OB practice questions

Heather is diagnosed with preterm labor at 28 weeks gestation. Later she comes to the ER saying "I think I'm in labor" The nurse would expect her physical exam to show:

Regular uterine contractions with cervical dilation.

The nurse receives an order to start an infusion for a client whos hemorrhaging due to a placenta previa. What supplies will be needed? 1. Y tubing, normal saline solution, and 22G cathether 2. Ytubing, lactated Ringers solution and 18G cath 3. Y tubing, normal saline, 18G cath 4. Y tubing, lactated RIngers, 20G cath

3. Y tubing, normal saline, 18G cath

Blood loss from a normal vaginal delivery should NOT exceed:

500 mL

PPH is defined as blood loss > _____ after vaginal delivery or ____after C-section

500; 1000 mL

Which of the following nursing actions are directed at promoting bonding (SELECT ALL THAT APPLY) A. providing opportunity for parents to hold their newborn as soon as possible following birth B. providing opportunity for the couple to talk about their birth experience and about becoming parents C. promoting rest and comfort by keeping the newborn in the nursery at night D. providing positive comments to parents regarding their interactions with their newborn.

A, B, D

Patients with gestational diabetes are usually managed by which of the following therapies? A. Diet B. Long acting insulin C. Oral hypoglycemic drugs D. Oral hypoglycemic drugs/insulin

A.

A patient who is 32 weeks pregnant is being monitored in the antepartum unit for chronic hypertension with superimposed pre-eclampsia. She suddenly complains of continuous abdominal pain and vaginal bleeding. Which of the following nursing interventions should be included in the care of this patient? Select all that apply A. Evaluate VS B. Prepare for vaginal delivery C. Reassure client that she'll be able to continue pregnancy D. Evaluate FHT E. Monitor amount of vaginal bleeding F. Monitor Intake & Output

A. Evaluate VS D. Evaluate FHT E. Monitor amount of vaginal bleeding F. Monitor Intake & Output

Which of the following behaviors characterizes the PP mother in the taking-in phase? A. Passive and dependent B. Striving for independence and autonomy C. Curious and interested in care of the baby D. Exhibiting maximum readiness for new learning

A. Passive and dependent

professional organ of perinatal nurses

AWHONN

Placenta does not penetrate the uterine muscle

Accreta

A pregnant woman states that she frequently ingests laundry starch. When assessing the client, for what should the nurse be alert?

Anemia

Which of the following factors would contribute to a high risk pregnancy? A. Blood type O positive B. First pregnancy at age 33 yo C. Hx of allergy to honey bees and shrimp D. Hx of Gestational Diabetes with second pregnancy

D.

The optimum time to initiate lactation is:

As soon as possible after the infant's birth

Which of the following signs if noted in a new mother in the PP period, would be a sign of excessive blood loss? A. Temp of 100.4 F B. An increase in pulse from 88 to 120 BPM C. An increase in the respiratory rate from 18 to 22 breaths per min D. A blood pressure change from 130/88 to 124/80 mm Hg.

B. An increase in pulse from 88 to 120 BPM

The healthcare provider is caring for a woman during the birth of her baby. As the fetal head is delivered, the healthcare provider notes that the head retracts against the mother's perineum (turtle sign). What actions by the nurse will be anticipated that the healthcare provider will implement? Select all that apply A. Attempt delivery with forceps B. Empty the women's bladder C. Ask the women to begin pushing D. Flex the woman's thighs against her abdomen E. Apply fundal pressure F. Call for assistance

B. Empty the women's bladder C. Ask the women to begin pushing D. Flex the woman's thighs against her abdomen F. Call for assistance

Which of the following physiological responses is considered normal in the early postpartum period? A. urinary urgency and dysuria B. rapid diuresis C. increase in BP D. increase motility of the GI system

B. Rapid diuresis

A woman in her 8th month of pregnancy is having dinner with her husband at their favorite restaurant. The women suddenly chokes on a piece of chicken and appears to lose consciousness. What would be the best action by a nurse sitting at the next table?

Begin CPR

obligation to do good

Beneficence

During your assessment in the 4th stage of labor you note that the funds is firm but that bleeding is excessive. The initial nursing action would be which of the following: A. Massage the fundus. B. Place the mother in the transdelenburg position C. Notify the physician D. Record the finding

C. Notify the physician.

Which of the following drugs would the nurse expect to administer to the patient receiving intravenous magnesium sulfate for pre-eclampsia. If the client develops magnesium toxicity?

