2023 NSG 210 REPRODUCTION AND CLOTTING EXAM LATEST UPDATE WITH CORRECT ANSWERS GRADE A+

2023 NSG 210 REPRODUCTION AND
CLOTTING EXAM LATEST UPDATE WITH
CORRECT ANSWERS GRADE A+
How long does it take the cervix to return to it's prepregnancy size/shape? - ANSWERBy week 6 of postpartum
However was a circle shape before and slit shaped after
The perineum the first couple days after birth - ANSWER-Edematous and bruised
Perineum comfort measures - ANSWER-Ice packs, pouring warm water over the area
via a peribottle, witch hazel pads (especially if hemorrhoids), anesthetic sprays, and sitz
baths
Because of organ displacement/compression during pregnancy and labor/delivery
process, women may experience - ANSWER-SOB
Heart working harder causes elevated heart rate and blood pressure (but don't want so
much that it is causing an issue)
Heartburn
1st 3 mos peeing alot, gets better until last 2 months
Constipation is caused by weight of uterus compressing peristalsis
May need stool softener for sluggish bowels
Skin changes - ANSWER-striae gravidarum (stretch marks usually on breasts, abs,
hips)
melasma (brown patches on face)
linea nigra (line on abdomen)
palmar erythema (red palms)
Breast milk typically appears within - ANSWER-4-5 days after childbirth
American Academy of Pediatrics breast feeding recommendations - ANSWERExclusive for 6 months followed by the intro of appropriate complimentary foods and
continued to 1 year and beyond
Changes in the breast during pregnancy - ANSWER-Gains nearly 1 lb in weight by term
Glandular cells fill with secretions
Blood vessels increase in number
Amount of connective tissue and fat cells increase
What acts so milk can be ejected from the alveoli to the nipple, therefore sucking by the
newborn will release milk? - ANSWER-Oxytocin
Ways to minimize discomfort and resolve engorgement - ANSWER-Frequent emptying
of breast
Standing in warm shower or applying warm compresses immediately before feeding will
help to soften the breasts and nipples in order to allow the newborn to latch on more
easily
Treatments to reduce breast engorgement pain - ANSWER-Heat or Cold applications
Cabbage leaf compresses
Ultrasound
Pumping
Anti inflammatory agents
What can trigger the "let down reflex" - ANSWER-Baby crying
To maintain milk supply - ANSWER-breasts need to be stimulated by nursing infant,
breast pump (every 2-3 hours) or manual expression
Relief measures for non breastfeeding women - ANSWER-Wear tight support bra 24/7
Ice to breasts 15-20 minutes every hour
Avoid sexual stimulation, don't stimulate by squeezing or manually expressing milk
Avoid exposure to warmth (ex hot shower)
Breastfeeding and birth control - ANSWER-It is not totally reliable
Ovulation may occur before menstruation
Unless mom is exclusively breastfeeding, has had no menstrual period, and infant is
younger than 6 months
Ovulation and menses in non breastfeeding women - ANSWER-May resume as early
as 7-9 weeks after birth but majority take up to 3 months with the first cycle being
anovulatory
Taking in phase - ANSWER-Immediately after birth when client needs sleep
Dependent on others to meet her needs and relieves the events surrounding birth
24-48 hours after birth
Last 1-2 days
May be only phase observed by nurse due to short postpartum stays
1st phase of maternal adaptation
Independent behavior - ANSWER-Baby in room
Mom taking care of baby
Needs reassurance is doing well with baby care
Taking hold phase - ANSWER-2nd stage in maternal adaptation
begins 2nd to 3rd stage postpartum and may last several weeks
Regains control of bodily functions
Becomes preoccupied with the present
Letting go phase - ANSWER-reestablishing relationship with other people
Adapts to parenthood and role as new mom
assumes responsibility and care of newborn
Engrossment - ANSWER-time of intense absorption, preoccupation, and interest
Visual awareness - ANSWER-perceives newborn as attractive, pretty, beautiful
Tactile awareness - ANSWER-has desire to touch or hold newborn
considers pleasurable
Perception of newborn as perfect - ANSWER-doesn't see any imperfections
Strong attraction to newborn - ANSWER-focuses all attention on when in the room
Awareness of distinct features of newborn - ANSWER-able tell your newborn from
others in nursery
Extreme elation - ANSWER-feels "high" after birth of child
Increased self of self esteem - ANSWER-Feels proud, bigger, more mature, older after
birth of child
Expectations - ANSWER-partner's preconceptions about what home life will be like
Reality - ANSWER-partner realizes expectations are not realistic
feelings change
elation to sadness, ambivalence, jealousy, frustration
Partner's stress, irritability, and frustration in days, weeks, and months after birth can
turn to depression like mom's
Transition to mastery - ANSWER-partner decides take control and be at the center of
his/her newborn's life regardless of his/her preparedness. This adjustment period is
similar to that of the mother's letting-go phase,
BUBBLE-HE - ANSWER-Breast, Uterus, Bowel, Bladder, Lochia, Episiotomy,
Hemorrhoids, Emotions
Assessment when woman is in labor and fluid breaks - ANSWER-Baby's heartrate
Uterus can compress cord or cord come out
Check color of fluid (want clear, no odor, no fever)