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Questions and Answers
What are the key differences between postpartum blues and postpartum depression?
What are the key differences between postpartum blues and postpartum depression?
Which medication is contraindicated in a patient with a history of severe preeclampsia?
Which medication is contraindicated in a patient with a history of severe preeclampsia?
Which of the following is a defining characteristic of HELLP syndrome?
Which of the following is a defining characteristic of HELLP syndrome?
What is the primary concern regarding a postpartum woman with severe preeclampsia?
What is the primary concern regarding a postpartum woman with severe preeclampsia?
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Which of the following symptoms is MOST likely to indicate the development of eclampsia in a postpartum woman?
Which of the following symptoms is MOST likely to indicate the development of eclampsia in a postpartum woman?
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What is the main reason why methergine is contraindicated in a woman with severe preeclampsia?
What is the main reason why methergine is contraindicated in a woman with severe preeclampsia?
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Which of the following is NOT a potential symptom associated with HELLP syndrome?
Which of the following is NOT a potential symptom associated with HELLP syndrome?
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What is the most important intervention when managing a postpartum woman with severe preeclampsia?
What is the most important intervention when managing a postpartum woman with severe preeclampsia?
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If a postpartum woman develops severe preeclampsia, what is the most likely IMMEDIATE outcome?
If a postpartum woman develops severe preeclampsia, what is the most likely IMMEDIATE outcome?
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What are the primary risk factors for developing HELLP syndrome?
What are the primary risk factors for developing HELLP syndrome?
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Which of the following symptoms is NOT associated with severe preeclampsia?
Which of the following symptoms is NOT associated with severe preeclampsia?
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Which of the following is a defining characteristic of Eclampsia?
Which of the following is a defining characteristic of Eclampsia?
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What is the primary treatment for Eclampsia?
What is the primary treatment for Eclampsia?
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Which of the following is NOT a characteristic of HELLP Syndrome?
Which of the following is NOT a characteristic of HELLP Syndrome?
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What is the primary management goal for a patient with HELLP Syndrome?
What is the primary management goal for a patient with HELLP Syndrome?
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Which of the following medications is considered the drug of choice for managing hypertension during pregnancy?
Which of the following medications is considered the drug of choice for managing hypertension during pregnancy?
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What is a potential complication associated with Magnesium Sulfate therapy?
What is a potential complication associated with Magnesium Sulfate therapy?
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Which of the following is a sign of Magnesium Sulfate toxicity?
Which of the following is a sign of Magnesium Sulfate toxicity?
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What is the immediate action to take if Magnesium Sulfate toxicity is suspected?
What is the immediate action to take if Magnesium Sulfate toxicity is suspected?
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Which of the following medications is contraindicated in hypertensive clients?
Which of the following medications is contraindicated in hypertensive clients?
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Which of the following is a common physiological change observed in postpartum women?
Which of the following is a common physiological change observed in postpartum women?
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What is the expected uterine position and firmness immediately after birth?
What is the expected uterine position and firmness immediately after birth?
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What is the expected lochia color on day 5 postpartum?
What is the expected lochia color on day 5 postpartum?
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What is the appropriate nursing intervention if a postpartum woman has a boggy uterus?
What is the appropriate nursing intervention if a postpartum woman has a boggy uterus?
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What is the primary purpose of applying ice packs to an episiotomy or laceration?
What is the primary purpose of applying ice packs to an episiotomy or laceration?
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Which of the following statements is TRUE regarding postpartum breastfeeding education?
Which of the following statements is TRUE regarding postpartum breastfeeding education?
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Which of the following is a characteristic symptom of severe preeclampsia?
Which of the following is a characteristic symptom of severe preeclampsia?
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What is the main distinction between preeclampsia and severe preeclampsia?
What is the main distinction between preeclampsia and severe preeclampsia?
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Which of the following conditions is characterized by seizures in a pregnant woman with preeclampsia?
Which of the following conditions is characterized by seizures in a pregnant woman with preeclampsia?
