NURSING 3302 - Maternity Final Exam Study Guide.

Maternity Final Exam Study Guide Birth Rate: number of live births in 1 year / 1000 population Infant Mortality Rate Maternal Mortality Rate Number of deaths of infants younger than 1 year of age per 1000 live births Number of maternal deaths from births and complications of pregnancy, childbirth and puerperium (first 42 days after termination of pregnancy) per 100,000 live births Professional Negligence or Malpractice Duty - owed duty to patient Breach of Duty - did not carry out duty Foreseeability - harm was foreseeable Causation- relationship of cause and effect between one event or action and the result. Injury of harm- liability of causing harm. Facts About Consent ● Legally, the person performing surgery/procedure is responsible to inform ● Nurse may clarify information, witness client’s signature, and cosign consent form ● Consent form may be signed by an emancipated minor ● Consent may be obtained by fax or phone with witness ● Consent documents protect the surgeon and health care facility Ethical Principles Autonomy : patient can make independent decisions/ support patient decisions. Fidelity : be honest and faithful to promises Justice : fairness; care given equitably, fairly, and justly Paternalism : people in positions of authority restricting freedom in supposed best interest of the patient without consent Nonmaleficence : non-harming or inflicting the least harm possible; avoiding risk Beneficence : act of promoting good and doing what is best for the patient Veracity : truth; do not withhold truth from patients Maternity Final Exam Study Guide Involution Definition: process of the uterus returning to its nearly prepregnant size, shape, and location Involution takes 6-8 weeks Uterine Atony → Boggy/Soft uterus ● Concerned about postpartum hemorrhage ● Massage the fundus Fundus deviated from midline ● Empty bladder Factors Affecting Involution Faster Involution ● Breastfeeding ● Normal labor/delivery ● Early ambulation ● Complete expulsion of placenta Slower Involution ● Multiple gestations ● C section ● Polyhydramnios ● Retained placenta ● Full bladder ● Multiple fetuses ● Prolonged Labor Lochia Postpartum uterine discharge classified according to appearances/contents Rubra First 1-3 days, RED Blood & debris Normal: heavy menstrual period Abnormal: saturating a pad in 15 min/less Serosa Days 3-10 Pale serosanguinous to light brown Old blood, WBCs, serum, tissue, debris Alba Days 10-14 creamy yellow/white, usually gone by 2 weeks, can last 6 weeks NORMAL : clots size of grapes or smaller ABNORMAL : clots size of plum or larger