NOT considered a barrier method of contraception?
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What is the primary purpose of a pelvic exam?
What is the primary purpose of a pelvic exam?
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Which of the following methods of family planning is NOT based on identifying the fertile window?
Which of the following methods of family planning is NOT based on identifying the fertile window?
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What is the most important factor to consider when choosing a method of contraception?
What is the most important factor to consider when choosing a method of contraception?
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Which of these scenarios would warrant a call to a newborn's primary care provider?
Which of these scenarios would warrant a call to a newborn's primary care provider?
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What is the main reason for waiting 24 hours before giving a newborn their first bath?
What is the main reason for waiting 24 hours before giving a newborn their first bath?
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Which of the following is NOT a risk factor for postpartum depression?
Which of the following is NOT a risk factor for postpartum depression?
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What is the optimal timeframe for the umbilical cord to fall off?
What is the optimal timeframe for the umbilical cord to fall off?
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Why should babies be rear-facing in a car seat until they are at least 2 years old?
Why should babies be rear-facing in a car seat until they are at least 2 years old?
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What is the recommended frequency for bathing a newborn?
What is the recommended frequency for bathing a newborn?
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Which of these is a common sign of baby blues?
Which of these is a common sign of baby blues?
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Which of these actions can help siblings adjust to a new baby?
Which of these actions can help siblings adjust to a new baby?
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What is the maximum duration for which a cervical cap can be left in place?
What is the maximum duration for which a cervical cap can be left in place?
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What is a potential consequence of leaving the contraceptive sponge in for too long?
What is a potential consequence of leaving the contraceptive sponge in for too long?
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Which of the following conditions is contraindicated for the use of combined oral contraceptives?
Which of the following conditions is contraindicated for the use of combined oral contraceptives?
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What is the action of progestin-only pills compared to combined oral contraceptives?
What is the action of progestin-only pills compared to combined oral contraceptives?
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What should be done if a patient misses two doses of combined oral contraceptives?
What should be done if a patient misses two doses of combined oral contraceptives?
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Which side effect is commonly associated with the use of combined oral contraceptives?
Which side effect is commonly associated with the use of combined oral contraceptives?
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What should patients using combined oral contraceptives report immediately?
What should patients using combined oral contraceptives report immediately?
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How often do cervical caps need to be replaced under typical circumstances?
How often do cervical caps need to be replaced under typical circumstances?
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Which statement about hormonal contraceptives is true?
Which statement about hormonal contraceptives is true?
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What is a therapeutic effect of combined oral contraceptives?
What is a therapeutic effect of combined oral contraceptives?
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Which of these is NOT a neurological reflex present in newborns?
Which of these is NOT a neurological reflex present in newborns?
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A newborn with a heart rate of 95 beats per minute and weak, irregular breathing would score which of the following on the Apgar scale?
A newborn with a heart rate of 95 beats per minute and weak, irregular breathing would score which of the following on the Apgar scale?
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A newborn who has blue hands and feet, but a pink body, would score which of the following on the Apgar scale for appearance?
A newborn who has blue hands and feet, but a pink body, would score which of the following on the Apgar scale for appearance?
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Which of the following is a concern that should be carefully monitored in a newborn with Cephalohematoma?
Which of the following is a concern that should be carefully monitored in a newborn with Cephalohematoma?
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Which of the following is a physical characteristic seen in newborns as a result of the pressure exerted during delivery?
Which of the following is a physical characteristic seen in newborns as a result of the pressure exerted during delivery?
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Which of these reflexes is crucial for the newborn's ability to obtain nourishment?
Which of these reflexes is crucial for the newborn's ability to obtain nourishment?
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Which of the following is a potential issue related to the newborn's oral anatomy?
Which of the following is a potential issue related to the newborn's oral anatomy?
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Why is it essential for the newborn's skull sutures to be unfused?
Why is it essential for the newborn's skull sutures to be unfused?
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A newborn has a bilirubin level of 10 mg/dL at 18 hours of age. Which of the following nursing actions is MOST appropriate?
A newborn has a bilirubin level of 10 mg/dL at 18 hours of age. Which of the following nursing actions is MOST appropriate?
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A mother asks why her newborn is receiving phototherapy. Which of the following responses by the nurse is MOST accurate?
A mother asks why her newborn is receiving phototherapy. Which of the following responses by the nurse is MOST accurate?
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A newborn with hyperbilirubinemia is exhibiting lethargy, poor feeding, and a high-pitched cry. Which of the following nursing actions is PRIORITY?
A newborn with hyperbilirubinemia is exhibiting lethargy, poor feeding, and a high-pitched cry. Which of the following nursing actions is PRIORITY?
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A mother is concerned about her newborn's jaundice. Which of the following explanations by the nurse is MOST accurate?
A mother is concerned about her newborn's jaundice. Which of the following explanations by the nurse is MOST accurate?
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Which of the following factors is MOST likely to contribute to delayed bonding between a mother and her newborn?
Which of the following factors is MOST likely to contribute to delayed bonding between a mother and her newborn?
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A mother is in the "taking hold" stage of maternal role attainment. Which of the following behaviors is she MOST likely to demonstrate?
A mother is in the "taking hold" stage of maternal role attainment. Which of the following behaviors is she MOST likely to demonstrate?
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A newborn has ABO incompatibility. Which of the following diagnostic tests would be MOST helpful in determining the severity of the condition?
