Postpartum Nursing Care Quiz
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Questions and Answers

What are the key differences between postpartum blues and postpartum depression?

  • Postpartum depression is characterized by hallucinations and thoughts of harming oneself or the infant, while postpartum blues are not.
  • Postpartum blues are caused by hormonal fluctuations, while postpartum depression is caused by psychological factors.
  • Postpartum blues typically resolve within 2 weeks, whereas postpartum depression persists and may require medical intervention. (correct)
  • Postpartum blues are more severe and long-lasting than postpartum depression.
  • Which medication is contraindicated in a patient with a history of severe preeclampsia?

  • Cytotec
  • Methergine (correct)
  • Hemabate
  • Pitocin
  • Which of the following is a defining characteristic of HELLP syndrome?

  • High blood pressure
  • Elevated liver enzymes
  • Low platelet count
  • All of the above (correct)
  • What is the primary concern regarding a postpartum woman with severe preeclampsia?

    <p>Risk of seizures (D)</p> Signup and view all the answers

    Which of the following symptoms is MOST likely to indicate the development of eclampsia in a postpartum woman?

    <p>All of the above (D)</p> Signup and view all the answers

    What is the main reason why methergine is contraindicated in a woman with severe preeclampsia?

    <p>It can further elevate blood pressure. (A)</p> Signup and view all the answers

    Which of the following is NOT a potential symptom associated with HELLP syndrome?

    <p>Increased blood pressure (B)</p> Signup and view all the answers

    What is the most important intervention when managing a postpartum woman with severe preeclampsia?

    <p>Administering magnesium sulfate (A)</p> Signup and view all the answers

    If a postpartum woman develops severe preeclampsia, what is the most likely IMMEDIATE outcome?

    <p>All of the above (D)</p> Signup and view all the answers

    What are the primary risk factors for developing HELLP syndrome?

    <p>All of the above (D)</p> Signup and view all the answers

    Which of the following symptoms is NOT associated with severe preeclampsia?

    <p>Decreased kidney function (C)</p> Signup and view all the answers

    Which of the following is a defining characteristic of Eclampsia?

    <p>Seizure (B)</p> Signup and view all the answers

    What is the primary treatment for Eclampsia?

    <p>Immediate delivery of the baby (C)</p> Signup and view all the answers

    Which of the following is NOT a characteristic of HELLP Syndrome?

    <p>Hyperreflexia (A)</p> Signup and view all the answers

    What is the primary management goal for a patient with HELLP Syndrome?

    <p>Immediate delivery of the baby (D)</p> Signup and view all the answers

    Which of the following medications is considered the drug of choice for managing hypertension during pregnancy?

    <p>Hydralazine (D)</p> Signup and view all the answers

    What is a potential complication associated with Magnesium Sulfate therapy?

    <p>Increased risk of postpartum hemorrhage (C)</p> Signup and view all the answers

    Which of the following is a sign of Magnesium Sulfate toxicity?

    <p>Decreased level of consciousness (D)</p> Signup and view all the answers

    What is the immediate action to take if Magnesium Sulfate toxicity is suspected?

    <p>Stop the Magnesium Sulfate infusion and monitor closely (A)</p> Signup and view all the answers

    Which of the following medications is contraindicated in hypertensive clients?

    <p>Methergine (D)</p> Signup and view all the answers

    Which of the following is a common physiological change observed in postpartum women?

    <p>Decreased blood volume (C)</p> Signup and view all the answers

    What is the expected uterine position and firmness immediately after birth?

    <p>Uterus is firm, located at the umbilicus (D)</p> Signup and view all the answers

    What is the expected lochia color on day 5 postpartum?

    <p>Pale pink or brownish (A)</p> Signup and view all the answers

    What is the appropriate nursing intervention if a postpartum woman has a boggy uterus?

    <p>Massage the fundus of the uterus (B)</p> Signup and view all the answers

    What is the primary purpose of applying ice packs to an episiotomy or laceration?

    <p>To reduce swelling and bruising (B)</p> Signup and view all the answers

    Which of the following statements is TRUE regarding postpartum breastfeeding education?

    <p>It is important to ensure that the baby has a good latch, including a portion of the areola in their mouth. (B)</p> Signup and view all the answers

    Which of the following is a characteristic symptom of severe preeclampsia?

    <p>Hyperreflexia (4+, very brisk) (C)</p> Signup and view all the answers

    What is the main distinction between preeclampsia and severe preeclampsia?

    <p>Severity of hypertension (B)</p> Signup and view all the answers

    Which of the following conditions is characterized by seizures in a pregnant woman with preeclampsia?

