NUR166 Exam Review 100

What is a side effect of Opioid Medication?  Constipation What would we educate to the postpartum mom to help alleviate/prevent constipation symptoms?  Walk, Water, Fiber (Remember WWF) How often do you breastfeed?  Every 2-3 hours What signs of Mastitis?  Redness and heat in the breast  Tenderness  Edema and heaviness in the breast  Purulent drainage (may or may not be present)  Potential lump or knot that can be felt in the breast %pass Assess Nipples for  Cracks  Blisters  Colostrum What is Isoimmunization? (2 Questions on Test)  Baby is Rh Positive and mom is Rh Negative and the Rh Positive blood leaks in the mom’s blood circulation. The mom’s body will start making antibodies to destroy the Rh Positive baby. What vaccines can mom not get during pregnancy?  Live Vaccines such as MMR or Nasal Flu Spray. What vaccines should mom get during pregnancy?  TDAP after 29 weeks and the Flu SHOT. What are some interventions we can do for a swollen perineum?  Keeping ice packs on your perineum can help to ease pain and reduce swelling for the first 24 hours.  Keep your perineal area clean by using your perineal squirt bottle filled with only warm water to squirt front to back with every void or bowel movement.  Pain Medication.  You will be given a topical numbing spray that you can apply every time you care for your perineum. You can also use Witch Hazel and Tucks apd.  Sitz Bath after the first 24 hours. What to do with a soft boggy uterus?  Massage vigorously until the uterus becomes firm. DO NOT STOP MASSAGING until a physician comes in.