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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, |