Podcast
Questions and Answers
What is the primary characteristic of the Taking in Phase of maternal role attainment?
What is the primary characteristic of the Taking in Phase of maternal role attainment?
- Being self-focused and passive (correct)
- Increased independence in decision-making
- Increased focus on infant care
- Desire to socialize with family and friends
What are some effective methods to help siblings adapt to a new infant in the family?
What are some effective methods to help siblings adapt to a new infant in the family?
- Providing a doll for the preschool-aged sibling (correct)
- Taking the sibling on solo trips
- Ignoring the sibling's feelings about the infant
- Restricting time with the baby
Which concept is critical to maternal-infant bonding?
Which concept is critical to maternal-infant bonding?
- Immediate return to work
- Involvement of extended family members
- Minimizing contact in the first days
- Kangaroo care and skin-to-skin contact (correct)
What is an important factor for co-parenting adaptation after becoming a parent?
What is an important factor for co-parenting adaptation after becoming a parent?
Which issue may LGBTQ families face regarding their new infant?
Which issue may LGBTQ families face regarding their new infant?
Which factors can contribute to overdistention of the uterus?
Which factors can contribute to overdistention of the uterus?
What is a sign that may indicate excessive bleeding after delivery?
What is a sign that may indicate excessive bleeding after delivery?
What nursing intervention should be prioritized for a patient showing signs of uterine atony?
What nursing intervention should be prioritized for a patient showing signs of uterine atony?
Which medication is part of the oxytocic agents used in managing postpartum hemorrhage?
Which medication is part of the oxytocic agents used in managing postpartum hemorrhage?
What assessment finding is indicative of prolonged lochia discharge?
What assessment finding is indicative of prolonged lochia discharge?
What are the primary needs a mother focuses on immediately following birth?
What are the primary needs a mother focuses on immediately following birth?
In the 'Taking Hold Phase', what is a common emotional response a mother might experience?
In the 'Taking Hold Phase', what is a common emotional response a mother might experience?
Which phase of maternal attachment involves the mother verbally reacting to her infant's sounds?
Which phase of maternal attachment involves the mother verbally reacting to her infant's sounds?
What is NOT a symptom of postpartum blues?
What is NOT a symptom of postpartum blues?
During the immediate postpartum assessment, which of the following is least likely to be a focus?
During the immediate postpartum assessment, which of the following is least likely to be a focus?
What is the expected descent of the fundus postpartum?
What is the expected descent of the fundus postpartum?
What could indicate excessive bleeding in the postpartum period?
What could indicate excessive bleeding in the postpartum period?
What emotional concerns might a mother experience during the 'Letting Go Phase'?
What emotional concerns might a mother experience during the 'Letting Go Phase'?
What would be an appropriate comfort measure during immediate postpartum care?
What would be an appropriate comfort measure during immediate postpartum care?
During the 'Phase of Mutual Regulation', what is a primary adjustment required?
During the 'Phase of Mutual Regulation', what is a primary adjustment required?
What is a common cause of early postpartum hemorrhage?
What is a common cause of early postpartum hemorrhage?
What indicates a potential infection during a perineal assessment?
What indicates a potential infection during a perineal assessment?
Which medication is NOT an uterine stimulant?
Which medication is NOT an uterine stimulant?
What is a key assessment during the intermediate care phase for new mothers?
What is a key assessment during the intermediate care phase for new mothers?
What is an important sign of postpartum hemorrhage?
What is an important sign of postpartum hemorrhage?
Which position is recommended to assess for hemorrhoids?
Which position is recommended to assess for hemorrhoids?
What should be monitored for potential post-operative complications in a cesarean section?
What should be monitored for potential post-operative complications in a cesarean section?
What is a common emotional adjustment new mothers may experience postpartum?
What is a common emotional adjustment new mothers may experience postpartum?
How should the discharge criteria evaluate the mother's ability?
How should the discharge criteria evaluate the mother's ability?
Which assessment finding would NOT indicate postpartum hemorrhage?
Which assessment finding would NOT indicate postpartum hemorrhage?