Calcium gluconate

Karen has continued bleeding during the fourth stage with a contracted uterus, the cause is most likely to be:

Cervical and perineal Lacerations

What complication may be indicated by continuous seepage of blood from the vagina of a PP patient, when palpation of the uterus reveals a firm fundus, 1 cm below the umbilicus?

Cervical laceration

Method of heat loss from a cold surface

Conduction

A pregnant patient in the last trimester has been admitted to the hospital with a diagnosis of severe preeclampsia. A nurse monitors for complications associated with diagnosis and assess the patient for:

Evidence of bleeding, such as in the gums, petechiae, and purpura.

At 17 yo primigravida with severe PIH has been receiving magnesium sulfate IV for 3 hrs. The latests assessment reveals DTR of +1, BP 150/100 mmgHg, 92 bpm, respiratory rate 10 bpm, and urine output 20 mL/hr. What following action would be most appropriate? A. continue monitoring per standards of care B. Discontinue the magnesium sulfate infusion C. Decrease infusion by 0.5 g/hr D. Increase infusion by 1 g/hr

Discontinue the magnesium sulfate infusion

The nursery nurse notes the presence of diffuse edema on a baby girl's head. Review of the birth record indicates that her mother experienced a prolonged labor and difficult childbirth. By the second day of life, the edema has disappeared. The nurse documents the following condition in the infant's chart. a. Caput succedaneum b. Cephalhematoma c. Subperiosteal hemorrhage d. Epstein pearls

a. Caput succedaneum

You suspect your pt may be experiencing a placental abruption based on assessment of which of the following (select all that apply) a. Dark red vaginal bleeding b. Insidious onset c. Absence of pain d. Rigid uterus e. Absent FHR

a. Dark red vaginal bleeding d. Rigid uterus

The preferred site for a Rhogam injection is the a. Deltoid b. Dorsogluteal c. Vastus lateralis d. Ventrogluteal

a. Deltoid

Your patient is 32-week gestation and at her visit today: BP 90/60; TPR 98.6, P 92, R20, weight 145lb; and uterine negative for protein. At her 34-week visit, which of the following findings would you highlight for the physician? a. BP 110/70; TPR 99.2,88,20 b. Weight 155; urine 2+ c. Urine protein trace, BP 88/56 d. Weight 147lb; TPR 99, 76, 18

b. Weight 155; urine 2+

Nurses working in OB clinics know that in general, teen pregnancies are high risk because of which of the following? a. High probability of chromosomal abnormalizes b. High oral intake of manganese and zinc c. High number of post-term deliveries d. High number of late prenatal care registrants

d. High number of late prenatal care registrants

You are caring for a 25-year-old patient who has just had a spontaneous first trimester abortion. Which of the following comments is appropriate? a. You can try again very soon b. It is probably better this way c. At least you weren't very far along d. I'm here to talk if you would like

d. I'm here to talk if you would like

During the IMMEDIATE postpartum (recovery) period, the woman focuses on:

Reviewing the birth experience

A women is admitted to the obstetric unit at 30 wks gestation with a sudden onset of vaginal bleeding that is bright red in color. Her uterus is soft and her pain report is 0 on a 0 -10 scale. The fetal heart rate is 140 beats/min. What is most likely her diagnosis?

Placenta previa

Rho isoimmunization in a pregnant patient develops during which condition?

Rh positive fetal blood crosses into maternal blood, stimulating maternal antibodies.

Must be given within 72 hours if Rh Negative

Rhogam

What would the nurse most likely expect to find when assessing a pregnant patient with abruptio placenta?

Rigid, bordlike abdomen

at the highest risk for cold stress

SGA babies that are preterm

What is an appropriate statement for the nurse to say to a patient with a complete placenta previa?

Please report to a nurse if you feel any back discomfort. --- Labor often begins with back pain. Labor is contraindicated for a client with complete placenta previa.

Hypertension accompanied by underlying systemic pathology that can have severe maternal and fetal impact; a systemic disease with hypertension accompanied by proteinuria after 20th week of gestation

Preeclampsia

As part of the cardiovascular adaptation of the newborn, construction of the ductus arteriosus provides for:

a sufficient blood supply to the lungs.

The neonate of a mother with gestational diabetes is at risk for what complication?

Hypoglycemia

T/F Methergine is contraindicated in asthma

False

Kim who has had no prenatal care was diagnosed with polyhydramnios and delivered a baby weighing 4500 grams. What complications of pregnancy likely contributed to these findings?

