NR465 Exam 2 Prep questions with accurate answers
•Call your provider for mastitis Ans✓✓✓ fever > 100.4, lump, redness,
sore or hot area on the breast that does not go away
4 labs needed in pregnancy and PP Ans✓✓✓ GBS, Rubella, Rh and
blood type
ABO incompatibility Ans✓✓✓ Hemolytic disease that occurs when the
mother's blood type is O and the newborn's is A, B, or AB
active acquired immunity Ans✓✓✓ •Pregnant woman forms antibodies
in response to illness, immunization
After delivery of LGA baby Ans✓✓✓ •Monitoring of blood glucose
levels
•Promote skin to skin and early feeding
•Giving the baby a quick source of glucose
•Giving oxygen or using a breathing machine
•Care for any problems arising from a birth injury
After delivery what happens to the urinary system? Ans✓✓✓ Diuresis
due to decreased oxytocin and estrogen
After delivery, what happens to the GU system? Ans✓✓✓ BM can be
delayed?
,alba discharge can last up to ___ weeks Ans✓✓✓ 6
Apgar scale Ans✓✓✓ appearance, pulse, grimace, activity, respiration
apical pulse newborn Ans✓✓✓ 110-160bell of stethoscope between 4th
and 5th intercostal mid clavicular line
Murmurs may be heard
Assessment finding of Preterm Ans✓✓✓ Tachycardia, Lethargic,
hypotonia, temp instability
Assessment findings for LGA Ans✓✓✓ hypoglycemia, hypoxia,
respiratory distress disorder
Assessment of breast postpartum Ans✓✓✓ Assess the nipples for
chapping or blistering, and look at the latching for breastfeeding
Assessment: SGA Newborns Ans✓✓✓ -Head disproportionately large
compared to rest of body (asymmetric)
-Wasted appearance of extremities
-Reduced subcutaneous fat stores
-Decreased amount of breast tissue
-Scaphoid abdomen (sunken appearance)
,-Wide skull sutures secondary to inadequate bone growth
-Poor muscle tone over buttocks and cheeks
-Loose and dry skin that appears oversized
-Thin umbilical cord
attachment interventions Ans✓✓✓ attachment promotion,
environmental management, family integrity promotion, lactation
counseling, parent education, risk identification
Auscultate postpartum assessment Ans✓✓✓ Listen to Cardiac, Bowel
and Lung Sounds
baby blues Ans✓✓✓ Characterize by emotional lability, crying, easily
and for no apparent reason, a let-down feeling, restlessness, fatigue,
insomnia, headache, sadness, anger
Symptoms are usually mild and short lived
The "blues" are normal
Before discharge Ans✓✓✓ the patient must be taught how to care for
himself at home safely. This requires collaboration on the patient
education plan among the various health professionals involved in the
care, as well as communication with the family and home care nurse, if
any. (Teaching starts at admission.)
Bilateral uterine arteries flow Ans✓✓✓ 500ml/min
, Bladder postpartum assessment Ans✓✓✓ Ensure the patients voids at
least every 6 hours
Bottom postpartum assessment Ans✓✓✓ Check for soreness- can place
ice here in the first 24hours
Bowel postpartum assessment Ans✓✓✓ Ensure they have a BM prior
to discharge, keep fluids up, the fiber in, and mobilization
Breast feeding mother will have decreased estrogen levels until?
Ans✓✓✓ 6 months
breastfeeding jaundice Ans✓✓✓ -Inadequate intake
-Sleepy infant with poor suck
-Delay in the elimination of meconium
-Lack of adequate suckling
Peaks at 4-6days
Caput Succedaneum is? Ans✓✓✓ Edematous swelling on the scalp
caused by pressure during birth. This swelling may cross suture line. It
usually disappears in a few day.
Carboprost (Hemabate) Ans✓✓✓ oxytocic; Given to IM to produce
sustained uterine contractions to control postpartum hemorrhage.
