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Exam (elaborations)

Nur 337 Midterm Asu Questions And Verified Answers

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NUR 337 MIDTERM ASU QUESTIONS AND VERIFIED ANSWERS

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List early indications of infant hunger.


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Hand to mouth or hand to hand movements

Sucking motions

Rooting reflex- infant moves towards whatever touches area around mouth
and attempts to suck


Mouthing




Why is it important that the baby latch onto the breast when his/her mouth is wide
open?


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, To latch correctly to create adequate suction for milk removal
Will ensure adequate nutrition of newborn and will be less painful for
mother




Peri-Care for post-birth


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Instruct pt to fill peri-bottle with warm water and rinse stitches area after
each voiding or BM

Wipe from front to back, patting gently

Change peripads after each voiding

Spray episiotomy area with anesthetic spray after wiping


Apply 1 - 2 Tucks (witch hazel) pads to peripad with each pad change

Encourage use of sitz bath 24 hrs postpartum per Doctor's order for 20 min
bid-tid especially if pt had a 3rd or 4th degree laceration




Contemplation Stage


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'Getting ready', intention to engage in the healthy behavior within the next
few months but could remain in this phase for the next two years,
appreciate the positives of changing their behavior but may still try to avoid
action, has the thought of changing a particular behavior but is unlikely to
act

, Pushing/Birth


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20 min-3 hr
· Contractions: 45-90 seconds, 3-5 min apart
· Urge to bear down & push to relieve pressure
· Emotions: relief or exhaustion
· Help change positions, you're almost there, rest between pushes
· Descent (push down, slide back), baby pushed down pelvis from -2 to +4
(measured q2), baby has 5 separate bony plates so can get through birth
canal but baby has cone shaped head for a few days after birth




Tocodynamometer:


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measures maternal contractions (frequency & duration), knob, on top of
uterus, amniotic fluid remains intact!




Vitamin K purpose/administration in newborn


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0.5-1mg IM into vastus lateralis

To prevent hemorrhagic disorders b/c Vit K not produced in GI tract until
day 7 after formula or breast milk introduced

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