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
