woman 2-3

Large vaginal clots

retained placental fragments

late signs of hypoglycemia

Confusion. abnormal behavior... Visual disturbances... Seizures... and. Loss of consciousness

macrocephaly.

Hydrocephalus and achondroplasia

Assessment findings consistent with blood loss

pulse rate, decreased blood pressure, and decreased urine output.

A client who had a vaginal birth 2 days ago asks the nurse when she will be able to breathe normally again. Which response by the nurse is accurate?

"Within 1 to 3 weeks, your diaphragm should return to normal, and your breathing will feel like it did before your pregnancy."

fever is the most significant finding

endometritis

lochia alba 10-14 up to 3-6 weeks

eukocytes and decidual tissue

small-for-gestation-age (SGA) newborn.

head larger than body

SGA infant

lacental factors with abnormal umbilical cord insertion, chronic placental abruption, malformed and smaller placentas, with placental previa or placental insufficiency

Which axillary temperatures should the nurse point out should be reported to the primary care provider?

less than 97.7° F (36.5° C) or greater than 100° F (37.8° C)

lochia serosa 3-10

leukocytes, decidual tissue, RBCs, and serous fluid

urinalysis is done on a postpartum mother 24 hours after delivery.

moderate glycosuria mild ketonuria Occasional RBCs trace WBCs

oxygen

most important to assist in its closure ductus arteriosus

The majority of skin variations are transient and fade or disappear with time. The nurse assesses a permanent skin variation in a newborn and counsels the parents to monitor it because of its link to potential childhood cancer. The nurse implements this counseling based on which finding?

nevus flammeus

identification bracelets

newborn's sex and date and time of birth

risk for postpartum hemorrhage

precipitous labor of less than 3 hours, labor induction, use of operative procedures such as forceps, and prolonged third stage of labor (greater than 30 minutes).

Pertinent questions are whether she has been previously exposed to Rh-positive blood prior to this pregnancy,

previous pregnancy, abortion or ectopic pregnancy

If a mother reports that she is saturating more than one peripad per hour,

the RN needs to be notified because this is too much bleeding.

postpartum hemorrhage

tone, tissue, trauma, and thrombin.

A nurse is reviewing the medical record of a postpartum woman in preparation for assessment. Which factor would the nurse identify as increasing the woman's risk for infection? Select all that apply.

urinary stasis denuded endometrial arteries episiotomy

Daily nutritional recommendations for the lactating woman include:

2 to 3 quarts of fluids, 4 servings each of fruits and vegetables, 4 to 5 servings of milk, 5 servings of fats, oils and sweets. 7 servings of meat, poultry, fish and eggs, and

A nurse is explaining to new parents how a newborn adapts to extrauterine life. When discussing the physiologic changes that occur, the nurse would explain that this transition usually takes the first:

6 to 10 hours of life. The transition usually takes place within the first 6 to 10 hours of life; however, some adaptations take weeks to attain full maturity.

just delivered the placenta. Suddenly, bright red blood gushes from the vagina.

A cervical laceration

breast engorgement

A swollen, warm breast at day 4

The nurse discharging a newly delivered mother and her newborn infant needs to assess the mother's knowledge about how to take care of herself and her baby. This is her second child. Which approach would be best to verify the client's understanding of these topics?

Ask her questions and observe her caring for the baby.

Which assessment by the nurse will best monitor the nutrition and fluid balance in the postterm newborn?

Assess for decrease in urinary output. Weight of the newborn should be measured daily

vaginal bleeding. The client had a forceps birth that resulted in lacerations 4 hours ago. What should the nurse do next?

Assess for uterine contractions. The nurse needs to identify whether the bleeding is from lacerations or uterine atony. This can be done by looking for a well contracted uterus with bright-red vaginal bleeding.

A nurse is describing the many changes a newborn will go through during his or her first couple of weeks after birth. The nurse explains how the functions of the placenta are taken over by which organ?

