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17 Cards in this Set

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In the pre admission clinic, the perinatal nurse describes the advantages to short hospital stay as including:
Decreased risk of nosocomial infection
In the immediate postpartum period, the perinatal nurse knows that the postpartum woman most often has:
Bradycardia
The postpartum nurse expects a postpartum woman's bladder function to return to normal within which length of time:
6 - 8 hours
The perinatal nurse knows that the first 6 weeks after birth is described as the _____.
Peurperium
The perinatal nurse works with the health care facility's unit council to develop policies to promote patient safety. The policy on infant safety particularly focuses on the challenge of two infants/families with the same ____ to ensure that there are specific strategies to protect each family.
Name
The perinatal nurse recognizes that it is common for women using insulin to have ____ insulin requirements postpartum. This finding is due to a ____ in levels of placental lactogen and insulinase
Decrease, Decrease
True of False
The perinatal nurse teaches the student nurse about the use of the acronym REEDA for wound assessment. The "R" stands for Redness and the "A" stands for Approximation of the wound edges.
TRUE
The Healthy People 2010 initiative, which includes postpartum teaching that focuses on:
1. Warning signs during the postpartum period.
2. Benefits of breastfeeding.
3. Contraceptive methods.
The postpartum nurse recognizes that after birth, the patient is at risk for decreased bladder tone and function if her labor/birth included:
Forceps, Vacuum extraction, Prolonged second stage
Case Study:
The perinatal nurse is assessing Ruth, who has given birth 2 hours ago. The nurse notes a discoloration of the perineum and Ruth complains of pain and rectal pressure. The most appropriate action for the nurse is to:
Call the health care provider to assess immediately.
Measures the hospital nurse can implement to ensure the safety of both the infant and the mother.
1- educate new mothers about matters concerning personal, newborn, and family health.
2 - Provide electronic tracking of infants.(to prevent abduction)
3 - placement of identification bands on both mother and infant shortly after birth.
4. Verify bracelets match.
5. At discharge, it may be necessary for the nurse to retain both the infant's and parent's identification bracelets as part of the permanent record.
Suggest a strategy to decrease the potential for confusing infants whose last names are similar of identical?
Infants' cribs and charts should indicate the mother's first name, and bear a label that designates a "NAME ALERT"
What actions can hospital personnel take to help prevent infant abduction?
1- Infants must be transported only in a bassinet and parents are prohibited from carrying the infant in the halls.
2. Identification bracelets are matched before giving the infant to the mother.
3. Mothers are instructed to release the infant ONLY to PROPERLY IDENTIFIED hospital personnel.
What are the expected vital sign findings during the postpartum period?
1. Increased body temp. (up to 100.4(F) of 38(C)
2. Bradycardia (HR of 50-70 bpm)
3. BP values should be compared with BP values during first trimester.
4Respiratory rate should remain within normal rate of 12 - 20 bpm. (Pain can slightly elevate respirations.)
Potential causes for increased BP, PULSE, and RESPIRATIONS during the postpartum period.
1. Increase in systolic BP of 30 mm Hg or 15 mm Hg in diastolic could indicate Gestational Hypertension.
2. Increase pulse can result from complication, prolonged labor, blood loss, temperature elevation, or infection.
3.A slight increase in respirations can result from pain, fear, excitement, exertion, or excessive blood loss.
Tachypnea, abnormal lung sounds, shortness of breath, best pain, anxiety, or restlessness are abnormal findings that must be reported immediately. These signs and symptoms may be indicative of _________ or _________.
Pulmonary edema or emboli.
What is meant by the REEDA acronym to facilitate the perineal assessment?
R= Redness
E= Edema
E= Ecchymosis
D= Discharge
A= Approximation