BSNC 5000 MATERNITY EXAM QUESTIONS WIT ALL CORRECT ANSWERS

BSNC 5000 MATERNITY EXAM QUESTIONS WIT ALL CORRECT ANSWERS what stimulates breastmilk production? - Answer-decrease in estrogen and progesterone levels are birth stimulates increased prolactin levels postpartum hemorrhage - Answer-- over 500mL of blood loss in SVD or over 1000mL in C/S - any blood loss that causes hemolytic issues causes of PPH - Answer-- tone (uterine atony, high parity) - tissue (retained placenta, abruption, accreta/increta/percreta) - trauma (tear, episiotomy, traumatic birth) - thrombin (coagulation disorders, pre-eclampsia) - other (obesity, precipitous labour, anemia, overdistension) placenta accreta - Answer-slight penetration of myometrium placenta increta - Answer-deep penetration of myometrium placenta percreta - Answer-perforation of the uterus placental previa - Answer-placenta implanted over cervix interventions for PPH - Answer-- notify HCP and stay with patient - fundal massage - administer oxygen - get IV access and start infusion - insert urinary catheter - administer oxytocin - reassess fundus, bleeding, vital signs - prepare for blood admin hypovolemic shock - Answer-shock resulting from blood or fluid loss (decrease BP, increase HR/RR, cool/clammy skin) shoulder dystocia - Answer-shoulder cannot get under pelvic inlet nuchal cord - Answer-loops of umbilical cord around the fetal neck what medication to watch out for with HTN? - Answer-ergovine, hemabate non-pharm methods for pain - Answer-breathing, position, reduce stimuli, peanut ball, mobilization, bathing, distraction, aromatherapy, music pharm methods for labour pain - Answer-benzodiazepine (sedation), opioids (fentanyl, morphine), local anesthesia, epidural, spinal anesthesia, nitrous oxide, general anesthesia (emergencies only) recommendations for infant feeding - Answer-exclusive breastfeeding, introduce solids at 6 months, feed every 2-3 hours for 15-20mins on both sides, vitamin D supplement daily if breastfeeding, feed within first hour (golden hour) postpartum blues - Answer-first few days after birth with joy and feelings of well-being postpartum depression - Answer-persistent sadness, guilt, worthlessness postpartum psychosis - Answer-hallucinations, delusions, impaired reality (medical emergency) mastitis - Answer-infection of the breast - continue to breastfeed - need antibiotics puerperal infection - Answer-infection within labour to 42 days PP endometritis - Answer-infection of the endometrium - common in C/S and prolonged ROM engorgement - Answer-painful swelling of breast tissue with milk production - cold/warm compress, hand express, cabbage leaves, anti-inflammatories postpartum assessment for GDM - Answer-- check maternal BG levels - education on 6 week carb test - initiate breastfeeding postpartum assessment for PPH - Answer-- focused PP assessment - repeat blood work (Hgb) - delayed lactogenesis why are pregnant women at increased risk of thromboembolism? - Answer-pregnancy is a hypercoaguable state risks for perinatal mood disorders - Answer-history of psych, prenatal anxiety, depression during pregnancy or PP, stress, low social support, unfavorable OB outcomes, history of abuse, substance use, low socioeconomic status, breastfeeding challenges newborn physiological adaptations to extrauterine life - Answer-1. establish and maintain respirations 2. adjust to circulatory changes 3. regulate temperature 4. ingest/retain/digest nutrients 5. eliminate waste 6. regulate weight when do the major adaptations to extrauterine life occur? - Answer-first 6-8 hours newborn behavioural adaptations to extrauterine life - Answer-1. establish regular behaviour temperament independent of mom 2. process/store/organize multiple stimuli 3. establish relationship with caregiver and environment