Maternal Stand Alone Questions

Mastitis

• inflammation of the breast tissue when bacteria from newborn’s mouth or mother’s hands enter through crakc in the nipple causing infection.

S/S of Mastitis

• redness, warmth, & pain

• Fever, Headache

How to identify and prevent mastitis

• Mastitis causes breast redness and flu-like symptoms

• continue to empty the breast feeding/pumping)q 2-3 hrs

• ensure proper latch to avoid cracking nipples

What is Dysfunction Labor?

• lack of labor progression due to maternal fatigue/ineffective pushing or fetal malposition

What are the nursing interventions for labor dystocia?

• perform Leopold’s maneuver

• Perform intermittent urinary

• Tell the client to rest form pushing

Expected Newborn reflexes

• Extrusion: when tongue touched it pushes forward and out

• Babinski: when stoking the sole of the feet it causes the toes to fan

• Rooting: when stroking the cheek, head turns toward the direction of the stimulus

• Grasp: when touching the palm or sole, fingers or towes curl and wrap around stimulus

• Asymmetric tonic neck reflex

What is a non-stress test?

• evaluates fetal well-being by assessing fetal heart rate in response to fetal movements using external fetal monitoring.

Positive reactive non- stress Test

• 2 or more FHR accelerations 15 beats/min or more for >15 secs or more in 20 minutes

• indicates healthy fetal well-being.

What is a nonreactive nonstress test?

• absence of FHR accelerations or less than 15 beats/ min

What are nursing interventions when shoulder dystocia occurs?

• lower HOB

• Hyperflex the legs

• Apply suprapubic pressure ( McrRoberts maneuver)

• Call neonatal intensive care staff