Exam (elaborations)

Exam 2: PRN 1831/ PRN1831 (NEW 2023/ 2024 Update) Principles of Maternal Child Health Nursing | Review with Questions and Verified Answers|100% Correct| A Grade - Rasmussen

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QUESTION How does the bladder impact involution and bleeding Answer: A distended bladder pushes the uterus upward and usually to one side of the abdomen. The fundus may be boggy or firm. If not emptied, a distended bladder can result in uterine atony and hemorrhage because it interferes with t...

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Uploaded on August 15, 2024
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Exam 2: PRN 1831/ PRN1831 (NEW 2023/
2024 Update) Principles of Maternal Child
Health Nursing | Review with Questions and
Verified Answers|100% Correct| A Grade -
Rasmussen

QUESTION
How does the bladder impact involution and bleeding

Answer:
A distended bladder pushes the uterus upward and usually to one side of the abdomen. The
fundus may be boggy or firm. If not emptied, a distended bladder can result in uterine atony and
hemorrhage because it interferes with the normal contraction of the uterus.

QUESTION
Postpartum blues, depression Baby blues

Answer:
resultant from hormonal shift after delivery First few postpartal days peak on the 5th day subside
over the next several days.

QUESTION
Postpartum depression

Answer:
symptoms are persisting beyond 2 weeks postpartum Get adequate rest Take help from support
person Know expected changes (baby blues), & when to report symptoms to provider

QUESTION
Symptoms of endometritis

,Answer:
Temperature elevation o Tachycardia o Uterine tenderness, subinvolution o Malaise o Heavy,
foul-smelling lochia

QUESTION
Symptoms of magnesium toxicity

Answer:
Assess every hour respiratory status/respirations, deep tendon reflexes, and LOC o
Antidote: Calcium gluconate

QUESTION
Symptoms of mastitis

Answer:
Firm, red, swollen, tender breast w/ fever, myalgias, chills, malaise

QUESTION
cause of mastitis

Answer:
common cause is the hemolytic staphylococcus aureus, introduced from the infant's mouth
through a fissure in the nipple

QUESTION
Rubin's phases "taking in"

Answer:
Dependent First 24-48 hr Focus on meeting personal needs Rely on others for assistance Excited,
talkative Need to review birth experience with others

, QUESTION
Rubin's phases "taking hold"

Answer:
Begins on day 2 or 3 Lasts 10 days to several weeks Focus on baby care and improving
caregiving competency Want to take charge but need acceptance from others Want to learn and
practice, Dealing with physical and emotional discomforts, can experience "baby blues"

QUESTION
Rubin's phases "letting go"

Answer:
Focus on family as a unit Resumption of role (intimate partner, individual)

QUESTION
BUBBLEHE assessment

Answer:
Breasts, Uterus, Bladder, Bowels, Lochia, Episiotomy, Homan's Sign, Emotional Status

QUESTION
perineal assessment

Answer:
Manage inflammation/edema - cool/ice packs o After first 24 hrs - sitz bath (heat)

QUESTION
Importance of folate in pregnancy what conditions does it prevent in the newborn?

Answer:

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Exam (elaborations)

Exam 2: PRN 1831/ PRN1831 (NEW 2023/ 2024 Update) Principles of Maternal Child Health Nursing | Review with Questions and Verified Answers|100% Correct| A Grade - Rasmussen

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