Maternal Child Nursing: Test #3 Review
Study online at https://quizlet.com/_jtmu7w
1. Preterm pregnancy Fetal lungs not ready, greatest risk is to the fetus.
side effects
2. Prolonged pregnancy Risk of placental insufficiency, fetal weight loss, peeling skin, decreased
side effects O2/nutrients, passage of meconium, hypoglycemia.
3. Characteristics of Skin transparent and loose; superficial veins may be seen in abdomen
preterm newborn and scalp; lack of SQ fat; lanugo present; vernix caseosa is abundant;
extremities short; sole of feet have few creases; abdomen protrudes; nails
are short; genitalia are small, and labia majora may be open.
4. Characteristics of post- Long and thin; looks like weight has been lost; skin loose, especially
term newborn around thighs and buttocks; little lanugo or vernix caseosa; nails long
and may be stained with meconium; thick head of hair; looks alert.
5. Uterine fundus loca- Felt at the level of the umbilicus or slightly lower or above; de-
tion after birth scends about 1cm (fingers breadth/width) per day (by day 10 postpar-
tum-should not be able to palpate uterus).
6. Uterine fundus consis- Firm mass; size of a grapefruit; if boggy or soft (poorly contracted)-mas-
tency after birth sage (one hand above, one below to prevent inverting of uterus), mas-
sage in circular motion.
7. Afterpains Intermittent uterine contractions similar to menstrual cramping; can oc-
cur more often with breastfeeding due to release of oxytocin; decreases
rapidly within 48 hours after birth.
8. Massaging a boggy Causes uterine muscles to contract which seals off blood vessels where
uterus placenta was attached to uterus.
9. When to massage the Massage anytime the uterus is boggy (soft, relaxed).
uterus
10.
, Maternal Child Nursing: Test #3 Review
Study online at https://quizlet.com/_jtmu7w
How to massage the Place one hand over the fundus and one below the uterus (to prevent
fundus turning inside/out) and rub the fundus in a circular motion with slight
pressure until firmness returns.
11. Stages of lochia Lochia rubra-red discharge made of mostly blood; birth to 3 days post.
Lochia serosa-pinkish brown discharge from blood and mucus content;
3-10 days post. Lochia alba-creamy white, clear, colorless discharge
made of mostly mucus; 10-21 days.
12. Lochia odor Lochia should have a fleshy or menstrual odor.
13. Monitoring lochia Lochia should be monitored frequently; if excessive discharge noted,
check fundus (should be firm and midline), provide a clean pad and
recheck within 15 minutes; pads can be counted or weighed to deter-
mine accurate output.
14. Pooling of lochia Pooling occurs in the mother while laying down and lochia will be heavier
once standing ('gush'); small clots are expected NOT large ones.
15. Lochia in cesarean Women with cesareans may produce less lochia within the first 24 hours.
mothers
16. Pad application Apply pads front to back.
17. When to report lochia Report foul smelling lochia, return to previous lochia stage; excessive
issues clots; bright red trickle or spurting.
18. Return of menstrual The new mother can expect her menstrual periods to resume in 5 weeks
periods if she is not breastfeeding. Whereas, in the breastfeeding mother, return
of ovulation and menstruation are around 8 weeks.
19. Postpartum assess- What should be assessed on the mother postpartum?
ment for mother
, Maternal Child Nursing: Test #3 Review
Study online at https://quizlet.com/_jtmu7w
20. Breast appearance Lactation, full but soft 1st 2-3 days
21. Uterus fundal location Size and condition monitored
22. Bowel sounds Monitored for return and presence, monitor for constipation
23. Bladder monitoring Monitored for voiding for at least the 1st 2-3 voids, decreased bladder
size, and/or anesthesia; encourage voiding every 2-3 hours
24. Lochia Shedding of uterine lining; monitor amount, color, odor, clots, pad use
25. Episiotomy/Lacera- Monitored for infection, dehiscence, evisceration, approximation, su-
tion/C-section Incision ture/staple amount, drainage, hematoma, ecchymosis, hemorrhage; ice
pack in the first 24 hours, heat after
26. Colostrum Yellowish fluid rich in antibodies, protein, vitamins A and E, minerals,
nitrogen, calories; 'early milk' for the 1st 2-3 days; contains a natural
laxative to help with passage of meconium
27. Hygiene teaching Daily baths/showers encouraged while lochia present; perineal care to
be taught and completed with warm water from front to back with each
voiding, especially while episiotomy or laceration repair is present/heal-
ing
28. Sexual intercourse Safe to resume intercourse when bleeding has stopped and perineum
is healed
29. Diet for breastfeeding Increase caloric intake by about 500 calories; well balanced; be aware of
mothers cultural influences
30. Cord care Clamp will be removed before leaving hospital; cord will shrink, discolor,
and fall off within 10-14 days after delivery; cleaning cord and under
circumference of cord with warm water or ETOH pads with each void;
may instruct to apply triple dry, betadine, or antibiotic cream to promote
Study online at https://quizlet.com/_jtmu7w
1. Preterm pregnancy Fetal lungs not ready, greatest risk is to the fetus.
side effects
2. Prolonged pregnancy Risk of placental insufficiency, fetal weight loss, peeling skin, decreased
side effects O2/nutrients, passage of meconium, hypoglycemia.
