or...
Reset Password Free Sign Up


incorrect cards (0)
correct cards (0)
remaining cards (0)
Save
0:01
To flip the current card, click it or press the Spacebar key.  To move the current card to one of the three colored boxes, click on the box.  You may also press the UP ARROW key to move the card to the Correct box, the DOWN ARROW key to move the card to the Incorrect box, or the RIGHT ARROW key to move the card to the Remaining box.  You may also click on the card displayed in any of the three boxes to bring that card back to the center.

Pass complete!

Correct box contains:
Time elapsed:
Retries:
restart all cards



Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

postpartum nursing

BC3-nursing, postpartum assessment

QuestionAnswer
puerperium the postpartal pperiod, to last 6 weeks after birth. physical and psychological adjustment of mom. body returns to prepregnant state
Uterus involution return of uterus size and location. back to 30 to 60 grams, fundus is unable to be palpated above symphisis by 10 days
subinvolution failure of uterus to return to normal prepregnat size
fundus top of uterus, size of large grapefruit immediately pp
location of fundus pp located midway between symphisis and umbilicus, birth to 6 hours
location of fundus pp by 6-12 hours, fundus rises to umbilicus and decreases 1 fingerbreadth/day until 10 days
boggy fundus hemorrhage
fundus high and deviated full bladder
breastfeeding facilitates involution ( the return of uterus to preppregnant state)
Lochia menstural like discharge postpartum
Rubra dark red lochia days 1-3, contains epithelial cells, erythrocytes, leukocytes, shreds of deciduas
serosa pinkish lochia days 3-10, more serous
alba creamy colored lochia yellowish, lasts 1-2 weeks
character of lochia never absent, foul smelling, or full of large clots, never reverse itself
cervical changes Os closes by 7 days, only admits a finger. Cervical lacerations usually heal if not too extensive.
severly lacerated cervix pp hemorrhage
vagina pp size decreases and rugae return within 3 weeks
kegels ppp exercises to improve tone and contractility of vagina. can do any time, should do often.
return of menses in non-nursing women by 6=10 weeks
breastfeeding return of menses get periods within 30-36 weeks, ovulate in 17 to 28 weeks not a form of birth control
perineum pp swelling and edema may occur, episiotomy may be present, external hemorrhoids may be present related to L &D, bruising can occur.
perineum care pp ice first 24 hours then heat (sitz bath)
prolactin and oxytocin hormones that cause milk production
Colostrum thick creamy substance, before milk comes in, high iin fat, protein, fat soluable vitamins and high level antibodies and immunoglobulins
how long is colostrum available at delivery and for the first 2-4 days
transitional milk replaces colostrum, in breast first 2 weeks of life. contains lactose, water soluable vitamins, elevated levels of fat, more calories than colostrum
mature milk thin apperance, high % of water, protein is lower in breast milk than formula higher in carbohydrates
abdomen pp tone will return in 2-3 months with exercise, stretch marks fade over time
GI system pp sluggish bowel d/t lingering effects of Relaxin (hormone) of if mom had c section
Urinary tract pp at risk for overdistension r/t increased bladder capacity, swelling around urethra, and dec. sensitivity to pressure (epidural)
urination pp needs to void frequently and shouldnt let go beyond 4-6 hours without voiding. Diuresis occurs, increasing urine output and returning blood volume to normal rapidly
vital signs pp postpartum infection suggested by 38C any 2 episodes after 24 hours(100.4 F)
BP pp should remain stable, elevations may be indicative of PIHand decrease may indicate hemorrhage
pulse normal pulse is 60-90, immediately after delivery there may be an increase in pulse, then days 1-6pp, the pulse is a normal bradycardia
pp leukocytosis 15,000-20,000 normal
pp HGB usually drops 2 pts related to blood loss (normal HGB is 12-15)
ppH+H return to normal with reduction of blood volume
weight loss pp 10-12 lbs at birth, return to normal with reduction of blood volume
physiologic pp chill related to vasomotor changes andnervous response to delivery
diaphoresis pp elimination of excess fluid and waste products via perspiration, night sweats often occur
Afterpains pp intermittent uterine contractions, they are more painful in multips. May occur with breastfeeding or administration of methergine
taking -in phase mom- more passive, dependent, needs care for her needs , still focused inward, starting to move out. may need to talk about L& D experience
taking-hold phase after day 2-3 Mother resumes control of her life and body functions. wants to take care of her newborn, seeks information about baby care. may need reassurance
postpartum blues transient period of depression occuring first week or so ppp. related to shift in horemones, exhaustion, discomfort
BUBBLE HE HA Breasts, Uterus, BOwels, Bladder, Lochia, Episiotomy, Homans sign, edema, hemorrhoids, attachment
Postpartum infection any clinical infection infection of the genital canal which occurs within 28 days after childbirth or abortion
sites of pp infection episiotomy, lacerations of vagina or cervix, placental site, c section incision
chorioamnionitis may be a result of PROM it is inflammatory reaction of fetal membranes in response to bacteria/ viruses in amniotic fluid
endometritis usually at placental site, permits the start of the infection. If not treated, and prevented from spreading, it can travel along genital tract, become more extensive and serious
symptoms of pp infection temp of 100.4 or higher on 2 successive days, not counting first 24 hours of birth, accompanied by fatigue, lethargy, lack of appitite, chills, perineal discomfort, lower abdominal paiin, nausea, foul profuse lochia
treatment of pp infection prevention, most effective and cheapest method. fluids and broad spectrum antibiotics breastfeedig may continue
mastitis infection of breasts
mastitis symptoms painful breasts, high fever, chills, low BP
mastitis lab findings entric gram neg. bacteria, usually staph aureus, from the newborns mouth
treatment of mastitis antibiotics, good bra support of breasts, local heat or cold, and analgesics. Encourage continued breastfeeding or pumping breasts
Created by: goryan on 2007-11-26



Copyright ©2001-2014  StudyStack LLC   All rights reserved.