question

This is used to describe the rapid reduction in size of uterus and return to pre-pregnant state

answer

Involution

question

This is the term describing the healing of the placenta implantation site. Important part of involution .

answer

Exfoliatinon

question

Uncomplicated labor and birth, complete expulsion of placenta, breastfeeding, early ambulation

answer

Enhancement of Involution

question

The uterus should be at the ____ within 6 to 12 hours after birth, and should decrease by i fingerbreadth a day.

answer

Umbillicus

question

This is the failure of the uterus to return to its normal size.

answer

Subinvolution

question

The uterus should be back in the pelvis by the ____ day after birth

answer

10th

question

Prandmultiparity, full bladder, uterus relaxation, retained placental fragments, infection, overdistention of the uterus,

answer

Causes of Subinvolution

question

Multiple gestation, polyhydramnios, large baby

answer

Causes of Overdistention of the Uterus

question

This is the debris in the uterus that comes out after birth. This will be persistent in the mother who is experiencing subinvolution

answer

Lochia

question

This is dark red discharge for 1 - 3 days post birth. Vast amounts are indicative of subinvolution

answer

Rubra Lochia

question

This is pale pink to brownish discharge 3 - 10 days after birth

answer

Serosa Lochia

question

Thicker white-yellowish discharge seen up to 4 weeks after birth

answer

Alba Lochia

question

A hemorrhage would be defined as more than ____ of blood after a vaginal delivery, and ______ after a C section

answer

500 mL, 1000 mL

question

A person who has had a C section typically has ___ lochia in the postpartum period, but may experience more bleeding

answer

Less

question

Sex can often be resumed after lochia ____, as it no longer presents a risk for infection

answer

Stops

question

This is what REEDA stands for. It should be observed for in the postpartum

answer

Redness, Edema, Ecchymosis, Drainage, Approximation

question

Post partum, pad should be changed at least ____ times a day.

answer

4

question

Healing starts around _____, and as many _____

answer

4 - 6 weeks, months

question

Sitz baths, topical agents, ice packs, perineal care.

answer

Relief of Parineal Discomfort

question

This his a relief measure post partum. These reduce infection, promoted blood flow = promoted healing, promotes comfort

answer

Sitz Baths

question

Suppositiories should not be given to patients who have a....

answer

4th Degree Laceration

question

This is hemorrhage within the first 24 hours after birth. Can be caused by uterine distention, rapid labor, oxytocin use, prolonged 3rd stage, operative birth

answer

Primary Post Partum Hemorrhage

question

This is the most common cause of Early PP Hemorrhage

answer

Uterine Atony

question

Bladder should always be ____ postpartum

answer

Empty

question

Pressure in vagina, excessive pain, skin pulled tight and shiny over area

answer

S/S of Hematoma

question

These will be ordered int he case of PP hemorrhage. Pictosin (higher dose), methmygrine, hemabate, cytotec (higher dose),

answer

Uterine Stimulants

question

Methyrgine should not be given to a mother who has any sort of _____

answer

HTN

question

This is hemorrhage after 24 hours of birth. Causes can be endometritis or placental implantantation in lower uterus. Fundus can be firm, rubra lasts longer than 2 weeks.

answer

Secondary PP Hemorrhage

question

Post partum, mother should be ____ after first 24 hours. No higher than 100.4. If present, suspect infection

answer

Afebrile

question

This is an expected rhythm finding post pregnancy

answer

Bradycardia

question

This is a concern post partum. There can be slight increase in BP directly after birth that contributes to this.

answer

Orthostatic Hypotension

question

This is often elevated after delivery

answer

White Blood Count

question

This is common post partum, but it isn't often due to cold but a mix of adrenaline and pelvic nerve stimulation.

answer

Postpartum Chill

question

Offer clean gown, change bed linens, offer warm/cool washcloth, offer fluids, reassurance. Common due to fluid loss.

answer

Interventions for Diaphoresis

question

These are intermittent uterine contractions that can occur for up to to 3 days. Can be caused by multiple gestation, multiparity and distention of uterus. Breastfeeding makes it worse.

