NR g 348 g Peds g & g OB g Exam g 1 g questions g and g answers g correct g and g verified g 100%

NR g 348 g Peds g & g OB g Exam g 1 g questions g and g answers g correct g and g verified g 100% What g role g does g oxytocin g play g in g postpartum? g - g correct g answers--secreted g from g pituitary g gland. -coordinates g and g strenghtens g uterine g contractions. -can g be g administered g to g help g with g contractions. g postpartum g to g decrease g bleeding g and g size g of g uterus. -release g stimulated g during g breastfeeding. What g is g the g postpartum g period? g - g correct g answers--4th g stage g of g labor -Recovery g occurs g within g 2-3 g hours g after g labor g -Postpartum-first g 6 g weeks g after g birth -also g called g the g peurperium Whta g is g the g main g goal g during g the g immediate g postpartum? g - g correct g answers-#1 g is g preventing g hemmorhage, g shock g and g infection Also -assisting g client g recovery -ID g abnormalities g -comfort g measures/pain g mgmt -client g education g about g newborn g & g self-care -promoting g mom/family/infant g bonding What g role g does g estrogen g play g in g postpartum? g - g correct g answers-Decreased g production g of g estrogen g pospartum g causes g --breast g engorgement -diaphoresis -diuresis g (excessive g peeing) -decreased g vaginal g lubrication What g role g does g progesterone g play g in g postpartum? g - g correct g answers-Decreased g progesterone g postpartum g results g in g increased g muscle g tone g throughout g body What g role g does g insulinase g play g in g postpartum? g - g correct g answers-Decreased g insulinase g results g in g reversal g of g diabetogenic g effects g of g pregnancy, g which g lowers g blood g sugar g immediately g in g postpartum What g role g does g hCG g play g in g postpartum? g - g correct g answers--Hormone g detected g that g indicates g pregnancy -Dissapears g from g bloodstream g quickly g after g birth What g role g does g prolactin g play g in g postpartum? g - g correct g answers--Delays g return g of g ovulation g and g menstruation -Controls g milk g supply In g lactating g moms: g 1st g postpartum g ovulation g usually g occurs g 6mo g after g birth In g non-lactating g moms: g prolactin g declines g and g menses g resumes g by g 12 g weeks g postpartum What g is g included g in g a g focused g postpartum g assessment? g - g correct g answers-"BUBBLE-LED" B:Breasts U:Uterus g B:Bowel g & g G.I. g function B:Bladder g function L:Lochia g E:Episiotomy L:Lower g extremities E:Emotional g status D:Diastasis g recti g (separation g of g the g rectus g abdominus g muscles g druing g and g after g pregnancy, g usually g resolves g 6-8wks) + g Vital g signs g & g pain g assessment g & g teaching g needs What g is g included g in g a g breast g assessment? g - g correct g answers--Nipple g shape g (eversion, g inversion, g flat) g -Document g bruises, g creases, g breaks g in g skin, g colors, g swollen, g etc. g -Look g for g complications Postpartum g breast g complications g - g correct g answers-1. g Engorgement- g swollen g breast, g can g be g very g painful, g heavy, g erythema treatment: g if g breastfeeding, g pump. g If g not, g ice g packs, g cold g cabbage g leaves, g avoid g hot g showers. g 2. g Blocked g duct- g unable g to g empty g milk, g can g feel g tender, g lumpy treatment: g massage g breast, g apply g warm g pack, g pump 3. g Cracked g nipple- g apply g ointment g (ex: g lanolin) 4. g Mastitis- g infection g of g the g tissue g causing g pain, g swelling, g erythema - g milk g is g still g safe/flowing. treatement: g ABX Stages g of g milk g production g in g a g postpartum g patient g - g correct g answers-Colostrum- g yellow, g sticky g milk g secreted g during g pregnancy g and g the g 2-3 g days g immediately g after g birth Milk- g once g placenta g is g removed, g mature g milk g produced g 3-5 g days g after g birth *promote g breastfeeding g within g 1st g 1-2 g hours g after g birth, g pt g education g about g breastfeeding uterine g assessment g postpartum g - g correct g answers--Palpate g fundus g to g assess g height g (start g at g bellybutton g and g work g down), g placement g (midline, g deviated g to g L/R), g and g tone g (firm/boggy) -Support g c-section g inscision g with g hand g while g palpating -Look g for g vaginal g bleeding g while g palpating Normal: g Fundus g firm, g midline, g at g U g or g U g -1, g -2, g etc -If g fundus g size g begins g to g increase-uterine g bleeding g likely g NOTE: g If g bladder g is g full, g it g can g shift g uterus g to g side, g ask g mom g if g she g needs g to g void bowel g function g assessment g postpartum g - g correct g answers-assess g for.. -return g of g appetite -bowel g sounds g & g function g (ask g about g BM/gas) -constipation g management g (can g be g from g meds, g weight g of g baby) -hemorrhoids -incontinence g Encourage g mobility, g stool g softeners, g fluids g and g increase g fiber g in g diet bladder g function g assessment g postpartum g - g correct g answers--measure g 1st g 2 g voids -assess g for g urinary g retention, g can g occur g from g swelling/epidural/loss g of g sensation g (May g need g straight g cath g or g foley) -DONT g WANT g FULL g BLADDER- g can g push g uterus g to g side, g hemorrhage g risk g -Get g 2 g staff g members g to g help g m download for complete and clear document