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Questions and Answers
What is an essential measure during pregnancy to predict the need for specialized care at birth?
What is an essential measure during pregnancy to predict the need for specialized care at birth?
Which maternal condition is mentioned as a risk factor that may negatively impact newborn health?
Which maternal condition is mentioned as a risk factor that may negatively impact newborn health?
What is the term used for a newborn who is either underweight or overweight for their gestational age?
What is the term used for a newborn who is either underweight or overweight for their gestational age?
What immediate action is critical for a newborn with difficulty establishing respirations?
What immediate action is critical for a newborn with difficulty establishing respirations?
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What should be included in the assessment of all newborns at birth?
What should be included in the assessment of all newborns at birth?
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Why is thorough education of parents about their baby's health necessary?
Why is thorough education of parents about their baby's health necessary?
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What is a potential long-term issue that can arise from complications during birth?
What is a potential long-term issue that can arise from complications during birth?
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What lifestyle choice of the mother is identified as a risk factor during pregnancy?
What lifestyle choice of the mother is identified as a risk factor during pregnancy?
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What is a critical aspect of nursing care for high-risk newborns during the transition to extrauterine life?
What is a critical aspect of nursing care for high-risk newborns during the transition to extrauterine life?
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Which of the following is NOT a common illness associated with high-risk newborns?
Which of the following is NOT a common illness associated with high-risk newborns?
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Which nursing diagnosis is most appropriate for a high-risk newborn presenting with respiratory complications?
Which nursing diagnosis is most appropriate for a high-risk newborn presenting with respiratory complications?
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What is an important aspect of formulating expected outcomes for families of high-risk newborns?
What is an important aspect of formulating expected outcomes for families of high-risk newborns?
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Which of the following best describes a priority nursing intervention for a high-risk newborn?
Which of the following best describes a priority nursing intervention for a high-risk newborn?
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What should be integrated with nursing knowledge to achieve quality care for high-risk newborns?
What should be integrated with nursing knowledge to achieve quality care for high-risk newborns?
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What National Health Goal might be related to the care of high-risk newborns?
What National Health Goal might be related to the care of high-risk newborns?
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What is a significant concern for families of high-risk newborns during the initial experience?
What is a significant concern for families of high-risk newborns during the initial experience?
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What is commonly responsible for early-onset sepsis in high-risk infants?
What is commonly responsible for early-onset sepsis in high-risk infants?
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Which viral infection can lead to congenital anomalies if contracted in utero?
Which viral infection can lead to congenital anomalies if contracted in utero?
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What is the main focus of anticipatory guidance for parents of high-risk infants?
What is the main focus of anticipatory guidance for parents of high-risk infants?
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Which of the following infections is NOT typically associated with late-onset infections in high-risk infants?
Which of the following infections is NOT typically associated with late-onset infections in high-risk infants?
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Which complication is a potential consequence of preterm rupture of membranes?
Which complication is a potential consequence of preterm rupture of membranes?
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What is a common source of late-onset infections in high-risk infants?
What is a common source of late-onset infections in high-risk infants?
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What should parents be assessed on each time they visit a high-risk nursery?
What should parents be assessed on each time they visit a high-risk nursery?
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What type of home care support may be necessary for parents after their infant is discharged?
What type of home care support may be necessary for parents after their infant is discharged?
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Study Notes
Postpartum Complications
- Postpartum Psychosis: Characterized by a loss of contact with reality, often with denial of childbirth, thoughts of harming the infant, or claims of the child not belonging to the mother. Requires immediate professional psychiatric intervention.
- Postpartum Blues: Normal reaction to childbirth, characterized by feelings of sadness, anxiety, and/or tearfulness. Usually resolves within a few weeks without intervention.
- Postpartum Depression: More severe than "the blues," marked by feelings of sadness, hopelessness, and difficulty caring for the baby. Requires professional help.
- Postpartum Hemorrhage: Significant blood loss (over 500 mL within 24 hours) after childbirth. Often caused by uterine atony (lack of muscle tone).
- Puerperal Infection: Infection in the uterus or other reproductive organs after childbirth. Characterized by a temperature above 100.4° F (38.0° C).
- Thrombophlebitis: Inflammation of a blood vessel. Can result from an infection and require bed rest and anticoagulant therapy. Never massage the affected leg.
- Mastitis: Breast infection, characterized by pain, swelling, and redness. Requires antibiotic therapy.
- Newborn with a Challenge: Child with developmental or physical issues needs extra support from nurses.
Checklist Questions
- Checkpoint Question 25.3: Statement "My baby has the devil's eyes" is most suggestive of postpartum psychosis.
Key Points for Review
- Establishing a supportive family-newborn relationship can be challenging with postpartum complications. Investigate support systems for the family.
- Hemorrhage (significant blood loss) is a major danger. Uterine atony is commonly the cause.
- Postpartum infection (temperature greater than 100.4°F) is a concern requiring treatment.
- Thrombophlebitis (inflammation of a blood vessel) responds to rest with moist heat and anticoagulants.
Critical Thinking Exercises
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Critical Thinking Exercise 1: Early action to prevent postpartum hemorrhage would have been to address the mother's heavy vaginal bleeding by monitoring and preventing any further blood loss. Prompt action would be to initiate appropriate treatment immediately.
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Critical Thinking Exercise 2: Infants with a urinary tract infection need appropriate medical treatment to alleviate the condition rather than self-treating.
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Critical Thinking Exercise 3: Develop a plan to reduce thrombo-phlebitis risk by including proper measures to prevent clots and complications.
References
- None supplied
High-Risk Newborns
- Apnea: Periods of no breathing for more than 20 seconds. Requires observation and possible interventions.
- Hypothermia: Inability to regulate body temperature, making them vulnerable to cold.
- Impaired Gas Exchange: Difficulty distributing oxygen effectively to the body's tissues.
- Risk for Deficient Fluid Volume: Because of immature kidneys and high insensible water loss, they may need more fluids.
- Imbalanced Nutrition: High caloric needs may require more frequent feedings or total parenteral nutrition.
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Description
This quiz covers various postpartum complications that may arise after childbirth, including postpartum psychosis, blues, depression, and more. Understanding these conditions is crucial for new mothers and healthcare providers to ensure proper care and support during the postpartum period.
