Exam (elaborations)
Nur 254 exam 2 child bearing and child caring families latest 2024 galen
- Course
- NUR 254
- Institution
- Galen College Of Nursing
Nur 254 exam 2 child bearing and child caring families latest 2024 galen
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NUR254 Exam 21. Lochia
Rubra: bright red bleeding 3-4 days after birth
2. Lochia Serosa: light brown/pink lasts 4-10 days
3. Lochia Alba: yellow/white discharge 10 days after delivery 4. Postpaturm
Uterus: 12 hrs: 1 cm above umbilicus - fundus descends 1-2cm every 24 hrs.
5. vagina after birth: - vaginal dryness (use lube)
6. episiotomy: heals within 2-3 weeks (may take 4-6)
- proper hygiene
- prevent infection
7. hemorrhoids: - witch hazel
- stool softener
- sitz bath
8. pelvic muscle support: - stress incontenance - takes
6 months
**kegel exercises**
9. Nonbreastfeeding mothers: - ovulation occurs 27
days after birth - use of birth control
- breast binder, fitted bra, cabbage leaves, avoid nipple stimulation, avoid suckling
10. Urinary: have mom void before fundal rubs
11. Appetite: - make sure bowel sounds are present 12. Vitals after
birth: temp: < 100.4 pulse: 50-90, elevated first hr, bradycardia
normal (40-50 bpm)
respirations: within normal range (16-20) BP:
increase 5%, hypotension normal after birth
13. Blood components: WBC: 5,000-15,000
HGB: 12-18 Hematocrit: 37-52
platelets: 150-400 RBC: 4.6-6.1
varicose veins: common in
pregnancy
14. Immune system: -lupus/ MS
- high risk for flare-ups
15. Maintaining uterine tone: - fundal rub
1/6
, - prevent bladder distention
- oxytocin
16. Hypovolemic Shock: SXS: lots of bleeding, pt states feeling funny, seeing
star, light headed, cool, clammy, pulse increase, BP decreases
NI: uterine atony- massage, oxygen, put on side/ elevate legs, IV, blood, monitor
VS, monitor urine output
17. Postpartum blues/ depression: PP Blues- 2 weeks or less
Depression- > 2 weeks
18. Assessing Attachment Behaviors: - do parents reach for baby when
handing them baby
- do they call baby by name
- do parents feel at ease holding baby- how do parents
handle fussy baby
promote skin-skin, how to hold baby, change/feed baby
19. NI for episiotomy, lacerations, and hemorrhoids: cleansing, ice
packs, squeeze bottle, sitz bath, topical applications (witch hazel) 20. Risk
factors for PPH: - uterine atony (over distended uterus)
- anesthesia/ analgesia
- high parity
- obesity
- prolonged labor
- trauma during labor/ birth (vacuum, forceps)
- unrepaired lacerations
- retained placental fragments
- ruptured uterus
21. SXS of lacerations: - slow trickle, oozing, frank hemorrhage
22. inversion of the uterus: - life threatening
- turning inside out
23. Subinvolution of the uterus: delayed return of the enlarged uterus to normal
size and function caused by: retained placental fragments, vaginal infection
24. Oxytocin: - monitor urine output (water intoxication)
- monitor bleeding and uterine tone
25. Misoprostol (Cytotec): monitor headache, N/V, diarrhea, chills
2/6
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