Ch 9 - OB Introduction to Maternity and Pediatric Nursing | Questions and Answers with complete

Ch 9 - OB Introduction to Maternity and Pediatric Nursing How long does the Puerperium last? - ✔✔-Known as postpartum period. -Six weeks following child birth - Sometimes referred to as the fourth trimester of pregnancy. How does nursing adapt for different cultures and OB nursing? - ✔✔The nursing care provided must be adapted to the circumstances of the m other and infant. What are some nursing considerations fro specific groups of patients? - ✔✔-Adolescents, Single women, Families at or below the poverty level, Families who have twins (or more) -Education, Support, Resources,Twins would be high stress, ge tting a good system/ routine down to stay sane or or both maybe in the NICU. What are some cultural influences on postpartum care? - ✔✔-The nurse must adapt care to fit: Health beliefs, Values, and Practices. -Use an interpreter where appropriate. -Should not use a family member or in cultural/religious conflict with the patient/family. -Use a "Language Line" (Interpreter phone) -Think of Dietary practices — Some cultures, if they believe blood loss is hot they only replace with hot liquids/foods. And nothi ng cold (ice water). Why is it better to use interpreters and never family members? - ✔✔-It is a legal purpose -Aids in the woman being able to understand and provide optimal care to her infant. -Interpreter should not be a family member or from a group t hat is in social or religious conflict. What should you expect with postpartum changes in the mother? - ✔✔-Major shifts in hormones in the first 3 days. -Immediately after delivery, the mother experiences multiple physiological changes. -It is important f or the nurse to assess all body systems and not just focus on the reproductive system changes. Parts of the Reproductive System? - ✔✔-Uterus (Involution, Uterine lining, Descent of uterine fund us, Afterpains.) -Lochia (Rubra, Serosa, Alba) -Cervix -Vagina (Stress importance of discussing with health care provider when to resume vaginal intercourse postpartum) -Breasts (Engorgement, Nursing Care) -Perineum -Episiotomy (REEDA Assessment) (Nursing care and patient teaching - cold packs , Ice diaper, Topical and systemic medications, Non pharmacological pain relief methods) -Return of ovulation and menst ruation (Menstrual cycle typically resumes in 6 -8 weeks if not breastfeeding, Return of ovulation is delayed if breastfeeding; however, it can occur at any time after birth (pregnancy is possible) Mom maybe ovulation even with no period. What happens with the breasts postpartum? - ✔✔-First 2 -3 days postpartum, breasts are full but soft. -Day 3, breasts become firm, lumpy due to increased blood flow and milk production -Engorged breasts occur in both nursing and non nursing mothers -Nipples should be assess ed for redness and cracking and washed with plain water -Support bra should be worn (Don't want cracks, Nursing needs to do make sure to do good breast care, Supply and demand - maybe oral gratification if they are staying latched on longer than 10 -15 mins) Changes with Cardiovascular System? - ✔✔-Cardiac output and blood volume -Coagulation -Blood values -Chills -Orthostatic hypotension -Nursing Care