{"id":132106,"date":"2024-02-06T07:37:39","date_gmt":"2024-02-06T07:37:39","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=132106"},"modified":"2024-02-06T07:37:41","modified_gmt":"2024-02-06T07:37:41","slug":"exam-2-prn-1831-prn1831-latest-2024-2025-update-principles-of-maternal-child-health-nursing-review-questions-and-verified-answers100-correct-grade-a-rasmussen","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2024\/02\/06\/exam-2-prn-1831-prn1831-latest-2024-2025-update-principles-of-maternal-child-health-nursing-review-questions-and-verified-answers100-correct-grade-a-rasmussen\/","title":{"rendered":"Exam 2: PRN 1831\/ PRN1831 (Latest 2024\/ 2025 Update) Principles of Maternal Child Health Nursing Review| Questions and Verified Answers|100% Correct| Grade A- Rasmussen"},"content":{"rendered":"\n

Exam 2: PRN 1831\/ PRN1831 (Latest 2024\/ 2025 Update) Principles of Maternal Child Health Nursing Review| Questions and Verified Answers|100% Correct| Grade A- Rasmussen<\/p>\n\n\n\n

Exam 2: PRN 1831\/ PRN1831 (Latest 2023\/
2024 Update) Principles of Maternal Child
Health Nursing Review| Questions and
Verified Answers|100% Correct| Grade ARasmussen
Q: Priority nursing interventions for the 4th stage of labor?
Answer:
Assessing VS, fundus, and bleeding every 15 min for 1-2 hr
Q: Medications given as opioid antagonist: what medication? Why is it given?
Answer:
Naloxone Given to women in labor or postpartum to counteract the effects of narcotic\/opioid
medications. To counteract the side effects (respiratory depression)
Q: Provide teaching and planning for a postpartum woman who is not immune to rubella
Answer:
Should be administer a dose of MMR following delivery, before discharge Teaching: client
should not get pregnant for 28 days following the immunization
Q: Be able to provide instruction re: breastfeeding and maternal pain medications
Answer:
Offer pain medication immediately after feed so that it has ample time to be metabolized prior to
next feed.<\/p>\n\n\n\n

Q: Which breastfeeding position would be best for a mom after c\/s
Answer:
Football hold
Q: Who gets Rhogam and why?
Answer:
All Rh-negative clients who have newborns who are Rh-positive (administered IM) o Why: to
suppress antibody formation in the mother
Q: What should you do if a fundus is boggy on assessment? Why?
Answer:
Have the mom try to empty her bladder\/massage o Why: full bladder can impede the uterus
ability to stay firmly contracted and result in increased bleeding\/hemorrhage
Q: Identify types of lochia and when to expect them
Answer:
Lochia rubra: (through day 3) dark red menstrual period like discharge fleshy odor o Lochia
serosa: (4-10 days) pinkish brown and serosanguineous consistency o Lochia alba: (10 days – 8
weeks) yellowish white creamy color, fleshy odor
Q: Bathing and pericare after c\/s
Answer:
Ensure stability during ambulation
o Keep stream of water on back away from incision
o Keep incision covered with an occlusive dressing<\/p>\n\n\n\n

o Provide shower chair if needed
Q: Provide teaching on pericare (understand the rationales
Answer:
After vaginal: Use warm water in squeeze bottle after every void (front to back) Pat dry, front to
back Use optional topical anesthetic (dermaplast) if episiotomy or laceration Apply ice packs
(first 24 hrs) Optional: use sitz bath (first 24 hrs)
Q: Preventing breast engorgement in the bottle feeding mom
Answer:
Supportive sports bra\/ace wrap breasts o Ice packs to the breasts o Apply cabbage leaves to draw
out milk
Q: Dietary sources of calcium
Answer:
-milk and milk products
-soy milk
-broccoli
-fortified orange juice
-fish with bones (sardines)
Q: symptoms of preeclampsia
Answer:
Headache o Visual disturbances o Epigastric pain o Edema o Proteinuria o Brisk DTRs o Clonus
o Seizure (Eclampsia)
Q: Expected findings in the postpartum period (fundal assessment)
Powered by https:\/\/learnexams.com\/search\/study?query=NR<\/a><\/p>\n\n\n\n

