1. What is the fourth stage of labor and when does it start?: Postpartum
period- starts after the delivery of the placenta
2. What are the greatest risks during the postpartum period?:
Hemorrhage Shock
Infection
3. When is RH immune globulin (RhoGAM) administered to post partum
women?: Administered 72 hours for women who are Rh-negative and
gave birth to infants who are Rh-positive
This prevents sensitization to Rh in future pregnancies
4. What is included in the postpartum nursing assessment?: Monitoring
vital signs
Assessing uterine firmness & location in relation to umbilicus
Uterine position in relation to midline (if deviated, assist mom in
,emptying bladder) Amount of vaginal bleeding (lochia)
5. How often should vitals be monitored after delivery?: Every 15 min for
the first hour
Every 30 minutes for second hour
Every 4-8 hr depending on remaining medication regimen
6. This occurs with contractions of the uterine smooth muscle, whereby
the uterus returns to its pre-pregnant state: Involution
7. Defined as blood flow from the uterus during postpartum period: Lochia
8. This type of lochia is bright red in color, bloody consistency, fleshy
odor, may contain small clots: Lochia rubra
9. This type of lochia is pinkish brown in color & serosanguineous
consisten- cy: Lochia serosa
10.This type of lochia is yellowish, white creamy color, fleshy odor: Lochia
alba
11.When is colostrum present in the new mother's breasts?: During
,pregnancy and 2-3 days immediately after birth
12.Defined as an infection in a milk duct of the breast with concurrent
flulike symptoms: Mastitis
13.What are therapeutic and approved holding positions when breast
feed- ing?: Cradle hold
Side-lying
hold Football
hold
14.What does breast feeding cause the release of? What does this prevent?:
- Breast feeding causes the release of oxytocin which stimulates uterine
contractions (will prevent hemorrhage)
, 15.What are normal lab values in the post partum period?: Increased Hct &
Hgb up to 72 hours
Leukocytosis (WBC count up to 20,000-25,000 for the first 10-14
days, without presence of infection)
Increased coagulation
factors Increased
fibrinogen
16.A medical condition during pregnancy defined as excessive nausea and
vomiting that is prolonged past 12 weeks of gestation. Results in weight
loss & electrolyte imbalance: Hyperemesis gravidarum
17.What are nursing responsibilities when caring for a patient diagnosed
with hyperemesis gravidarum?: Monitor client's I&O
Assess client's skin turgor/mucous
membranes Monitor vital signs
Monitor client's weight
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