    <p>Eclampsia (D)</p> Signup and view all the answers

    What does HELLP syndrome stand for?

    <p>Hemolysis, Elevated Liver enzymes, Low Platelets (C)</p> Signup and view all the answers

    Which of the following is NOT a common symptom of HELLP syndrome?

    <p>Decreased fetal movement (D)</p> Signup and view all the answers

    What is the primary treatment approach for severe preeclampsia?

    <p>All of the above (D)</p> Signup and view all the answers

    Which of the following risk factors is associated with an increased likelihood of developing preeclampsia?

    <p>All of the above (D)</p> Signup and view all the answers

    Which of the following is a potential complication of untreated or poorly managed severe preeclampsia?

    <p>All of the above (D)</p> Signup and view all the answers

    What is the primary goal of treatment for eclampsia?

    <p>All of the above (D)</p> Signup and view all the answers

    Which of the following statements about HELLP syndrome is TRUE?

    <p>It primarily affects the mother's blood and liver function (A)</p> Signup and view all the answers

    Which condition is characterized by inflammation of the breast due to a blocked duct?

    <p>Mastitis (C)</p> Signup and view all the answers

    What is the main symptom of hypovolemic shock associated with postpartum hemorrhage (PPH)?

    <p>Persistent significant bleeding (B)</p> Signup and view all the answers

    Which symptom is commonly associated with endometritis?

    <p>Dark, profuse lochia (A)</p> Signup and view all the answers

    What hormone increase is primarily responsible for uterus contraction postpartum?

    <p>Oxytocin (A)</p> Signup and view all the answers

    Which medication should not be administered to patients taking magnesium sulfate due to contraindications?

    <p>Methergine (A)</p> Signup and view all the answers

    What is a defining characteristic of postpartum psychosis?

    <p>Hallucinations and harmful thoughts (D)</p> Signup and view all the answers

    What is the primary risk associated with administering Hemabate to a patient?

    <p>Severe diarrhea (A)</p> Signup and view all the answers

    What clinical sign may indicate a potential hematoma after traumatic birth?

    <p>Severe abdominal pain (D)</p> Signup and view all the answers

    What is a common characteristic symptom of postpartum depression?

    <p>Excessive guilt (A)</p> Signup and view all the answers

    What intervention should be prioritized if a postpartum woman's uterus is boggy?

    <p>Massage the fundus (B)</p> Signup and view all the answers

    What signifies severe preeclampsia based on blood pressure criteria?

    <p>160 or higher systolic OR 110 or higher diastolic (B)</p> Signup and view all the answers

    Which of the following symptoms is indicative of eclampsia?

    <p>Presence of seizures (D)</p> Signup and view all the answers

    Which laboratory findings are characteristic of HELLP syndrome?

    <p>Low hemoglobin, elevated liver enzymes, low platelets (C)</p> Signup and view all the answers

    What is the primary treatment for severe preeclampsia?

    <p>Deliver the baby (C)</p> Signup and view all the answers

    Which medication is considered the drug of choice for managing hypertension during pregnancy?

    <p>Labetalol (C)</p> Signup and view all the answers

    What should be monitored to assess for Magnesium sulfate toxicity?

    <p>Absent deep tendon reflexes (D)</p> Signup and view all the answers

    Which of the following would be a complication of Magnesium sulfate administration?

    <p>Postpartum hemorrhage (C)</p> Signup and view all the answers

    Which symptom is NOT typically associated with severe preeclampsia?

    <p>Absence of proteinuria (A)</p> Signup and view all the answers

    What is the expected color of lochia on day 5 postpartum?

    <p>Serosa (pinkish-brown) (C)</p> Signup and view all the answers

    What is a common physiological change postpartum related to hormones?

    <p>Increased oxytocin levels (C)</p> Signup and view all the answers

    Which symptom should be monitored in a patient receiving Magnesium sulfate?

    <p>Weakness in limbs (D)</p> Signup and view all the answers

    What is the primary nursing intervention for a patient with a boggy uterus?

    <p>Massage the fundus (C)</p> Signup and view all the answers

    Which medication is contraindicated in patients with hypertension?

    <p>Methergine (B)</p> Signup and view all the answers

    What is an important dietary recommendation for postpartum bowel management?

    <p>Increase fiber and hydration (A)</p> Signup and view all the answers

    Which of the following criteria is used to define Severe Preeclampsia?

    <p>Systolic blood pressure of 160 mmHg or higher, and diastolic blood pressure of 110 mmHg or higher, and proteinuria 3+ or higher (B)</p> Signup and view all the answers

    Which of the following is a characteristic symptom associated with Severe Preeclampsia?