Advantages of Birth Center
it is dedicated to provide labor and delivery care only, the mom is encouraged to make her own designs, she can give birth in any position she wants, she can have family and friends there, it is affiliated with a hospital incase of an emergency<\/p>\n\n\n\n

Advantages of Hospital Birth
It is the safest environment for high-risk patients, Emergency equipment and personnel are available at all times, The pediatrician can be present for the delivery if a problem is anticipated, It is the only option if a cesarean delivery is required, and Until discharge, the woman has 24-hour support from nurses.<\/p>\n\n\n\n

How much postpartum bleeding is too much?
Should not saturate more than a pad in an hour<\/p>\n\n\n\n

What is involution?
the return of the uterus to a non pregnant state after birth Typically, 1 cm per day<\/p>\n\n\n\n

What happens during the 3rd stage of labor?
delivery of placenta<\/p>\n\n\n\n

Nursing diagnoses for the 4th stage of labor?
Risk for injury related to hemorrhage<\/p>\n\n\n\n

Priority nursing interventions for the 4th stage of labor?
Assessing VS, fundus, and bleeding every 15 min for 1-2 hr<\/p>\n\n\n\n

Medications given as opioid antagonist: what medication? Why is it given?
Naloxone Given to women in labor or postpartum to counteract the effects of narcotic\/opioid medications. To counteract the side effects (respiratory depression)<\/p>\n\n\n\n

Provide teaching and planning for a postpartum woman who is not immune to rubella
Should be administer a dose of MMR following delivery, before discharge Teaching: client should not get pregnant for 28 days following the immunization<\/p>\n\n\n\n

Be able to provide instruction re: breastfeeding and maternal pain medications
Offer pain medication immediately after feed so that it has ample time to be metabolized prior to next feed.<\/p>\n\n\n\n

Which breastfeeding position would be best for a mom after c\/s
Football hold<\/p>\n\n\n\n

Who gets Rhogam and why?
All Rh-negative clients who have newborns who are Rh-positive (administered IM) o Why: to suppress antibody formation in the mother<\/p>\n\n\n\n

What should you do if a fundus is boggy on assessment? Why?
Have the mom try to empty her bladder\/massage o Why: full bladder can impede the uterus ability to stay firmly contracted and result in increased bleeding\/hemorrhage<\/p>\n\n\n\n

Identify types of lochia and when to expect them
Lochia rubra: (through day 3) dark red menstrual period like discharge fleshy odor o Lochia serosa: (4-10 days) pinkish brown and serosanguineous consistency o Lochia alba: (10 days – 8 weeks) yellowish white creamy color, fleshy odor<\/p>\n\n\n\n

Bathing and pericare after c\/s
Ensure stability during ambulation
o Keep stream of water on back away from incision
o Keep incision covered with an occlusive dressing
o Provide shower chair if needed<\/p>\n\n\n\n

Provide teaching on pericare (understand the rationales
After vaginal: Use warm water in squeeze bottle after every void (front to back) Pat dry, front to back Use optional topical anesthetic (dermaplast) if episiotomy or laceration Apply ice packs (first 24 hrs) Optional: use sitz bath (first 24 hrs)<\/p>\n\n\n\n

Preventing breast engorgement in the bottle feeding mom
Supportive sports bra\/ace wrap breasts o Ice packs to the breasts o Apply cabbage leaves to draw out milk<\/p>\n\n\n\n

Dietary sources of calcium
-milk and milk products
-soy milk
-broccoli
-fortified orange juice
-fish with bones (sardines)<\/p>\n\n\n\n

symptoms of preeclampsia
Headache o Visual disturbances o Epigastric pain o Edema o Proteinuria o Brisk DTRs o Clonus o Seizure (Eclampsia)<\/p>\n\n\n\n

