NURSING PRACTICE - MATERNAL HEALTH GUIDE| QUESTIONS
& ANSWERS| GRADE A| 100% CORRECT (VERIFIED
SOLUTIONS)- GALEN
How do you teach new parents to prepare formula?
Based on manufacturers instructions (discard after 24 hrs) Water should be
from a tested source
Equipment should be sterilized prior to use & then washed w/ hot soapy
water Dishwasher CAN be used
Can be fed cold, room temp, or warm Do NOT use microwave to warm formula
Shake after heating & prior to giving to baby
Bottle should always be held up and never propped up Burp frequently
NO COWS MILK until at least 1 yo
What are benefits of breastfeeding for mom & baby?
Baby: enhance immunity through transfer of maternal antibodies, enhanced
maturation of the GI tract, decreased risk of SIDS, developing T2DM, asthma,
and childhood obesity.
Mom: decreased risk of breast, ovarian, and uterine cancer. decreased risk of
T2DM, decreased risk of PPH, enhanced PP weight loss, enhanced bonding w/
infant, less expensive.
The first line of treatment for uterine atony is __________________________
fundal massage
The failure of the uterus to return to its pregpregnancy state is called ____________
subinvolution
,A mom came into the ER c/o body aches, fatigue, breast pain, fever & chills.
What dx would the RN expect the MD to give this pt?
1. Flu
2. Clogged milk duct
3. Mastitis
4. Endometritis
3
During a morning assessment, mom who delivered a healthy baby girl 2 days
ago, tells the RN that the devil told her the baby will never be healthy unless
she leaves her in a bathtub of water. What should the RN do @ this time?
1. Finish the assessment & charge moms statement for MD to follow up on during
rounds
2. Ask mom what drugs she is taking in case they need to be adjusted
3. Push the call light for the charge RN and MD to come into room immediately
4. Nothing
3
, Nurse is caring for a G3P1 mom while she is in labor. She is 38 wks, med hx of
36% BMI, chronic hypertension, gallbladder removal 2 yrs ago, and
uneventful past pregnancies. She had a reactive NST in triage when she
arrived 14 hrs ago. She delivered approx 15 mins ago and is showing signs of
PPH with a QBL of 1600ml. Which of the follow orders from the MD should
the RN question and why?
1. Methergine 0.2mg IV Q2H x3 doses
2. Oxytocin 40 units IV bolus
3.Indwelling urinary cath & monitor
I&Os
4. Monitor v/s Q15 mins x2 hrs
1 - pt's who have HTN cannot have Methergine
During & after delivery, the RN weighs the pads, linens, and any other bloody items.
This is called _______________
Quantifying blood loss
Mom delivered 2 hrs ago & on routine fundal & perineal assessment, RN notes
a firm fundus that is midline @ the umbilicus & moderate bright red bleeding.
Where is the bleeding likely coming from & what is causing it?
1. The uterus
2. Placental insertion site
3. Cervix
4. This is a normal finding
3 - caused by a laceration.
FIRM FUNDUS & BLEEDING = LACERATION
BOGGY FUNDUS & BLEEDING = PPH