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Medsurg

Medsurg

Fill in the Blank1._____ is one of the primary causes of maternal mortality associated with childbearing that may be due to a small section of retained placenta.

2.The incomplete return of the uterus to its prepregnant size and shape is referred to as _____.

3.To confirm urinary retention, a catheterized amount of _____ is measured.

4.Postpartum _____ are a normal accompaniment to birth.

5.The 2020 National Health Goals include seeing an increase to at least _____% of the infants being breastfed.

6.Infants born with a severe developmental hip dysplasia may be placed in a _____ to try to correct the problem.

7._____ occurs when the sternocleidomastoid is injured and bleeds during birth.

8.Infants with a meconium ileus should be screened for _____ _____.

9._____ is the accumulation of cerebrospinal fluid in the ventricles or subarachnoid space.

10.Simple spina bifida occulta is a(n) _____ disorder.

True/False

1.When establishing expected outcomes for newborns, the outcomes should be consistent with the newborn’s potential.

2.It is estimated that between 10% and 15% of newborns require some assistance to begin breathing.

3.Newborns should be kept in a neutral-temperature environment.

4.Every infant experiences respiratory acidosis until he or she takes a first breath.

5.The best “milk” for preterm infants is a commercial formula that best suits their individual situation.

Scenarios1.

You are preparing the discharge care plan for a patient who delivered a healthy son 24 hours earlier. The patient and infant have been doing well with no complications; however, when you enter the room, you notices the patient is diaphoretic and flushed. She is trying to fan herself. Her vital signs reveal a temperature of 100.6°F, heart rate of 90 beats/min, respiratory rate of 24 breaths/min, and blood pressure of 130/88 mmHg.

A What assessments will you do?

B.  What interventions will you implement?

C.  What are you expected outcomes?

2.  The patient is a 20-year-old G1P0 who shows up in the emergency department in active labor. She has a strong odor of alcohol on her breath and blood alcohol level measures 1.2. She is evasive about prenatal care but finally admits she has not received any. She also cannot remember the date of her last menstruation period

A.  What are the immediate concerns for this mother and infant?

B.  What potential complications should the nursing staff prepare for?

C.   What nursing diagnoses would be appropriate in this situation?

3. You are assessing an infant who was born with a cleft palate. The parents are concerned and want it corrected immediately before taking their baby home

A.  What teaching is necessary before the child and parents go home?

B.  What therapies and/or corrections should the nurse teach the parents?

C.  What nursing diagnoses are appropriate in this case?


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