Gestational Diabetes

Present in breast milk, provides passive immunity

IGA

The nurse is developing a care plan for a patient in her 34th week of gestation who is experiencing premature labor. What nonpharmocological intervention should the plan include to halt premature labor?

Promoting adequate hydration

fetal fibronectin test

a useful test to predict those women who will NOT deliver preterm.

What types of trauma during labor and birth would lead to Post Part Hemorrhage (PPH) risk?

Instrumental assisted birth (vacuum or forceps) C-section Lacerations of the cervix or vaginal wall.

The nurse is planning care for a 16 yo in the prenatal clinic. Adolescents are prone to which complication during pregnancy?

Iron deficiency anemia

Assessment tool for evaluating breastfeeding

LATCH

Greater than 4,000 grams

LGA

Which of the following medications administered to the patient with gestational diabetes mellitus and experiencing preterm labor requires close monitoring of the patient's blood glucose levels?

Magnesium Sulfate

white papules on the face of a neonate

Milia

What is the best method to monitor a fetus of a patient with diabetes starting at 36 weeks?

NST weekly

Obligation to do no harm

Nonmaleficence

A maternity nurse is preparing for the admission of a patient in the third trimester of pregnancy that is experiencing vaginal bleeding and has a suspected diagnosis of placenta previa. The nurse reviews the physician's orders and would question which order?

Obtain equipment for a manual pelvic examination

Placental function begins to decrease towards the end of pregnancy which may result in decreased oxygen delivery to the fetal kidneys. This may cause:

Oligohydramnios

What hormone is responsible for the afterpains experienced during postpartum:

Oxytocin

Which two hormones most affect milk synthesis and milk ejection?

Oxytocin and prolactin

A nurse is reviewing the physician's orders for a patient admitted for premature rupture of the membranes. Gestational age of the fetus is determined to be 37 weeks. Which physician's order should the nurse question?

Perform a vaginal examination every shift

Which of the following complications can be potentially life threatening and can occur in a patient receiving a tocolytic agent? A. diabetic ketoacidosis B. Hyperemesis gravidarum C. Pulmonary edema D. Sickle cell anemia

Pulmonary edema

The nurse anticipates that the assessment of a NORMAL episiotomy immediately post-delivery is most likely to reveal:

Slight bruising

What factor might result in a decrease supply of breastmilk in a PP mother?

Supplemental feedings with formula

A maternity nurse is caring for a client with abruptio placentae and is monitoring the client for disseminated intravascular coagulopathy. What assessment finding is LEAST likely to be associated with disseminated intravascular coagulation?

Swelling of the calf of one leg.

Movement between dependent and independent behaviors

Taking hold phase

Your assessment of a 38-week gestational patient is swollen hands and face. Your patient tells you that she has noticed the same. You know that this change may be caused by which of the following? a. Altered glomerular filtration b. Cardiac failure c. Hepatic insufficiency d. Altered splenic circulation

a. Altered glomerular filtration

Which of the four T's is the LEAST common cause of PPH?

Thrombin

The four Ts of PPH are:

Tone, Trauma, Tissue and Thrombin

T/F Milk production is influenced by hormones and suckling?

True

T/F PPH (postpartum hemorrhage) is the leading cause of maternal death worldwide.

True

T/F The normal blood flow through the placental site each minute is 500-800 mls per minute

True

T/F Atonic bleeding is due to a lack of tone in the uterus

True

T/F The postpartum nurse is caring for a couple who experienced an unplanned emergency cesarean birth The nurse observes the following behaviors: -parents are gently touching their newborn -mother is softly singing to her baby -father is gazing into his baby's eyes the parents are displaying positive signs of bonding?

True

Oxygen is delivered from the placenta to the fetus by way of the:

Umbilical vein

Which of the following circumstances is most likely to cause uterine atony and lead to PP hemorrhage?

Urinary retention

A nurse is assessing a pregnant patient in the second trimester of pregnancy who is admitted to the maternity unit with a suspected diagnosis of abruptio placentae. What assessment finding would the nurse expect to note if this condition is present?

Uterine tenderness

obligation to tell the truth

Veracity

Protects the umbilical vessels

Wharton's jelly

A stillborn infant was delivered in the birthing suite a few hours ago. After the delivery, the family remained together, holding and touching the baby. Which statement by the nurse would further assist the family in their initial period of grief?

What have you named your baby?

