NR 327 EXAM 2 STUDY GUIDE OB MATERNAL

NR 327 EXAM 2 STUDY GUIDE OB MATERNAL Focus On: 1. Newborn assessment 2. Postpartum assessment 3. Postpartum hemorrhage 4. Preeclampsia 5. Placental Previa 6. Placental abruption 7. Preterm labor 8. Hydatidiform mole 9. Medications on your clinical list Chapter 17: Postpartum Adaptations and nursing Care Chapter 22: Infant Feeding Chapter 25: Family planning Quiz #3 Chapter 19: Normal Newborn-Processes of adaptation Chapter 20: Assessment of the normal newborn Chapter 21: Care of the normal newborn Quiz #4 Chapter 10: Complications of Pregnancy Chapter 16: Intrapartum Complications Chapter 18: Postpartum Maternal Complications Quiz #5 Chapter 17: Postpartum Adaptations and nursing Care Chapter 22: Infant Feeding Chapter 25: Family planning Quiz #3 • 4th stage of labor/Postpartum period/ Puerperium • First 6 weeks after birth of infant o -Return of reproductive organs to normal non-pregnant state • Physiological maternal changes o Uterine involution ▪ Starts right after delivery of placenta ▪ Changes of reproductive organs, particularly the uterus that returns to non-pregnant size and condition • Involves three processes o 1. Contraction of muscle fibers o 2. Catabolism: the process of converting cells into simpler compounds o 3. Regeneration of the uterine epithelium Sub-involution: when uterus does not return to non-pregnant state, o lochia flow, cervical involution, o Decrease in vaginal distention o alteration in ovarian function and menstruation o Cardiovascular, urinary tract, breast and GI tract changes