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What does HELLP syndrome stand for?
What does HELLP syndrome stand for?
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Which of the following is NOT a common symptom of HELLP syndrome?
Which of the following is NOT a common symptom of HELLP syndrome?
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What is the primary treatment approach for severe preeclampsia?
What is the primary treatment approach for severe preeclampsia?
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Which of the following risk factors is associated with an increased likelihood of developing preeclampsia?
Which of the following risk factors is associated with an increased likelihood of developing preeclampsia?
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Which of the following is a potential complication of untreated or poorly managed severe preeclampsia?
Which of the following is a potential complication of untreated or poorly managed severe preeclampsia?
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What is the primary goal of treatment for eclampsia?
What is the primary goal of treatment for eclampsia?
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Which of the following statements about HELLP syndrome is TRUE?
Which of the following statements about HELLP syndrome is TRUE?
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Which condition is characterized by inflammation of the breast due to a blocked duct?
Which condition is characterized by inflammation of the breast due to a blocked duct?
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What is the main symptom of hypovolemic shock associated with postpartum hemorrhage (PPH)?
What is the main symptom of hypovolemic shock associated with postpartum hemorrhage (PPH)?
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Which symptom is commonly associated with endometritis?
Which symptom is commonly associated with endometritis?
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What hormone increase is primarily responsible for uterus contraction postpartum?
What hormone increase is primarily responsible for uterus contraction postpartum?
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Which medication should not be administered to patients taking magnesium sulfate due to contraindications?
Which medication should not be administered to patients taking magnesium sulfate due to contraindications?
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What is a defining characteristic of postpartum psychosis?
What is a defining characteristic of postpartum psychosis?
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What is the primary risk associated with administering Hemabate to a patient?
What is the primary risk associated with administering Hemabate to a patient?
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What clinical sign may indicate a potential hematoma after traumatic birth?
What clinical sign may indicate a potential hematoma after traumatic birth?
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What is a common characteristic symptom of postpartum depression?
What is a common characteristic symptom of postpartum depression?
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What intervention should be prioritized if a postpartum woman's uterus is boggy?
What intervention should be prioritized if a postpartum woman's uterus is boggy?
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What signifies severe preeclampsia based on blood pressure criteria?
What signifies severe preeclampsia based on blood pressure criteria?
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Which of the following symptoms is indicative of eclampsia?
Which of the following symptoms is indicative of eclampsia?
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Which laboratory findings are characteristic of HELLP syndrome?
Which laboratory findings are characteristic of HELLP syndrome?
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What is the primary treatment for severe preeclampsia?
What is the primary treatment for severe preeclampsia?
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Which medication is considered the drug of choice for managing hypertension during pregnancy?
Which medication is considered the drug of choice for managing hypertension during pregnancy?
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What should be monitored to assess for Magnesium sulfate toxicity?
What should be monitored to assess for Magnesium sulfate toxicity?
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Which of the following would be a complication of Magnesium sulfate administration?
Which of the following would be a complication of Magnesium sulfate administration?
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Which symptom is NOT typically associated with severe preeclampsia?
Which symptom is NOT typically associated with severe preeclampsia?
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What is the expected color of lochia on day 5 postpartum?
What is the expected color of lochia on day 5 postpartum?
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What is a common physiological change postpartum related to hormones?
What is a common physiological change postpartum related to hormones?
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Which symptom should be monitored in a patient receiving Magnesium sulfate?
Which symptom should be monitored in a patient receiving Magnesium sulfate?
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What is the primary nursing intervention for a patient with a boggy uterus?
What is the primary nursing intervention for a patient with a boggy uterus?
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Which medication is contraindicated in patients with hypertension?
Which medication is contraindicated in patients with hypertension?
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What is an important dietary recommendation for postpartum bowel management?
What is an important dietary recommendation for postpartum bowel management?
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Which of the following criteria is used to define Severe Preeclampsia?
