NUR 254 Exam 2 Questions With Complete Solutions
Heavy Bleeding
Saturated in 15 minutes or less & pooling of blood requires
immediate intervention & notifying MD
REEDA
redness, edema, ecchymosis, drainage, approximation
Can lead to infection
Return to nonpregnant state
Increased HR
Decreased Blood Volume
Increased Sweating
Promoting Recovery & self care
-Activity and rest
-Nourishment
-Elimination
-Perineal care
Adolescents
Consumed with themselves
Someone else is caring for baby
Needs extra encouragement
AMA
Gestational Conditions
Rubins Maternal Tasks Phase 1
,Taking in
Taking a minute to understand she had a baby
Rubins Maternal Tasks Phase 2
Taking Hold
Doing baby's care & feeding
Rubins Maternal Tasks Phase 3
Letting Go
Letting others hold or care for baby
Uterine Atony
inability of the uterus to contract effectively
boggy fundus
Early Postpartum Hemorrhage
First 24 hours
Common Cause: Uterine Atony
Late Postpartum Hemorrhage
24 hours to 12 weeks after birth.
Cause- retained placenta
Hypotension-Late s/s
Postpartum Hemorrhage Management
Fundal Massage
Vital Signs
Medications Hemabate- no usage if pt has asthma
Surgical Intervention
Fluid Replacement
, Hematomas
Discoloration of perineum, perineal pain, edema, rectal pressure,
bleeding
MD notified, surgical management vs. monitoring
Vulvar hematomas most common
Thrombophlebitis & Thrombosis
S/s: calf pain, leg tenderness, swelling, redness, heat
Tests: D-dimer, Doppler vo scan, MRI
Medication: NSAIDS, Heparin
Major Complication- PE
Endometritis
inflammation of the inner lining of the uterus
S/s- temp >100.4, pelvic pain, uterine tenderness, heavy & foul
smelling Lochia, chills, increased WBCs
Mastitis
S/s- fever, warm, tender, hard breast, enlarged auxiliary lymph
node, chills, generalized aching, headache, malaise
Management- Abx, rest, increased fluids, comfort measures
Postpartum Psychosocial Complications
70% of women experience a mild depression or baby blues
Management:
reassurance, emotional support, monitor, education, consult with
social services & psych
Newborn respiratory
Heavy Bleeding
Saturated in 15 minutes or less & pooling of blood requires
immediate intervention & notifying MD
REEDA
redness, edema, ecchymosis, drainage, approximation
Can lead to infection
Return to nonpregnant state
Increased HR
Decreased Blood Volume
Increased Sweating
Promoting Recovery & self care
-Activity and rest
-Nourishment
-Elimination
-Perineal care
Adolescents
Consumed with themselves
Someone else is caring for baby
Needs extra encouragement
AMA
Gestational Conditions
Rubins Maternal Tasks Phase 1
,Taking in
Taking a minute to understand she had a baby
Rubins Maternal Tasks Phase 2
Taking Hold
Doing baby's care & feeding
Rubins Maternal Tasks Phase 3
Letting Go
Letting others hold or care for baby
Uterine Atony
inability of the uterus to contract effectively
boggy fundus
Early Postpartum Hemorrhage
First 24 hours
Common Cause: Uterine Atony
Late Postpartum Hemorrhage
24 hours to 12 weeks after birth.
Cause- retained placenta
Hypotension-Late s/s
Postpartum Hemorrhage Management
Fundal Massage
Vital Signs
Medications Hemabate- no usage if pt has asthma
Surgical Intervention
Fluid Replacement
, Hematomas
Discoloration of perineum, perineal pain, edema, rectal pressure,
bleeding
MD notified, surgical management vs. monitoring
Vulvar hematomas most common
Thrombophlebitis & Thrombosis
S/s: calf pain, leg tenderness, swelling, redness, heat
Tests: D-dimer, Doppler vo scan, MRI
Medication: NSAIDS, Heparin
Major Complication- PE
Endometritis
inflammation of the inner lining of the uterus
S/s- temp >100.4, pelvic pain, uterine tenderness, heavy & foul
smelling Lochia, chills, increased WBCs
Mastitis
S/s- fever, warm, tender, hard breast, enlarged auxiliary lymph
node, chills, generalized aching, headache, malaise
Management- Abx, rest, increased fluids, comfort measures
Postpartum Psychosocial Complications
70% of women experience a mild depression or baby blues
Management:
reassurance, emotional support, monitor, education, consult with
social services & psych
Newborn respiratory
