NM705 MODULE 5 FINAL EXAM 1ST 12 HOURS, MATERNAL DAY 1-7 QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED

NM705 MODULE 5 FINAL EXAM 1ST 12 HOURS, MATERNAL DAY 1-7 QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED What is normal maternal BP in the first 12 hours? 85/60 and 140/90 What is normal maternal pulse during the 1st 12 hours? 65-80 abnormal 100 What is considered normal blood loss? 500 or less How is blood loss calculated? 1gm=500ml 3%=500ml What is normal maternal respiratory rate during the 1st 12 hours? 12-18 at rest What is normal maternal temperature in the 1st 12 hours? 100.4/38 Where is the fundus during the 1st hour after birth? At or below the umbilicus What accounts for the cardiovascular changes in the 1st 12 hours? Blood loss Auto-transfusion Mobilization of fluid What is autotransfusion? The return of blood volume that results from the removal of the low pressure fetal-placental unit. What is meant by mobilization of fluid? Rapid return of maternal extracellular fluid that goes back into the maternal intravascular space. What two ways does the body protect itself from PPH? Chemical Hemostasis which is the hyper-coagulable state of pregnancy and mechanical hemostasis which is the muscular contraction of the uterus that ligates the uterine arteries. What actions encourage uterine contraction? Uterine massage and regular emptying of the bladder What are the warning signs of uterine atony? Difficulty locating the fundus Soft boggy fundus Fungal massage firms then loses tone Fundus is located above umbilicus Excessive lochia Excessive clots expelled (golf ball) Constant steady trickle What does REEDA stand for? redness, edema, ecchymosis, drainage, approximation What are the components of trauma informed care? containment, connecting and compassion What is meant by containment in TIC? Setting safe physical and emotional boundaries for the client What is meant by connecting in TIC? Ensures the client is seen and heard. Greeting, repeating, and summarizing client interactions. What is meant by compassion in TIC? Demonstrated as the provider accepts the client's experience according to their perception. What is matrescence? The physical, emotional and social adjustment to becoming a mother. Similar to adolescence. When does lactogenesis I occur? 12-16 weeks-day 2 postpartum What happens in lactogenesis I? Alveolar cells mature to produce colostrum When does lactogenesis II occur? 30-72 hours or as long as 96 hours after ceasarean and preterm birth What triggers lactogenesis II?