UPDATE) NURSING PRACTICE - MATERNAL
HEALTH GUIDE| QUESTIONS & ANSWERS|
GRADE A| 100% CORRECT (VERIFIED
SOLUTIONS)- GALEN
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During d/c teaching w/ a pt who has MMR Vaccine - it interacts w/ the Warfarin
experienced a DVT during labor and
delivery & has been described
Warfarin, the nurse should be sure to
emphasize avoiding which of the
following and why?
1. Excessive alcohol consumption
2. MMR vaccine
3. Ibuprofen
4. Large amounts of leafy, green
veggies
5. Vitamin C
,What is Endometritis? -During the immediate PP period
-Most common site of infection is the endometrium
(lining of the uterus)
-Inflammation of uterine lining that usually starts @
placental site & spreads to endometrium
-Can extend to fallopian tubes, ovaries, perineum,
pelvic veins or pelvic connective tissue
Signs of Endometritis -temp over 101
-develops within 24-48 hrs after birth
-tachycardia
-uterine tenderness
-suprapubic pain
-subinvolution
-malaise
-heavy, FOUL SMELLING lochia (later sign = entire
endometrium is involved) when anaerobic
organisms are present
-scant, odorless lochia is noted when beta-
hemolytic strep is present
RN is performing assessment on 2, 3, 4, 5
mom 44 hours after uneventful
delivery. Which of the following
would cause the RN to suspect the
pt is developing endometritis?
1. Deviated fundus
2. Temp of 101.2
3. Suprapubic pain
4. Foul smelling lochia
5. Scant, odorless lochia
, Mom is 42 wks & is being induced 2
with oxytocin d/t postdate. Her
medical hx shows that she takes
Levothyroxine for hypothyroidism,
she had an ectopic pregnancy 5
years ago, and her BMI is 23%. Which
part of this info would indicate to the
nurse that she is @ risk for a PPH?
1. Hypothyroidism
2. Induction
3. BMI
4. Ectopic pregnancy
PP c-section mom calls to nurses 3
station and says it is painful to
breathe and she feels like her heart is
racing. RN enters the room to find
mom holding her chest & coughing.
Mom says she's scared & can't catch
her breath. What complication
should the RN expect?
1. Flu
2. Endometritis
3. Pulmonary embolism
4. PPH
The first line of treatment for uterine fundal massage
atony is __________________________
The failure of the uterus to return to subinvolution
its pregpregnancy state is called
____________