Maternal/Newborn ATI Final REVIEW
What is the fourth stage of labor and when does it start? - Postpartum period- starts after the delivery
of the placenta
What are the greatest risks during the postpartum period? - Hemorrhage
Shock
Infection
When is RH immune globulin (RhoGAM) administered to post partum women? - Administered 72 hours
for women who are Rh-negative and gave birth to infants who are Rh-positive
This prevents sensitization to Rh in future pregnancies
What is included in the postpartum nursing assessment? - Monitoring vital signs
Assessing uterine firmness & location in relation to umbilicus
Uterine position in relation to midline (if deviated, assist mom in emptying bladder)
Amount of vaginal bleeding (lochia)
How often should vitals be monitored after delivery? - Every 15 min for the first hour
Every 30 minutes for second hour
Every 4-8 hr depending on remaining medication regimen
This occurs with contractions of the uterine smooth muscle, whereby the uterus returns to its pre-
pregnant state - Involution
Defined as blood flow from the uterus during postpartum period - Lochia
This type of lochia is bright red in color, bloody consistency, fleshy odor, may contain small clots - Lochia
rubra
,This type of lochia is pinkish brown in color & serosanguineous consistency - Lochia serosa
This type of lochia is yellowish, white creamy color, fleshy odor - Lochia alba
When is colostrum present in the new mother's breasts? - During pregnancy and 2-3 days immediately
after birth
Defined as an infection in a milk duct of the breast with concurrent flulike symptoms - Mastitis
What are therapeutic and approved holding positions when breast feeding? - Cradle hold
Side-lying hold
Football hold
What does breast feeding cause the release of? What does this prevent? - Breast feeding causes the
release of oxytocin which stimulates uterine contractions (will prevent hemorrhage)
What are normal lab values in the post partum period? - Increased Hct & Hgb up to 72 hours
Leukocytosis (WBC count up to 20,000-25,000 for the first 10-14 days, without presence of infection)
Increased coagulation factors
Increased fibrinogen
A medical condition during pregnancy defined as excessive nausea and vomiting that is prolonged past
12 weeks of gestation. Results in weight loss & electrolyte imbalance - Hyperemesis gravidarum
What are nursing responsibilities when caring for a patient diagnosed with hyperemesis gravidarum? -
Monitor client's I&O
Assess client's skin turgor/mucous membranes
Monitor vital signs
Monitor client's weight
, Have client remain NPO for 24-48 hours
This medical condition occurs during pregnancy due to inadequacy in maternal iron stores and
consuming insufficient amounts of dietary iron - Anemia
This medical condition is defined as an impaired tolerance to glucose with the first onset or recognition
during pregnancy - Gestational diabetes mellitus
What is the ideal blood glucose level during pregnancy? - 70-110mg/dL
What are the clinical manifestations of hypoglycemia? - Nervousness
Headache
Weakness
Irritability
Hunger
Blurred vision
Tingling of mouth/extremities
What are the clinical manifestations of hyperglycemia? - Thirst
Nausea
Abdominal pain
Frequent urination (diuresis)
Flushed dry skin
Fruity breath
What are the glucose levels that diagnostically, indicate gestational diabetes mellitus? - Blood glucose
screening of 130-140mg/dL or greater, indicating 3-hr oral glucose test is indicated
This disorder begins after the 20th week of pregnancy where BP s elevated at 140/90 mm Hg or greater
recorded at least twice, 4-6 hours apart within a 1 week period - Gestational hypertension (GH)
What is the fourth stage of labor and when does it start? - Postpartum period- starts after the delivery
of the placenta
What are the greatest risks during the postpartum period? - Hemorrhage
Shock
Infection
When is RH immune globulin (RhoGAM) administered to post partum women? - Administered 72 hours
for women who are Rh-negative and gave birth to infants who are Rh-positive
This prevents sensitization to Rh in future pregnancies
What is included in the postpartum nursing assessment? - Monitoring vital signs
Assessing uterine firmness & location in relation to umbilicus
Uterine position in relation to midline (if deviated, assist mom in emptying bladder)
Amount of vaginal bleeding (lochia)
How often should vitals be monitored after delivery? - Every 15 min for the first hour
Every 30 minutes for second hour
Every 4-8 hr depending on remaining medication regimen
This occurs with contractions of the uterine smooth muscle, whereby the uterus returns to its pre-
pregnant state - Involution
Defined as blood flow from the uterus during postpartum period - Lochia
This type of lochia is bright red in color, bloody consistency, fleshy odor, may contain small clots - Lochia
rubra
,This type of lochia is pinkish brown in color & serosanguineous consistency - Lochia serosa
This type of lochia is yellowish, white creamy color, fleshy odor - Lochia alba
When is colostrum present in the new mother's breasts? - During pregnancy and 2-3 days immediately
after birth
Defined as an infection in a milk duct of the breast with concurrent flulike symptoms - Mastitis
What are therapeutic and approved holding positions when breast feeding? - Cradle hold
Side-lying hold
Football hold
What does breast feeding cause the release of? What does this prevent? - Breast feeding causes the
release of oxytocin which stimulates uterine contractions (will prevent hemorrhage)
What are normal lab values in the post partum period? - Increased Hct & Hgb up to 72 hours
Leukocytosis (WBC count up to 20,000-25,000 for the first 10-14 days, without presence of infection)
Increased coagulation factors
Increased fibrinogen
A medical condition during pregnancy defined as excessive nausea and vomiting that is prolonged past
12 weeks of gestation. Results in weight loss & electrolyte imbalance - Hyperemesis gravidarum
What are nursing responsibilities when caring for a patient diagnosed with hyperemesis gravidarum? -
Monitor client's I&O
Assess client's skin turgor/mucous membranes
Monitor vital signs
Monitor client's weight
, Have client remain NPO for 24-48 hours
This medical condition occurs during pregnancy due to inadequacy in maternal iron stores and
consuming insufficient amounts of dietary iron - Anemia
This medical condition is defined as an impaired tolerance to glucose with the first onset or recognition
during pregnancy - Gestational diabetes mellitus
What is the ideal blood glucose level during pregnancy? - 70-110mg/dL
What are the clinical manifestations of hypoglycemia? - Nervousness
Headache
Weakness
Irritability
Hunger
Blurred vision
Tingling of mouth/extremities
What are the clinical manifestations of hyperglycemia? - Thirst
Nausea
Abdominal pain
Frequent urination (diuresis)
Flushed dry skin
Fruity breath
What are the glucose levels that diagnostically, indicate gestational diabetes mellitus? - Blood glucose
screening of 130-140mg/dL or greater, indicating 3-hr oral glucose test is indicated
This disorder begins after the 20th week of pregnancy where BP s elevated at 140/90 mm Hg or greater
recorded at least twice, 4-6 hours apart within a 1 week period - Gestational hypertension (GH)