A newborn has ABO incompatibility. Which of the following diagnostic tests would be MOST helpful in determining the severity of the condition?
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Which of the following nursing interventions is MOST appropriate for a newborn with hyperbilirubinemia who is exhibiting lethargy and decreased output?
Which of the following nursing interventions is MOST appropriate for a newborn with hyperbilirubinemia who is exhibiting lethargy and decreased output?
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Flashcards
Lanugo
Lanugo
Fine hair on newborns that helps keep them warm in utero.
Sutures
Sutures
Not fused skull bones that allow for delivery and brain growth.
APGAR score
APGAR score
Assessment tool for newborns evaluating 5 criteria: Appearance, Pulse, Grimace, Activity, Respirations.
Appearance in APGAR
Appearance in APGAR
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Moro reflex
Moro reflex
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Cephalohematoma
Cephalohematoma
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Cleft palate
Cleft palate
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Lingual frenulum
Lingual frenulum
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Secondary PPH
Secondary PPH
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Enlarged, boggy uterus
Enlarged, boggy uterus
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Laceration risks
Laceration risks
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Hematomas
Hematomas
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Postpartum Shock
Postpartum Shock
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Deep vein thrombosis (DVT)
Deep vein thrombosis (DVT)
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Endometritis
Endometritis
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Patient education for DVT
Patient education for DVT
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Letting go stage
Letting go stage
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Baby blues
Baby blues
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Postpartum depression
Postpartum depression
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Risk factors for postpartum depression
Risk factors for postpartum depression
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Newborn bathing guidelines
Newborn bathing guidelines
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Umbilical cord care
Umbilical cord care
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Car seat safety
Car seat safety
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Signs to call PCP for a newborn
Signs to call PCP for a newborn
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ABO & Rh Incompatibility
ABO & Rh Incompatibility
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Clinical Manifestations of Rh Incompatibility
Clinical Manifestations of Rh Incompatibility
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Direct Coombs Test
Direct Coombs Test
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Hyperbilirubinemia
Hyperbilirubinemia
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Signs of Delayed Bonding
Signs of Delayed Bonding
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Phototherapy Management
Phototherapy Management
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Maternal Role Attainment - Stage 1
Maternal Role Attainment - Stage 1
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Maternal Role Attainment - Stage 2
Maternal Role Attainment - Stage 2
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Pap test
Pap test
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Cervical mucus ovulation
Cervical mucus ovulation
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Barrier methods
Barrier methods
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Natural family planning
Natural family planning
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Lactation amenorrhea method
Lactation amenorrhea method
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Coitus interruptus
Coitus interruptus
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Spermicide
Spermicide
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Diaphragm
Diaphragm
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Cervical Cap
Cervical Cap
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Contraceptive Sponge
Contraceptive Sponge
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Toxic Shock Syndrome (TSS)
Toxic Shock Syndrome (TSS)
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Hormonal Contraceptives
Hormonal Contraceptives
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Combined Oral Contraceptives (COCs)
Combined Oral Contraceptives (COCs)
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Minipill
Minipill
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Patient Education for COCs
Patient Education for COCs
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Contraindications of COCs
Contraindications of COCs
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Side Effects of COCs
Side Effects of COCs
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Progestin-only Pill Consistency
Progestin-only Pill Consistency
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Study Notes
Postpartum Hemorrhage
- Cumulative blood loss greater than 500 mL (vaginal delivery) or 1000 mL (C-section)
- Early PPH: within 24 hours of birth
- Secondary PPH: 24 hours to 6 weeks after birth
Clinical Manifestations
- Boggy uterus, possibly deviated to the right
- Bladder full
- Heavy vaginal bleeding with clots
PPH Causes and Interventions
- Tone: Uterine atony (lack of muscle tone)
- Intervention: Fundal massage, oxytocin
- Trauma: Lacerations
- Intervention: Repair via suturing
- Tissue: Retained products of conception (e.g., placenta)
- Intervention: Surgical removal (e.g., D&C)
- Thrombin: Coagulation issues
- Intervention: Fundal massage, oxytocin
PPH Treatment
- Massage the fundus to contract the uterus and push down vessels
- Bimanual exam (provider inserts fingers into vagina to apply pressure to fundus)
- Medications:
- Oxytocin
- Misoprostol
- Methylergonovine
- Tranexamic acid (inhibits clotting factor breakdown)
Other Postpartum Issues
- Retained Placenta: Placenta not delivered within 30 minutes
- Manual removal may be needed
- Subinvolution: Uterus fails to contract down
- Lacerations: Tears in the reproductive tract
- Perineal lacerations
- Hematoma: collection of blood outside blood vessels
- Diagnosis and Treatment of bleeding:
- Use of blood products as needed
- Follow up care
Postpartum Complications
- Blood Products: Transfused as required based on patient's condition.
- Fluids: Monitor and appropriately administer
- Surgical Interventions: Balloon tamponade
- Retained placenta: Removal of placenta as required
- Subinvolution of uterus: Lack of contraction.
- Lacerations: Repair of tears.
- Hematoma: Monitor closely for increase in size.
- Postpartum Shock: Low blood pressure, rapid pulse, dizziness, or confusion.
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Description
Test your knowledge on postpartum complications such as hematomas, infections, and thromboembolism. This quiz covers key interventions, symptoms, and preventive measures for postpartum patients. Ideal for nursing students and healthcare professionals.