prep u 16

Venous duplex ultrasound

is a noninvasive test that visualizes the veins and assesses blood flow patterns.

A venogram

is an invasive test that utilizes dye and radiation to create images of the veins and would not be the first choice.

bonding

. The development of a close emotional attraction to the newborn by parents during the first 30 to 60 minutes after birth

When assessing the episiotomy site of a postpartum client that delivered 3-hours ago, the nurse would document which findings as expected? Select all that apply.

During the early postpartum period, the perineal tissue surrounding the episiotomy is typically edematous and slightly bruised. The normal episiotomy site should not have redness, bleeding or discharge.

A first-degree laceration

involves only *skin and superficial structures* above the* muscle*

negative attachment

Expressing disappointment or displeasure in the infant, failing to explore the infant visually or physically, and failing to claim the infant as part of the family

what to do in excessive bleeding

Palpate the fundus. Massage the fundus if boggy. Notify the primary care provider or the nurse-midwife of excessive bleeding. Increase IV pitocin or breastfeed the newborn. Assess blood pressure. Assist the client to empty her bladder in the bathroom

During the fourth stage of labor, the nurse assesses the client's fundal height and tone. When completing this assessment, the nurse performs which action to prevent prolapse or inversion of the uterus?

The nurse can prevent prolapse or inversion of the uterus by placing a* gloved hand just above the symphysis pubis *that guards the uterus and prevents any downward displacement that may result in prolapse or inversion.

The nurse when assessing lochia must do so in terms of what?

amount, color, odor, and change with activity and time.

Finding active bowel sounds, verification of passing gas, and a nondistended abdomen are normal or not normal findings?

are normal assessment results. The abdomen should be nontender and soft. Abdominal pain is not a normal assessment finding and should be immediately looked into.

foremilk

bluish white

A fourth-degree laceration

continues through the *anterior rectal wall*

colostrum

creamy yellow

The perception of increased skin temperature a short time postbirth is related to ?

dehydration from the exertion of labor. Therefore rehydration should help to decrease skin temperature.

distended bladder is what ?

dull on percussion and can be palpated as a rounded mass. In addition, the uterus would be boggy, and lochia would be more than usual.

Tachycardia and a boggy fundus in the postpartum woman indicates what?

excessive blood loss. The nurse would* massage the fundus* to promote *uterine involution.*

A third-degree laceration

extends through the *anal sphincter muscle*.

Right calf pain and nonpitting edema may indicate?

indicate deep vein thrombosis (DVT). Postpartum clients and clients who have had *abdominal surgery* are at increased risk for DVT.

Proximity of the newborn and the mother can promote?

interest in the newborn and a desire to hold. *Exposure to other mothers and their behaviors can only serve to set up unrealistic and fearful situations for a reluctant mother*

ice pack

is changed frequently to promote good hygiene and to allow for periodic assessments. Ice packs are wrapped in a disposable covering or clean washcloth and then applied to the perineal area, not directly. The nurse should apply the ice pack for 20 minutes, . Ice packs should be used for the first 24 hoursf

Parent role exploration

is the parents' ability to find their own way and integrate the parental identity into themselves

Reciprocity

is the process by which the infant's capabilities and behavioral characteristics elicit a parental response.

A second-degree

laceration extends *through* the * perineal muscles.*

Transthoracic echocardiography

looks at *cardiac structures*

any change in the respiratory rate of a postpartum woman can indicate what?

might indicate *pulmonary edema, atelectasis, or pulmonary embolism* and must be reported. *Lungs should be clear upon auscultation.

Right calf pain and edema are symptoms ?

of venous outflow obstruction,

Some risk factors for developing hemorrhage after birth include

precipitous labor, uterine atony, placenta previa and abruptio placentae, labor induction, operative procedures, retained placenta fragments, prolonged third stage of labor, multiparity, and uterine overdistention.

Commitment

refers to the enduring nature of the relationship. The components of this are *twofold: centrality and parent role exploration. *In centrality,* parents place the infant at the center of their lives.* They acknowledge and accept their responsibility to promote the infant's safety, growth, and development.

Engrossment

refers to the intense interest during early contact with a newborn.

Attachment

refers to the process of developing strong ties of affection between an infant and significant other.

During pregnancy, the distended uterus obstructs ?

the amount of venous blood returning to the heart; after birth, to accommodate the increased blood volume returning to the heart, stroke volume increases.* Increased stroke volume reduces* the *pulse rate* to between 50 and 70 beats per minute. The nurse should be certain to compare a woman's pulse rate with the slower range expected in the postpartum period, not with the normal pulse rate in the general population. Pulse usually stabilizes to prepregnancy levels within 10 days.

discharge teaching

the client needs to notify the healthcare provider for* blurred vision *the postpartum period. The client should also notify the healthcare provider for a *temperature* great than *100.4° F* (38° C) or if a *peri-pad is saturated in less than 1 hour. The nurse should ensure that the follow-up appointment is fixed for within* 2 weeks after hospital discharge.

To assess the client's rectus muscle,

the nurse places the* index and middle fingers across the muscle.*

True or false Palpating the abdomen and feeling the uterine fundus or massaging the fundus carefully to expel any blood clots would be of no benefit in preventing prolapse or inversion of the uterus.

true

Pulse usually stabilizes to prepregnancy levels ?

within 10 days.

Scant" lochia

would describe a 1- to 2-in (2.5- to 5-cm) lochia stain on the perineal pad, or an approximate 10-ml loss. This is a normal finding in the postpartum client. The nurse would document this and continue to assess the client as ordered.