BSN 346 ISBN 3 Exam Questions and Answers All Correct

BSN 346 ISBN 3 Exam Questions and Answers All Correct The postpartum period last from - Answer-birth to 6 weeks The postpartum period is when the womans body is - Answer-returning to prepregnancy state Priority postpartum assessment for vaginal delivery - Answer-* Fundus * peri area * lochia * output *Vital signs Additional assessment for C-Section - Answer-*LOC *Dressing C/D/I *Return of feeling in legs Assessment begins with - Answer-*Getting report for delivery room nurse *Obtaining lab values How often should postpartum assessment happen - Answer-Q15 mins x1 HR how to palpate fundus - Answer-*HOB flat * Client in supine position * Knees bent During fundus palpation, if mother has had an epidural do not - Answer-bend knees how to palpate fundus - Answer-one hand top, one hand bottom to support lower segment. Fundus should be - Answer-firm and midline, around umbilicus T/F You can not over massage the fundus - Answer-F Observe lochia flow while - Answer-palpating fundus Lochia Flow (Scant) - Answer- 1in on pad Lochia flow light - Answer-4 in on pad Lochia flow moderate - Answer- 6in on pad Lochia flow "Heavy" - Answer-1 pad saturated in less than 1 hr Lochia flow "Excessive" - Answer-more than 1 pad per hour saturated 1 saturated pad equals about - Answer-100ml of blood If excessive bleeding is present when uterus is hard, this may indicate - Answerhemorrhage for cervical or vaginal LAC **NOTIFY PROVIDER Warm sits bath is not appropriate when - Answer-just after delivery d/t infection risk Vital signs assessed - Answer-Q15 mins x1hr then Q 1hr Important for C-Section patient to be out of bed when? - Answer-With in 6 hr after birth Additional postpartum assessment - Answer-*Breasts/Nipple *bladder The purpose of the postpartum assessment is to - Answer-*Ensure healthy transition to per-pregnancy state *Assess for potential risks *Provide teaching of self care and well being *Support, Promote, and advocate What is the most common cause of retained placental fragments - AnswerSubinvolution Subinvolution - Answer-Failure of the uterus to reduce to its normal size and condition after pregnancy What intervention should a nurse implement for a non breast feeding mother - AnswerBreast binder What factors predispose the patient for thrombli - Answer-Hypercoagulation Immobility Pyschosocial changes in postpartum - Answer-*perspective self concept, to role as new mom *Postpartum body image *impact of physical changes to provide support to new born and available support system Signs and symptoms of post partum blues - Answer-*Mood swings *Feeling sad *Crying that resolves in a few days What infant behavior can facilitate parental attachment - Answer-Tracking and following parents face Sings of postpartum depression - Answer-*Low mood *Low energy *Lack of enjoyment what parental behavior a