answer

Afterpains

question

Prone position, walking, analgesia administered an hour before breastfeeding

answer

Interventions for Afterpains

question

Positive homans sign, pedal edema, redness and warmth (especially more in one leg), normal low grade fever, slight increase in pule

answer

S/S of thromboembolis

question

Early ambulation TED hose or SCD's, avoid pressure behind knees, crossing legs or prolonged sitting or standing

answer

Preventative Measures for Thromboembolis

question

Application of local heath, elevation of affected limb, strict bedrest, analgesics, anticoagulants

answer

Interventions for Thromboembolism

question

Tanked O2 despite oxygen therapy, chest pain or dyspnea

answer

S/S of pulmonary embolism

question

Postpartum diuresis, bladder tenderness and decreased bladder tone are put mom at risk for _____.

answer

Urinary Tract Infection

question

A full bladder can cause...

answer

Uterine Displacement

question

Avoiding breast stimulation, ice packs, cabbage leaves, tight fitting bra

answer

Suppression of Lactation

question

Return of ovulation is often ______ in a mother who is exclusively breast feeding. In nonbreastfeeding mothers menstruation comes in 6 weeks, ovulation in 6 months

answer

Prolonged

question

Organize nursing care to promote ....

answer

Rest

question

A breastfeeding mother will need an extra ___ calories and LOTs of noncaffinated fluids

answer

500

question

Assess and massage fundus, foley care, bowel sounds (may be hypo), abdominal incisions for REEDA, EARLY AMBULATION, TCDB q 2 hr, comfort via back rubs and oral care, visits by newborn

answer

Interventions Post C Section

question

These should be avoided post C section to avoid bringing extra gas into the gut

answer

Carbonated Beverages

question

Give these within 24 hours after C section to promote mother to be more mobile

answer

Analgesics

question

Mother-infant bond can be ____ by C section, and is not uncommon

answer

Delated

question

These will be delayed in a mother who is receiving RhoGam because of the mothers decreased ability to make antibodies

answer

Vaccines

question

This stage occurs a few days after birth. Mother is passive, asks for help on simple tasks, and food and sleep are major needs.

answer

Taking In

question

This stage occurs 2 to 3 days after delivery. There is less focus on discomfort, confidence growing, focused on baby but may need reassurance

answer

Taking Hold

question

Total separation of newborn from self, confident in care taking activities of self and newborn

answer

Letting Go

question

This is the stage where mother learns about breastfeeding, ect

answer

Anticipatory Stage

question

This is the stage after the baby is born, when the mother is finding out what actually works for her

answer

Formal Stage

question

This is when the mother molds what she has learned to what works for her

answer

Informal Stage

question

Mom knows what she's doing, and she has her way of doing things down pat.

answer

Personal Stage

question

This is not postpartum depression, and is the result of hormones. This is a transient period of depression that occurs the first 10 or so days after delivery. Tearfulness, anorexia, insomina, feeling of letdown

answer

Postpartum Blues

question

Changing hormones, psychological adjustments, enviornment, insecurity, discomfort, overstimulation

answer

Causes of Postpartum Blues

question

This is the phase when the mother gets to know the baby. Fingertip exploration, en face position, responds verbally to sounds of infant

answer

Aquaintance Phase

question

This is the adjustment between the needs of the mother and the needs of the infant

answer

Phase of Mutual Regulation

question

This is mutually gratifying interaction among mother, infant and father

answer

Reciprocity

question

Involvement with family of origin, relationships, planned/unplanned?, communication patterns

answer

Factors that Influence Maternal-Infant Attachment

question

This is a sense of absorbtion between father or mother and the infant.

answer

Engrossment

question

Allow them to interact at own pace, give present 'from infant to sibling'

answer

Siblings and Infant

question

Maternal infant interaction, roles of support people, plans for discharge, knowledge of childearing, plans for follow up care

answer

Adolescent Mother Assessment

question

Usually white, educated and have plans for higher education, suggested by parents

answer

Relinquishing Baby by Choice

question

Social services are involved, usually placed with family

answer

Relinquishing Baby by Force

question

Oftentimes any special request should be respected, some may request early discharge or transfer, encourage expression/verbalization of emotions

answer

Surrogacy

question

Increased vaginal bleeding, foul smelling discharge, fever above 100.4, depression or sadness that lasts longer than 2 weeks, painful/burning urination, pain, redness or swelling of breasts or legs

answer

S/S of Complications

question

Veggies, 8 - 1o glasses of water a day, increased iron

answer

Nutrition Postpartum

question

Have baby on back during the night, no blankets, no co sleeping, in a bassinet in the parents room

answer

SIDS prevention

Postpartum Nursing Care – Flashcards

Unlock all answers in this set

Haven't found what you were looking for?

Search for samples, answers to your questions and flashcards