    <p>Hyperreflexia (C)</p> Signup and view all the answers

    Which of the following conditions, is associated with elevated liver enzymes, low platelet count, and hemolysis?

    <p>HELLP Syndrome (D)</p> Signup and view all the answers

    Which of the following is a characteristic of Eclampsia?

    <p>Seizures in a woman with preeclampsia (B)</p> Signup and view all the answers

    What is a potential complication associated with untreated or poorly managed Eclampsia?

    <p>Placental abruption (D)</p> Signup and view all the answers

    Which of the following laboratory findings are characteristic of HELLP syndrome?

    <p>Elevated liver enzymes and low platelet count (D)</p> Signup and view all the answers

    Which of the following criteria defines severe preeclampsia?

    <p>Systolic blood pressure of 160 mmHg or higher, diastolic blood pressure of 110 mmHg or higher, and proteinuria 3+ or higher. (A)</p> Signup and view all the answers

    Which of the following symptoms is NOT typically associated with severe preeclampsia?

    <p>Decreased blood pressure (D)</p> Signup and view all the answers

    Which of the following laboratory findings is NOT characteristic of HELLP syndrome?

    <p>Elevated creatinine (B)</p> Signup and view all the answers

    Which condition is characterized by seizures in a pregnant woman with preeclampsia?

    <p>Eclampsia (C)</p> Signup and view all the answers

    What is a defining characteristic of Eclampsia?

    <p>The development of seizures in a woman with preeclampsia (A)</p> Signup and view all the answers

    Which of the following laboratory findings is most indicative of HELLP syndrome?

    <p>Increased liver enzymes and decreased platelet count (A)</p> Signup and view all the answers

    Flashcards

    Hyperemesis Gravidarum

    A severe form of nausea and vomiting during pregnancy, requiring medical intervention.

    Intervention for Hyperemesis

    Keep patient NPO until vomiting stops; hydrate with IV fluids, monitor vital signs and weight.

    Common Medications for Hyperemesis

    Includes IV hydration, pyridoxine (vitamin B6), antiemetics, and corticosteroids for resistant cases.

    Iron-deficiency Anemia Risks

    Risk includes short time between pregnancies and heavy menstrual periods.

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    Symptoms of Iron-deficiency Anemia

    Symptoms include fatigue, weakness, pale complexion, and PICA (craving non-food items).

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    Management of Iron-deficiency Anemia

    Increase intake of iron-rich foods, take vitamin C, and use iron supplements.

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    Gestational Diabetes Mellitus (GDM)

    Condition of high blood sugar developing during pregnancy, often linked to hypertension.

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    Symptoms of Hyperglycemia

    Symptoms include increased thirst, hunger, frequent urination, and fruity breath.

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    Gestational Hypertension

    New onset of hypertension after 20 weeks of pregnancy without proteinuria.

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    Severe Preeclampsia Symptoms

    High blood pressure (160/110+), significant proteinuria, and hyperreflexia.

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    Primary PPH

    Primary postpartum hemorrhage occurs within the first 24 hours after birth.

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    Secondary PPH

    Secondary postpartum hemorrhage occurs from 24 hours to 12 weeks after birth.

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    Hypovolemic Shock Symptoms

    Signs include weakness, rapid pulse, low BP, ashen skin, and persistent bleeding.

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    Uterine Atony

    Uterine atony is the main cause of primary postpartum hemorrhage.

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    Pitocin

    Pitocin is a medication that contracts the uterus to reduce bleeding.

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    Mastitis

    Mastitis is an inflammation of the breast due to a blocked duct, causing pain and flu-like symptoms.

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    Endometritis

    Endometritis is an infection of the uterine lining, causing tenderness and foul lochia.

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    Postpartum Blues

    Postpartum blues are mood swings that resolve within two weeks after birth.

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    Postpartum Depression

    Postpartum depression is a persistent mood disorder affecting self-care and infant care.

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    Mastitis Interventions

    Interventions include continuing breastfeeding, antibiotics, and supportive bras.

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    Severe Headache

    A pain in the head that is intense and persistent, often indicative of complications in pregnancy.

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    Hyperreflexia

    Exaggerated reflexes observed during neurological examinations, suggestive of potential complications.

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    Clonus

    A series of involuntary muscle contractions and relaxations, observed when the foot is dangle flexed.

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    Oliguria

    Reduced urine output, often a sign of kidney issues.

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    Vision Changes

    Alterations in eyesight which may indicate a severe condition during pregnancy.

