NFDN 2004 Unit 5 questions with accurate
answers
3rd and 4th degree tears Ans✓✓✓ •Mothers are put on bowel routine to
facilitate a soft bowel movement. (Check unit protocol for this.)
•NO ENEMAS/SUPPOSITORIES - nothing should be inserted in
through the anal sphincter in case there is a disruption of the sutures and
then subsequent bleeding or infection.
after pains (contractions) Ans✓✓✓ Felt more by women with bigger
babies or Multiparity as the uterus has to work harder
assessment for urinary retention Ans✓✓✓ Palpate bladder, should be
voiding at least 80-100mL each void. In/outs. Bladder scans for PVR.
c- section post assessment Ans✓✓✓ treat as post-op. Palpate fundus but
gently. Lochia flow is usually less than vaginal birth
Vitals, IV, foley, incision, lochia, O2.
ALSO DO "Bubble her vitals".
Assess site of spinal or epidural - and assess level of sensation in legs to
make sure the epidural is wearing off.
,use acronym REEDA:
Redness
Edema
Echymosis
Discharge
Approximated
cause of postpartum depression Ans✓✓✓ cause is not fully known,
could be due to hormones, infant behaviour, stress related
characteristics of alba Ans✓✓✓ whitish-colourless. mostly mucous.
10+ days, can last up to 6 weeks
characteristics of rubra Ans✓✓✓ red, first 3 days, mostly blood
characteristics of serosa Ans✓✓✓ pink-brown, blood and mucous, days
3-10
daily care for breast feeding mother Ans✓✓✓ can shower daily, but do
NOT use soap on breasts: it dries them out and can cause cracking
can use lanolin based cream for cracks if they occur
wear a good supportive bra
if she is leaking, she can wear breast pads, but they have to be changed
often so no infections occur
, Echymosis Ans✓✓✓ a discoloration of the skin resulting from bleeding
underneath, typically caused by bruising.
education for mother choosing not to breast feed Ans✓✓✓ will take
about 2 weeks to go back to normal
will need lots of support
do not express any milk because the body will continue to produce
breasts will feel like bowling balls, very firm, skin is taute, red
can use ice packs to relieve some comfort
endometritis Ans✓✓✓ infection/inflammation of the endometrium
(lining of the uterus through vagina
bacteria gains access thru vagina
elevated temp (38+ for more than 2 days), chills, loss of appetite,
malaise, foul smelling lochia
usually associated with: chorioamniocentitis, c-section
First degree perineal laceration Ans✓✓✓ vaginal mucous membrane
and skin of the perineum to the fourchette
answers
3rd and 4th degree tears Ans✓✓✓ •Mothers are put on bowel routine to
facilitate a soft bowel movement. (Check unit protocol for this.)
•NO ENEMAS/SUPPOSITORIES - nothing should be inserted in
through the anal sphincter in case there is a disruption of the sutures and
then subsequent bleeding or infection.
after pains (contractions) Ans✓✓✓ Felt more by women with bigger
babies or Multiparity as the uterus has to work harder
assessment for urinary retention Ans✓✓✓ Palpate bladder, should be
voiding at least 80-100mL each void. In/outs. Bladder scans for PVR.
c- section post assessment Ans✓✓✓ treat as post-op. Palpate fundus but
gently. Lochia flow is usually less than vaginal birth
Vitals, IV, foley, incision, lochia, O2.
ALSO DO "Bubble her vitals".
Assess site of spinal or epidural - and assess level of sensation in legs to
make sure the epidural is wearing off.
,use acronym REEDA:
Redness
Edema
Echymosis
Discharge
Approximated
cause of postpartum depression Ans✓✓✓ cause is not fully known,
could be due to hormones, infant behaviour, stress related
characteristics of alba Ans✓✓✓ whitish-colourless. mostly mucous.
10+ days, can last up to 6 weeks
characteristics of rubra Ans✓✓✓ red, first 3 days, mostly blood
characteristics of serosa Ans✓✓✓ pink-brown, blood and mucous, days
3-10
daily care for breast feeding mother Ans✓✓✓ can shower daily, but do
NOT use soap on breasts: it dries them out and can cause cracking
can use lanolin based cream for cracks if they occur
wear a good supportive bra
if she is leaking, she can wear breast pads, but they have to be changed
often so no infections occur
, Echymosis Ans✓✓✓ a discoloration of the skin resulting from bleeding
underneath, typically caused by bruising.
education for mother choosing not to breast feed Ans✓✓✓ will take
about 2 weeks to go back to normal
will need lots of support
do not express any milk because the body will continue to produce
breasts will feel like bowling balls, very firm, skin is taute, red
can use ice packs to relieve some comfort
endometritis Ans✓✓✓ infection/inflammation of the endometrium
(lining of the uterus through vagina
bacteria gains access thru vagina
elevated temp (38+ for more than 2 days), chills, loss of appetite,
malaise, foul smelling lochia
usually associated with: chorioamniocentitis, c-section
First degree perineal laceration Ans✓✓✓ vaginal mucous membrane
and skin of the perineum to the fourchette