At birth, the newborn's liver, not the intestine, cardiovascular system, or kidneys, assumes the functions that the placenta handled during fetal life. This includes iron storage, carbohydrate metabolism, blood coagulation, and conjugation of bilirubin.

When teaching an unlicensed assistant personnel (UAP) how to provide perineal care on a postpartum woman, the nurse would include which steps? Select all that apply.

Before beginning perineal care, the nurse should be certain to wash the hands well and pull on clean, not sterile, gloves. The nurse should then place a plastic-covered pad under the woman's buttocks to protect the bed from lochia or water. With the woman lying supine, the nurse should remove the perineal pad from front to back. A common method of cleaning is to spray the perineum with clear tap water from a spray bottle.

A nurse is transporting a neonate from the nursery to the mother's room. The nurse ensures that the neonate is moved in a warmed isolette to prevent heat loss by which mechanism?

Convection involves the flow of heat from the body surface to cooler surrounding air or to air circulating over a body surface. Transporting a neonate in a warmed isolette prevents heat loss by convection.

postpartum affective disorders

Plummeting levels of estrogen and progesterone immediately after birth can contribute to postpartum mood disorders.

A primiparous mother gave birth to an 8 lb 12 oz (4 kg) infant daughter yesterday. She is being bottle fed, is Rh positive, has a cephalohematoma, and received her hepatitis A vaccine last evening. Which factor places the newborn at risk for the development of jaundice?

Risk factors for the development of jaundice include bruising as seen in a cephalohematoma, male gender and being breastfed

Forces of contractions, mild asphyxia, increased intracranial pressure, and cold stress all play a role in the newborn transition by releasing which critical component?

Search Results Featured snippet from the web en.wikipedia.org Catecholamines are hormones made by your adrenal glands, which are located on top of your kidneys. Examples include dopamine; norepinephrine; and epinephrine (this used to be called adrenalin or adrenaline).

thrombophlebitis

The nurse should ask the woman if she has pain or tenderness in the lower extremities when ambulating that is relieved by rest and elevation. Also assess for redness, warmth, and edema as well as a low-grade fever.

disseminated intravascular coagulation

bleeding gums, tachycardia, and acute renal failure

Decreased estrogen levels

breast engorgement and with the diuresis of excess extracellular fluid

Disseminated intravascular coagulation

complication of abruptio placenta, amniotic fluid embolism, intrauterine fetal death with prolonged retention of the fetus, severe preeclampsia, HELLP syndrome, septicemia, and hemorrhage.

Involution involves three retrogressive processes:

contraction of the muscle fibers; catabolism of the individual myometrial cells; and regeneration of the uterine epithelium from the lower layer of the decidua after the upper layers have been sloughed off.

The nurse is assessing a neonate as he transitions to extrauterine life. The nurse integrates understanding that which structure closes as a result of tne neonate's first breath?

foramen ovale With the newborn's first breath, air pushes into the lungs, triggering an increase in pulmonary blood flow and pulmonary venous return to the left side of the heart. As a result, the pressure in the left atrium becomes higher than in the right atrium. The increased left atrial pressure causes the foramen ovale to close

What sign or symptom is most indicative of an episiotomy infection

foul-smelling vaginal discharge

Retrogressive

involution of the uterus, contraction of the cervix, decrease of pregnancy hormones, and return of the blood volume to prepregnancy level.

Signs and symptoms of hypoglycemia in newborns

jitteriness, lethargy, cyanosis, apnea, high-pitched or weak cry, hypothermia, and poor feeding. Respiratory distress, apnea, seizures, and coma are late signs of hypoglycemia. If hypoglycemia is prolonged or is left untreated, serious, long-term adverse neurologic sequelae such as learning disabilities and intellectual disabilities can occur

SGA newborn

smoking, chronic medical conditions (such as asthma), and a substance use disorder hypertension, genetic disorders, and multiple gestations.

Magnesium sulfate

smooth-muscle relaxant; therefore, the uterus may fail to adequately contract after administration. Initial assessment begins with the assessment of the fundus.

