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
[Show more]
Content preview
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
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller KINGNOTES1. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
67096 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now