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post partum
nursing management
Question | Answer |
---|---|
hemorrhage complication | placenta previa, labor induction, retained placental fragments, prolonged third stage of labor |
uterine fundus | should be midline and firm |
boggy uterus | sign of uterine atony |
bowel movements | occur 2-3 days after giving birth |
scant lochia | 1-2 inch lochia staine on the pad |
light lochia | 4 inch stain |
moderate lochia | 4-6 inch stain |
large/heavy lochia | saturated within 1 hour |
heavy bleeding | massage the boggy fundus until firm to reduce the flow of blood |
first degree lacerations | involves skin and superficial structures above muscles |
second degree lacerations | extends through perineal muscles |
third degree laceration | extends throughthe anal sphincter muscle |
fourth degree laceration | continues through anterior rectal wall |
episiotomy | while line the length of the wound is a sign of infection, swelling and discharge |
pulmonary emboli | 1 in 2,000 pregnancies and major cause of maternal mortality |
bonding | close emotional attraction to a newborn by parents within 30-60 minutes |
en face position | eye to eye contact mothers to newborn |
attachement | development of strong affection between and infant and significant other |
touch | instinctual interaction between parent and infant |
developmental task | trust vs. mistrus |
eye contact, enface position, expressed pride, names infant | positive attachment behaviors |
expresses disappointment,appears uninterested in having infant in room,asks to have infant return to nursery | negative attachment behaviors |
smiles, sucks well, makes eye to eye contact, strong grasp reflex, follows parents face | positive attachment behaviors infant |
feeds poorly, cries for long periods, flat affect, rarely smiles, stiffens body when held, doesn't pay attention to parents face | negative attachement behaviors infant |
Kegel exercises | emtpy bladder, tighten pelvic muscle for 10 seconds, perform 10 exercises, 3 times/day, |