Newborn infants of diabetic mothers (IDM) are at risk for polycythemia. A priority for the nurse is to observe for clinical signs of polycythemia

respiratory distress, cyanosis, jitteriness, jaundice, ruddy skin color, and lethargy and monitor blood results with hematocrit levels repeated every 12 hours.

respiratory distress syndrome (RDS)

retinopathy of prematurity.

intrauterine asphyxia

uteroplacental blood flow and may cause intrauterine asphyxia compression, placenta abruption, and intrauterine growth restriction

1 week after birth,

uterus shrinks in size by 50%

Unlike preterm babies with low birth weights, a small for gestational age baby can safely tolerate early oral feeding. It usually has a coordinated sucking and swallowing reflex.

Decreased muscle mass, decreased body temperature, and an angular and pinched face are features common to both an SGA and a preterm baby.

A nurse is caring for the client who gave birth a week ago. The client informs the nurse that she experiences painful uterine contractions when breastfeeding the baby. Which should the nurse do next?

Tell the client to take an NSAID orally.

a typical feature of a small for gestational age (SGA) newborn that differentiates it from a preterm baby with a low birth weight

ability to tolerate early oral feeding

postpartum venous thromboembolism

age greater than 35 years, obesity, cesarean birth, and a prolonged labor. Hypertension,

Postterm newborns typically exhibit the following characteristics: dry, cracked, peeling, wrinkled skin; vernix caseosa and lanugo are absent; long, thin extremities;

creases that cover the entire soles of the feet; abundant hair on scalp; thin umbilical cord; long fingernails; limited vernix and lanug; and meconium-stained skin and fingernails.

lochia rubra 3-4

deep red mixture of mucus, tissue debris, and blood.

Infants with microcephaly

epilepsy, cerebral palsy, intellectual disability, and ophthalmologic and hearing disorders.

FHR be assessed during the second stage of labor

every 15 minutes for the low-risk woman

FHR be assessed during the second stage of labor

every 5 minutes for the high-risk woman and during the pushing stage.

Cold stress

excessive heat loss that requires a newborn to use compensatory mechanisms such as nonshivering thermogenesis and tachypnea particularly within the first 12 hours of life

DIC is always a secondary diagnosis that occurs as a complication of abruptio placenta, amniotic fluid embolism,

intrauterine fetal death with prolonged retention of the fetus, severe preeclampsia, HELLP syndrome, septicemia, and hemorrhage.

afterpains

oxytocin released by the sucking reflex, which strengthens uterine contractions. An NSAID such as ibuprofen will decrease the discomfort from the afterpains.

Medical and pregnancy

pertinent to the mother, which would be the mother's blood type, Rh and rubella status.

postpartum infection

prolonged rupture of membranes (greater than 18 to 24 hours); regional anesthesia insertion of fetal scalp electrode or intrauterine pressure catheters for internal fetal monitoring during labor instrument-assisted childbirth, such as forceps or vacuum extraction (increases risk of trauma to genitalia); and gestational diabetes (decreases body's healing ability and provides higher glucose levels on skin and in urine, which encourages bacterial growth).

neonate receiving oxygen at concentrations greater than 70% is at risk for developing

retinopathy of prematurity pulmonary edema

phenylketonuria

2 to 3 days after birth. PKU is an inherited disease involving a specific enzyme necessary in the production of amino acids. Without this enzyme, phenylalanine builds up in the blood and can lead to serious consequences, such as brain damage

What should the nurse consider when checking results of blood work done on a newborn?

Leukocytosis is usually present. The site of the blood sample matters. For instance, capillary blood has higher levels of HGB and HCT compared to venous blood. Leukocytosis (elevated white blood cells) is present as a result of birth trauma soon after birth. The newborn's platelet and aggregation ability are the same as adults.

group B strep infection

intrauterine infection or PROM/preterm labor.

hemoglobin level less than 10.5 g/dL

risk for postpartum infection.

at the end of 6 weeks

size as its prepregnancy weight.

Endometritis

tender uterus, foul-smelling lochia, and strong afterbirth pains