Exam 2: PRN 1831/ PRN1831 (NEW 2023/
2024 Update) Principles of Maternal Child
Health Nursing | Review with Questions and
Verified Answers|100% Correct| A Grade -
Rasmussen
QUESTION
How does the bladder impact involution and bleeding
Answer:
A distended bladder pushes the uterus upward and usually to one side of the abdomen. The
fundus may be boggy or firm. If not emptied, a distended bladder can result in uterine atony and
hemorrhage because it interferes with the normal contraction of the uterus.
QUESTION
Postpartum blues, depression Baby blues
Answer:
resultant from hormonal shift after delivery First few postpartal days peak on the 5th day subside
over the next several days.
QUESTION
Postpartum depression
Answer:
symptoms are persisting beyond 2 weeks postpartum Get adequate rest Take help from support
person Know expected changes (baby blues), & when to report symptoms to provider
QUESTION
Symptoms of endometritis
,Answer:
Temperature elevation o Tachycardia o Uterine tenderness, subinvolution o Malaise o Heavy,
foul-smelling lochia
QUESTION
Symptoms of magnesium toxicity
Answer:
Assess every hour respiratory status/respirations, deep tendon reflexes, and LOC o
Antidote: Calcium gluconate
QUESTION
Symptoms of mastitis
Answer:
Firm, red, swollen, tender breast w/ fever, myalgias, chills, malaise
QUESTION
cause of mastitis
Answer:
common cause is the hemolytic staphylococcus aureus, introduced from the infant's mouth
through a fissure in the nipple
QUESTION
Rubin's phases "taking in"
Answer:
Dependent First 24-48 hr Focus on meeting personal needs Rely on others for assistance Excited,
talkative Need to review birth experience with others
, QUESTION
Rubin's phases "taking hold"
Answer:
Begins on day 2 or 3 Lasts 10 days to several weeks Focus on baby care and improving
caregiving competency Want to take charge but need acceptance from others Want to learn and
practice, Dealing with physical and emotional discomforts, can experience "baby blues"
QUESTION
Rubin's phases "letting go"
Answer:
Focus on family as a unit Resumption of role (intimate partner, individual)
QUESTION
BUBBLEHE assessment
Answer:
Breasts, Uterus, Bladder, Bowels, Lochia, Episiotomy, Homan's Sign, Emotional Status
QUESTION
perineal assessment
Answer:
Manage inflammation/edema - cool/ice packs o After first 24 hrs - sitz bath (heat)
QUESTION
Importance of folate in pregnancy what conditions does it prevent in the newborn?
Answer:
2024 Update) Principles of Maternal Child
Health Nursing | Review with Questions and
Verified Answers|100% Correct| A Grade -
Rasmussen
QUESTION
How does the bladder impact involution and bleeding
Answer:
A distended bladder pushes the uterus upward and usually to one side of the abdomen. The
fundus may be boggy or firm. If not emptied, a distended bladder can result in uterine atony and
hemorrhage because it interferes with the normal contraction of the uterus.
QUESTION
Postpartum blues, depression Baby blues
Answer:
resultant from hormonal shift after delivery First few postpartal days peak on the 5th day subside
over the next several days.
QUESTION
Postpartum depression
Answer:
symptoms are persisting beyond 2 weeks postpartum Get adequate rest Take help from support
person Know expected changes (baby blues), & when to report symptoms to provider
QUESTION
Symptoms of endometritis
,Answer:
Temperature elevation o Tachycardia o Uterine tenderness, subinvolution o Malaise o Heavy,
foul-smelling lochia
QUESTION
Symptoms of magnesium toxicity
Answer:
Assess every hour respiratory status/respirations, deep tendon reflexes, and LOC o
Antidote: Calcium gluconate
QUESTION
Symptoms of mastitis
Answer:
Firm, red, swollen, tender breast w/ fever, myalgias, chills, malaise
QUESTION
cause of mastitis
Answer:
common cause is the hemolytic staphylococcus aureus, introduced from the infant's mouth
through a fissure in the nipple
QUESTION
Rubin's phases "taking in"
Answer:
Dependent First 24-48 hr Focus on meeting personal needs Rely on others for assistance Excited,
talkative Need to review birth experience with others
, QUESTION
Rubin's phases "taking hold"
Answer:
Begins on day 2 or 3 Lasts 10 days to several weeks Focus on baby care and improving
caregiving competency Want to take charge but need acceptance from others Want to learn and
practice, Dealing with physical and emotional discomforts, can experience "baby blues"
QUESTION
Rubin's phases "letting go"
Answer:
Focus on family as a unit Resumption of role (intimate partner, individual)
QUESTION
BUBBLEHE assessment
Answer:
Breasts, Uterus, Bladder, Bowels, Lochia, Episiotomy, Homan's Sign, Emotional Status
QUESTION
perineal assessment
Answer:
Manage inflammation/edema - cool/ice packs o After first 24 hrs - sitz bath (heat)
QUESTION
Importance of folate in pregnancy what conditions does it prevent in the newborn?
Answer:
