Which of the following instructions would the nurse include in the teaching plan for a
postpartum woman with mastitis?
A. Stop breastfeeding until the pain and swelling subside
B. Limit the amount of fluid you drink so your breasts don't get much fuller.
C. You'll need to take this medication to stop the milk from being produced.
D. Try applying warm compresses to your breasts to encourage the milk to be
released.
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, D. Try applying warm compresses to your breasts to encourage the milk to
be released.
Rationale - Warm compresses promote the let-down reflex, encouraging
the milk to be released. They also provide comfort. With mastitis, breast-
feeding is encouraged to empty the breasts and reverse milk stasis and to
maintain the milk supply. Lactation is not suppressed. Fluid intake is
important to ensure adequate milk supply. In addition, fluid intake is
important when infection is present.
A postpartum woman is experiencing subinvolution. When reviewing the client's
history for factors that might contribute to this condition, which would the nurse
identify? (Select all that apply.)
A. Hydramnios
B. Early ambulation
C. Prolonged labor
D. Uterine infection
E. Breast-feeding
F. Multifetal pregnancy
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A. Hydramnios
C. Prolonged labor
D. Uterine infection
F. Multifetal pregnancy
Rationale - Factors that inhibit involution that would result in subinvolution
include prolonged labor and difficult birth, uterine infection, over
distention of the uterine muscles such as from hydramnios, twin pregnancy,
a full bladder, close childbirth spacing, and incomplete expulsion of
amniotic membranes and placenta. Breast-feeding, early ambulation, and
an empty bladder would facilitate uterine involution.
,The nurse recognizes that the postpartum period is a time of rapid changes for each
client. Which of the following is believed to be the cause of postpartum affective
disorders?
A. Preexisting conditions in the client
B. Medications used during labor and delivery
C. Drop in estrogen and progesterone levels after birth
D. Lack of social support from family or friends
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C. Drop in estrogen and progesterone levels after birth
Rationale - Plummeting levels of estrogen and progesterone immediately
after birth can contribute to postpartum mood disorders. It is believed that
the greater the change in these hormone levels between pregnancy and
postpartum, the greater the change for developing a mood disorder. Lack
of support, medications, and preexisting conditions may contribute but are
not the main etiology.
The daily fluid requirement for infants less than 10 kg is 100 mL/kg. How many
milliliters per hour would the nurse set the pump for a newborn weighing 1.2 pounds?
Give this one a try later!
2.3 ml/hr
Treatment for engorgement includes
Give this one a try later!
, ice to decrease pain and swelling
supportive bra
little stimulation as possible - stop breastfeeding
Feelings of being overwhelmed, tired, & mood swings
Give this one a try later!
baby blues
What are the common problems of infants with diabetic mothers?
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macrosomia - shoulder dystocia
respiratory distress syndrome
hypoglycemia
hypocalcemia
hypomagnesemia
polycythemia
hyperbilirubinemia
congenital abnormalities
"Cone Head" Overriding suture lines so that the head will pass through the birth canal.
Give this one a try later!
Molding
postpartum woman with mastitis?
A. Stop breastfeeding until the pain and swelling subside
B. Limit the amount of fluid you drink so your breasts don't get much fuller.
C. You'll need to take this medication to stop the milk from being produced.
D. Try applying warm compresses to your breasts to encourage the milk to be
released.
Give this one a try later!
, D. Try applying warm compresses to your breasts to encourage the milk to
be released.
Rationale - Warm compresses promote the let-down reflex, encouraging
the milk to be released. They also provide comfort. With mastitis, breast-
feeding is encouraged to empty the breasts and reverse milk stasis and to
maintain the milk supply. Lactation is not suppressed. Fluid intake is
important to ensure adequate milk supply. In addition, fluid intake is
important when infection is present.
A postpartum woman is experiencing subinvolution. When reviewing the client's
history for factors that might contribute to this condition, which would the nurse
identify? (Select all that apply.)
A. Hydramnios
B. Early ambulation
C. Prolonged labor
D. Uterine infection
E. Breast-feeding
F. Multifetal pregnancy
Give this one a try later!
A. Hydramnios
C. Prolonged labor
D. Uterine infection
F. Multifetal pregnancy
Rationale - Factors that inhibit involution that would result in subinvolution
include prolonged labor and difficult birth, uterine infection, over
distention of the uterine muscles such as from hydramnios, twin pregnancy,
a full bladder, close childbirth spacing, and incomplete expulsion of
amniotic membranes and placenta. Breast-feeding, early ambulation, and
an empty bladder would facilitate uterine involution.
,The nurse recognizes that the postpartum period is a time of rapid changes for each
client. Which of the following is believed to be the cause of postpartum affective
disorders?
A. Preexisting conditions in the client
B. Medications used during labor and delivery
C. Drop in estrogen and progesterone levels after birth
D. Lack of social support from family or friends
Give this one a try later!
C. Drop in estrogen and progesterone levels after birth
Rationale - Plummeting levels of estrogen and progesterone immediately
after birth can contribute to postpartum mood disorders. It is believed that
the greater the change in these hormone levels between pregnancy and
postpartum, the greater the change for developing a mood disorder. Lack
of support, medications, and preexisting conditions may contribute but are
not the main etiology.
The daily fluid requirement for infants less than 10 kg is 100 mL/kg. How many
milliliters per hour would the nurse set the pump for a newborn weighing 1.2 pounds?
Give this one a try later!
2.3 ml/hr
Treatment for engorgement includes
Give this one a try later!
, ice to decrease pain and swelling
supportive bra
little stimulation as possible - stop breastfeeding
Feelings of being overwhelmed, tired, & mood swings
Give this one a try later!
baby blues
What are the common problems of infants with diabetic mothers?
Give this one a try later!
macrosomia - shoulder dystocia
respiratory distress syndrome
hypoglycemia
hypocalcemia
hypomagnesemia
polycythemia
hyperbilirubinemia
congenital abnormalities
"Cone Head" Overriding suture lines so that the head will pass through the birth canal.
Give this one a try later!
Molding
