You have a patient that just gave birth. What is your priority assessment? - Assess the fundus at the umbilicus and make sure it is firm.
Where do you palpate the uterus the day of birth? - Midline at the umbilicus
Where should the fundus be 2 days after birth? - 2 finger breaths (widths) bel...
Hondros NUR 166 Exam 2 Questions and Answers 2024 You have a patient that just gave birth. What is your priority assessment? - Assess the fundus at the umbilicus and make sure it is firm. Where do you palpate the uterus the day of birth? - Midline at the umbilicus Where should the fundus be 2 days after birth? - 2 finger breaths (widths) below the umbilicus If the uterus isn't contracted, is 1 finger breath above the umbilicus and to the side - This means patient has a full bladder - have them empty their bladder and recheck How would you instruct postpartum peri care? - Use a warm bottle of water every time they void. You have a postpartum patient who is bottle feeding. When should she expect her period again? - 5 weeks if bottle feeding, 8 weeks if breast feeding When doing a newborn assessment, how many vessels should at the umbilicus? - 3 (2 arteries and 1 vein) You have a postpartum patient who has shortness of breath and an O2 of 84%, how do you position them? - High fowlers You are caring for a one day postpartum patient. In the last 4 hours she has had bright red lochia. What do you do? - Assess the fundus to see if it is boggy. A patient is at home and 5 days postpartum has pink lochia with an odor. What should she do? - Call and get an appointment with her doctor today. When does a mother not get a Rhogam shot? - No Rhogam shot if mom's blood type and baby's blood type are both negative. If a baby is stillborn and parents still want to hold it, what do you do? - Swaddle him/her, keep them warm and give him/her to the parents for as long as they want What do we need to teach the patient about constipation? - A lot of fluids; high fiber diet; increased activity; and using a stool softener as a last resort When discharging a postpartum patient, what education should we give? - watch for: Swelling in the calves; fever over 101; & foul smelling discharge What do you give a toddler who likes finger foods and is a vegetarian? - Give supplements You are caring for postpartum patient who has a bright red saturated pad. What do you do? - Assess the fundus How do you know when a toddler is ready to be toilet trained? - When they stay dry overnight and are able to communicate that they need to go to the bathroom. Why do toddlers throw temper tantrums? - when they are frustrated What is the leading cause of death in infants? - Accidents because they are so low to the ground and they are curious Parallel play - Playing side -by-side, but not interactively Late pre -k/schoolage - Grow mostly in legs and double their 1 year weight by age 5 When should you discipline a child? - As soon as it happens. Discipline - Should be firm in decisions, makes kids feel safe and secure, prevents injuries, removes pressure of making decisions from kids that they are young What is not a good toy to give a child due to allergens? - Teddy bear What should you do if you find a mongolian spot during your newborn assessment? - Document it right away to ensure other nurses/Dr.'s know it is not a sign of abuse. What should you do if the fundus is not firm? - Vigorous massage. What should the heartrate of a newborn be? - 110-160 What should the respiratory rate of a newborn be? - 30-60 What should the blood pressure of a newborn be? - 65-95/30 -60 What should the temp of a newborn be? - 97.7-98.6 (should be taken axillary) When should a birth weight be doubled? - At 6 months When should a birth weight be tripled? - At 1 year. When does connective tissue turn to cartilage? - While in utero What is important to consider with nutrition? - Consistency
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