Which of the following criteria is used to define Severe Preeclampsia?
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Which of the following is a characteristic symptom associated with Severe Preeclampsia?
Which of the following is a characteristic symptom associated with Severe Preeclampsia?
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Which of the following conditions, is associated with elevated liver enzymes, low platelet count, and hemolysis?
Which of the following conditions, is associated with elevated liver enzymes, low platelet count, and hemolysis?
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Which of the following is a characteristic of Eclampsia?
Which of the following is a characteristic of Eclampsia?
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What is a potential complication associated with untreated or poorly managed Eclampsia?
What is a potential complication associated with untreated or poorly managed Eclampsia?
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Which of the following laboratory findings are characteristic of HELLP syndrome?
Which of the following laboratory findings are characteristic of HELLP syndrome?
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Which of the following criteria defines severe preeclampsia?
Which of the following criteria defines severe preeclampsia?
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Which of the following symptoms is NOT typically associated with severe preeclampsia?
Which of the following symptoms is NOT typically associated with severe preeclampsia?
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Which of the following laboratory findings is NOT characteristic of HELLP syndrome?
Which of the following laboratory findings is NOT characteristic of HELLP syndrome?
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Which condition is characterized by seizures in a pregnant woman with preeclampsia?
Which condition is characterized by seizures in a pregnant woman with preeclampsia?
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What is a defining characteristic of Eclampsia?
What is a defining characteristic of Eclampsia?
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Which of the following laboratory findings is most indicative of HELLP syndrome?
Which of the following laboratory findings is most indicative of HELLP syndrome?
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Flashcards
Hyperemesis Gravidarum
Hyperemesis Gravidarum
A severe form of nausea and vomiting during pregnancy, requiring medical intervention.
Intervention for Hyperemesis
Intervention for Hyperemesis
Keep patient NPO until vomiting stops; hydrate with IV fluids, monitor vital signs and weight.
Common Medications for Hyperemesis
Common Medications for Hyperemesis
Includes IV hydration, pyridoxine (vitamin B6), antiemetics, and corticosteroids for resistant cases.
Iron-deficiency Anemia Risks
Iron-deficiency Anemia Risks
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Symptoms of Iron-deficiency Anemia
Symptoms of Iron-deficiency Anemia
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Management of Iron-deficiency Anemia
Management of Iron-deficiency Anemia
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Gestational Diabetes Mellitus (GDM)
Gestational Diabetes Mellitus (GDM)
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Symptoms of Hyperglycemia
Symptoms of Hyperglycemia
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Gestational Hypertension
Gestational Hypertension
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Severe Preeclampsia Symptoms
Severe Preeclampsia Symptoms
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Primary PPH
Primary PPH
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Secondary PPH
Secondary PPH
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Hypovolemic Shock Symptoms
Hypovolemic Shock Symptoms
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Uterine Atony
Uterine Atony
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Pitocin
Pitocin
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Mastitis
Mastitis
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Endometritis
Endometritis
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Postpartum Blues
Postpartum Blues
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Postpartum Depression
Postpartum Depression
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Mastitis Interventions
Mastitis Interventions
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Severe Headache
Severe Headache
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Hyperreflexia
Hyperreflexia
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Clonus
Clonus
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Oliguria
Oliguria
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Vision Changes
Vision Changes
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Pitting Edema
Pitting Edema
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Epigastric Pain
Epigastric Pain
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HELLP Syndrome
HELLP Syndrome
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Hydralazine
Hydralazine
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Labetalol
Labetalol
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Magnesium Sulfate
Magnesium Sulfate
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Postpartum Hemorrhage