Baby Charles was born 35 4/7 weeks gestation and weighted 8lb 4 oz placing him in greater than the 90th percentile. After completing a gestational age assessment on this newborn, the correct identification for him would be:

a preterm, large for gestational age

A 32-week gestation pt states that she thinks she is leaking amniotic fluid. Which of the following tests could be performed to determined whether the membranes had ruptured? a. Fern test b. Biophysical profile c. Amniocentesis d. Kernigs signs

a. Fern test

A 30-week gestation, multigravida, G3 P1011, is admitted to the labor suite. She is contracting every 5 minutes, lasting 40 seconds. Which of the comments by the pt would be most informative regarding the etiology of the patient's present condition? a. For the past day I have felt burning when I urinate b. I have a daughter who is 2 years old c. I jogged 1.5 miles this morning d. My miscarriage happened a year ago today

a. For the past day I have felt burning when I urinate

Which of the following patients is at highest risk for developing a hypertensive illness of pregnancy? a. G1 P0000, age 44 with hx of diabetes mellitus b. G2 P0101l, age 27 with hx of rheumatic fever c. G3 P1102, age 25 with hx of scoliosis d. G3 P1011, age 20 with hx of celiac disease

a. G1 P0000, age 44 with hx of diabetes mellitus

Your patient with severe preeclampsia is being treated with hydralazine to control blood pressure. Which of the following would lead the nurse to suspect that the pt is having an adverse effect associate with this drug? a. GI bleeding b. Blurred vision c. Tachy d. Sweating

a. GI bleeding

After reviewing a pt's hx which factor would the nurse identify as placing her at risk for gestational HTN a. Mother had a gestational HTN during pregnancy b. Pt has a twin sister c. Sister-in-law had gestational HTN d. This is the patient's second pregnancy

a. Mother had a gestational HTN during pregnancy

Your patient education for the patient with gestational HTN regarding her diet would be to encourage her to a. Restrict sodium intake b. Increase her intake of fluids c. Eat a well-balanced diet d. Avoid simple sugars

a. Restrict sodium intake

Your patients 1 hr glucose challenge test results are 155mg/dL. Which of the following actions as ordered by the MD is appropriate? a. Send the pt for a glucose tolerance test b. Teach the pt how to inject herself with insulin c. Notify the patient of the normal results d. Provide the patient with oral hypoglycemic agents

a. Send the pt for a glucose tolerance test

allows freedom of fetal movement

amniotic fluid

right to self-determination

autonomy

dimples, bent little finger

autosomal trait

Reflexes that are slightly brisker than normal would be at a. 1 b. 2 c. 3 d. 4

b. 2

Which of the following pregnant pts is most high risk for preterm premature ROM a. 30 week gestation with prolapsed mitral valve b. 32 week gestation with UTI c. 34 week gestation with gestation diabetes d. 36 week gestation with DVT

b. 32 week gestation with UTI

A pt at 27 weeks' gestation has been diagnosed with gestational diabetes. Which of the following therapies will most likely be ordered for this patient? a. Oral hypoglycemic agents b. Diet control and exercise c. Regular insulin injections d. Inhaled insulin

b. Diet control and exercise

An obese pregnant woman is being seen in the prenatal clinic. The nurse will monitor this patient carefully throughout her pregnancy because she is high risk for which of the following complication of pregnancy? a. Placentia previa b. Gestational Diabetes c. Abruptio placentae d. Chromosomal defects

b. Gestational Diabetes

Your pt with gestational HTN experiences a seizure. Which of the following would be the priority? a. Fluid replacement b. Oxygenation c. Control of HTN d. Delivery of the fetus

b. Oxygenation

Your new pt, G4 P0210, and 12 weeks gestation, has been admitted to the labor and delivery suite for a cerclage procedure. Which of the following long-term outcomes is appropriate for the pt? a. The pt will gain less than 25 pounds during the pregnancy b. Pt will deliver after 37 weeks gestation c. Pt will have a normal BGL throughout the pregnancy d. Pt will deliver a baby that is appropriate for gestational age

b. Pt will deliver after 37 weeks gestation

Your pt, G8 P3406, 22 weeks gestation, is being seen in prenatal clinic. During the nurse's prenatal teaching session, the nurse will emphasize that the woman should notify the OB office immediately if she notes which of the following? a. Change in fetal movement b. S/S of preterm labor c. Swelling of feet and ankles d. Appearance of spider veins

