Maternity Nursing Lecture Exam 1 Material | Comprehensive Study Notes & Exam Revision Guide

MaternityD F NursingD F (Lecture):D F ExamD F 1D F Mate
rial
1. AD F decreaseD F inD F estrogenD F &D F progesteroneD F levelsD F afterD F delivery
D F stimulates:D F TheDFsecretionDFofDFprolactin,DFwhichDFpromotesDFproductionDFofDFbreastDFmilk.
2. UterineDFcrampingDFmayDFoccurDFwhileDFbreastfeedingDFwhen:DFOxytocinDFstimul
ationDFcausesDFtheDFuterusDFtoDFcontract.
3. BreastDFCareDF&DFDiscomfortDFMeasures:DF·DFAlwaysDFwearDFaDFsupportiveDFbra
· AdministerDFanalgesicsDFasDFprescribed
4. Non-BreastfeedingDFMothers:DFUseDFofDFiceDFpacksDForDFcabbageDFleaves.
5. BreastfeedingD F Mothers:D F IfDFengorgementDFoccurs,DFshouldDFfeedDFfrequently,DFdoDFnotD
FskipDFfeedings.DFUseDFofDFwarmDFsoaksDFbeforeDFfeedingDFforDFtheDFbreastfeedingDFmother.
· WashDFbreastDFbutDFuseDFNODFSOAP
6. CrackedDFnipples::DFExposeDFthemDFtoDFairDFafterDFfeeding.DFImproveDFbaby'sDFLatchDFontoDFareola,D
FnotDFjustDFtheDFnipple.
7. Colostrum:DFYellowishDFfluidDFproducedDFinDFtheDFbreastsDFbeforeDFlactation.
8. Engorgement:DFSwellingDFofDFbreastDFtissueDFcausedDFbyDFincreasedDFbloodDFandDFlymphDFsupplyDFto
DFtheDFbreastsDFasDFtheDFbodyDFbeginsDFtheDFprocessDFofDFlactation.
9. EngorgementDFoccurs:DF72-96DFhoursDF(3-
4DFdays)DFafterDFdeliveryDFandDFsubsidesDFinDF24DFtoDF48DFhours.
10. Mastitis:DFIsDFinflammationDFofDF&DFinfectionDFofDFtheDFbreast,DFusuallyDFoccurringDF2-
4DFweeksDFpostDFdelivery.
11. MastitisDFis:DFCommonDFinDFtheDFupperDFouterDFquadrantDFofDFtheDFbreast.
12. MastitisDFsymptoms:DFInfluenza-
likeDF("flu"),DFincludingDFfever,DFchills,DFmalaise,DFbodyDFaches,DFheadache,DFnauseaDF&DFvomiting.

· UsuallyDFhasDFlocalizedDFbreastDFpainDF&DFtendernessDF&DFaDFwarm-
hot,DFreddenedDFareaDFonDFtheDFbreast.
13. MastitisDFmanagement:DFContinueDFbreastfeeding,DFwarmDFcompresses,DFadequateDFfluids/dietDFint
ake,DF&DFantibiotics.
14. BreastfeedingDFpatientDFeducation:DFHeatDFtoDFtheDFbreastDFtoDFincreaseDFcirculationDFandDFco
mfort;DFsupport-
iveDFbra;DFfeedDFinfantDForDFexpressDFmilk;DFlactationDFsupport;DFBFDFlatch’nippleDFandDFareola,DFaddit
ionalDF500DFcaloriesDFaDFdayDFtoDFdietDFandDFcontinueDFprenatalDFvitamins.
15. BottleD F feedingD F education:D F ProlactinDFlevelsDFdropDFrapidly;DFSupportiveDFbra,DFiceDFpa
cks,DFcabbageDFleaves,
analgesics,DFnoDFnippleDFstimulation,DFavoidDFheat-

, MaternityD F NursingD F (Lecture):D F ExamD F 1D F Mate
rial
DFturnDFbackDFtoDFwarmDFwaterDFshower;DFInformDFclientsDFwhoDFdoDFnotDFplanDFtoDFbreastfeedDFthatDFthisDFw
illDFresolveDFonDFitsDFownDFbutDFbreastDFbindersDForDFsupportDFbrasDFthatDFcanDFbeDFused,DFanDFiceDFpackDForDFca
bbageD F leavesDFcanDFbeDFappliedDF;DFDoDFnotDFstimulateDFbreastDForDFexpressDFmilk.

