Answer Blood will spurt out of the vagina, and the flow will not slow.
5. Lochia Flow
Answer will steadily decrease during postpartum period.
6. Gomco Clamp Circumcision
Answer -Pressure of clamp for 3-5 minutes, then slit/cut away excess skin
-Petroleum gauze strips to site after to prevent sticking to diaper
-Apply petroleum jelly to the penis with each diaper change to protect incision from contact with
urine and feces.
- No towelettes
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- Do not remove and yellow exudate (can cause pain and bleeding - part of healing process)
- Do not wrap penis with dry gauze (can adhere and cause pain and bleeding at removal).
7. Psychological Task
Answer Accepting the Pregnancy - First Trimester
Accepting the baby
- Second Trimester
Preparing for Parenthood & Preparing for End of Pregnancy
-Third Trimester
8. Terbutaline (Brethine)
Answer Uses to relax uterine smooth muscle to inhibit uterine activity.
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- Involves bronchodilation
Adverse Reaction
Tachycardia (if pulse is greater than 130/min, the medication needs to be held until HCP is
notified.)
Terbutaline is a tocolytic medication that causes uterine relaxation and is used to treat preterm
labor. It is not an appropriate medication to treat uterine atony.
9. Postpartum Care Client w/Cardiac Disease
Answer Weight the Client Daily for Fluid Overload
Monitor I/O (blood flow to and from heart increases for atleast the first 24 hours after delivery)
this places the client at high risk of cardiac decompensation and fluid overload.
Follow a high-fiber diet to prevent straining with bowl movements because the pushing effort
(valsalva maneuver) can result in cardiac stress.
Initiate bedrest with the hob elevated to promote rest and decrease the clients oxygen
consumption.
10. Preventing Mastitis
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