Contraindicated in a patient who has asthma
•Call your provider for mastitis Ans✓✓✓ fever > 100.4, lump, redness,
sore or hot area on the breast that does not go away
4 labs needed in pregnancy and PP Ans✓✓✓ GBS, Rubella, Rh and
blood type
ABO incompatibility Ans✓✓✓ Hemolytic disease that occurs when the
mother's blood type is O and the newborn's is A, B, or AB
active acquired immunity Ans✓✓✓ •Pregnant woman forms antibodies
in response to illness, immunization
After delivery of LGA baby Ans✓✓✓ •Monitoring of blood glucose
levels
•Promote skin to skin and early feeding
•Giving the baby a quick source of glucose
•Giving oxygen or using a breathing machine
•Care for any problems arising from a birth injury
After delivery what happens to the urinary system? Ans✓✓✓ Diuresis
due to decreased oxytocin and estrogen
After delivery, what happens to the GU system? Ans✓✓✓ BM can be
delayed?
,alba discharge can last up to ___ weeks Ans✓✓✓ 6
Apgar scale Ans✓✓✓ appearance, pulse, grimace, activity, respiration
apical pulse newborn Ans✓✓✓ 110-160bell of stethoscope between 4th
and 5th intercostal mid clavicular line
Murmurs may be heard
Assessment finding of Preterm Ans✓✓✓ Tachycardia, Lethargic,
hypotonia, temp instability
Assessment findings for LGA Ans✓✓✓ hypoglycemia, hypoxia,
respiratory distress disorder
Assessment of breast postpartum Ans✓✓✓ Assess the nipples for
chapping or blistering, and look at the latching for breastfeeding
Assessment: SGA Newborns Ans✓✓✓ -Head disproportionately large
compared to rest of body (asymmetric)
-Wasted appearance of extremities
-Reduced subcutaneous fat stores
-Decreased amount of breast tissue
-Scaphoid abdomen (sunken appearance)
,-Wide skull sutures secondary to inadequate bone growth
-Poor muscle tone over buttocks and cheeks
-Loose and dry skin that appears oversized
-Thin umbilical cord
attachment interventions Ans✓✓✓ attachment promotion,
environmental management, family integrity promotion, lactation
counseling, parent education, risk identification
Auscultate postpartum assessment Ans✓✓✓ Listen to Cardiac, Bowel
and Lung Sounds
baby blues Ans✓✓✓ Characterize by emotional lability, crying, easily
and for no apparent reason, a let-down feeling, restlessness, fatigue,
insomnia, headache, sadness, anger
Symptoms are usually mild and short lived
The "blues" are normal
Before discharge Ans✓✓✓ the patient must be taught how to care for
himself at home safely. This requires collaboration on the patient
education plan among the various health professionals involved in the
care, as well as communication with the family and home care nurse, if
any. (Teaching starts at admission.)
Bilateral uterine arteries flow Ans✓✓✓ 500ml/min
, Bladder postpartum assessment Ans✓✓✓ Ensure the patients voids at
least every 6 hours
Bottom postpartum assessment Ans✓✓✓ Check for soreness- can place
ice here in the first 24hours
Bowel postpartum assessment Ans✓✓✓ Ensure they have a BM prior
to discharge, keep fluids up, the fiber in, and mobilization
Breast feeding mother will have decreased estrogen levels until?
Ans✓✓✓ 6 months
breastfeeding jaundice Ans✓✓✓ -Inadequate intake
-Sleepy infant with poor suck
-Delay in the elimination of meconium
-Lack of adequate suckling
Peaks at 4-6days
Caput Succedaneum is? Ans✓✓✓ Edematous swelling on the scalp
caused by pressure during birth. This swelling may cross suture line. It
usually disappears in a few day.
Carboprost (Hemabate) Ans✓✓✓ oxytocic; Given to IM to produce
sustained uterine contractions to control postpartum hemorrhage.
Contraindicated in a patient who has asthma
