Exam (elaborations)
NURS 410 EXAM 1 QUESTIONS AND ANSWERS
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NURS 410 EXAM 1 QUESTIONS AND ANSWERS
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1-94 of 94- Focuses primarily on the individual and family
- Setting specific
- Emphasis is on acute and chronic care
- Includes: Home health nursing and nursing in outpatient or ambulatory settings
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Community Based Nursing
,- HIV positive women
- Untreated TB or chicken pox
- Active herpes lesion on the breast
- Street drug use
- Alcohol use
- Currently being treated for breast cancer
- Taking antineoplastic, thyrotoxic, or immunosuppressive drugs
- Baby has galactosemia
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Those who Shouldn't Breastfeed
First 24 hrs
Talks about birth experience
Elation, excitement, and/or anxiety and confusion
Physical exhaustion
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Maternal Role Attainment: Taking In
Due to fluid shifts, adrenaline crash, hormone changes ; usually lasts about 30 min
Offer warm blankets and beverages as comfort measures
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, Chilling and Shivering Following Birth
To the breast as soon as possible after birth, preferably within the first hour
Nurse on demand, 8-12 x/24 hrs
But wake baby up if more than 3.5 - 4 hrs in the 1st few weeks
Discourage pacifier use for the 1st 2-4 wks bc it decreases milk production
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Feeding From The Breast
Bonding - a 1-way process from parent to child: quiet, alert state in first hr; encourage
eye contact in first 30 min as well as breastfeeding; room in
Attachment - a 2-way process between parent and child
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Bonding and Attachment
Negative comments
Failure to look at infant
Failure to touch infant
Failure to name infant
Limited/no handling of baby
Failure to meet physical needs - her own or the baby's
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Attachment High-Risk Behaviors
1 in 20 deliveries
Grand multiparity
Quick/long labors
Overdistended uterus
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Uterine Atony
Last time pt emptied bladder?
Palpable or nonpalpable?
Spontaneous voiding should occur within 6-8 hrs
150 ml/hr is necessary to avoid urinary retention/stasis
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Assessment: Bladder
- Recent studies show that if 90% of moms exclusively breastfed for 6 mo , 721 less
babies would die each year - in the USA
- Over 3300 mom would not die prematurely (mostly from CVD, breast cancer, & DM)
- Medical costs & costs associated w/premature death would be decreased by $14.1
billion/year
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