Postpartum Hemorrhage
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Lochia
Lochia
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Episiotomy
Episiotomy
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Hyperemesis Gravidarum Interventions
Hyperemesis Gravidarum Interventions
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Medications for Hyperemesis
Medications for Hyperemesis
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Complications for Hyperemesis
Complications for Hyperemesis
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Iron-Deficiency Anemia Symptoms
Iron-Deficiency Anemia Symptoms
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Iron Deficiency Anemia Management
Iron Deficiency Anemia Management
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Gestational Diabetes Risk Factors
Gestational Diabetes Risk Factors
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Severe Preeclampsia Criteria
Severe Preeclampsia Criteria
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Chronic Hypertension Definition
Chronic Hypertension Definition
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Breast Assessment Postpartum
Breast Assessment Postpartum
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Hypovolemic Shock Signs
Hypovolemic Shock Signs
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Pitocin Function
Pitocin Function
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Methergine Contraindications
Methergine Contraindications
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Hemabate Side Effects
Hemabate Side Effects
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Endometritis Symptoms
Endometritis Symptoms
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Mastitis Assessment
Mastitis Assessment
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Postpartum Depression Symptoms
Postpartum Depression Symptoms
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Psychosis Signs
Psychosis Signs
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Vitamin B6 in Hyperemesis
Vitamin B6 in Hyperemesis
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Total Parenteral Nutrition (TPN)
Total Parenteral Nutrition (TPN)
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Primary Intervention for GDM
Primary Intervention for GDM
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Signs of Hyperglycemia
Signs of Hyperglycemia
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Gestational Hypertension Criteria
Gestational Hypertension Criteria
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Preeclampsia Definition
Preeclampsia Definition
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Uterus Location Post-Birth
Uterus Location Post-Birth
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Lochia Stages
Lochia Stages
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Episiotomy Care
Episiotomy Care
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Toxicity Signs of Magnesium Sulfate
Toxicity Signs of Magnesium Sulfate
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Signs of Hypovolemic Shock
Signs of Hypovolemic Shock
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Mastitis Symptoms
Mastitis Symptoms
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Cytotec Administration
Cytotec Administration
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Study Notes
Postpartum Nursing Care
- Postpartum Nursing Care (100 points): Comprises 50 questions.
- Hyperemesis Gravidarum Intervention: Keep patient NPO until vomiting stops completely, reintroduce foods slowly, monitor input and output (I&O), vital signs, and daily weight, hydrate with Lactated Ringers IV, and administer antiemetic medications.
- Hyperemesis Gravidarum Medications: Administer Lactated Ringers IV, pyridoxine (Vitamin B6), antiemetic medications, and corticosteroids for resistant cases; provide total parenteral nutrition (TPN) for intravenous nutrition support if necessary. Potential complications include intrauterine growth restriction (IUGR) in the neonate.
- Postpartum Physiological Changes: A topic with 1 question.
- Postpartum Assessment: Includes 9 questions.
- Postpartum Client Education: Includes 3 questions.
- Hypertension in Pregnancy: A topic with 2 questions regarding medications..
- Iron-Deficiency Anemia: A topic with 1 question.
- Gestational Diabetes Mellitus (GDM): A topic with 3 questions.
- Postpartum Complications - PPH (Postpartum Hemorrhage): A topic with 9 questions, including medications related to PPH.
- Postpartum Complications - DVT (Deep Vein Thrombosis): A topic with 2 questions.
- Postpartum Infections: A topic with 2 questions. This includes infections like endometritis.
- Postpartum Affective Disorders: A topic with 1 question.
- Dosage Calculation: A topic with 3 questions on dosage calculation.
Hyperemesis Gravidarum
- Risk Factors: Pregnancies with less than 2 years between them, heavy prior periods, decreased oxygen in the mother and baby, fatigue, and weakness increase the risk of hyperemesis gravidarum.
- Intervention: Keeping the patient NPO until vomiting ceases is crucial. Slow reintroduction of food, monitoring vital signs and weight, and hydration are vital.
- Medication: Lactated Ringers IV, vitamin B6 (pyridoxine), antiemetics, and corticosteroids may be used for resistant cases; total parenteral nutrition (TPN) is an option for severe cases. Potential complications include IUGR in newborns.
