Stages of Labor and Postpartum Care

Questions and Answers

Which conditions are considered preexisting medical concerns during pregnancy?

Allergies and asthma

Gestational diabetes and gestational hypertension

Diabetes Mellitus and cardiac disease (correct)

Obesity and hypertension

What is the primary action to take when caring for a patient with Acute laryngotracheobronchitis?

Place the patient in a supine position

Encourage the patient to cough forcefully

Administer oral steroids immediately

Monitor respiratory rate and lung sounds (correct)

Which of the following practices is standard during a Cesarean section?

Epidurals are rarely used in this type of procedure

The woman's fundus should be assessed for softness only after recovery

An indwelling catheter is typically inserted prior to the surgery (correct)

The patient does not require any emotional support

In managing gestational diabetes, which statement is true?

It typically resolves after pregnancy Signup and view all the answers

Which of the following is an appropriate nursing action for first-time mothers after a Cesarean birth?

Check the fundus to ensure it is firm Signup and view all the answers

Which behavior is a common problem expected in school-aged children?

Stealing Signup and view all the answers

What is the appropriate intervention if the fundus feels boggy after birth?

Massage the fundus until it becomes firm Signup and view all the answers

What color indicates lochia in the first few days post-birth?

Bloody with fleshy odor Signup and view all the answers

During which stage of labor is the cervix dilated from 8 to 10 cm?

Transition stage Signup and view all the answers

When should a patient be assessed every 30 minutes during the postpartum period?

For the second hour Signup and view all the answers

Which of the following is NOT a sign of lochia returning to normal?

Return to pink/red after becoming white Signup and view all the answers

What specific nutritional supplementation is essential for pregnant women?

Iron, folic acid, and calcium Signup and view all the answers

What indicates a serious psychiatric disturbance in school-aged children?

Stealing and bullying behaviors Signup and view all the answers

What is a characteristic physical feature commonly associated with Down Syndrome?

Low nasal bridge Signup and view all the answers

What is the typical assessment frequency for a patient in the first hour postpartum?

Every 15 minutes Signup and view all the answers

During which stage of labor does fetal engagement occur?

First stage Signup and view all the answers

What should be avoided for an infant post-cleft palate surgery?

Straws and suction Signup and view all the answers

How many calories should pregnant women increase their intake by daily?

300 calories Signup and view all the answers

Which of the following is a key aspect of therapeutic communication for nurses?

Listening and understanding the client Signup and view all the answers

What is typically true regarding individuals with Down Syndrome in terms of lifespan?

They usually have a short lifespan Signup and view all the answers

What vital nutrient should be emphasized for infants recovering from surgery?

Adequate nutrition Signup and view all the answers

Study Notes

Stages of Labor

First stage consists of three phases: Latent (0-3 cm), Active (4-7 cm), and Transition (8-10 cm) dilation.
Second stage: full dilation until the baby is delivered.
Third stage: from birth to the delivery of the placenta.
Fourth stage: first two hours post-birth, monitoring is critical.

Postpartum Care

Initial assessments: every 15 minutes for the first hour, every 30 minutes for the second hour, and hourly for the next two hours.
Lochia monitoring is essential; assess color, quantity, and presence of clots.
Lochia stages:
- Days 1-3: Rubra (bloody, fleshy odor, possible clots).
- Days 4-9: Serosa (pink/brown, fleshy odor).
- Day 10+: Alba (yellow-white).
Fundus should be firm; if boggy, massage until firm.

Growth & Development: School-Aged Child

Developmental stage spans ages 6-12.
Common challenges include stealing, bullying, and substance abuse, but some may indicate serious psychiatric issues.

Pregnancy Complications

Preexisting conditions like cardiac disease and diabetes persist throughout pregnancy.
Gestational diabetes and gestational hypertension arise during pregnancy but typically resolve afterward.
Close monitoring of these conditions is needed for fetal well-being.

Croup Syndrome

Known as acute laryngotracheobronchitis (LTB); respiratory assessment is crucial.
Monitor respiratory rate, breathing quality, lung sounds, cough, and pulse oximetry.
Positioning: high Fowler's with cool humidity via a mask can alleviate symptoms.

Cesarean Birth

Epidurals commonly used; emotional support from the nurse is critical.
An indwelling catheter is inserted prior to the procedure.
After surgery, assess fundus firmness; it should be firm.
Provide support for first-time mothers and ensure adequate infant nutrition post-birth.

Cleft Palate Repair

Typically performed around 18 months; infant should lie on their abdomen post-surgery.
Avoid suction or straw use to protect the surgical area.

Down Syndrome

Result of chromosomal abnormality with an extra chromosome.
Notable physical features: low nasal bridge, flat forehead, protruding tongue, low-set ears, epicanthal folds.
Complications often lead to shortened lifespan; educating parents about Down syndrome is vital.

Nutrition Throughout Life Cycle

Nutrition requirements vary across life stages: Pregnancy, Infancy, Toddlerhood, Childhood, Adolescence, and Elderly.
Pregnant women should increase caloric intake by 300 calories daily and supplement with iron, folic acid, and calcium.

Therapeutic Communication

Establish strong nurse-client relationships based on trust.
Effective listening and understanding are essential for positive interactions.
Nurses should be aware of their own skills and limitations to improve client care.

Labor Process

Stages include: fetal engagement, contractions, dilation & effacement, and rupture of membranes.
There are four defined stages of labor to monitor for successful delivery.

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Description

This quiz covers the stages of labor, including the various phases leading up to childbirth and the crucial postpartum care practices. Learn about monitoring techniques, lochia stages, and developmental challenges in school-aged children. Ideal for students studying maternal and child health.