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Nursing Care During the Postpartum Period
| Question | Answer |
|---|---|
| What is Puerperium? | Puerperium refers to the postpartum period... usually around the 1st 6 weeks after birth. |
| When does puerperium begin and end? | Begins with the delivery of the placenta and ends with resumption of menses |
| What is Involution? | the process that results in rapid healing and a return to the pre-pregnant state (Contraction, Catabolism, Regeneration) |
| How is the womans body temperature for the 1st 24 hours after childbirth? | Temperature may be elevated for up to 24 hours with no other symptoms |
| What abnormal pulse is common after childbirth? | Bradycardia |
| What is the involution of the uterus? | The uterine fundes decreases in height approximately 1cm per day after delivery |
| For the first 12 hours after delivery, where is the fundus of the uterus? | roughly 1cm - 2cm above or below the umbilicus for the 1st 12 hours |
| When does involution of the uterus begin? | immediately following the expulsion of the placenta, contracting firmly |
| How long after delivery is bladder tone restored to normal? | 3 months |
| How is the uterus displaced after delivery? | Upward and laterally |
| When after delivery is the first bowel movement? | Usually first bowel movement is in the 2nd-3rd day |
| What is Lochia? | post delivery uterine discharge |
| How is lochia assessed? | *Color *Amount *Odor *Presence of clots |
| What is Lochia Rubra? | Blood content; red colored for the first 1-3 days |
| What is Lochia serosa? | Pink to brown discharge day 4 – 11 |
| What is Lochia alba? | Slightly yellow to white discharge which lasts to 3 weeks |
| How is heavy lochia volume defined? | Heavy is saturating a pad every 1 hours |
| How is moderate lochia volume defined? | Moderate is less than a 4 - 6 inch stain on the pad |
| How is light lochia volume defined? | Light is less than a 1 - 4 inch stain |
| How is scant lochia volume defined? | Scant is less than a 1 inch stain |
| How is excessive lochia volume defined? | Excessive is saturation of a peripad pad within 15 minutes |
| When must lochia be immediately reported to provider? | *Foul smelling, bright red discharge *Clots are passed which are larger than the size of your fist *Pad is saturated in less than one hour |
| What does REEDA stand for? | *Redness *Edema *Ecchymosis *Discharge *Approximation |
| What is REEDA used as a check for? | Episiotomy |
| How is the PT positioned for a perineum assessment? | lay on her side in Sims position and flex her upper leg |
| Fill in the blanks: Blood ________ factors are higher, the postpartum patient is at increased risk for ____ formation | Clotting, clot |
| Post partum chills are thought to be due to what? | the sudden release of pressure on the pelvic nerve |
| A PT is complaining of a headache during the postpartum period, as a LPN you know that... | Postpartum headaches are common and may be caused by various conditions |
| How long can the enlargement of the PTs feet during pregnancy last after delivery? | Feet may be permanently enlarged |
| How long must a woman avoid pregnancy after receiving a rubella vaccination? | 28 days (used to be 3 months) |
| What is given to a Rh-negative mother who has a Rh-positive infant | Rho(D) Immune Globulin (Rho Gam) |
| How long after delivery must the mother be kept NPO? | Until bowel sounds return |
| What can be given to relieve a mothers flatus after delivery? | Simethecone |
| What are the phases of Rubin’s Psychological Changes of the Puerperium? | *Phase 1: Taking In *Phase 2: Taking Hold *Phase 3: Letting Go |
| What can be done to strengthen pubococcygeal muscles? | Kegel Exercise |
| What are post-partum danger signs in the behavior of the mother? | *Passive reactions, either verbal or nonverbal *Hostile reactions *Disappointment over the sex of the baby *Lack of eye contact *Non-supportive interaction between parents |
| Postpartum depression affects what percentage of mothers? | 70% |
| True or False: Post-partum blues does not affect the mothers ability to care for the infant | True |
| How may a toddler react to a newborn sibling? | *Infant is competition *May have sleep problems *Regression |
| How may a Preschooler react to a newborn sibling? | look more than touch |
| How may a school age child react to a newborn sibling? | easily adapt |
| What can be given if during the Postpartum Period the fundus is not firm, and massaging and breast feeding does not increase the muscle tone? | oxytocic medication |
Created by:
Shanejqb
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