WITH QUESTIONS AND ANSWERS||
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Why is intercourse painful after birth? - ANSWER--Low estrogen levels
decrease vaginal lubrication and vasocongestion for 6-10wks postpartum
How long postpartum are people at risk for CV events? - ANSWER-48hrs
Breastfeeding timeline - ANSWER--engorgement occurs on 2nd day
-mature milk produced after 2wks
Nevus flammues (port wine stains) - ANSWER-a capillary angioma below the
surface of the skin that is purple or red, varies in size and shape, is commonly
seen on face and does not blanch or disappear.
What is the ratio for lecithin sphingomyelin - ANSWER-2:1 indicates fetal lung
maturity
What is the advantage of chorionic villus sampling versus amniocentesis -
ANSWER-you are able to do it earlier
it assesses the portion of developing placenta
High levels of afp - ANSWER-neural tube defects
,Low levels of afp - ANSWER-down syndrome
When is the Maternal Serum alpha fetoprotein test performed? - ANSWER-to
detect neural tube defects and is done between 16-18 weeks of gestation
cvs versus amniocentesis bladder difference - ANSWER-cvs is full bladder and
amnio is empty
Spontaneous abortion - ANSWER-less than 20 weeks
Ectopic pregnancy - ANSWER-referred shoulder pain
IUD usage history
stabbing pain and tenderness in lower abdominal quadrant
HCG rules out ectopic if elevated
methotrexate - ANSWER-disolves pregnancy
Abrutpio placentae - ANSWER-premature separation of placenta from uterus
dark red bleeding
pain
boardlike uterus
fetal distress
hgb and hctz decreased
DIC risk
kleihauer betke test to detect fetal blood in marternal circulation
get ready for blood transfusion
risk factors for abruptio placentae - ANSWER-smoking
,cocaine
blunt abdominal trauma
erythema toxicum - ANSWER-pink rash that appears suddenly anywhere on the
body of a term newborn during the first 3 weeks.
caput succadaneum - ANSWER-localized swelling of the soft tissues of the
scalp caused by pressure on the head during labor.........normal
finding......crosses suture line
cephalhematoma - ANSWER-collection of blood between periosteum and skull
bone that it covers
does not cross suture line
results from trauma during birth
normal newborn RR - ANSWER-30-60
When can bathing by immersion be done? - ANSWER-When the newborn's
umbilical cord has fallen off and the circumcision has healed on males
How long should the newborn nurse? - ANSWER-15-20 minutes (but don't
educate the mother on the timing)
Newborns who are formula fed should be burped: - ANSWER-every 15-30 mLs
Newborns should have how many diapers a day? - ANSWER-6-8 wet diapers
3-4 stools per day
Cord infection s&s: - ANSWER-moist and red
, foul odor
purulent drainage
Chlamydia s&s - ANSWER-Vulvar itching
Vag spotting
White, watery vaginal discharge
Gonorrhea S&S - ANSWER-Urethral discharge
Painful urination
Frequency
Yellowish-green vag discharge
Reddended vulava & vag walls
BUBBLE HEB - ANSWER-B-Breasts
U-Uterus
B-Bladder
B-Bowel
L-Lochia
E-Episiotomy
H-Homan's sign
E-Emotional Status
B-Bonding
REEDA - ANSWER-R-redness
E-Edema
E-Ecchymosis
D-discharge