OB Exam 3 (PP and Newborn)

When instructing a new mom on providing skin care to her newborn, which statement, made by the mother, indicates additional teaching is needed?

"I can use talc powders to prevent diaper rash."

How long does it take for breasts to become engorged with breast milk during the PP period?

3 days

A nurse is taking care of a postpartum client. What temperature would the nurse suspect as a fever during this time?

A temperature greater than 38C or 100.4F

What situations would result in a mother not being able to breastfeed?

Antithyroid medications Antineoplastic medications Street drugs

Breastfeeding can be used as a form of contraceptive. What are some teaching points you can inform your client?

Breastfeeding is not a totally reliable method of contraception unless the mother exclusively breastfeeds, has had no menstrual period since giving birth, and whose infant is younger than 6 months old; however, ovulation may occur before menstruation

What action should the nurse take if a newborn is seen jittery and unable to breastfeed?

Check their blood glucose. Hypoglycemia is the main cause of jitters/tremors in newborns

The nurse is caring for a postpartum woman who exhibits a large amount of bleeding. Which areas would the nurse need to assess before the woman ambulates?

Continue to monitor the woman's vital signs for changes. If she reports dizziness or light-headedness when getting up, obtain her blood pressure while lying, sitting, and standing, noting any change of 10 mm Hg or more.

A high temperature is the main sign of infection. When would a high temperature not be a cause of infection?

During the first 24 hours of delivery. High temperature is common due to dehydration from exertion

A postpartum mother gave birth 4 hours ago. She complains of excessive urinating in the past hour. What hormone is responsible for this outcome?

Estrogen Levels of estrogen and progesterone drop after the delivery of the placenta. Decreased estrogen is associated with breast engorgement and diuresis of excess extracellular fluid accumulated during pregnancy

A nurse does an initial assessment on a newborn and notes a pulsation over the anterior fontanelle that corresponds with the newborn's heart rate. How would the nurse interpret this?

Feeling a pulsation over the fontanel correlating to the newborn's heart rate is normal. The pulsation should not be felt in the posterior fontanel. The fontanel should not be bulging under any circumstance in a newborn.

A mother gave birth 24 hours ago and you find that her fundus is 2 cm above the umbilicus and boggy. What are some nursing interventions that you can perform?

Have her void if the bladder is distended and massage the fundus until it is firm

A nurse is providing care to a 3-hour-old neonate. The nurse ensures that her hands are warm prior to touching the neonate to prevent heat loss by which mechanism?

Heat loss by conduction can occur when the nurse touches the newborn with cold hands. Conduction involves the transfer of heat from one object to another when the two objects are in direct contact with one another. Convection involves the flow of heat from the body surface to cooler surrounding air or to air circulating over a body surface. Radiation involves the loss of body heat to cooler, solid surfaces that are in proximity but not direct contact with the newborn. Evaporation involves the loss of heat when a liquid is converted to a vapor.

A nurse is teaching a mother about breastfeeding. What instructions should the nurse include?

Help the mother initiate breastfeeding within 30 minutes of delivery Encourage feeding of newborn on demand every 2-3 hours Place the baby on uninterrupted skin to skin with the mother

A postpartum client has a hard time stopping her urine stream? What would the nurse tell her to do?

Kegel exercises to increase the strength of her perineal floor muscles

The main rationale for monitoring a new mother every 15 minutes after the first hour of delivery is to...

Monitor and prevent postpartum hemorrhage

Which factor puts a multiparous client on her first postpartum day at risk for developing hemorrhage?

Multiparous women typically experience a loss of uterine tone due to frequent distentions of the uterus from previous pregnancies. As a result, this client is also at higher risk for hemorrhage.

When a mother breastfeeds, what hormone is released that causes uterine contractions?

Oxytocin

When looking at the medical record of a postpartum client, what factors does the nurse determine as risk factors for thromboembolism?

Previous oral contraceptive use Severe varicose veins Preeclampsia

The nurse palpates a postpartal woman's fundus 2 hours after birth and finds it located to the right of midline and somewhat soft. What is the correct interpretation of this finding?

The clien's bladder is distended and is causing the uterus to deviate to the right.

The closure of the ductus arteriosus is related to which event after birth from fetal to newborn circulation?

The first few breaths greatly increase the oxygen content of circulating blood. This chemical change (i.e., higher oxygen content of the blood) contributes to the closing of the ductus arteriosus, which eventually becomes a ligament.

An infant born via a cesarean delivery appears to be transitioning well; however, the nurse predicts that she will note which common assessment finding in this infant?

The infant born from a cesarean birth has not had the opportunity to exit the birth canal and experience the squeezing of fluid from the lungs. The lungs have more amniotic fluid than the lungs of a baby from a vaginal birth and are at greater risk for respiratory complications, such as tachypnea

What should the nurse expect for a full-term newborn's weight during the first few days of life?

The nurse should expect the newborn who is breastfed or formula-fed to lose 5% to 10% of birth weight in the first few days of life.

The nurse enters the room and notes the infant is in it's bed sleeping, close to the outside window. Which action should the nurse prioritize?

The nurse should move the infant away from the window to prevent heat loss via radiation. When the nurse moves the newborn away from a cold window, it prevents heat loss from a cold object near the newborn, which is an example of radiation.

A new mother wants to store her breast milk for use later. What instructions should the nurse provide for proper safety and storage of breast milk?

Use the sealed and chilled milk within 24 hours. When freezing milk, it should be used within 3 months. When thawing frozen milk, it is encouraged to place it in the fridge or under warm water and NEVER in the microwave. Leftover milk should be discarded and never refrozen.

What is a way to ease discomfort when having sexual intercourse during the postpartum period?

Using a water-soluble lubricant

A new mother asks the nurse why newborns receive an injection of vitamin K after delivery. What will be the best response from the nurse?

Vitamin K is needed in newborns to prevent bleeding episodes. It is especially important for male newborns who are being circumcised. The newborn's intestine is sterile and has no symbiotic bacteria in it to produce vitamin K, so the newborn receives a supplement through the vitamin K injection

A mother is breastfeeding her newborn. What characteristics would her newborn's stool look like?

Yellow-gold that is loose, stringy, and pasty