nursing management
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| hemorrhage complication | placenta previa, labor induction, retained placental fragments, prolonged third stage of labor
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| uterine fundus | should be midline and firm
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| boggy uterus | sign of uterine atony
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| bowel movements | occur 2-3 days after giving birth
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| scant lochia | 1-2 inch lochia staine on the pad
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| light lochia | 4 inch stain
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| moderate lochia | 4-6 inch stain
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| large/heavy lochia | saturated within 1 hour
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| heavy bleeding | massage the boggy fundus until firm to reduce the flow of blood
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| first degree lacerations | involves skin and superficial structures above muscles
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| second degree lacerations | extends through perineal muscles
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| third degree laceration | extends throughthe anal sphincter muscle
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| fourth degree laceration | continues through anterior rectal wall
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| episiotomy | while line the length of the wound is a sign of infection, swelling and discharge
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| pulmonary emboli | 1 in 2,000 pregnancies and major cause of maternal mortality
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| bonding | close emotional attraction to a newborn by parents within 30-60 minutes
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| en face position | eye to eye contact mothers to newborn
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| attachement | development of strong affection between and infant and significant other
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| touch | instinctual interaction between parent and infant
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| developmental task | trust vs. mistrus
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| eye contact, enface position, expressed pride, names infant | positive attachment behaviors
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| expresses disappointment,appears uninterested in having infant in room,asks to have infant return to nursery | negative attachment behaviors
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| smiles, sucks well, makes eye to eye contact, strong grasp reflex, follows parents face | positive attachment behaviors infant
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| 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
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| Kegel exercises | emtpy bladder, tighten pelvic muscle for 10 seconds, perform 10 exercises, 3 times/day,
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