- Potential Complications: Intrauterine growth restriction in infants (IUGR) is a potential complication.
Other Conditions
- Iron-deficiency anemia: Risk factors, intervention and medication for this complication are noted.
- Gestational Diabetes Mellitus (GDM): Intervention includes increased dietary intake (beef and green veggies), vitamin C with iron, increased fluids and fiber, and medication (ferrous sulfate, iron infusions). Mothers with hypertension have similar weight gain and nutritional needs.
- Hypertension in Pregnancy: Risk factors include mothers younger than 19 or older than 40, first pregnancy, obesity, and multifetal gestation; complications include placental abruption and end-organ failure. Chronic hypertension exists before pregnancy; gestational hypertension appears for the first time during pregnancy. A blood pressure of 140/90 or higher before pregnancy or after 20 weeks is a concern; treatment with medication may be needed.
- DKA (Diabetic Ketoacidosis): This is linked to insulin overdose, missed meals, or increased exercise. Symptoms include nervousness, headache, weakness, irritability, hunger, and blurred vision. Intervention includes a 1-hour and 3-hour glucose challenge; increasing water intake, and dietary changes are crucial. Insulin therapy is the primary treatment for DKA.
- Preeclampsia: Criteria include systolic blood pressure of 140 or higher OR diastolic blood pressure of 90 or higher with proteinuria 1+ or higher; OR systolic blood pressure of 160 or higher OR diastolic blood pressure of 110 or higher with 3+ proteinuria, and Hyperreflexia (4+, very brisk reflex).
- Eclampsia: Seizures occur with preeclampsia, associated with high blood pressure and proteinuria.
- HELLP Syndrome: Characterized by low hemoglobin, elevated liver enzymes, and low platelets. The only cure is delivery of the baby.
General Information
- Nursing Process: Different levels of thinking within the nursing procedure process are covered.
- NCLEX Test Plan: Indicates the exam's focus on specific areas.
Postpartum Assessment and Complications
- Postpartum Assessment: Frequent assessments of the uterus, bladder, and bowel are critical to identify and manage potential complications.
- Uterus: Position, firmness, and any abnormal bleeding.
- Bladder: Adequate emptying to prevent uterine atony.
- Bowel: Assess for bowel sounds and movements.
- Postpartum complications: Include issues like hemorrhage (PPH), deep vein thrombosis (DVT), infections (e.g., endometritis, mastitis), and affective disorders.
- Additional Notes: Special instructions and precautions related to specific conditions (e.g., hypertension) are included.
Postpartum Physiological Changes
- Hormone Changes and Blood Changes: Increased oxytocin, decreased estrogen, progesterone, and insulinase during the postpartum period. Blood volume decreases, and blood loss varies according to delivery method (vaginal or cesarean).
Other Postpartum Topics
- PPH (Postpartum Hemorrhage): Early identification of PPH is essential.
- Endometritis: Assessment, planning, and interventions for this condition are covered.
- DVT: Complications, assessments, and planning for deep vein thrombosis are detailed.
- Mastitis: Identification and treatment are highlighted.
- Pain Management: Effective pain management methods should be explored, and interventions noted.
- Patient Education: Comprehensive patient education about breastfeeding techniques, preventing infections, and recognizing potential issues is necessary.
- Postpartum Complications and Assessments: Detailed assessments and interventions for postpartum infections such as endometritis.
- Physical Assessments: Specific assessments for uterine tone and other important body systems are noted.
- Medications for PPH: Pitocin, Methergine, Hemabate (with considerations for pre-existing conditions). Medication side effects need to be noted.
- Postpartum infections and DVT assessment: Early identification of possible causes and complications like infection or DVT in the postpartum period is crucial.
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Description
Test your knowledge on postpartum nursing care with this comprehensive quiz consisting of 50 questions. Cover topics such as hyperemesis gravidarum interventions, postpartum physiological changes, client education, and management of hypertension during pregnancy. Assess your understanding and readiness to provide quality care in the postpartum period.