What is advised for a mother experiencing afterpains?
What is advised for a mother experiencing afterpains?
What is a recommended approach for managing emotional support during home visits?
What is a recommended approach for managing emotional support during home visits?
Which of the following indicates that a mother should seek immediate care postpartum?
Which of the following indicates that a mother should seek immediate care postpartum?
What is a common cause of late postpartum hemorrhage?
What is a common cause of late postpartum hemorrhage?
What degree of laceration involves the external anal sphincter?
What degree of laceration involves the external anal sphincter?
What symptom is indicative of a hematoma following trauma during birth?
What symptom is indicative of a hematoma following trauma during birth?
Which of the following is a treatment option for endometritis?
Which of the following is a treatment option for endometritis?
What is assessed in the nursing management of postpartum complications?
What is assessed in the nursing management of postpartum complications?
Which risk factor is commonly associated with increased laceration during childbirth?
Which risk factor is commonly associated with increased laceration during childbirth?
The presence of boggy uterus is most commonly addressed with which nursing intervention?
The presence of boggy uterus is most commonly addressed with which nursing intervention?
Which complication occurs when thrombi formed in deep veins dislodge and travel to the lungs?
Which complication occurs when thrombi formed in deep veins dislodge and travel to the lungs?
What is one classic sign of endometritis?
What is one classic sign of endometritis?
What should be monitored to assess the risk of postpartum hemorrhage?
What should be monitored to assess the risk of postpartum hemorrhage?
What condition may occur as a result of an infection in the reproductive tract after childbirth?
What condition may occur as a result of an infection in the reproductive tract after childbirth?
Which assessment could indicate the presence of a hematoma in a postpartum patient?
Which assessment could indicate the presence of a hematoma in a postpartum patient?
Which characteristic does NOT describe a 1st degree laceration?
Which characteristic does NOT describe a 1st degree laceration?
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Study Notes
Postpartum Hemorrhage (PPH)
- Occurs within 24 hours after birth
- Most common cause is uterine atony
- Treatment: Manual removal of retained placental fragments, D&C, uterine massage, administration of uterotonics
- Late PPH: Occurs between 24 hours and 12 weeks after birth
- Retained placental fragments are the most common cause of late PPH
- Nursing management: Monitor for signs of shock, frequent assessments, pain assessment, monitor vital signs, maintain IV access, monitor urinary output, administer medications.
- Risk factors for late PPH: Infection, Deficiency of immunologic factors, Faulty implantation in less vascular lower uterine segment
Trauma
- Lacerations: Occur during labor and/or delivery, can be categorized from first to fourth degree.
- Predisposing factors: Nulliparity, epidural anesthesia, precipitous birth, forceps or vacuum-assisted birth, macrosomia, oxytocin use
- Hematoma: Bleeding into the tissues, usually vulva or vagina due to traumatic birth
- Symptoms: Swelling, severe pain, inability to void, bulging and discoloration on vulva
- Treatment: Ice packs, pain medications
Puerperal Infection
- Infection of the reproductive tract associated with childbirth, occurs up to 6 weeks postpartum
- Endometritis: Inflammation of the endometrium (most common)
- Metritis: Inflammation of the myometrium (uterine wall)
- Risk factors: C-section, especially extended labor with ruptured membranes, diabetes
- Signs and Symptoms: Vaginal discharge (bloody, scant or profuse, may have odor), uterine tenderness, pelvic pain, fever.
- Treatment: Obtain history and physical exam, blood cultures, lochia cultures, UA, administer antibiotics (penicillins or cephalosporins).
- Nursing Management: Perineum, lochia, incision assessment q 8 hours, administer medications, VS, adequate fluid intake, evaluate labs, instruct on perineal care, proper hand washing, promote comfort
Thromboembolic Disease
- Venous thrombosis: Can be superficial or deep vein, usually in legs
- Thrombophlebitis: Thrombus formed in response to inflammation in vein wall
- Pulmonary embolus: Rare, life-threatening condition that occurs when thrombi dislodges from deep vein and travels to pulmonary artery
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