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68wm6 postpartum1
Nursing Care During the Postpartum Period
| Question | Answer |
|---|---|
| NSVD | Normal, Spontaneous, Vaginal Delivery VS,Breasts,Uterus,Bladder,Lochia,Perineum,Lower extremities,Other systems. |
| engorgement | firm and tender |
| Lochia rubra | Blood content; bright red colored for the first couple days |
| Lochia serosa | Pink to brown discharge lasting the first postpartum week |
| Lochia alba | Slightly yellow to white discharge which lasts 10 days to 2 weeks |
| How much is heavy lochia volume? | saturating a pad every 2 hours. |
| How much is moderate lochia volume? | less than a 6 inch stain on the pad. |
| How much is light lochia volume? | less than a 4 inch stain |
| How much is scant lochia volume? | less than a two inch stain |
| How much is excessive lochia volume? | saturation of a peripad pad within 15 minutes |
| What would you report to a provider about lochia? | Foul smelling, bright red discharge Clots passed, larger than the size of your fist.Pad saturated in less than one hour |
| REEDA | Redness,Edema,Ecchymosis,Discharge, Approximation assessment done for episiotomy |
| episiotomy | surgically incision on the perineum and the posterior vaginal wall during second stage of labor |
| What are comfort measures for post episiotomy? | Ice pack 24hr Topical medications: Dermoplast, Epifoam. Tucks pads, Sitz bath, Dry heat, heat lamp,Oral analgesics. |
| What will you see during a cardiac assessment? | Increased Blood Volume, decreased cardiac output,blood clotting factors are higher, chills R/T pressure on pelvic nerve |
| What will you see during a neurologic assessment? | Reversal of maternal adaptations to pregnancy and those resulting from trauma during labor and childbirth. Pregnancy-induced neurological discomforts abate after birth. Postpartum headaches |
| What will you see during a endocrine assessment? | Placental hormones decrease. Ovulation resumes:Breastfeeding delays ovulation.Endocrine glands return to normal |
| What will you see during a musculoskeletal system assessment? | Abdominal muscle tone returns to normal. Feet may be permanently enlarged. |
| What will you see during a Integumentary System sassessment? | Chloasma Striae fade Hyperpigmentation of the skin fade after delivery. Fine hair seen during pregnancy usually disappears after giving birth. |
| What will you see during a Immune System assessment? | Depending on mother.Rhogam or Rubella Immunization might be given. Must consent and be counseled to avoid pregnancy for at least 4 weeks. |
| Explain characteristics of lochia to report to primary care provider. | color, amount odor, report clot bigger than size of fist |
| When is uterine massage necessary? | during every assessment exspecially with a boggy fundus (soft, smushy) has not contracted all the way |
| Rubin’s Psychological Changes of the Puerperium: | Phase 1 Taking In. Phase 2 Taking Hold. Phase 3 Letting Go. |
| Postpartum Danger Signs | Passive reactions, Hostile Disappointment over the sex of baby Lack of eye contact Non-supportive interaction between parents. |
| Postpartum Blues | Mild depression. Affects 70% of mothers.Self-limiting.Does not affect the mothers ability to care for the infant. |
| During the Postpartum Period if the fundus is not firm, and massaging and breast feeding does not increase the muscle tone prepare to give what medication | oxytocic, pitocin, methergine |
| Which drug is given to an Rh negative mom who has an RH-positive infant? | Rhogam given within 72 hours |
| What drug is given for a boggy uterus after massaging, and breast stimulation has been attempted? | Pitocin |
| When should discharge teaching start? | Planning begins at confirmation of pregnancy |
| What is the discharge criteria for the mother? | No complications. Normal assessments. Immunizations given if needed. Discharge teaching given. Demonstration of readiness to take care of self and baby is evident. Support person is available. |
| Chloasma | A patchy brown or dark brown skin discoloration |
| Striae fade | pink, reddish or purplish indented streaks strech marks |
| Why would you give a mother a Rubella Immunization? | given to a mother who is not immune in the immediate postpartum period. Prevent infection during subsequent pregnancies. |
| What does prenatal vitamins contain, that mothers will need more of | Folic Acid |
| Why do we give Vitamin K? | Helps produce clotting factors (to help prevent serious bleeding |
Created by:
kindra.mendoza1
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