Nursing Care During the Postpartum Period
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| 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
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
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
Normal Size Small Size show me how
Created by:
Shanejqb
Popular Nursing sets