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NUR 376 Exam 3 Final Questions With Complete Solutions
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NUR 376 Exam 3 Final Questions With Complete Solutions
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NUR 376 Exam 3 Final Questions With Complete Solutions______ *1-2 days*. In this phase the mother is passive and
*dependent* as well as preoccupies with self. Attention is
focused on mother's own needs (sleep, rest). This is the time she
reviews the birth experience. Correct Answers Taking in
______ *2-4 weeks*. The mother accomplished maternal role
adjustment and makes relationship adjustments.Assumes
responsibility, confidence. Established lifestyle that
includes/incorporates infant. *Interdependent* Correct Answers
Letting go
______ *3-10 days*. The mother assumes control over her life
and becomes concerned about self-care. During this time she
gains self-confidence as a mother. Active. Autonomy, mastery,
assumes mothering role. Needs assurance. *Dependent-
Interdependent* Correct Answers Taking hold
______ are distended rectal veins and can be uncomfortable.
Care measures include ice packs for the first 24 hours, perineal
bottle washing after each void, Sitz baths, witch hazel pads
(Tucks), anesthetic sprays (Dermoplast), and hydrocortisone
cream. Correct Answers Hemorrhoids
______ are mood disorders that occur to most women usually
within the first four weeks. They are hormonal in origin and are
called "baby blues."
-Lasts hours to 10 days usually
-Frequency: 50-70% of moms Correct Answers PP Blues
,______ is a mental health illness characterized by delusions.
-Occurs within 1st 3 months after birth
-Delusions or hallucinations that infant should not be allowed to
live
-Symptoms: agitation, hyperactivity, insomnia, labile moods,
confusion, irrational thoughts/behaviors, poor judgement,
difficulty remembering/concentrating Correct Answers PP
Psychosis
______ is the color of vaginal discharge for the first 2-3 days. It
is a deep red mixture of mucus, tissue debris, and blood.
Small clots (nickel size) are common; larger clots (plum size)
are of concern Correct Answers Rubra
______ is when the mother identifies specific features about the
baby such as who he or she looks like. These are claiming
behaviors. Verbal behavior is noticed because most mothers
speak to infants in a high-pitched voice and progress from
calling the baby "it" to he or she, then they progress to using the
baby's name. Correct Answers Claiming
______ should be assessed on every women and is a true
depression state that effects daily function.
-Occurs within 1st year after birth (increased incidence in 4th PP
week and around weening)
-Frequency: 10-15% of moms, higher if Hx Correct Answers
PP Depression
,______ starts from 3-10 days postpartum. It is pink to brown in
color and contains leukocytes, decidual tissue, red blood cells,
and serous fluid. Correct Answers Serosa
_______ begins days 10-14 and is a creamy white or light brown
in color and consists of leukocytes and decidua tissue. Correct
Answers Alba
-lack of communication
-avoidance
-lack of emotional support/frank insensitivity Correct Answers
parental dissatisfaction related to loss
-nipple to nose
-wait for the wide open mouth
-bring baby on using an asymmetrical latch (more of the lower
lip covers the breast tissue than the upper lip) Correct Answers
good latching
-report of lack of fetal activity
-no fetal heart tones
-Spaulding's sign: positive finding per ultrasound=overriding
cranial bones Correct Answers Diagnosing loss
"The AAP reaffirms its recommendation of exclusive
breastfeeding for about 6 months, followed by continuation of
breastfeeding for 1 year or longer as mutually desired by mother
and infant."
American Academy of Pediatrics Correct Answers
Breastfeeding
, (Blank) is a tear in the cervix of the uterus. This bleeds
profusely Correct Answers Cervical tear
(Blank) is a tear in the vaginal wall. Correct Answers Sulcus
tear
=abdominal viscera herniating into base of umbilicus
normal GI function
lots of associated anomalies/defects Correct Answers
omphalocele
=any slowing of the descent of the fundus
Possible causes: breastfeeding, infection, overdistention of the
uterus (hydramnios, LGA infants, multiple gestation) Correct
Answers Subinvolution
=Blood loss >500ml vag; >1000ml CS
-10% change in Hct, or requiring transfusion
-subjective, frequently underestimated
Clinical signs: increasing pulse, decreased BP, and decreasing
urinary output (signs do not appear until as much as 1500 ml to
2000 ml has been lost) Correct Answers Postpartum
hemorrhage (PPH)
=intestine protruding through abdominal wall defect
poor GI function
few associated anomalies/defects Correct Answers
gastroschisis
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