NURSING 306 OB Exam 2 Study Guide OB Hartman GOLD copy 1. A PP woman has 2 saturated pads within 30 min. What is your first nursing intervention? 2. When do you instruct the mother to void? 3. Nanopharmaceutical Pain Man
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NURSING 306 OB Exam 2 Study Guide OB Hartman GOLD copy 1. A PP woman has 2 saturated pads within 30 min. What is your first nursing intervention? 2. When do you instruct the mother to void? 3. Nanopharmaceutical Pain Management of the of a Newborn 4. Why do you give erythromycin to the newborn? 5. Why do you give vitamin K to the newborn? 6. When will you be concerned about the mother’s VS? 7. The mother is sweating PP. Why is she sweating? 8. What hormone is elevated when a mother is breastfeeding? 9. A mother is questioning why her baby was spanked. What is your response? 10. A primi 16yr mother is having difficulty caring for her newborn. What is the nursing DX? 11. What is the Tonic Neck Response? pg. 394 12. What is the baby’s hunger cue? 13. What reflex is tested by making a loud noise next to the neonate? 14. A nurse is completing an assessment on a 40 wk old. What is a normal finding? 15. What is expected on an assessment finding on a full term baby? 16. What are the S/S of Mastitis? 17. The HCP places an order for Sitz Bath & Cold pack. Why did he prescribe this for the mother PP? 18. 12 hours after an episiotomy, what is a pain management intervention? 19. What is the most critical physiologic transition for the newborn? 20. How must a progesterone only contraceptive be taken? 21. How do you know when breastfeeding is successful? 22. What is the difference between the head and chest circumference? 23. After a circumcision, what is the indication the baby is ready to be DC home? 24. At 4 days PP, what lochia is expected? 25. Hep B vaccine must be given to baby prior to DC. Q: WHICH BABY SHOULD THE NURSE ASSESS FIRST: BABY WITH THE MOTHER OF A POSITIVE HIV OR HEP B (IM NOT SURE WHAT THE ANSWER IS) 26. What response by the mother indicates the need for further teaching? 27. 15 min post delivery, the mother is breastfeeding? What is this phase called? 28. The nurse notices the mother is in the Taking-in Phase when 29. A mother complains her breasts are engorged. What is the nursing intervention? 30. What mother will have more Afterpains? 31. A mother is 1 hour PP and has small clots. What is the nursing intervention? 32. A mother tells you her breast is sore. What is your nursing intervention? 33. 12 hours PP. Where will the fundus be located? 34. A mother is close to being discharged. What action by the mother demonstrates she is needs further teaching? 35. A mother contacts the nurse and informs her that she loves her son but is sad and commences to cry. What is this a sign of? 36. What are the expected findings for a baby’s breathing pattern? 37. When entering the room you notice the mother has the fan on and has the baby with no blanket on. How is the baby losing heat? 38. A nurse is covering the baby with a blanket. Why is this important? 39. When would you contact the HCP? 40. When does a mother need further teaching? 3 DAY OLD baby went home, mother calls in to say her baby appears yellow: APPEARS JAUNDICE: NORMAL 2ND DAY SAY MOTHER IS EXCITED AND TALKATIVE AND TALKING ABOUT BIRTH EXPERIENCE 3 DAY AGO / FULL TERM/ SHEETS GOWN IS SATURATED WET: LOSS OF BLOOD VOLUME DURING PREGNANCY WHAT IS POSITIVE PARENTING BEHAVIOR: POST PARTUM NURSE INFANT BONDING: SATA 1. EN FACE, EXAMINE BABY FINGERS, STROKING BABY, EXPLORING EXPTEMINITES (SELECT ALL OF THEM) ASSESS FIRST: POST OP 2 DAYS WITH ABSENT BOWEL SOUNDS / PT HAS A CSECTION PT HAD CHILLS: BODY IS BEING COOLED STARTLE REFLEX: WOMAN WALKS BY AND THE BABY MAKES A C SHAPE WITH INDEX FINGERS, ABDUCTION AND EXTEMTION OF ARMS BABINSKI: HYPEREXTENSION AND FANNING OF TOES A breastfeeding client, G10P6408, delivered 10 minutes ago. Which of the following assessments is most important for the nurse to perform at this time? The nurse is working with a 36-year-old, married client, G6 P6, who smokes. The woman states, “I don't expect to have any more kids, but I hate the thought of being sterile.” Which of the following contraceptive methods would be best for the nurse to recommend to this client? A) Intrauterine device B) Contraceptive patch C) Bilateral tubal ligation D) Birth control pills Cephalhematoma: from vacuum delivery Ortolani sign: hip dysplasia Exam 2 Questions: 1. nursing intervention after 2 saturated perineal pads in 30 minutes: check vital signs. (why?- 2. when do you need the mom needs to void? I’m not sure if its is fundus 3cm above (no deviation) or moderate lochia. (pg 311, bladder push to right of umbilicus, increase lochia??)( if they have epidural they don’t feel anything, if bladder extended the uterus cant contract, bladder distention causes afterpain) 3. non pharmacological pain management of a newborn (select all): swaddling, skin to skin, acetaminophen, sucrose, and something else. I put all but sucrose and acetaminophen. (swaddling, skin to skin, sucrose, and something else) 4. why do you give erythromycin? 5. why do you give vitamin KWhen will you be concerned about the mother’s vital sign? 6. mother is sweating, why? which hormone is elevated in the breastfeeding mother? Prolactin 7. mother is asking who spanked my baby? 8. 16 y/o nursing diagnosis, knowledge deficit…? 9. Hunger cue? 10. Making loud noise next to baby? Startle reflex (pg 394, make loud noise near the neonate, disappear from 4 months) 11. Baby assessment on a 40 week old, which is normal? 12. Baby assessment on a full term baby? 13. S/S of mastitis: 14. Doctor orders cold pack, sitz bath, why? 15. 12 hours after episiotomy, pain management? 16. Most critical physiological transition? 17. Progestin-only contraception, how to take it: 18. How do you know if breastfeeding is adequate? 19. Head circumference vs. chest circumference 20. How do you know if baby is ready for discharge after circumcision? 21. A lot of questions on lochia!!! (pg 313) 22. Hep B question 23. Bathing question, mother needs further teaching when she says: 24. 15 minutes post delivery mother is breastfeeding, what phase is that 25. Nurse notices that the mom is in taking in phase: 26. Mother complaining of engorged breasts: 27. Who has the most after pains? 28. Lochia question 1 hours post delivery with small clots 29. Breast is sore, nursing teaching: 30. 12 hours post delivery where is fundus? 31. Mom is close to discharge, what is wrong to do 32. Mom calls the office and says, I’m sad but I love my son and I start crying: 33. How does the baby breathe? 34. Mom has a fan in the room and there is no blanket on the baby 35. Why it is important to keep the baby’s body temperature? 36. Why are you covering the baby with blanket to keep their temperature? 37. When do you call the pediatrician? 38. Further discharge teaching? 39. What comes after Lochia rubra in 4 days?
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