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    Pitting Edema

    Swelling of lower extremities where an indentation remains after pressing the skin.

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    Epigastric Pain

    Pain located in the upper abdomen, often indicating complications such as HELLP syndrome.

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    HELLP Syndrome

    A serious condition in pregnancy characterized by hemolysis, elevated liver enzymes, and low platelets.

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    Hydralazine

    The drug of choice for managing hypertension in pregnant women.

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    Labetalol

    An antihypertensive medication safe for postpartum management of high blood pressure.

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    Magnesium Sulfate

    An anticonvulsant used to prevent seizures in pregnant women, particularly in preeclampsia.

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    Postpartum Hemorrhage

    Excessive bleeding after childbirth, often a risk when using certain medications.

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    Lochia

    Vaginal discharge after childbirth that changes color over a few weeks.

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    Episiotomy

    A surgical cut made during childbirth to aid delivery, which requires specific care post-birth.

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    Hyperemesis Gravidarum Interventions

    Keep patient NPO until vomiting stops; monitor hydration, I&O, vital signs, and daily weight.

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    Medications for Hyperemesis

    Includes IV fluids, pyridoxine (vitamin B6), antiemetics, and corticosteroids for severe cases.

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    Complications for Hyperemesis

    Risks for newborns include Intrauterine Growth Restriction (IUGR), Small for Gestational Age (SGA), and preterm birth.

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    Iron-Deficiency Anemia Symptoms

    Signs include fatigue, weakness, pale skin, and PICA (cravings for non-food).

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    Iron Deficiency Anemia Management

    Increase iron-rich foods (like beef, greens) and vitamin C; use ferrous sulfate or iron infusions.

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    Gestational Diabetes Risk Factors

    Increased risk for women with gestational hypertension and those who are overweight or have a poor diet.

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    Severe Preeclampsia Criteria

    Includes high blood pressure (≥160/110) and significant proteinuria (≥3+) with hyperreflexia (very brisk reflexes).

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    Chronic Hypertension Definition

    Blood pressure of 140/90 or more before pregnancy or before 20 weeks of gestation.

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    Breast Assessment Postpartum

    Evaluate breast for cracks, redness, and educate on latch techniques after birth.

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    Hypovolemic Shock Signs

    Symptoms include persistent bleeding, weakness, ashen skin, and low BP.

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    Pitocin Function

    A medication that contracts the uterus to prevent postpartum hemorrhage.

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    Methergine Contraindications

    Not for hypertensive women; avoid if on magnesium sulfate.

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    Hemabate Side Effects

    Commonly causes explosive diarrhea; contraindicated in asthma.

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    Endometritis Symptoms

    Involves uterine tenderness, foul lochia, and fever above 100.4°F.

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    Mastitis Assessment

    Characterized by unilateral breast pain, swelling, and flu-like symptoms.

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    Postpartum Depression Symptoms

    Includes ongoing guilt, lack of interest in self-care, and infant care.

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    Psychosis Signs

    Involves hallucinations and thoughts of self-harm or harming the infant.

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    Vitamin B6 in Hyperemesis

    Pyridoxine (Vitamin B6) is administered to help manage symptoms of hyperemesis.

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    Total Parenteral Nutrition (TPN)

    IV nutrition support utilized when oral intake is not possible due to severe hyperemesis.

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    Primary Intervention for GDM

    Diet and exercise maintenance are essential for managing gestational diabetes mellitus.

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    Signs of Hyperglycemia

    Common symptoms include increased thirst, frequent urination, and fruity breath.

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    Gestational Hypertension Criteria

    Defined by new onset hypertension after 20 weeks with BP readings of 140/90 or higher.

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    Preeclampsia Definition

    Condition characterized by new onset hypertension and proteinuria after 20 weeks of gestation.

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    Uterus Location Post-Birth

    Should be firm and midline, at umbilicus one hour after delivery.

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    Lochia Stages

    Vaginal discharge post-delivery: Rubra, Serosa, Alba.

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    Episiotomy Care

    Surgical cut recovery needs ice packs and warm cleaning.

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    Toxicity Signs of Magnesium Sulfate

    Indications include <30ml/hr urine, absent DTRs, depressed respirations.

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    Signs of Hypovolemic Shock

    Includes persistent bleeding, weakness, ashen skin, cool skin, increased HR, and decreased BP.

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    Mastitis Symptoms

    Unilateral breast pain, warmth, redness, swelling, and flu-like symptoms.

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    Cytotec Administration

    Must be given rectally or orally for effectiveness in postpartum care.

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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.

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