Expected findings in the postpartum period (fundal assessment)
At about an hour after childbirth, your fundus should be around your belly button (where it was at 20 weeks). After that, it should steadily decrease 1 centimeter every 24 hours. At about one week postpartum, your fundus should be at your pubic bone (where it was at 12 weeks)<\/p>\n\n\n\n

How does the bladder impact involution and bleeding
A distended bladder pushes the uterus upward and usually to one side of the abdomen. The fundus may be boggy or firm. If not emptied, a distended bladder can result in uterine atony and hemorrhage because it interferes with the normal contraction of the uterus.<\/p>\n\n\n\n

Postpartum blues, depression Baby blues
resultant from hormonal shift after delivery First few postpartal days peak on the 5th day subside over the next several days.<\/p>\n\n\n\n

Postpartum depression
symptoms are persisting beyond 2 weeks postpartum Get adequate rest Take help from support person Know expected changes (baby blues), & when to report symptoms to provider<\/p>\n\n\n\n

Symptoms of endometritis
Temperature elevation o Tachycardia o Uterine tenderness, subinvolution o Malaise o Heavy, foul-smelling lochia<\/p>\n\n\n\n

Symptoms of magnesium toxicity
Assess every hour respiratory status\/respirations, deep tendon reflexes, and LOC o
Antidote: Calcium gluconate<\/p>\n\n\n\n

Symptoms of mastitis
Firm, red, swollen, tender breast w\/ fever, myalgias, chills, malaise<\/p>\n\n\n\n

cause of mastitis
common cause is the hemolytic staphylococcus aureus, introduced from the infant’s mouth through a fissure in the nipple<\/p>\n\n\n\n

Rubin’s phases “taking in”
Dependent First 24-48 hr Focus on meeting personal needs Rely on others for assistance Excited, talkative Need to review birth experience with others<\/p>\n\n\n\n

Rubin’s phases “taking hold”
Begins on day 2 or 3 Lasts 10 days to several weeks Focus on baby care and improving caregiving competency Want to take charge but need acceptance from others Want to learn and practice, Dealing with physical and emotional discomforts, can experience “baby blues”<\/p>\n\n\n\n

Rubin’s phases “letting go”
Focus on family as a unit Resumption of role (intimate partner, individual)<\/p>\n\n\n\n

BUBBLEHE assessment
Breasts, Uterus, Bladder, Bowels, Lochia, Episiotomy, Homan’s Sign, Emotional Status<\/p>\n\n\n\n

perineal assessment
Manage inflammation\/edema – cool\/ice packs o After first 24 hrs – sitz bath (heat)<\/p>\n\n\n\n

Importance of folate in pregnancy what conditions does it prevent in the newborn?
Started 3 months prior to becoming pregnant
Spina bifida, anencephaly, myeolomenigocele<\/p>\n\n\n\n

Normal Newborn Vital Signs
HR: 110-160 bpm
o R: 30-60 breaths\/min
o T: 36.5-37.4<\/p>\n\n\n\n

Which newborn blood glucose would require immediate intervention?
Normal blood glucose: 40-60 mg\/dL o Anything below or above normal range<\/p>\n\n\n\n

What is a code pink?
Infant abduction\/missing infant<\/p>\n\n\n\n

What is a code pink preventive measures
ID band should be verified against the client’s ID band Photo ID badges Newborn is not given to anyone who does not have a photo Locked maternal-newborn units Sensor device on the ID band or umbilical cord clamp that sounds an alarm<\/p>\n\n\n\n

Recognize newborn rash – Milia
small raised pearly or white spots on the nose, chin, and forehead.<\/p>\n\n\n\n

Recognize newborn rash – Telangiectatic Nevi “Stork Bite”
flat pink or red marks that easily blanch and are found on the back of the neck, nose, upper eyelids, and middle of forehead.<\/p>\n\n\n\n

umbilical cord care
-keep clean, dry, clean stump with water, watch swelling\/redness\/purulent d\/c<\/p>\n\n\n\n