exams question

1)Give reason: 

-1) it is important to avoid using of hot compress

With Women have after pain?

Because hot compress can cause sever bleeding

-2)avoid food and product contain gases?

Because it may transfer to baby when breast feeding and

cause colic and abdominal gases for him.

3)the mother post partum should avoid vaginal

douch?

to prevent infection.

  

4)avoid tub bath for postpartum ?

to prevent infection.

-5)the mother who has episiotomy avoid use

codeine?

To prevent constipation

2)REMAH plan to breast feed her new born

discuss with her about:

A)importance of breast feeding ?

Breast feed babies are less prone to colic and diarrhea .

b. Nursing speeds the return of the mother's uterus to normal size

c. Breast feed easier than sterilizing bottles and preparing   formula.

d. Breast milk may protect babies from allergies as they get older.

e. Breast feed protect mother from breast cancer.

B)care of breast before lactation?

1-wash and dry before breast feeding

2-the mother should to set in comfortable position

 

C)medication taken during lactation?

Name of drug                                             Side effect

a -oral contraceptive              May decrease or stop milk secretion

        b-warfarin                                 Appears in breast milk

          c-erythromycin                        Cause in GI flora ,allergie

.

3)Mrs.Hudah has deficit knowledge about

nutrition what are your nursing role?6mark

a) Increase protein to help healing process (meat, chicken,pean eggs).

b) Increase iron to maintenance of maternal hemoglobin level (liver

,kidney, green vegetable ,fish) .

c) Increase Vit C to strong immune system ,help healing process and

enhance absorption of iron (citrus fruit such as lemon and orange,

tomatoes ,strawberry ) .

d) Increase fiber to prevent constipation (whole wheat,cereals, fruit

and vegetables.

e) Decrease caffeine causes irritability for baby .

f) Decrease spicy food and food and product contain gases.

4) outline health assessment for newborn?

a.  Assess Head for any congenital anomalies and fontanel's

should to open and there is no bulging or depress

b.  Assess eyes,ears are symmetry ,nose is patent and mouth free

from cleft palate and cleft lip

c.  Assess for heart sound irregularity and heart rate

e.  Assess upper limbs and lower limbs symmetrical and five

          fingers are presen

f. Assess spine free from any abnormalities such as Scoliosis,

    Kyphosis and Lordosis .

5)) jawaher is prim Para , SVD and she has

episiotomy and she want to know about types of exercise? .

Immediately :

A)breathing exerscise.

b) leg exerscise-

c breast exerscise.-

after 4 weeks:

a-Abdomine exersice.

b-Kegle exersice.