b. S/S of preterm labor

A 24-week gestation pt is being seen in OB clinic. She states, "I have had a terrible headache for the past 2 days." Which of the following is the most appropriate actions for the nurse to perform next? a. Inquire whether or not the pt has allergies b. Take the pt's BP c. Assess the pt's fundal height d. As the pt about stressors in her life

b. Take the pt's BP

nonshivering thermogenesis

brown fat

The primary source of heat production in the term neonate is:

brown fat metabolism

A patient is diagnosed with gestational hypertensions and is recreating magnesium sulfate. Which finding would the nurse interpret as indicating a therapeutic level of medication? a. Urinary output of 20mL/hr b. RR of 10 breaths per min c. Deep tendon reflex at 2+ d. Difficulty In arousing

c. Deep tendon reflex at 2+

You patient who is 8 weeks' gestation has arrived in the ED for a spontaneous miscarriage. At this time it is essential for the nurse to check which of the following? a. Maternal rubella titer b. Past OB hx c. Maternal blood type d. Cervical patency

c. Maternal blood type

A 16-year-old pt is being seen for the first time in the OB clinic. Which of the following comments by the young woman is highest priority for the nurse to respond to? a. My favorite lunch is a burger with fries b. I've been dating my new boyfriend for 3 weeks c. On weekends we go out and drink a few beer d. I dropped out of school about 3 months ago

c. On weekends we go out and drink a few beer

You are performing an assessment on a 22-week gestation pt. You report to the OB which of the following patients may be carrying twins? a. The pt who states that she feels huge b. The pt with a weight gain of 13 pounds c. Pt whose fundal height is 26cm d. Pt whose alpha-fetoprotein level is one half normal

c. Pt whose fundal height is 26cm

A pregnant patient, G6P5005, 24 weeks gestation, has been admitted to the hospital for placenta previa. Which of the following is an appropriate long-term goal for this patient? a. Pt will state an understanding of need for complete bed rest b. Pt will have a reactive non-stress test on day 2 of hospitalization c. Pt will be symptom free until at least 37 weeks' gestation d. Patient will call her children shortly after admission

c. Pt will be symptom free until at least 37 weeks' gestation

A patient who is 37 weeks' gestation has been advise that she is positive for group B strep. Which of the following comments by the nurse is appropriate at this time? a. The doctor will prescribe intravenous antibiotics for you. A visiting nurse will administer them to you in your home b. You are very high risk for an intrauterine infection. It is very important for you to check your temp every day c. The bacteria are living in your vagina. They will not hurt you but will give you medicine in labor to protect your baby from getting sick d. This bacterium causes scarlet fever. If you notice that your tongue becomes very red and that you feel feverish, you should go to the ED immediately

c. The bacteria are living in your vagina. They will not hurt you but will give you medicine in labor to protect your baby from getting sick

The nurse suspects that a patient is third spacing fluid. Which of the following signs will provide the nurse with the best evidence of this fact? a. BP b. Appearance c. Weight d. Pulse

c. Weight

Heart murmurs in the newborns

can be heard initial in the first 24 hours but any infant who has one beyond 2-3 days may have a cardiac lesion.

Localized soft tissue edema of the scalp

caput succedaneum

Does not present with the disease

carrier

Unilateral swelling between periosteum and skull

cephalhematoma

on which genes are found

chromosomes

A nurse is caring for a pregnant patient with preeclampsia. The nurse prepares a plan of care for the patient and documents in the plan that if the client progresses from preeclampsia to eclampsia, the nurses's first action should be to:

clear and maintain an open airway.

Excessive heat loss causing hypothermia

cold stress

You are reviewing the lab results of a pregnant patient. Which of the following findings would alert the nurse to the development of HELLP syndrome? a. Hyperglycemia b. Elevate platelet count c. Leukocytosis d. Elevated liver enzymes

d. Elevated liver enzymes

A pt has just been diagnosed with gestational diabetes. She cries "Oh no, I will never be able to give myself shots!!" Which of the following responses by the nurse is appropriate at this time? a. I am sure you can learn for your baby b. I will work with you until you feel comfortable giving yourself the insulin c. We will be giving you pills for the diabetes d. If you follow your diet and exercise you will probably not have to have insulin shots

d. If you follow your diet and exercise you will probably not have to have insulin shots

