CHAPTER Twenty-One Postpartum Complications
Twenty-One point Two Postpartum Hemorrhage Twenty-One point Three Breasts and Breast-Feeding Twenty-One point Four Cesarean Birth Discomforts
Twenty-One point One Postpartum Infections
Care of the Postpartum Person with a Wound Infection
Care of the Postpartum Person with Endometritis
CLINICAL JUDGMENT MEASUREMENT MODEL
Care of the Postpartum Person with a Urinary Tract Infection.
Care of the Postpartum Person with Mastitis.
Care of the Postpartum Person with Thrush.
Nursing Interventions for the Person Experiencing a Postpartum Infection.
Clinical Safety and Procedures (QSEN).
Twenty-one point two Postpartum Hemorrhage
Detection of Postpartum Hemorrhage
Morbidity and Mortality Specific to Postpartum Hemorrhage in the United States
Early (Primary) Postpartum Hemorrhage
Late (Secondary) Postpartum Hemorrhage
Recognizing Postpartum Hemorrhage
Clinical Safety and Procedures (QSEN)
Signs and Symptoms of Hypovolemia
Causes of Postpartum Hemorrhage
Management of Postpartum Hemorrhage
Nursing Assessment and Diagnosis
Impaired Tissue Perfusion
Risk for Excessive Bleeding
Twenty-one point three Breasts and Breast-Feeding
Breast-Feeding Difficulties
CLINICAL JUDGMENT MEASUREMENT MODEL
Breast-Feeding a Preterm Neonate
Twenty-one point four. Cesarean Birth Discomforts
Discomforts Related to Cesarean Births
Restrictions Related to Surgery
Nursing Education for the Birthing Person Experiencing a Cesarean Birth
Football Hold for Breast-Feeding
Twenty-one point five Postpartum Mood Disorders and Psychiatric Disorders
Baby Blues versus Depression
Risk Factors for Postpartum Depression and Anxiety
Impact of Postpartum Depression and Anxiety on the Family
Maternal Morbidity and Mortality
Depression Screening throughout Pregnancy and Postpartum
Medications throughout Pregnancy
Rebalancing of Hormones and Adjusting to the New Family
Nursing Care Plan for the Person Experiencing Postpartum Psychiatric Disorders
Nursing Assessment and Diagnosis
Nursing Plan and Implementation
Twenty-one point two Postpartum Hemorrhage
Twenty-one point three Breasts and Breast-Feeding
Twenty-one point four Cesarean Birth Discomforts
Twenty-one point five Postpartum Mood Disorders and Psychiatric Disorders
Six. What nursing intervention does the nurse include in the plan of care for a person with a wound infection?
Eight. What nursing intervention does the nurse include in the plan of care for a person with postpartum endometritis?
Ten. What is characteristic of a late secondary PPH?
Eleven. When referring to the four T's of PPH, what does tissue refer to?
Twelve. What is a risk factor for uterine atony?
Thirteen. What is a risk factor for PPH found in the prenatal record?
Seventeen. What nursing diagnosis would be appropriate for the person with a coagulation disorder?
Eighteen. What is the most common reason for cracked, sore nipples?
Nineteen. What is a symptom of engorgement?
Twenty. The nurse develops a plan to increase a patient's milk supply. What is an intervention they can implement?
Twenty-one. The nurse educates the person with a newborn in the NICU. What guidance does the nurse provide?
Twenty-two. What is one difference between recovery from a cesarean birth versus a vaginal birth?
Twenty-five. What is a risk factor for PPD?
Twenty-six. What symptom can partners of persons with PPD experience?
Twenty-seven. What symptom differentiates baby blues from PPD?
Twenty-eight. What intervention by the nurse can help with PPD?
Twenty-nine. What important assessment should the nurse perform on all postpartum persons?
