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Rasmussen - MCN - Exam 2 Module 4, 5, 6 Latest Update - Sources with 180 Questions and Verified Correct Answers Golden Ticket to Guaranteed A+ Verified by Professor
- CORRECT ANSWER: postpartum hemorrhage
"It's Not My Time"
Indomethacin Nifedipine/Procardia Magnesium Sulfate
Terbutaline - CORRECT ANSWER: Name your tocolytics (remember they RELAX and
are for preventing preterm labor by suppressing uterine contrations)
**· Cover with wet, sterile, nonadherent moist dressing** · You don't want to rupture the sac because it has all the spinal fluid in it · Any leakage will have test of Spinal fluid will have a halo on filter paper Keep baby prone NO pressure on sac - CORRECT ANSWER: Nursing Interventions: *Myelomeningocele*
*•Breastfeeding begins usually immediately after birth* •Observe for reflexes - rooting, sucking, and swallowing •BF every 2-3 hours, weigh diapers tell us if they are getting adequate intake •Formula- 30 mL/1 oz minimum every 3-4 hours **•Preterm - need higher calories (24 cal/oz/day of formula)** 1 / 4
**• Full Term - need 20 cal/oz/day of formula** - CORRECT ANSWER: Feeding
requirements/assessment
*afterpains*
▪ breastfeeding increases the afterpains as oxytocin is released with nipple stimulation. -
CORRECT ANSWER: ________are the contractions pains that help with involution of
the uterus (similar to menstrual cramps.)
▪ they can be much more painful for multiparas women and those with an over distended uterus (polyhydramnios, multiple gestations, macrosomic infant, etc.).▪ they are usually not as bad after the first few days.
*BP* ▪ systolic 60-80mmHg ▪ diastolic 40-50mmHg
*HR* ▪ 110-160/min (can fluctuate with crying and sleeping)
*RR* ▪ 30-60bpm with periods of apnea < 15 sec
*T*
▪ 36.5-37.5C (97.7-99.5F) - CORRECT ANSWER: Newborn Vital signs
*Females* •Swollen labia •Bloody discharge
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*Males* •Descended testes *•Do NOT pull foreskin back - it isn't very retractable* •Swollen scrotum •Meatus opening at tip- on bottom-ventral (hypospadias), on top- Dorsal (epispadias) -
CORRECT ANSWER: GU Assessment for Males & Females
*It decreases by one fingerbreadth, or 1 cm, per day*
▪ Right after birth it's at the umbilicus ▪ For example, on the first postpartal day, it will be palpable 1 cm below the umbilicus.▪ In the average woman, by the ninth or tenth day, the uterus will have contracted so much that it is withdrawn into the pelvis and can no longer be detected by abdominal palpation - CORRECT ANSWER: Postpartum: *Fundal Height Changes*
*oxytocin/Pitocin* *methylergometrine/Methergine* - not for HTN pts *carboprost/Hemabate* - not for asthma pts
*misoprostol/Cytotec* - CORRECT ANSWER: Name your oxytocics (remember they
CONTRACT and are for stopping postpartum bleeding)
•Anterior- closes at 12-18 months •Posterior- close at 2-3 months •Should be flat *•Bulging = hydrocephalus, increased ICP* •Depressed- dehydration - CORRECT ANSWER: *Fontanels:*
▪ When do the anterior & posterior close?▪ Should they be flat, bulging, or depressed?▪ What do bulging fontanels indicate? 3 / 4
▪ What do depressed fontanels indicate?
•Bones of skull not fused - sutures are palpable and may be overlapping because of head molding - CORRECT ANSWER: Newborn Assessment: *Fused Skull Bones*
•Could be due to immature liver of newborns •Pay attention to age of baby •Assure parents we will monitor levels - CORRECT ANSWER: Causes: *Hyperbilirubinemia*
•Do not preform activities that require heavy lifting for at least 3 weeks •Avoid sitting for long periods of times with legs crossed- Risk for blood clots •Limit stair climbing for the first few weeks •Return to work- 6 weeks or later
•Sexual intercourse- 6 weeks when doctor gives the ok - CORRECT ANSWER:
Postpartum: *Activity Modifications*
•Early feedings to prevent •Formula or glucose orally •Monitor levels •Assess for signs/symptoms •Monitor for feeding problems - CORRECT ANSWER: Nursing Interventions: *Newborn Hypoglycemia (<40)*
•Fever •Increased WBC •Chills •Lose of appetite **•Foul smelling discharge** - CORRECT ANSWER: S/S: *Endometritis*
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