Rasmussen MCN Exam 2 Study Guide: Comprehensive Review of Maternal and Child Nursing Concepts questions and answers study guide NEW!!!

Rasmussen MCN Exam 2 Study Guide: Comprehensive Review of Maternal and Child Nursing Concepts questions and answers study guide NEW!!!Rasmussen MCN Exam 2 Study Guide: Comprehensive Review of Maternal and Child Nursing Concepts questions and answers study guide NEW!!!Rasmussen MCN Exam 2 Study Guide: Comprehensive Review of Maternal and Child Nursing Concepts questions and answers study guide NEW!!! Rasmussen MCN Exam 2 Study Guide: Comprehensive Review of Maternal and Child Nursing Concepts questions and answers study guide NEW!!! 2. Lochia serosa (pink/brown): Lochia is blood, mucus, and inva cytes and starts in postpartum days 3-10. 3. Lochia Alba (white to yellow-white): Lochia is non-odorous, cus-like, with high leukocyte counts and starts in postpartum days 10-14 last 6 weeks.) 4. •The greatest risk in postpartum stage is *hemorrhage, shock, tion*: The greatest risks to a postpartum mom 5. Oxytoxics: medications can be given to help prom of the uterus thus decreasing bleeding and chances of hemorrhage 6. *afterpains* ªbreastfeeding increases the afterpains as oxytocin is released with stimulation.: are the contractions pains that help with involuti uterus (similar to menstrual cramps.) ªthey can be much more painful for multiparas women and those with an distended uterus (polyhydramnios, multiple gestations, macrosomic infant, etc.). ªthey are usually not as bad after the first few days. 7. ªLochia amount varies greatly from woman to woman. ªMothers who breastfeed tend to have less lochial discharge than those who do not because the natural release of the hormone oxytocin dur feeding strengthens uterine contractions. ªLochial flow increases on exertion, especially the first few times out of bed but decreases again with rest. ªSaturating a perineal pad in less than 1 hour is considered an abnormally heavy flow and should be reported. ªDon't use tampons to halt the flow or this could lead to infection.: Lochia Evaluation - *Amount* 8. ªLochia should contain no exceedingly large clots as these may indicate a portion of the placenta has been retained and is preventing cl maternal uterine blood sinuses. ªIn any event, large clots denote poor uterine contraction, which corrected.: Lochia Evaluation - *Consistency* 9. ªLochia is red for the first 1 to 3 days (lochia rubra), pinkish-brown from days 4 to 10 (lochia serosa), and then white (lochia alba) for as long as birth. ªThe pattern of lochia (rubra to serosa to alba) should not revers suggests a placental fragment has been retained or uterine con decreasing and new bleeding is beginning.: Lochia Evaluation - *Pattern* 10. ªLochia should not have an offensive odor as this suggests t become infected. ªImmediate intervention is needed to halt postpartal infection.: L tion - *Odor* 11. ªLochia should never be absent during the first 1 to 3 weeks a lochia, like presence of an offensive odor, may indicate postpart ªLochia may be scant in amount after cesarean delivery, but it is gether absent.: Lochia Evaluation - *Absence* 12. •Scant - less than 2.5cm • Light - less than 10cm • Moderate - more than 10cm • Heavy - one pad saturated within 2 hours • Excessive - one pad saturated in 15mins or less: Name the 5 types of amounts and their measurements 13. *It decreases by one fingerbreadth, or 1 cm, per day* ªRight after birth it's at the umbilicus ªFor example, on the first postpartal day, it will be palpable 1 cm umbilicus. ªIn the average woman, by the ninth or tenth day, the uterus will h ed so much that it is withdrawn into the pelvis and can no longer be detected by abdominal palpation: Postpartum: *Fundal Height Changes* 14. ªPalpate the fundus of the uterus by placing one hand on the base of the uterus, just above the symphysis pubis, and the other at the umbilicus. ªPress in and downward with the hand at the umbilicus until you "bump" against a firm globular mass in the abdomen: the uterine fundus: How do you palpate the fundus? 15. episiotomy: incision made into the perineum to enlarge the vagi help with delivery 16. laceration: a tear during labor 17. •Promote measures for the client to help soften her stool (stool softeners or high fiber foods like fruit, fluids) • Sitz baths • NO Enemas or Suppositories • Analgesics