3. Characteristics of Skin transparent and loose; superficial veins may be seen in abdomen
preterm newborn and scalp; lack of SQ fat; lanugo present; vernix caseosa is abundant;
extremities short; sole of feet have few creases; abdomen protrudes; nails
are short; genitalia are small, and labia majora may be open.
4. Characteristics of post- Long and thin; looks like weight has been lost; skin loose, especially
term newborn around thighs and buttocks; little lanugo or vernix caseosa; nails long
and may be stained with meconium; thick head of hair; looks alert.
5. Uterine fundus loca- Felt at the level of the umbilicus or slightly lower or above; de-
tion after birth scends about 1cm (fingers breadth/width) per day (by day 10 postpar-
tum-should not be able to palpate uterus).
6. Uterine fundus consis- Firm mass; size of a grapefruit; if boggy or soft (poorly contracted)-mas-
tency after birth sage (one hand above, one below to prevent inverting of uterus), mas-
sage in circular motion.
7. Afterpains Intermittent uterine contractions similar to menstrual cramping; can oc-
cur more often with breastfeeding due to release of oxytocin; decreases
rapidly within 48 hours after birth.
8. Massaging a boggy Causes uterine muscles to contract which seals off blood vessels where
uterus placenta was attached to uterus.
9. When to massage the Massage anytime the uterus is boggy (soft, relaxed).
uterus
10.
, Maternal Child Nursing: Test #3 Review
Study online at https://quizlet.com/_jtmu7w
How to massage the Place one hand over the fundus and one below the uterus (to prevent
fundus turning inside/out) and rub the fundus in a circular motion with slight
pressure until firmness returns.
11. Stages of lochia Lochia rubra-red discharge made of mostly blood; birth to 3 days post.
Lochia serosa-pinkish brown discharge from blood and mucus content;
3-10 days post. Lochia alba-creamy white, clear, colorless discharge
made of mostly mucus; 10-21 days.
12. Lochia odor Lochia should have a fleshy or menstrual odor.
13. Monitoring lochia Lochia should be monitored frequently; if excessive discharge noted,
check fundus (should be firm and midline), provide a clean pad and
recheck within 15 minutes; pads can be counted or weighed to deter-
mine accurate output.
14. Pooling of lochia Pooling occurs in the mother while laying down and lochia will be heavier
once standing ('gush'); small clots are expected NOT large ones.
15. Lochia in cesarean Women with cesareans may produce less lochia within the first 24 hours.
mothers
16. Pad application Apply pads front to back.
17. When to report lochia Report foul smelling lochia, return to previous lochia stage; excessive
issues clots; bright red trickle or spurting.
18. Return of menstrual The new mother can expect her menstrual periods to resume in 5 weeks
periods if she is not breastfeeding. Whereas, in the breastfeeding mother, return
of ovulation and menstruation are around 8 weeks.
19. Postpartum assess- What should be assessed on the mother postpartum?
ment for mother
, Maternal Child Nursing: Test #3 Review
Study online at https://quizlet.com/_jtmu7w
20. Breast appearance Lactation, full but soft 1st 2-3 days
21. Uterus fundal location Size and condition monitored
22. Bowel sounds Monitored for return and presence, monitor for constipation
23. Bladder monitoring Monitored for voiding for at least the 1st 2-3 voids, decreased bladder
size, and/or anesthesia; encourage voiding every 2-3 hours
24. Lochia Shedding of uterine lining; monitor amount, color, odor, clots, pad use
25. Episiotomy/Lacera- Monitored for infection, dehiscence, evisceration, approximation, su-
tion/C-section Incision ture/staple amount, drainage, hematoma, ecchymosis, hemorrhage; ice
pack in the first 24 hours, heat after
26. Colostrum Yellowish fluid rich in antibodies, protein, vitamins A and E, minerals,
nitrogen, calories; 'early milk' for the 1st 2-3 days; contains a natural
laxative to help with passage of meconium
27. Hygiene teaching Daily baths/showers encouraged while lochia present; perineal care to
be taught and completed with warm water from front to back with each
voiding, especially while episiotomy or laceration repair is present/heal-
ing
28. Sexual intercourse Safe to resume intercourse when bleeding has stopped and perineum
is healed
29. Diet for breastfeeding Increase caloric intake by about 500 calories; well balanced; be aware of
mothers cultural influences
30. Cord care Clamp will be removed before leaving hospital; cord will shrink, discolor,
and fall off within 10-14 days after delivery; cleaning cord and under
circumference of cord with warm water or ETOH pads with each void;
may instruct to apply triple dry, betadine, or antibiotic cream to promote
