Postpartum assessment and nursing care
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| Postpartum period (puerperium) is defined as | show 🗑
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| Involution | show 🗑
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| Normal fundus descension | show 🗑
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| show | afterpains
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| show | lochia rubia, bright red, lasts 1-3 days and may contain small clots; lochia serosa, pink to brown, should not contain clots, can last up to 27 days; lochia alba, yellow to white, by 10 days and up to sixth week postpartum
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| Mechanisms to lose excess fluid postpartum | show 🗑
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| High WBCs postpartum are not normal | show 🗑
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| show | T:38C/100.4F in first 24 hours but afebrile after; P:50-60 bpm for first 6-8 days postpartum; BP: should remain stable after birth
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| show | increased capacity of bladder, less muscle tone, anesthetic drugs, edematous and trauma to bladder area, results in diminished awareness of need to urinate leading to decreased sensitivity to fluid pressure-woman does not feel urge to void
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| what skin change will not disappear? | show 🗑
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| what do you tell a patient that doesn’t plan to breast feed, about engorgement? | show 🗑
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| Can you get pregnant while breastfeeding | show 🗑
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| show | tearfulness, insomnia, lack of appetite, and a feeling of being disappointed; occurs in about 70% of women during first 10 days after birth and lasts up to 10 days
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| show | taking in; taking hold; and letting go
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| show | every 15 minutes, then every 30 minutes if woman’s status is stable
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| preparing a woman to take a sitz bath at home | show 🗑
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| show | women who have a rubella titier of less than 1:10 are given the rubella vaccine to protect the next fetus from fetal malformations; the woman must not get pregnant for the next 3 months
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| what do you do when a fundus is displaced to the right? | show 🗑
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| show | lie on side; use a pillow when sitting; use ice pack, moist or dery heat or topical applications (if ordered); cleanse the perineum with a squeeze bottle, and take a warm shower or a sitz bath
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| show | early involvement can help reduce the older child’s anxiety, jealousy, and rivalry toward the newborn; regression may also occur; special attention should be given to older siblings
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| show | dyspnea and tachycardia
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| show | pain on dorsoflexion
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| show | cover with a warm blanket or have a hot drink, chill is a common experience after birth; after 24 hours chill may indicate infection
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| show | thromboembolism
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| show | decreases by approximately 4.5-5.4 kg (10-12 lbs); an additional 2.3 kg (5lbs) is lost during the early postpartum period as a result of diuresis and diaphoresis
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| REEDA | show 🗑
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