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EXAM 2: NUR254/ NUR 254 CHILDBEARING AND
CHILD CARING FAMILIES REVIEW| 100%
CORRECT| GRADE A - GALEN
QUESTION: How should a nurse assess appetite in a newborn?
Answer: Appetite - make sure bowel sounds are present
QUESTION: How should a nurse assess attachment behaviors
in parents?
Answer: Assessing Attachment Behaviors - do parents reach for
baby when handing them baby - do they call baby by name - do parents feel at ease holding baby - how do parents handle fussy baby promote skin-skin, how to hold baby, change/feed baby
QUESTION: What are normal blood sugar levels for a baby?
Answer: Normal BS for baby 70-90 -> 55-60 between 30 and 90
mins of life by second or third day > 70
QUESTION: What are normal newborn vital signs?
Answer: Newborn VS Resp: 30-60 (apnea period <20 seconds) HR: 120-160 BP: 60-80/40-50 Temp: 98.6 axillary
QUESTION: What are nursing interventions for episiotomy,
lacerations, and hemorrhoids?
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Answer: NI for episiotomy, lacerations, and hemorrhoids
cleansing, ice packs, squeeze bottle, sitz bath, topical applications (witch hazel)
QUESTION: What are risk factors for postpartum hemorrhage
(PPH)?
Answer: Risk factors for PPH - uterine atony (over distended
uterus) - anesthesia/ analgesia - high parity - obesity - prolonged labor - trauma during labor/ birth (vacuum, forceps) - unrepaired lacerations - retained placental fragments - ruptured uterus
QUESTION: What are signs and symptoms of hypoglycemia in
a newborn?
Answer: Signs and symptoms of hypoglycemia - jitteriness -
lethargy - apnea - feeding problems - seizures
QUESTION: What are signs of effective breastfeeding?
Answer: Signs of effective breastfeeding - latch without
difficulty - burst 15-20 sucks/ swallows at a time - audible swallow - easily releases breast at end of feeding - baby content
after feeding Day 4: 3 BM, 6-8 wet diapers
QUESTION: What are signs of infection in a baby?
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Answer: Signs of infection for baby -lethargy - irritability - poor
feeding - vomit/ diarrhea - decreased reflex
QUESTION: What are symptoms of hypovolemic shock in the
postpartum period?Answer: Hypovolemic Shock SXS: lots of bleeding, pt states feeling funny, seeing star, light headed, cool, clammy, pulse
increase, BP decreases NI: uterine atony- massage, oxygen, put
on side/ elevate legs, IV, blood, monitor VS, monitor urine output
QUESTION: What are symptoms of lacerations postpartum?
Answer: SXS of lacerations - slow trickle, oozing, frank
hemorrhage
QUESTION: What are the components and scoring of the
APGAR assessment?
Answer: APGAR Appearance (all pink, pink and blue, blue
(pale) Pulse (>100, <100, absent) Grimace (cough, grimace, no response) Activity (flexed, flaccid, limp) Respirations (strong cry, weak cry, absent)
QUESTION: What are the normal blood components for a
newborn or during pregnancy?
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Answer: Blood components WBC: 5,000-15,000 HGB: 12-18 Hematocrit: 37-52 platelets: 150-400 RBC: 4.6-6.1 varicose
veins: common in pregnancy
QUESTION: What are vital signs after birth for the mother?
Answer: Vitals after birth temp: < 100.4 pulse: 50-90, elevated
first hr, bradycardia normal (40-50 bpm) respirations: within
normal range (16-20) BP: increase 5%, hypotension normal
after birth
QUESTION: What conditions should methylergonovine
(Methergine) be avoided in?Answer: Methylergonovine (Methergine) AVOID: Htn, preeclampsia, cardiac disease
QUESTION: What conditions should methylprostaglandin
(Hemabate) be avoided in?Answer: methylprostaglandin (Hemabate) AVOID: HTN/ Asthma
QUESTION: What conditions should dinoprostone (Prostin) not
be given in?Answer: Dinoprostone (prositn) Dont give if: HX asthma, hypertension, or hypotension