Check Your Understanding Questions
Critical-Thinking Questions about Case Studies
Competency-Based Assessments
CHAPTER Twenty-two Immediate Care of the Newborn
Twenty-two point one Apgar Scoring Twenty-two point two Physiological Adaptation and Transition
Twenty-two point one Apgar Scoring
Newborn Muscle Tone (Activity)
A healthy term newborn will have elbows and hips that are flexed and have knees flexed up toward the abdomen, thus scoring two points on the Apgar assessment. A preterm or ill newborn may have more fl
Newborn Reflex Irritability or Grimace
Appearance of Newborn Skin Color
Apgar Scoring and Escalating the Level of Care
Twenty-two point two Physiological Adaptation and Transition
Pathophysiology of Change
Patent Ductus Arteriosus and Murmur
Patent Ductus Venosus and Murmur
Cardiopulmonary Adaptation
Oxygen Saturation Levels in the Newborn
Newborn Transitional Period
First Period of Reactivity
The Second Period of Reactivity
Twenty-two point three Neutral Thermal Environment
Thermoregulation in the Newborn
Several neonatal characteristics affect thermal stability:
Cold Stress in the Newborn
Signs and Symptoms of Cold Stress
CLINICAL SAFETY AND PROCEDURES (QSEN)
Prevention and Management of Cold Stress
Twenty-two point two Physiological Adaptation and Transition
Twenty-two point three Neutral Thermal Environment
Check Your Understanding Questions
Competency-Based Assessments
CHAPTER TWENTY-THREE Newborn Assessment
Twenty-three point one Physical Assessment of the Newborn
Twenty-three point one Physical Assessment of the Newborn
Assessment of General Appearance
Monitoring Temperature in the Newborn
CLINICAL JUDGMENT MEASUREMENT MODEL
Cardiovascular Assessment
Assessing a Newborn's Cry
Head-to-Toe Physical Assessment
Abnormal Variations Commonly Occurring in Newborns
Assessment of Legs and Feet
Skin Color in Black and Biracial Newborns
Assessing Jaundice in a Newborn
Assessment of Neurologic Status
CLINICAL SAFETY AND PROCEDURES (QSEN)
Twenty-three point two. Estimation of Gestational Age of the Newborn and Newborn Behavioral Assessment
Estimating Newborn Gestational Age by Maturity Rating: The Ballard Score
Estimating by Physical Maturity
Estimating by Neuromuscular Maturity
Determining the Newborn's Placement on the CDC Weight Scale
Behavioral Assessment of the Newborn: The Brazelton Neonatal Behavioral Assessment
Dimension One: Interactive Process
Dimension Two: Motoric Process
Dimension Three: Organizational Process
Dimension Four: Physical Response to Stress
Implications and Mitigating Factors for Poor Behavioral Assessment Scores
Check Your Understanding Questions
Critical-Thinking Questions about Case Studies
Competency-Based Assessments
CHAPTER Twenty-Four Care of the Typical Newborn
Protective Environment and Universal Well Newborn Care
Preventing Infant Abduction
CLINICAL SAFETY AND PROCEDURES (QSEN)
Safe Preparation of Formula in the Hospital
CLINICAL SAFETY AND PROCEDURES (QSEN)
Patient Education for Parents Who Are Formula-Feeding
Breast Milk Characteristics
Successful Breast-Feeding Patterns of the Newborn
The expected outcomes are as follows:
Safe Handling, Storage, and Preparation of Expressed Breast Milk
Storage Locations and Temperatures
Bottle-Feeding the Breast-Fed Infant
Positioning for Bottle-Feeding
Frequency, Timing, and Quantity of Feedings
Voiding and Stooling Patterns in Newborns
Expected Stooling Patterns in the Newborn
Stooling Pattern of Formula-Fed Infants
Stooling Pattern of Breast-Fed Infants
Expected Voiding Patterns in the Newborn
Circumcision of the Male Newborn
Lidocaine (Dorsal Penile Nerve Block-DPNB)
Care of the Uncircumcised Newborn
Care of the Circumcised Newborn
When to Call the Health-Care Provider
Postprocedural Pain in the Circumcised Newborn
Twenty-four point two Care of Common Problems in the Newborn
Care of the Newborn with Hyperbilirubinemia
Pathophysiology of Neonatal Jaundice
CLINICAL JUDGMENT MEASUREMENT MODEL
Nursing Care Plan for the Jaundiced Newborn
Care of the Newborn with Hypoglycemia
Pathophysiology of Neonatal Hypoglycemia
Umbilical Cord Conditions
Common Dermatologic Conditions of the Newborn
Management of Common Newborn Skin Ailments
Management of Common Newborn Viral Illnesses
Upper Respiratory Infections
Respiratory Syncytial Virus
Management of Common Newborn Bacterial Infections
Helping Parents Recognize and Respond to Signs of Illness in a Newborn
When Contacting Health-Care Providers: Be Prepared
CLINICAL SAFETY AND PROCEDURES (QSEN)
Twenty-four point three Newborn Discharge Planning and Parent Education
Parent Education about Newborn Behaviors
Breathing Patterns of the Newborn
Sleep Patterns of the Newborn
Growth and Development Patterns of the Newborn
Parent Education about Safety of the Newborn
Infant CPR Caregiver Education
Preventing Newborn Injury
About Activities of Daily Living with a Newborn
Educating Parents on How to Soothe a Newborn
Treating Known Causes of Crying
Soothing Techniques for Crying Newborns
Educating Parents on Skin Care for the Newborn
CLINICAL SAFETY AND PROCEDURES (QSEN)
When to Take a Baby's Temperature
Educating Parents about Taking a Baby's Temperature
Educating Parents about Follow-up Care
Twenty-four point two Care of Common Problems in the Newborn
Twenty-four point three Newborn Discharge Planning and Parent Education
Thirteen. The nurse is aware that a newborn with a mother who has diabetes is at risk for what complication?
Seventeen. The average newborn sleeps how many hours in a twenty-four-hour period?
Nineteen. Which infant is at the greatest risk for SIDS?
Twenty. When traveling in a car, where are infants the safest?
Twenty-one. When giving a newborn a bath, what is a concern for the nurse (or caregiver)?
Check Your Understanding Questions
What Should the Nurse Do?
Competency-Based Assessments