Maternal/Child Exam 2 Questions with
100% Correct Answers
Types, amounts and length of time of Lochia: - ANSWERSRubra- bright red w clots (2-4
days)
Serosa- pink, brown ( FIRST WEEK)
Alba- white, yellow (10-28 days- 2 WEEKS)
S/Sx of Fetal Hypoxia: - ANSWERSGrunting, Nasal flaring, Circumoral cyanosis,
Substernal retractions, Tachypnea, & periods of apnea longer then 10-15 sec.
Interventions for each stages of labor: - ANSWERSStage 1: Onset of contractions &
ends w complete dilation of cervix.
*pain meds, side lying, massage
Stage 2: Complete dilation to birth of the baby
*MOST CRITICAL* breathing techniques, bearing down, encouragement.
Stage 3: Delivery of baby and ends w delivery of placenta.
* give oxytocin, massage fundus
Stage 4: Stabilization up to 4 hrs
Pitocin (Oxytocin) - ANSWERS* Stimulates uterine contractions & prevents hemorrhage
Side effects: MOM- Anaphylaxis, N/V,Uterine spasm or rupture,Water intoxication.
BABY- Bradycardia,Cardiac arrythymias, Hypoxia, Jaundice, Hemorrhage, Brain
damage.
Contraindication:Hypertension & Preclampsia
Monitor: I&O, B/P, Resp, FHR
Pre-pregnancy weight is achieved in? - ANSWERS6-8 wks
Define Engorgement and what education we can provide to patient to understand how
to prevent & care for her breasts? - ANSWERSUncomfortable fullness of the breast
when milk initially comes in.
* Breastfeeding: apply heat, warm shower, pump
* Not breastfeeding: wear firm supportive bra, wrapped ice packs, and analgesic
* Avoid using soap water when breastfeeding
, Colostrum - ANSWERSFirst substance mother produces rich in proteins, calories,
antibodies, lymphocytes, & immunoglobulins.
How to supress breast milk supply: - ANSWERS* Tight fitting bra
* Apply ice bags for 20 min QID
* Taper down breastfeeding
* Use cabbage on breast
Normal V/S for the immediate postpartum period/ nursing interventions required? -
ANSWERSTemp- May rise to 100.4 then afebrile after 24 hrs
* monitor for infection,warm blanket/drink
Pulse- Bradycardia first 6-8 wks
Respirations- Normal
B/P- Orthostatic hypotension for 48 hrs
Nutritional needs for a breastfeeding mother: - ANSWERS* Fluid intake of 2-3 L
* 300-500 Kcal/day
* Increase protein, folic acid, Iron
Postpartum hygiene for mom: - ANSWERS* Sits bath 2-3 x/day
* Cleanse from front to back
*Use perineal spray after each void
* Change pad frequently
* Use tuck pads for discomfort
* No douche or tampons
Normal assessment for a 1 day postpartum patient: - ANSWERSMonitor v/s Q15 min
first Hr then hourly for the next 4 hrs.
BUBBLE
* Elevated temp, bradycardia, fatigue
Ways that cultural beliefs can be blended with safe healing practices? -
ANSWERSEmphasize bathing,activity & restrictions, some believe colostrum is bad,
Arabics eat special meals, Hatian take placenta home to bury or burn.
** Provide education in a nonthreatening way**
Moro Reflex - ANSWERSHead falls backward 30 degrees, extension & abduction of
extremities; fingers spread and form a "C".
Rooting Reflex - ANSWERSCorner of mouth is stroked or touched; baby will turn head
& open their mouth
Babinski Reflex - ANSWERSStroke sole of foot, moving up toward toes; toes fan
upward and out.
100% Correct Answers
Types, amounts and length of time of Lochia: - ANSWERSRubra- bright red w clots (2-4
days)
Serosa- pink, brown ( FIRST WEEK)
Alba- white, yellow (10-28 days- 2 WEEKS)
S/Sx of Fetal Hypoxia: - ANSWERSGrunting, Nasal flaring, Circumoral cyanosis,
Substernal retractions, Tachypnea, & periods of apnea longer then 10-15 sec.
Interventions for each stages of labor: - ANSWERSStage 1: Onset of contractions &
ends w complete dilation of cervix.
*pain meds, side lying, massage
Stage 2: Complete dilation to birth of the baby
*MOST CRITICAL* breathing techniques, bearing down, encouragement.
Stage 3: Delivery of baby and ends w delivery of placenta.
* give oxytocin, massage fundus
Stage 4: Stabilization up to 4 hrs
Pitocin (Oxytocin) - ANSWERS* Stimulates uterine contractions & prevents hemorrhage
Side effects: MOM- Anaphylaxis, N/V,Uterine spasm or rupture,Water intoxication.
BABY- Bradycardia,Cardiac arrythymias, Hypoxia, Jaundice, Hemorrhage, Brain
damage.
Contraindication:Hypertension & Preclampsia
Monitor: I&O, B/P, Resp, FHR
Pre-pregnancy weight is achieved in? - ANSWERS6-8 wks
Define Engorgement and what education we can provide to patient to understand how
to prevent & care for her breasts? - ANSWERSUncomfortable fullness of the breast
when milk initially comes in.
* Breastfeeding: apply heat, warm shower, pump
* Not breastfeeding: wear firm supportive bra, wrapped ice packs, and analgesic
* Avoid using soap water when breastfeeding
, Colostrum - ANSWERSFirst substance mother produces rich in proteins, calories,
antibodies, lymphocytes, & immunoglobulins.
How to supress breast milk supply: - ANSWERS* Tight fitting bra
* Apply ice bags for 20 min QID
* Taper down breastfeeding
* Use cabbage on breast
Normal V/S for the immediate postpartum period/ nursing interventions required? -
ANSWERSTemp- May rise to 100.4 then afebrile after 24 hrs
* monitor for infection,warm blanket/drink
Pulse- Bradycardia first 6-8 wks
Respirations- Normal
B/P- Orthostatic hypotension for 48 hrs
Nutritional needs for a breastfeeding mother: - ANSWERS* Fluid intake of 2-3 L
* 300-500 Kcal/day
* Increase protein, folic acid, Iron
Postpartum hygiene for mom: - ANSWERS* Sits bath 2-3 x/day
* Cleanse from front to back
*Use perineal spray after each void
* Change pad frequently
* Use tuck pads for discomfort
* No douche or tampons
Normal assessment for a 1 day postpartum patient: - ANSWERSMonitor v/s Q15 min
first Hr then hourly for the next 4 hrs.
BUBBLE
* Elevated temp, bradycardia, fatigue
Ways that cultural beliefs can be blended with safe healing practices? -
ANSWERSEmphasize bathing,activity & restrictions, some believe colostrum is bad,
Arabics eat special meals, Hatian take placenta home to bury or burn.
** Provide education in a nonthreatening way**
Moro Reflex - ANSWERSHead falls backward 30 degrees, extension & abduction of
extremities; fingers spread and form a "C".
Rooting Reflex - ANSWERSCorner of mouth is stroked or touched; baby will turn head
& open their mouth
Babinski Reflex - ANSWERSStroke sole of foot, moving up toward toes; toes fan
upward and out.
