Nursing Bullets: Maternal and Child Health Nursing VII
Nursing Bullets: Maternal and Child Health Nursing VII
- In the early stages of pregnancy, the finding of glucose in the urine may be related to the increased shunting of glucose to the developing placenta, without a corresponding increase in the reabsorption capability of the kidneys.
- A patient who has premature rupture of the membranes is at significant risk for infection if labor doesn’t begin within 24 hours.
- Infants of diabetic mothers are susceptible to macrosomia as a result of increased insulin production in the fetus.
- To prevent heat loss in the neonate, the nurse should bathe one part of his body at a time and keep the rest of the body covered.
- A patient who has a cesarean delivery is at greater risk for infection than the patient who gives birth vaginally.
- The occurrence of thrush in the neonate is probably caused by contact with the organism during delivery through the birth canal.
- The nurse should keep the sac of meningomyelocele moist with normal saline solution.
- If fundal height is at least 2 cm less than expected, the cause may be growth retardation, missed abortion, transverse lie, or false pregnancy.
- Fundal height that exceeds expectations by more than 2 cm may be caused by multiple gestation, polyhydramnios, uterine myomata, or a large baby.
- A major developmental task for a woman during the first trimester of pregnancy is accepting the pregnancy.
- Unlike formula, breast milk offers the benefit of maternal antibodies.
- Spontaneous rupture of the membranes increases the risk of a prolapsed umbilical cord.
- A clinical manifestation of a prolapsed umbilical cord is variable decelerations.
- During labor, to relieve supine hypotension manifested by nausea and vomiting and paleness, turn the patient on her left side.
- If the ovum is fertilized by a spermatozoon carrying a Y chromosome, a male zygote is formed.
- Implantation occurs when the cellular walls of the blastocyte implants itself in the endometrium, usually 7 to 9 days after fertilization.
- Implantation occurs when the cellular walls of the blastocyte implants itself in the endometrium, usually 7 to 9 days after fertilization.
- Heart development in the embryo begins at 2 to 4 weeks and is complete by the end of the embryonic stage.
- Methergine stimulates uterine contractions.
- The administration of folic acid during the early stages of gestation may prevent neural tube defects.
- With advanced maternal age, a common genetic problem is Down syndrome.
- With early maternal age, cephalopelvic disproportion commonly occurs.
- In the early postpartum period, the fundus should be midline at the umbilicus.
- A rubella vaccine shouldn’t be given to a pregnant woman. The vaccine can be administered after delivery, but the patient should be instructed to avoid becoming pregnant for 3 months.
- A 16-year-old girl who is pregnant is at risk for having a low-birth-weight neonate.
- The mother’s Rh factor should be determined before an amniocentesis is performed.
- Maternal hypotension is a complication of spinal block.
- After delivery, if the fundus is boggy and deviated to the right side, the patient should empty her bladder.
- Before providing a specimen for a sperm count, the patient should avoid ejaculation for 48 to 72 hours.
- The hormone human chorionic gonadotropin is a marker for pregnancy.
- Painless vaginal bleeding during the last trimester of pregnancy may indicate placenta previa.
- During the transition phase of labor, the woman usually is irritable and restless.
- Because women with diabetes have a higher incidence of birth anomalies than women without diabetes, an alpha-fetoprotein level may be ordered at 15 to 17 weeks’ gestation.
- To avoid puncturing the placenta, a vaginal examination shouldn’t be performed on a pregnant patient who is bleeding.
- A patient who has postpartum hemorrhage caused by uterine atony should be given oxytocin as prescribed.
- Laceration of the vagina, cervix, or perineum produces bright red bleeding that often comes in spurts. The bleeding is continuous, even when the fundus is firm.
- Hot compresses can help to relieve breast tenderness after breast-feeding.
- The fundus of a postpartum patient is massaged to stimulate contraction of the uterus and prevent hemorrhage.
- A mother who has a positive human immunodeficiency virus test result shouldn’t breast-feed her infant.
- Dinoprostone (Cervidil) is used to ripen the cervix.
- Breast-feeding of a premature neonate born at 32 weeks’ gestation can be accomplished if the mother expresses milk and feeds the neonate by gavage.
- If a pregnant patient’s rubella titer is less than 1:8, she should be immunized after delivery.
- The administration of oxytocin (Pitocin) is stopped if the contractions are 90 seconds or longer.
- For an extramural delivery (one that takes place outside of a normal delivery center), the priorities for care of the neonate include maintaining a patent airway, supporting efforts to breathe, monitoring vital signs, and maintaining adequate body temperature.
- Subinvolution may occur if the bladder is distended after delivery.
- The nurse must place identification bands on both the mother and the neonate before they leave the delivery room.
- Erythromycin is given at birth to prevent ophthalmia neonatorum.
- Pelvic-tilt exercises can help to prevent or relieve backache during pregnancy.
- Before performing a Leopold maneuver, the nurse should ask the patient to empty her bladder.
- According to the Unang Yakap program, the cord should not be clamped until pulsations have stopped (that’s about 1-3 minutes).