Your patient has severe pre-eclampsia. You expect the physician to order tests to assess the fetus for which of the following? a. Severe anemia b. Hypoprothrombinemia c. Craniosynostosis d. Intrauterine growth restriction

d. Intrauterine growth restriction

A pregnant patient is being seen in the ED with diarrhea, fever, stiff neck, and headache. Upon inquiry, the nurse learns that the woman drinks unpasteurized milk and eats soft cheese daily. For which of the following bacterial infections should this woman be assessed? a. Staph Aureus b. Strep Albicans c. Pseudomonas aeruginosa d. Listeria monocytogenes

d. Listeria monocytogenes

Which of the following statements is appropriate for the nurse to say to a pt with a complete placenta previa? a. During the first phase of labor you will do slow chest breathing b. You should resume all your activities without concern c. The doctor will deliver once you reach 25 weeks' gestation d. Please remember to tell me if you become constipated

d. Please remember to tell me if you become constipated

Your pt is pregnant with monochorionic twins. For which of the glowing complications should this pregnancy be monitored? a. Oligohydramnios b. Placenta previa c. Cephalopelvic Disproportion d. Twin-to-twin transfusion

d. Twin-to-twin transfusion

Does pulmonary vascular resistance increase or decrease?

decreases (so that there can be an increase blood flow through pulmonary vessels)

Your patient has just delivered at 42 weeks gestation. When assessing the newborn, which physical finding is expected?

desquamation of the epidermis

Connects the pulmonary artery with descending aorta

ductus arteriosus

Preeclampsia with the onset of tonic clonic seizure/convulsions which place the mother and fetus at risk for death

eclampsia

The inner lining of the uterus is called

endometrium

The nurse notes that a new father gazes at his baby for prolonged periods of time and comments that his baby is beautiful and he is very happy having a baby. This behaviors are commonly associated with:

engrossment

Dry the neonate immediately after birth to decrease heat loss due to:

evaporation

Loss of body heat directly after birth

evaporation

occurs in the outer third of the Fallopian tube

fertilization

what is a risk factor for PPH?

fetal macrosomia prolonged labor chorioamnionitis

Because utter-placental circulation is compromised in patient with preeclampsia, a NST is performed to detect:

fetal well being

from week 9 until birth

fetus

pulls the ovum into the Fallopian tube

fimbrige

Opening between the right and left atrium

foramen ovale

During your initial assessment you notice a bluish marking across the newborn's lower back. You recognize that this finding is:

frequently seen in dark-skinned newborns

upper portion of the uterus

fundus

either dominant or recessive

genes

the study of heredity

genetics

complete set of DNA

genome

hormone detected in pregnancy test

hCG

Collection of blood in the vagina or perineal area

hematoma

Jitteriness, hypotonia, temp instability

hypoglycemia

normally occurs in the upper posterior wall of the uterus

implantation

The initial assessment for a neonate admitted to the nursery begins by:

inspecting the posture, color and respiratory effort.

Second most common cause of primary post partum hemorrhage

lacerations

fine downy hair of newborn infant

lanugo

New role of mother

letting go phase

A nurse is caring for a patient whose membranes ruptured prematurely 12 hours ago. When assessing the client, the nurse's highest priority is to evaluate:

maternal vital signs and fetal heart rate

Do not administer if elevated blood pressure

methergine

Decreased amniotic fluid

oligohydramnios

formation of mature ovum

oogenesis

Hormone for Let-Down

oxytocin

Placenta extends fully through the uterine wall

percreta

organ of metabolic and gas exchange

placenta

Maria, 34 wks pregnant arrives at the ER with SEVERE abdominal pain, uterine tenderness and an increased uterine tone. The client also has vaginal bleeding. There external fetal monitor shows minimal variability with late decelerations. The patient most likely has:

placental abruptio

Increased amniotic fluid

polyhyrdamnios

The 6 week period after childbirth

postpartum

facilities implantation and decreases uterine contractility

progesterone

Hormone that makes milk

prolactin

A baby has just been delivered by low forceps. Her term infant had a cord around the neck one time. As the nurse in the delivery your PRIMARY focus is on assessment of the baby's:

respiratory effect

Genes located on the X chromosome

sex-linked genes

Raises temperature and facilitates breastfeeding

skin to skin

An expected finding on your one day postpartum who is primipara and breastfeeding would be:

soft, non-tender; colostrum is present

Uterus does NOT decrease in size

sub involution

Period of dependent behaviors

taking in phase

exposure to these can cause embryonic/ fetal development abnormalities

teratogens

Decreased tone of the uterine muscle

uterine atony

Covers the fetus in pregnancy, protects the skin

vernix