Exam 2: PRN 1831/ PRN1831 (Latest 2023/ 2024 Update) Principles of Maternal Child Health Nursing Review| Questions and Verified Answers|100% Correct| Grade A- Rasmussen
Q: Priority nursing interventions for the 4th stage of labor?
Answer:
Assessing VS, fundus, and bleeding every 15 min for...
Exam 2: PRN 1831/ PRN1831 (Latest 2023/ 2024 Update ) Principles of Maternal Child Health Nursing Review| Questions and Verified Answers| 100% Correct| Grade A - Rasmussen Q: Priority nursing interventions for the 4th stage of labor? Answer: Assessing VS, fundus, and bleeding every 15 min for 1 -2 hr Q: Medications given as opioid antagonist: what medication? Why is it given? Answer: Naloxone Given to women in labor or postpartum to counteract the effects of narcotic/opioid medications. To counteract the side effects (respiratory depression) Q: Provide teaching and planning for a postpartum woman who is not immune to rubella Answer: Should be administer a dose of MMR following delivery, before discharge Teaching: client should not get pregnant for 28 days following the immunization Q: Be able to provide instruction re: breastfeeding and maternal pain medications Answer: Offer pain medication immediately after feed so that it has ample time to be metabolized prior to next feed. Q: Which breastfeeding position would be best for a mom after c/s Answer: Football hold Q: Who gets Rhogam and why? Answer: All Rh -negative clients who have newborns who are Rh -positive (administered IM) o Why: to suppress antibody formation in the mother Q: What should you do if a fundus is boggy on assessment? Why? Answer: Have the mom try to empty her bladder/massage o Why: full bladder can impede the uterus ability to stay firmly contracted and result in increased bleeding/hemorrhage Q: Identify types of lochia and when to expect them Answer: Lochia rubra: (through day 3) dark red menstrual period like discharge fleshy odor o Lochia serosa: (4 -10 days) pinkish brown and serosanguineous consistency o Lochia alba: (10 days - 8 weeks) yellowish white creamy color, fleshy odor Q: Bathing and pericare after c/s Answer: Ensure stability during ambulation o Keep stream of water on back away from incision o Keep incision covered with an occlusive dressing o Provide shower chair if needed Q: Provide teaching on pericare (understand the rationales Answer: After vaginal: Use warm water in squeeze bottle after every void (front to back) Pat dry, front to back Use optional topical anesthetic (dermaplast) if episiotomy or laceration Apply ice packs (first 24 hrs) Optional: use sitz bath (first 24 hrs) Q: Preventing breast engorgement in the bottle feeding mom Answer: Supportive sports bra/ace wrap breasts o Ice packs to the breasts o Apply cabbage leaves to draw out milk Q: Dietary sources of calcium Answer: -milk and milk products -soy milk -broccoli -fortified orange juice -fish with bones (sardines) Q: symptoms of preeclampsia Answer: Headache o Visual disturbances o Epigastric pain o Edema o Proteinuria o Brisk DTRs o Clonus o Seizure (Eclampsia) Q: Expected findings in the postpartum period (fundal assessment)
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