, MaternityD F NursingD F (Lecture):D F ExamD F 1D F Mate
rial
16. MastitisDFsignsDFandDFsymptoms:DFInflammationDFofDFbreastDFtissueDForDFmilkDFstasis,DFpossi
blyDFfromDFcrackedDFnipple,DFunilateral;DFPainDFtenderness,DFredness,DFwarmth,DFswollenDFlymphDFnodes,DF
wedgeDFshapedDFpatternDFusuallyDFupperDFouterDFquadrant;DFfluDFlikeDFsymptoms,DFfever,DFmalaise;DFAnt
ibioticsDFandDFcontinueDFbreastfeeding.
17. EngorgementDFcomfortDFmeasures:D F Large,DFfirm,DFwarmDFandDFtenderDFpain’breastsDFbe
comeDFfullerDFand
heavier;DFFrequentDFfeedingsDF8-12DFtimesDFperDFdayDFandDFdoDFnotDFskipDFfeedings.
18. SoreDFnipplesDFcomfortDFmeasures:DFBruisedDFandDFcracked’needDFtoDFimproveDFlatch;D
FLanolin;DFExposeDFbreastsDFtoDFairDFafterDFfeeding.
19. BreastDFmilkDFcomesDFin:DF72-96DFhoursDFafterDFbirthDF(Engorgement)DForDF3-
5DFdaysDFafterDFdelivery.
20. "HowDFdoDFIDFknowDFmyDFbabyDFisDFgettingDFenoughDF(breastmilk)?":DF
TheyDFseemDFcalmDFandDFrelaxedDFduringDFfeeds.DFYourDFbabyDFcomesDFottDFtheDFbreastDFonDFt
heirDFownDFatDFtheDFendDFofDFfeeds.DFTheirDFmouthsDFlookDFmoistDFafterDFfeedingDFandDFhandsDFare
DFnoDFlongerDFfisted.DFYourDFbabyDFappearsDFcontentDFandDFsatisfiedDFafterDFmostDFfeeds.
21. HowDFoftenDFshouldDFyouDFbreastfeedDFtheDFbaby?:DF8-12DFtimesDFaDFday
22. AfterpainsDF(afterbirthDFpains):DFUncomfortableDFuterineDFcramping,DFwhichDFresultDFfromDFvi
gorousDFcon-
tractionDFofDFtheDFuterusDFduringDFtheDFearlyDFpostpartum,DFareDFmoreDFcommonDFinDFmultiparas,
DFbreastfeedingDFmothers,DFclientsDFtreatedDFwithDFoxytocin,DFandDFclientsDFwhoDFhadDFanDFoverDFdistended
DFuterusDFduringDFpregnancy,DFsuchDFasDFthoseDFwhoDFcarriedDFtwins.
23. UterineDFatony:DFFailureDFofDFtheDFuterineDFmuscleDFtoDFcontractDFfirmly.DFItDFisDFtheDFmost
DFfrequentDFcauseDFofDFexcessive
postpartumDFbleeding.
24. UterineDFStimulantsDF(Oxytocics):DFClassificationDFofDFmedicationsDFthatDFstimulateDFcontrac
tionDFofDFtheDFuterineDFsmoothDFmuscleDF(Oxytocin,DFProstaglandin).
25. WhereDFshouldDFtheDFfundusDFbeDFlocatedDF2DFdaysDFpostpartum?:DF2DFcmD
FbelowDFtheDFumbilicus.
26. SignsDF&DFSymptomsDFandDFmanagementDFofDFendometritis:DFInfectionDFofDFt
heDFliningDFofDFtheDFuterus;DFLowerDFabdominalDFtendernessDForDFpain,DFfeverDFaboveDF100.4,DFfoulDFs
mellingDFlochia,DFanorexia,DFnausea,DFfatigue,DFlethargy;DFleukocytosisDFandDFelevatedDFsedimentationDFrate;DFPelvic
DFpain,DFchills,DFfatigue,DFandDFlossDFofDFappetite;DFUterineD F tendernessDFandDFenlargement,DFdarkDFprofuse
DFlochia;DFlochiaDFthatDFisDFeitherDFmalodorousDForDFpurulentDFtempDFgreaterDFthanDF100.4,DFtachycardia;